Pichia

毕赤酵母
  • 文章类型: Journal Article
    PichiaKluyveri,一种常见于四川泡菜(SCP)的增殖,可以加速腐败菌的生长和繁殖,导致异味的发展和腐烂。虽然D-柠檬烯,一种常见的天然防腐剂,有效地限制了P.kluyveri,其抑制机制尚不清楚。本研究旨在通过研究对克鲁维氏疟原虫基本代谢的影响来阐明这一分子机制。研究结果表明,D-柠檬烯抑制了P.kluyveri的生长,并破坏了负责编码与细胞壁和膜合成有关的酶的基因的转录,氧化磷酸化,糖酵解,和三羧酸(TCA)循环途径。结果表明,这些事件破坏了关键的代谢,如细胞壁和膜的完整性,三磷酸腺苷(ATP)合成,和活性氧(ROS)平衡。这些见解提供了对D-柠檬烯对P.kluyveri生长和繁殖的抑制作用的全面了解,同时突出了其在SCP行业的潜在应用。
    The Pichia kluyveri, a proliferation commonly found in Sichuan pickles (SCPs), can accelerate the growth and reproduction of spoilage bacteria, causing off-odor development and decay. Although D-limonene, a common natural preservative, effectively restricts P. kluyveri, its inhibitory mechanism remains unclear. This study aimed to elucidate this molecular mechanism by investigating the impact on basic P. kluyveri metabolism. The findings revealed that D-limonene inhibited P. kluyveri growth and disrupted the transcription of the genes responsible for encoding the enzymes involved in cell wall and membrane synthesis, oxidative phosphorylation, glycolysis, and the tricarboxylic acid (TCA) cycle pathway. The results indicated that these events disrupted crucial metabolism such as cell wall and membrane integrity, adenosine triphosphate (ATP) synthesis, and reactive oxygen species (ROS) balance. These insights provided a comprehensive understanding of the inhibitory effect of D-limonene on the growth and reproduction of P. kluyveri while highlighting its potential application in the SCP industry.
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  • 文章类型: Journal Article
    Ⅱ型胶原(COL2)是软骨组织的主要成分,在药物中有着广泛的应用,食物,和化妆品。在这项研究中,从人COL2中提取COL片段用于在巴斯德毕赤酵母中分泌表达。通过摇瓶培养成功分泌了三种变体,产量为73.3-100.7mg/L。显示三种COL2变体在4°C下自组装成三螺旋并且能够形成纳米纤维和水凝胶的更高阶组装。验证了COL2变体的生物活性,显示样品205表现出诱导成纤维细胞分化和细胞迁移的最佳性能。同时,样品205和209显示出比商业小鼠COL1更高的诱导体外血液凝固的能力。为了过表达样品205,用不同的启动子和信号肽构建表达盒。并对发酵条件进行了优化,获得样品205的172mg/L的产率。使用5L生物反应器进行分批补料发酵,分泌蛋白酶Pep4被敲除以避免样品降解,最终获得3.04g/L的产量这里,一个生物活性的COL2片段被成功地鉴定并且可以在巴斯德毕赤酵母中过表达;该变体可能成为皮肤护理的潜在生物材料。
    Collagen II (COL2) is the major component of cartilage tissue and is widely applied in pharmaceuticals, food, and cosmetics. In this study, COL fragments were extracted from human COL2 for secretory expression in Pichia pastoris. Three variants were successfully secreted by shake flask cultivation with a yield of 73.3-100.7 mg/L. The three COL2 variants were shown to self-assemble into triple-helix at 4 °C and capable of forming higher order assembly of nanofiber and hydrogel. The bioactivities of the COL2 variants were validated, showing that sample 205 exhibited the best performance for inducing fibroblast differentiation and cell migration. Meanwhile, sample 205 and 209 exhibited higher capacity for inducing in vitro blood clotting than commercial mouse COL1. To overexpress sample 205, the expression cassettes were constructed with different promoters and signal peptides, and the fermentation condition was optimized, obtaining a yield of 172 mg/L for sample 205. Fed-batch fermentation was carried out using a 5 L bioreactor, and the secretory protease Pep4 was knocked out to avoid sample degradation, finally obtaining a yield of 3.04 g/L. Here, a bioactive COL2 fragment was successfully identified and can be overexpressed in P. pastoris; the variant may become a potential biomaterial for skin care.
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  • 文章类型: Journal Article
    本章回顾了用于在巴斯德毕赤酵母中控制基因表达的不同启动子,主要用于重组蛋白生产。它涵盖了自然诱导,去压抑,和组成型启动子,以及工程合成/杂合启动子,来自相关酵母的直系同源启动子,和新兴的双向推动者。关键示例,特点,并讨论了每个启动子类别的调控机制。最近通过合理设计在发起人工程方面的努力,诱变,和计算方法也得到了强调。展望未来,我们预计会有进一步的发展,这将增强巴斯德毕赤酵母的启动子设计。总的来说,这个全面的概述强调了启动子选择和工程对于充分利用巴斯德毕赤酵母生物技术潜力的重要性。
    This chapter reviews the different promoters used to control gene expression in the yeast Pichia pastoris, mainly for recombinant protein production. It covers natural inducible, derepressed, and constitutive promoters, as well as engineered synthetic/hybrid promoters, orthologous promoters from related yeasts, and emerging bidirectional promoters. Key examples, characteristics, and regulatory mechanisms are discussed for each promoter class. Recent efforts in promoter engineering through rational design, mutagenesis, and computational approaches are also highlighted. Looking ahead, we anticipate further developments that will enhance promoter design for Pichia pastoris. Overall, this comprehensive overview underscores the importance of promoter choice and engineering for fully harnessing Pichia pastoris biotechnological potential.
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  • 文章类型: Journal Article
    环境微生物通常栖息在密集的多物种生物膜中,促进互惠关系和共同进化。然而,白酒发酵微生态系统中生物膜形成和微生物相互作用的潜在机制仍然知之甚少。因此,这项研究的目的是调查组成,结构,以及白酒生产中环境表面生物膜中微生物的相互作用。结果表明,发酵后细菌-真菌相互作用网络发生了变化,从合作/共生关系过渡到竞争/对抗关系。生物膜内的核心微生物群包括乳酸菌(LAB),酵母,和丝状真菌。从环境表面样本中,我们分离了两株LAB(戊糖乳杆菌EB27和戊糖小球菌EB35)和一株酵母菌(毕赤酵母EF8),都显示出显着的生物膜形成和发酵潜力。与单物种生物膜相比,共培养LAB和酵母表现出更高的双物种生物膜形成能力。双物种生物膜表现出两层结构,LAB在下层,并作为上层酵母群落的基础。上层表现出密集的酵母分布,增强有氧呼吸。双物种生物膜中的代谢活动,例如ABC运输车,氧化磷酸化,柠檬酸循环,硫代谢,甘氨酸,丝氨酸,苏氨酸代谢,赖氨酸降解,半胱氨酸和蛋氨酸代谢,与LAB单物种生物膜相比,显示出显着的变化。此外,细菌趋化性,淀粉,双物种生物膜中的蔗糖代谢与酵母单物种生物膜中观察到的模式不同。这项研究表明,具有发酵潜力的核心微生物群可能以生物膜的形式存在于白酒酿造环境的表面。这些发现为在白酒智能酿造中使用合成稳定的微生物提供了一种新颖的策略。
    Environmental microorganisms commonly inhabit dense multispecies biofilms, fostering mutualistic relationships and co-evolution. However, the mechanisms underlying biofilm formation and microbial interactions within the Baijiu fermentation microecosystem remain poorly understood. Hence, the objective of this study was to investigate the composition, structure, and interactions of microorganisms residing in biofilms on environmental surfaces in Baijiu production. The results revealed a shift in the bacteria-fungi interaction network following fermentation, transitioning from a cooperative/symbiotic relationship to a competitive/antagonistic dynamic. Core microbiota within the biofilms comprised lactic acid bacteria (LAB), yeast, and filamentous fungi. From the environmental surface samples, we isolated two strains of LAB (Lactiplantibacillus pentosus EB27 and Pediococcus pentosaceus EB35) and one strain of yeast (Pichia kudriavzevii EF8), all displaying remarkable biofilm formation and fermentation potential. Co-culturing LAB and yeast demonstrated a superior capacity for dual-species biofilm formation compared to mono-species biofilms. The dual-species biofilm displayed a two-layer structure, with LAB in the lower layer and serving as the foundation for the yeast community in the upper layer. The upper layer exhibited a dense distribution of yeast, enhancing aerobic respiration. Metabolic activities in the dual-species biofilm, such as ABC transporter, oxidative phosphorylation, citric acid cycle, sulfur metabolism, glycine, serine, threonine metabolism, lysine degradation, and cysteine and methionine metabolism, showed significant alterations compared to LAB mono-species biofilms. Moreover, bacterial chemotaxis, starch, and sucrose metabolism in the dual-species biofilm exhibited distinct patterns from those observed in the yeast mono-species biofilm. This study demonstrated that a core microbiota with fermentation potential may exist in the form of a biofilm on the surface of a Baijiu brewing environment. These findings provide a novel strategy for employing synthetic stable microbiotas in the intelligent brewing of Baijiu.
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  • 文章类型: Journal Article
    背景:巴斯德毕赤酵母(Komagataellaphafii)是一种有前途的生产宿主,但是甲醇的使用限制了其在医药和食品工业中的应用。
    结果:为了提高异源蛋白在巴斯德毕赤酵母中的组成型表达,四个新的潜在转录调节因子(Loc1p,msn2p,Gsm1p,在这项研究中,使用纤维素酶E4作为报告基因揭示了三磷酸甘油醛脱氢酶启动子(pGAP)的Hot1p)。在此基础上,构建了一系列转录因子敲除或过表达的巴斯德毕赤酵母菌株,并证实了pGAP上转录因子结合位点的缺失。结果表明,Loc1p和msn2p可以抑制pGAP的活性,而Gsm1p和Hot1p可以增强pGAP的活性;Loc1p,Gsm1p和Hot1p可以直接绑定到pGAP,而Msn2p必须被处理以暴露C端结构域以结合pGAP。此外,操纵单个转录因子导致木聚糖酶表达增加0.96倍至2.43倍。在另一个模型蛋白质中,黄曲霉毒素氧化酶,基于AFO-ΔMsn2菌株敲除Loc1导致表达增加0.63倍至1.4倍。可以证明转录因子的联合使用可以进一步提高外源蛋白在巴斯德毕赤酵母中的表达。
    结论:这些发现将有助于构建基于pGAP的巴斯德毕赤酵母系统,以实现异源蛋白的高表达,从而提高酵母的应用潜力。
    BACKGROUND: Pichia pastoris (Komagataella phaffii) is a promising production host, but the usage of methanol limits its application in the medicine and food industries.
    RESULTS: To improve the constitutive expression of heterologous proteins in P. pastoris, four new potential transcription regulators (Loc1p, Msn2p, Gsm1p, Hot1p) of the glyceraldehyde triphosphate dehydrogenase promoter (pGAP) were revealed in this study by using cellulase E4 as reporter gene. On this basis, a series of P. pastoris strains with knockout or overexpression of transcription factors were constructed and the deletion of transcription factor binding sites on pGAP was confirmed. The results showed that Loc1p and Msn2p can inhibit the activity of pGAP, while Gsm1p and Hot1p can enhance the activity of pGAP; Loc1p, Gsm1p and Hot1p can bind directly to pGAP, while Msn2p must be treated to expose the C-terminal domain to bind to pGAP. Moreover, manipulating a single transcription factor led to a 0.96-fold to 2.43-fold increase in xylanase expression. In another model protein, aflatoxin oxidase, knocking out Loc1 based on AFO-∆Msn2 strain resulted in a 0.63-fold to 1.4-fold increase in expression. It can be demonstrated that the combined use of transcription factors can further improve the expression of exogenous proteins in P. pastoris.
    CONCLUSIONS: These findings will contribute to the construction of pGAP-based P. pastoris systems towards high expression of heterologous proteins, hence improving the application potential of yeast.
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  • 文章类型: Journal Article
    背景:在过去的二十年里,杂交一直是用于酿造和酿酒的优质酵母的强大工具。新型杂种主要使用至少一种酿酒酵母亲本构建。然而,对用于其他目的的杂种知之甚少,例如有针对性的香料生产,例如,2-苯基乙醇(2-PE)。2-PE,一种广泛用于食品中的芳香化合物,化妆品,和制药工业,由于其毒性,在生物技术生产中提出了挑战。因此,为了提高生产率和对2-PE的耐受性,各种策略,如诱变和基因工程被广泛探索,以改善酵母菌株。虽然生物技术的努力主要集中在2-PE生产的酿酒酵母上,其他酵母属物种及其杂种仍未得到充分描述。
    结果:为了解决这个差距,在这项研究中,我们分析了一种新的种间酵母杂种,II/6,来自S.uvarum和S.kudriavzevii的父母,就2-PE生物转化和对其高浓度的抗性而言,将其与亲本菌株进行比较。在本研究中使用两种已知的2-PE生物转化介质和三种不同的温度来确定最佳条件。在72小时分批培养中,II/6杂种的最大值为2.36±0.03g/L2-PE,比亲本菌株的生产率高2-20倍。我们的兴趣不仅在于确定杂种的生产率是否提高,还在于评估其对高2-PE滴度的敏感性是否也得到缓解。结果表明,杂种对毒性产物的抗性明显高于原始菌株。
    结论:所进行的实验证实了杂交是一种有前途的用于修饰酵母菌株的方法。因此,2-PE产量和对其抑制作用的耐受性都可以提高。此外,这种策略允许获取非转基因菌株,减轻与其他立法要求或消费者对生产者的接受问题有关的担忧。获得的发现有可能为将来开发实用的解决方案做出贡献。
    BACKGROUND: Over the last two decades, hybridization has been a powerful tool used to construct superior yeast for brewing and winemaking. Novel hybrids were primarily constructed using at least one Saccharomyces cerevisiae parent. However, little is known about hybrids used for other purposes, such as targeted flavor production, for example, 2-phenylethanol (2-PE). 2-PE, an aromatic compound widely utilised in the food, cosmetic, and pharmaceutical industries, presents challenges in biotechnological production due to its toxic nature. Consequently, to enhance productivity and tolerance to 2-PE, various strategies such as mutagenesis and genetic engineering are extensively explored to improved yeast strains. While biotechnological efforts have predominantly focused on S. cerevisiae for 2-PE production, other Saccharomyces species and their hybrids remain insufficiently described.
    RESULTS: To address this gap, in this study, we analysed a new interspecies yeast hybrid, II/6, derived from S. uvarum and S. kudriavzevii parents, in terms of 2-PE bioconversion and resistance to its high concentration, comparing it with the parental strains. Two known media for 2-PE biotransformation and three different temperatures were used during this study to determine optimal conditions. In 72 h batch cultures, the II/6 hybrid achieved a maximum of 2.36 ± 0.03 g/L 2-PE, which was 2-20 times higher than the productivity of the parental strains. Our interest lay not only in determining whether the hybrid improved in productivity but also in assessing whether its susceptibility to high 2-PE titers was also mitigated. The results showed that the hybrid exhibited significantly greater resistance to the toxic product than the original strains.
    CONCLUSIONS: The conducted experiments have confirmed that hybridization is a promising method for modifying yeast strains. As a result, both 2-PE production yield and tolerance to its inhibitory effects can be increased. Furthermore, this strategy allows for the acquisition of non-GMO strains, alleviating concerns related to additional legislative requirements or consumer acceptance issues for producers. The findings obtained have the potential to contribute to the development of practical solutions in the future.
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  • 文章类型: Journal Article
    作为一种剧毒的霉菌毒素,曲霉毒素A(OTA)广泛污染农产品,具有多种毒理学作用。用于OTA降解的生物酶已显示出有希望的解毒潜力。除了以前有效的酰胺水解酶ADH3,本研究获得了两种新的酰胺水解酶ADH1和AMD3。在大肠杆菌表达过程中,表达的蛋白质溶解度非常低,将限制未来的工业应用。这里,筛选高拷贝数整合,酰胺水解酶被巴斯德毕赤酵母GS115有效地分泌表达。1.0L发酵上清液的蛋白质产量对于ADH1为53.5mg,对于ADH3为89.15mg,对于AMD3为79.5mg。分泌蛋白的催化效率(Kcat/Km)对于ADH3为124.95s-1mM-1,对于ADH1为123.21s-1mM-1,对于AMD3为371.99s-1mM-1。与大肠杆菌表达相比,活性蛋白产量大幅增加15.78-51.53倍。同时,两种新的酰胺水解酶(ADH1和AMD3)显示出比分泌表达产生的ADH3高得多的活性。
    As a highly toxic mycotoxin, ochratoxin A (OTA) is widely contaminating agricultural products and has various toxicological effects. Bioenzymes for OTA degradation have shown promising potential for detoxification. Other than the efficient amidohydrolase ADH3 previously, two novel amidohydrolases ADH1 and AMD3 were obtained in this study. During Escherichia coli expression, the expressed protein solubility was very low and will limit future industrial application. Here, high copy number integrations were screened, and the amidohydrolases were efficiently secretory expressed by Pichia pastoris GS115. The protein yields from 1.0 L of fermentation supernatant were 53.5 mg for ADH1, 89.15 mg for ADH3, and 79.5 mg for AMD3. The catalytic efficiency (Kcat/Km) of secretory proteins was 124.95 s-1 mM-1 for ADH3, 123.21 s-1 mM-1 for ADH1, and 371.99 s-1 mM-1 for AMD3. In comparison to E. coli expression, the active protein yields substantially increased 15.78-51.53 times. Meanwhile, two novel amidohydrolases (ADH1 and AMD3) showed much higher activity than ADH3 that produced by secretory expression.
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  • 文章类型: Journal Article
    小的单链可变片段(scFv)是有前途的生物分子,可以抑制和中和毒素并充当抗蛇毒血清。在这项工作中,我们的目标是在巴斯德毕赤酵母中产生功能性scFv-6009FV,抑制纯Cn2神经毒素和Centruroidesnoxius的整个毒液。我们能够在烧瓶中获得高达31.6±2mg/L的产量。此外,蛋白质显示6.1%的α-螺旋结构,49.1%β-折叠,和44.8%的无规卷曲由CD。质谱证实了氨基酸序列,并且没有显示该分子的糖基化谱。纯化的scFv-6009FV允许我们在兔子中开发抗scFv,然后将其用于亲和柱中以纯化其他scFvs。测定其半最大抑制浓度值(IC50)比作为对照的由大肠杆菌产生的scFvs好40%。最后,我们发现scFv-6009FV能够体外抑制纯Cn2毒素和小鼠解救实验中来自C.noxius的整个毒液。这些结果表明,在这里分析的条件下,巴斯德毕赤酵母适合生产scFv-6009FV,与大肠杆菌产生的scFvs相比,保持抗体的特性并更有效地中和Cn2毒素。
    Small single-chain variable fragments (scFv) are promising biomolecules to inhibit and neutralize toxins and to act as antivenoms. In this work, we aimed to produce a functional scFv-6009FV in the yeast Pichia pastoris, which inhibits the pure Cn2 neurotoxin and the whole venom of Centruroides noxius. We were able to achieve yields of up to 31.6 ± 2 mg/L in flasks. Furthermore, the protein showed a structure of 6.1 % α-helix, 49.1 % β-sheet, and 44.8 % of random coil by CD. Mass spectrometry confirmed the amino acid sequence and showed no glycosylation profile for this molecule. Purified scFv-6009FV allowed us to develop anti-scFvs in rabbits, which were then used in affinity columns to purify other scFvs. Determination of its half-maximal inhibitory concentration value (IC50) was 40 % better than the scFvs produced by E. coli as a control. Finally, we found that scFv-6009FV was able to inhibit ex vivo the pure Cn2 toxin and the whole venom from C. noxius in murine rescue experiments. These results demonstrated that under the conditions assayed here, P. pastoris is suited to produce scFv-6009FV that, compared to scFvs produced by E. coli, maintains the characteristics of an antibody and neutralizes the Cn2 toxin more effectively.
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  • 文章类型: Journal Article
    Komagataellaphafii(K.phaffii)(巴斯德毕赤酵母),也被称为生物技术酵母,是一种在生物技术和制药行业中具有许多应用的酵母。这种甲基营养酵母作为生产重组蛋白的平台引起了极大的兴趣。许多益处包括促进异源蛋白的容易纯化的有效分泌表达,细胞密度高,生长迅速,翻译后的变化,和整合到基因组中的稳定基因表达。在过去的三十年里,K.phafii也已被完善为适应性细胞工厂,可以在实验室环境中和工业规模上生产数百种生物分子。的确,到目前为止,已经使用K.phafii表达方法产生了超过5000种重组蛋白,占总细胞蛋白的30%或总释放蛋白的80%。K.phafii已用于制造70多种商业产品,以及已获得许可的300多种工业过程。其中包括用于工业生物技术的有用酶,包括木聚糖酶,甘露聚糖酶,脂肪酶,和植酸酶。其他的是生物制药,其中包括人血清白蛋白,胰岛素,乙型肝炎表面抗原,和表皮生长因子.与其他表达系统相比,这种酵母也被认为是合成亚单位疫苗的特殊宿主,最近被替代疫苗类型所取代,例如灭活/灭活和减毒活疫苗。此外,通过多级优化方法实现重组蛋白的高效生产,如密码子偏倚,基因剂量,promotors,信号肽,和环境因素。因此,虽然K.phafii表达系统是有效和简单的,有明确的过程程序,仍然需要确定理想的条件,因为这些条件根据靶蛋白而变化,以确保最高的重组蛋白生成。这篇综述涉及K.phafii表达系统,它在工业和生物制药蛋白质生产中的重要性,以及一些有效生产蛋白质的生物加工和遗传修饰策略。K.phaffii最终将继续在研究领域和工业应用中作为有效的表达系统做出贡献。
    Komagataella phaffii (K. phaffii) (Pichia pastoris), also called biotech yeast, is a yeast species with many applications in the biotechnology and pharmaceutical industries. This methylotrophic yeast has garnered significant interest as a platform for the production of recombinant proteins. Numerous benefits include effective secretory expression that facilitates the easy purification of heterologous proteins, high cell density with rapid growth, post-translational changes, and stable gene expression with integration into the genome. In the last thirty years, K. phaffii has also been refined as an adaptable cell factory that can produce hundreds of biomolecules in a laboratory setting and on an industrial scale. Indeed, over 5000 recombinant proteins have been generated so far using the K. phaffii expression method, which makes up 30% of the total cell protein or 80% of the total released protein. K. phaffii has been used to manufacture more than 70 commercial products in addition to over 300 industrial processes that have been granted licenses. Among these are useful enzymes for industrial biotechnology, including xylanase, mannanase, lipase, and phytase. The others are biopharmaceuticals, which include human serum albumin, insulin, hepatitis B surface antigen, and epidermal growth factor. Compared to other expression systems, this yeast is also considered a special host for synthesizing subunit vaccines, which have recently been supplanted by alternative vaccination types, such as inactivated/killed and live attenuated vaccines. Moreover, efficient production of recombinant proteins is achieved through multi-level optimization methods, such as codon bias, gene dosage, promoters, signal peptides, and environmental factors. Therefore, although K. phaffii expression systems are efficient and simple with clearly established process procedures, it is still necessary to determine the ideal conditions since these vary depending on the target protein to ensure the highest recombinant protein generation. This review addresses the K. phaffii expression system, its importance in industrial and biopharmaceutical protein production, and some bioprocessing and genetic modification strategies for efficient protein production. K. phaffii will eventually continue contributing as a potent expression system in research areas and industrial applications.
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  • 文章类型: Systematic Review
    为了应对日益增长的全球真菌感染威胁,2020年,世界卫生组织(WHO)成立了一个专家组,以确定优先真菌并制定第一份WHO真菌优先病原体清单(FPPL)。这项系统评价的目的是评估由毕赤酵母(以前称为念珠菌)引起的侵袭性感染的特征和全球影响。PubMed和WebofScience用于确定2011年1月1日至2021年2月18日之间发表的有关死亡率标准的研究。发病率(定义为住院和住院时间),耐药性,可预防性,年发病率,和分布/出现。总的来说,评估了33项研究。据报道,成年人的死亡率高达67%。尽管P.kudriavzevii对氟康唑具有固有的耐药性,但对两性霉素B的敏感性降低,对其他唑类和棘白菌素的抗性(或非野生型率)较低,范围在0到5%之间。发生库德里亚夫泽维感染的危险因素包括低出生体重,事先使用抗生素/抗真菌药,以及胃肠道疾病或癌症的潜在诊断。由P.kudriavzevii引起的感染的发生率普遍较低(约占所有念珠菌样血液分离株的5%),并且在10年的时间框架内保持稳定,尽管需要额外的监测数据。应制定针对已确定的发生库德里亚夫泽维感染的危险因素的策略,并测试实施的有效性和可行性。关于库德里亚夫泽维的流行病学和易感性数据的研究很少,特别是在低收入和中等收入国家(LMICs)。因此,需要全球监测系统来监测发病率,易感性,和P.kudriavzevii侵袭性感染的发病率,以告知诊断和治疗。应进行及时的物种水平鉴定和敏感性测试,以降低高死亡率并限制P.kudriavzevii在医疗机构中的传播。
    In response to the growing global threat of fungal infections, in 2020 the World Health Organisation (WHO) established an Expert Group to identify priority fungi and develop the first WHO fungal priority pathogen list (FPPL). The aim of this systematic review was to evaluate the features and global impact of invasive infections caused by Pichia kudriavzevii (formerly known as Candida krusei). PubMed and Web of Science were used to identify studies published between 1 January 2011 and 18 February 2021 reporting on the criteria of mortality, morbidity (defined as hospitalisation and length of stay), drug resistance, preventability, yearly incidence, and distribution/emergence. Overall, 33 studies were evaluated. Mortality rates of up to 67% in adults were reported. Despite the intrinsic resistance of P. kudriavzevii to fluconazole with decreased susceptibility to amphotericin B, resistance (or non-wild-type rate) to other azoles and echinocandins was low, ranging between 0 and 5%. Risk factors for developing P. kudriavzevii infections included low birth weight, prior use of antibiotics/antifungals, and an underlying diagnosis of gastrointestinal disease or cancer. The incidence of infections caused by P. kudriavzevii is generally low (∼5% of all Candida-like blood isolates) and stable over the 10-year timeframe, although additional surveillance data are needed. Strategies targeting the identified risk factors for developing P. kudriavzevii infections should be developed and tested for effectiveness and feasibility of implementation. Studies presenting data on epidemiology and susceptibility of P. kudriavzevii were scarce, especially in low- and middle-income countries (LMICs). Thus, global surveillance systems are required to monitor the incidence, susceptibility, and morbidity of P. kudriavzevii invasive infections to inform diagnosis and treatment. Timely species-level identification and susceptibility testing should be conducted to reduce the high mortality and limit the spread of P. kudriavzevii in healthcare facilities.
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