urease activity

  • 文章类型: Journal Article
    我们测试了木材馏出物(WD)与农业土壤中尿素相互作用的能力。WD是一种可持续材料,已被视为合成土壤确凿剂的有希望的替代品。然而,关于WD对氮循环的影响的信息很少。在这项研究中,用不同量的WD和有/没有尿素的土壤进行铵测试,脲酶,硝酸盐/亚硝酸盐,以及30天时间范围内不同点的潜在硝化活性。高浓度的WD(1-2%)抑制了尿素的水解和铵向硝酸盐的氧化。热脱附与GC-MS和高效液相色谱-串联质谱表征相结合,使我们能够揭示WD-尿素相互作用主要涉及馏出物中木质素衍生的化合物,如儿茶酚,间苯二酚,还有Syringol.这项研究提供了土壤中WD和尿素之间强烈相互作用的第一个证据,可用于开发缓释肥料。
    We tested the ability of wood distillate (WD) to interact with urea in agricultural soil. WD is a sustainable material that has been addressed as a promising alternative to synthetic soil corroborants. However, there is little information about the effect of WD on the nitrogen cycle. In this study, soils with different amounts of WD and with/without urea were tested for ammonium, urease, nitrate/nitrite, and potential nitrification activity at different points in a 30 day time frame. High concentrations of WD (1-2%) inhibited the hydrolysis of urea and the oxidation of ammonium to nitrate. Thermal desorption coupled to GC-MS and high-performance liquid chromatography-tandem mass spectrometry characterization allowed us to reveal that WD-urea interactions mainly involve lignin-derived compounds in the distillate, such as catechol, resorcinol, and syringol. This study provides the first evidence of a strong interaction between WD and urea in soil that could be used to develop slow-release fertilizers.
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  • 文章类型: Journal Article
    近年来,已经研究了酶诱导的碳酸盐沉淀(EICP)在重金属污染的水或土壤修复中的应用。本文旨在研究Zn2+的固定化机理,Ni2+,和铬(VI)污染的沙子,以及使用EICP方法与粗剑豆脲酶提取物对砂样的强度增强。进行了一系列液体批量试验和人工污染砂修复实验,探讨了重金属固定化效果和机理。结果表明,尿素水解完井效率随Ca2浓度的增加而降低,重金属固定化率随Ca2浓度和处理周期的增加而增加。在添加了0.5mol/LCa2+的四个处理周期后,Zn2+的固定化百分比,Ni2+和Cr(VI)为99.99%,86.38%,75.18%,分别。微观分析结果表明,在液体批量测试和砂修复实验中产生了碳酸盐沉淀物和金属氧化物,例如CaCO3,ZnCO3,NiCO3,Zn(OH)2和CrO(OH)。SEM-EDS和FTIR结果还表明,有机分子和CaCO3可以吸附或络合重金属离子。因此,粗剑豆脲酶EICP法的固定化机理可以认为是生物矿化,以及有机物和碳酸钙的吸附和络合。EICP处理的污染砂试样的无侧限抗压强度与碳酸盐沉淀物的产生呈正相关。在具有剪切破坏模式的四个处理周期后达到306kPa。建议添加0.5mol/LCa2+的粗刀豆脲酶固定多种重金属离子,增强土壤强度。
    Enzyme-induced carbonate precipitation (EICP) has been studied in remediation of heavy metal contaminated water or soil in recent years. This paper aims to investigate the immobilization mechanism of Zn2+, Ni2+, and Cr(VI) in contaminated sand, as well as strength enhancement of sand specimens by using EICP method with crude sword bean urease extracts. A series of liquid batch tests and artificially contaminated sand remediation experiments were conducted to explore the heavy metal immobilization efficacy and mechanisms. Results showed that the urea hydrolysis completion efficiency decreased as the Ca2+ concentration increased and the heavy metal immobilization percentage increased with the concentration of Ca2+ and treatment cycles in contaminated sand. After four treatment cycles with 0.5 mol/L Ca2+ added, the immobilization percentage of Zn2+, Ni2+, and Cr(VI) were 99.99 %, 86.38 %, and 75.18 %, respectively. The microscale analysis results presented that carbonate precipitates and metallic oxide such as CaCO3, ZnCO3, NiCO3, Zn(OH)2, and CrO(OH) were generated in liquid batch tests and sand remediation experiments. The SEM-EDS and FTIR results also showed that organic molecules and CaCO3 may adsorb or complex heavy metal ions. Thus, the immobilization mechanism of EICP method with crude sword bean urease can be considered as biomineralization, as well as adsorption and complexation by organic matter and calcium carbonate. The unconfined compressive strength of EICP-treated contaminated sand specimens demonstrated a positive correlation with the increased generation of carbonate precipitates, being up to 306 kPa after four treatment cycles with shear failure mode. Crude sword bean urease with 0.5 mol/L Ca2+ added is recommended to immobilize multiple heavy metal ions and enhance soil strength.
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  • 文章类型: Journal Article
    背景:蒲公英含有数百种能够抑制脲酶活性的活性化合物,但是单个化合物还没有完全确定,其影响和潜在机制尚不清楚。本研究旨在通过高效液相色谱-串联质谱分析筛选蒲公英的脲酶抑制活性化合物,通过Lineweaver-Burk图,使用酶动力学研究探索了多酚抑制脲酶的机理。其他研究包括等温滴定量热法和表面等离子体共振传感,荧光猝灭实验,以及单配体分子对接和双配体同时对接技术。
    结果:结果表明,蒲公英花的乙酸乙酯部分表现出最大的抑制作用(最低IC50为0.184±0.007mgmL-1)。绿原酸,咖啡酸和木犀草素可能是有效的脲酶抑制剂,以非竞争性抑制方式起作用。个别地,绿原酸不仅能与脲酶快速结合,但也会迅速分离,而木犀草素可能与脲酶相互作用,亲和力最弱。绿原酸-咖啡酸组合在脲酶抑制中表现出累加作用。然而,绿原酸-木犀草素和咖啡酸-木犀草素组合表现出拮抗作用,咖啡酸-木犀草素组合显示出更大的拮抗作用。
    结论:本研究表明,绿原酸,咖啡酸和木犀草素是抑制脲酶的主要生物活性化合物,表明分子机制。绿原酸/咖啡酸与木犀草素有拮抗作用,催化位点和皮瓣的相互作用可能是拮抗作用的原因。©2024化学工业学会。
    BACKGROUND: Dandelion contains hundreds of active compounds capable of inhibiting urease activity, but the individual compounds have not yet been fully identified, and their effects and underlying mechanisms are not clear. The present study aimed to screen the urease inhibition active compounds of dandelion by urease inhibitory activity evaluation HPLC-tandem mass spectrometry analysis, their mechanism of urease inhibition by polyphenols was explored using enzyme kinetic studies via Lineweaver-Burk plots. Other investigations included isothermal titration calorimetry and surface plasmon resonance sensing, fluorescence quenching experiments, and single ligand molecular docking and two-ligand simultaneous docking techniques.
    RESULTS: The results indicated that the ethyl acetate fraction of dandelion flower exhibited the greatest inhibition (lowest IC50 0.184 ± 0.007 mg mL-1). Chlorogenic acid, caffeic acid and luteolin could be effective urease inhibitors that acted in a non-competitive inhibition manner. Individually, chlorogenic acid could not only fast bind to urease, but also dissociate rapidly, whereas luteolin might interact with urease with the weakest affinity. The chlorogenic acid-caffeic acid combination exhibited an additive effect in urease inhibition. However, the chlorogenic acid-luteolin and caffeic acid-luteolin combinations exhibited antagonistic effects, with the caffeic acid-luteolin combination showing greater antagonism.
    CONCLUSIONS: The present study reveals that chlorogenic acid, caffeic acid and luteolin are major bioactive compounds for urease inhibition, indicating the molecular mechanisms. The antagonistic effects were observed between luteolin and chlorogenic acid/caffeic acid, and the interactions of the catalytic site and flap may account for the antagonistic effects. © 2024 Society of Chemical Industry.
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  • 文章类型: Journal Article
    表面增强拉曼散射(SERS)技术,作为一种重要的分析工具,在化学和生物医学传感领域有着广泛的应用。自动测试通常与生化分析技术相结合,以缩短检测时间并最大程度地减少人为错误。目前用于样品检测的SERS基底耗时且容易受到高人为误差的影响。不利于SERS与自动化测试的结合。这里,一种新颖的蜂巢式SERS微阵列设计用于唾液样品中尿素酶的大面积自动化测试,以缩短检测时间并最大程度地减少人为错误。蜂巢风格的SERS微阵列装饰有六边形微孔和均匀分布的银纳米星。与其他四种常见的SERS基底相比,最佳的蜂巢式SERS微阵列表现出最佳的SERS性能。连续采集唾液样本的100个SERS光谱的RSD为6.56%,并且一次检测的时间从5分钟减少到10秒。SERS强度和脲酶浓度之间的R2为0.982,存在值得注意的线性关系。表明唾液样品中脲酶活性的定量检测能力。蜂巢风格的SERS微阵列,结合自动化测试,为SERS技术在生物医学领域的广泛应用提供了新的途径。
    Surface-enhanced Raman scattering (SERS) technology, as an important analytical tool, has been widely applied in the field of chemical and biomedical sensing. Automated testing is often combined with biochemical analysis technologies to shorten the detection time and minimize human error. The present SERS substrates for sample detection are time-consuming and subject to high human error, which are not conducive to the combination of SERS and automated testing. Here, a novel honeycomb-inspired SERS microarray is designed for large-area automated testing of urease in saliva samples to shorten the detection time and minimize human error. The honeycomb-inspired SERS microarray is decorated with hexagonal microwells and a homogeneous distribution of silver nanostars. Compared with the other four common SERS substrates, the optimal honeycomb-inspired SERS microarray exhibits the best SERS performance. The RSD of 100 SERS spectra continuously collected from saliva samples is 6.56%, and the time of one detection is reduced from 5 min to 10 s. There is a noteworthy linear relationship with a R2 of 0.982 between SERS intensity and urease concentration, indicating the quantitative detection capability of the urease activity in saliva samples. The honeycomb-inspired SERS microarray, combined with automated testing, provides a new way in which SERS technology can be widely used in biomedical applications.
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  • 文章类型: Journal Article
    由于具有较高的脲酶活性,巴氏孢子菌是用于微生物诱导方解石沉淀(MICP)的最常用微生物。迄今为止,尚未公布巴氏链球菌的适当补料分批培养方案,即使这种培养方法具有降低微生物尿素分解生物质的生产成本的高潜力。本研究集中于巴氏链球菌DSM33的补料分批培养。该研究区分了有限补料分批培养和延长分批培养。简单地将葡萄糖喂入巴氏链球菌培养物似乎没有益处。然而,巴斯德氏杆菌是营养缺陷型的两种维生素和氨基酸。通过将必需的维生素或氨基酸喂入缺乏它们的培养物来完成有限的补料分批培养。与没有烟酸限制的饲喂培养物相比,向缺乏烟酸的培养物中饲喂烟酸导致比脲酶活性增加24%。此外,探索了扩展分批培养。在培养结束时,饲喂葡萄糖和酵母提取物的混合物导致OD600为≈70,这是迄今为止文献中发表的最高价值。这些结果具有使MICP应用在经济上可行的潜力。
    The bacterium Sporosarcina pasteurii is the most commonly used microorganism for Microbial Induced Calcite Precipitation (MICP) due to its high urease activity. To date, no proper fed-batch cultivation protocol for S. pasteurii has been published, even though this cultivation method has a high potential for reducing costs of producing microbial ureolytic biomass. This study focusses on fed-batch cultivation of S. pasteurii DSM33. The study distinguishes between limited fed-batch cultivation and extended batch cultivation. Simply feeding glucose to a S. pasteurii culture does not seem beneficial. However, it was exploited that S. pasteurii is auxotrophic for two vitamins and amino acids. Limited fed-batch cultivation was accomplished by feeding the necessary vitamins or amino acids to a culture lacking them. Feeding nicotinic acid to a nicotinic acid deprived culture resulted in a 24% increase of the specific urease activity compared to a fed culture without nicotinic acid limitation. Also, extended batch cultivation was explored. Feeding a mixture of glucose and yeast extract results in OD600 of ≈70 at the end of cultivation, which is the highest value published in literature so far. These results have the potential to make MICP applications economically viable.
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  • 文章类型: Journal Article
    在临床诊断和新药开发中,尿素酶及其抑制剂的敏感和方便的传感异常紧迫。在这项研究中,通过简单的限制效应将金纳米簇(AuNC)和羟基复盐(HDS)复合,制备高荧光的AuNC@HDS复合材料,以监测脲酶及其药物抑制剂。HDS被用作限制AuNC(AuNC@HDS)的矩阵,促进AuNC的发射强度。然而,酸性条件(低pH)可以破坏HDS的结构,打破限制效应,并猝灭AuNC的荧光。因此,基于AuNCs@HDS对pH的敏感响应,构建了pH相关酶脲酶检测的传感平台。该传感平台的线性响应范围为0.5-22.5U/L,脲酶的低检测限(LOD)为0.19U/L。此外,该传感平台还用于监测人唾液样品中的脲酶抑制剂和脲酶。此外,开发了一种与智能手机结合的便携式水凝胶试剂盒,用于检测脲酶,以实现便携式,低成本,无仪器,和现场监测脲酶。
    Sensitive and convenient sensing of urease and its inhibitors is exceptionally urgent in clinical diagnosis and new drug development. In this study, the gold nanoclusters (AuNCs) and hydroxyl double salt (HDS) were composited by a simple confinement effect to prepare highly fluorescent AuNCs@HDS composites to monitor urease and its drug inhibitors. HDS was used as a matrix to confine AuNCs (AuNCs@HDS), facilitating the emission intensity of AuNCs. However, acidic conditions (low pH) can disrupt the structure of HDS to break the confinement effect, and quench the fluorescence of AuNCs. Therefore, a sensing platform for pH-related enzyme urease detection was constructed based on the sensitive response of AuNCs@HDS to pH. This sensing platform had a linear response range of 0.5-22.5 U/L and a low limit of detection (LOD) of 0.19 U/L for urease. Moreover, this sensing platform was also applied to monitor urease inhibitors and urease in human saliva samples. Additionally, a portable hydrogel kit combined with a smartphone was developed for urease detection to achieve portable, low-cost, instrument-free, and on-site monitoring of urease.
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  • 文章类型: Journal Article
    根据内部转录间隔物(ITS),从海胆Chaphechinusmirabilis中分离出的海洋真菌菌株KMM4718和KMM4747作为天然真菌复合物被鉴定为sajarovii青霉和隆曲霉,部分β-微管蛋白(BenA),和钙调蛋白(CaM)分子标记以及核糖体聚合酶两种,二亚基(RPB2)区为4747KMM。从共培养物的乙酸乙酯提取物中,两种新的聚酮化合物,sajaroketidesA(1)和B(2),连同(2'S)-7-羟基-2-(2'-羟丙基)-5-甲基色酮(3),altchromoneA(4),norlichexanthone(5),灰黄酮C(6),1,3,5,6-四羟基-8-甲基黄原酮(7),灰黄霉素(8),6-O-去甲基灰黄霉素(9),dechlorogriseofulvin(10),和5,6-二氢-4-甲基-2H-吡喃-2-酮(11)被鉴定。使用光谱分析阐明化合物的结构。使用基于时间依赖性密度泛函理论(TDDFT)的电子圆二色性(ECD)光谱计算确定了sajaroketidesA和B的手性中心的绝对构型。这些化合物对脲酶活性和金黄色葡萄球菌生长的抑制作用,大肠杆菌,观察到白色念珠菌。SajaroketideA,altechromoneA,和灰黄霉素在金黄色葡萄球菌诱导的感染性心肌炎的体外模型中显示出显著的心脏保护作用。
    The marine-derived fungal strains KMM 4718 and KMM 4747 isolated from sea urchin Scaphechinus mirabilis as a natural fungal complex were identified as Penicillium sajarovii and Aspergillus protuberus based on Internal Transcribed Spacer (ITS), partial β-tubulin (BenA), and calmodulin (CaM) molecular markers as well as an ribosomal polymerase two, subunit two (RPB2) region for KMM 4747. From the ethyl acetate extract of the co-culture, two new polyketides, sajaroketides A (1) and B (2), together with (2\'S)-7-hydroxy-2-(2\'-hydroxypropyl)-5-methylchromone (3), altechromone A (4), norlichexanthone (5), griseoxanthone C (6), 1,3,5,6-tetrahydroxy-8-methylxanthone (7), griseofulvin (8), 6-O-desmethylgriseofulvin (9), dechlorogriseofulvin (10), and 5,6-dihydro-4-methyl-2H-pyran-2-one (11) were identified. The structures of the compounds were elucidated using spectroscopic analyses. The absolute configurations of the chiral centers of sajaroketides A and B were determined using time-dependent density functional theory (TDDFT)-based calculations of the Electronic Circular Dichroism (ECD) spectra. The inhibitory effects of these compounds on urease activity and the growth of Staphylococcus aureus, Escherichia coli, and Candida albicans were observed. Sajaroketide A, altechromone A, and griseofulvin showed significant cardioprotective effects in an in vitro model of S. aureus-induced infectious myocarditis.
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  • 文章类型: Journal Article
    在这项研究中,从鄂尔多斯盆地的砂岩油中分离出一种非常有前途的细菌,命名菌株NS-6,表现出优异的脲酶生产能力,并在诱导碳酸钙(CaCO3)沉积方面表现出优异的效率。通过形态学和理化特征分析,以及16SrRNA测序,菌株NS-6被鉴定为新芽孢杆菌。脲酶的活性和CaCO3的形成随时间增加,在孵育32h时分别达到7.9mmol/L/min和184mg(4.60mg/mL)的最大值。扫描电子显微镜(SEM)显示CaCO3晶体的尺寸范围为5至6μm,和能量色散X射线(EDX)分析验证了钙的存在,碳,和晶体中的氧气。X-射线衍射(XRD)分析进一步证实这些CaCO3晶体的组成为方解石和球特石。此外,利用响应面法(RSM)实现了菌株NS-6对CaCO3的最大沉积,当钙离子浓度为0.5mmol/L时,在pH8.0下补充0.9mmol/L尿素,总计为193.8mg(4.845mg/mL)。全基因组分析表明,菌株NS-6具有5,736,360个碱基对的染色体,包含5,442个预测基因,包括3,966个预测功能基因和1,476个功能未知基因。像ureA这样的基因,ureB,并通过基因注释鉴定了与尿素分解代谢相关的ureC,表明菌株NS-6是典型的产生脲酶的细菌,并且具有一系列参与代谢途径的基因,这些基因在遗传水平上介导了CaCO3的沉积。
    In this study, a highly promising bacterium was isolated from sandstone oil in the Ordos Basin, named strain NS-6 which exhibited exceptional urease production ability and demonstrated superior efficiency in inducing the deposition of calcium carbonate (CaCO3). Through morphological and physiochemical characteristics analysis, as well as 16S rRNA sequencing, strain NS-6 was identified as Neobacillus mesonae. The activity of urease and the formation of CaCO3 increased over time, reaching a maximum of 7.9 mmol/L/min and 184 mg (4.60 mg/mL) respectively at 32 h of incubation. Scanning Electron Microscopy (SEM) revealed CaCO3 crystals ranging in size from 5 to 6 μm, and Energy Dispersive X-ray (EDX) analysis verified the presence of calcium, carbon, and oxygen within the crystals. X-ray Diffraction (XRD) analysis further confirmed the composition of these CaCO3 crystals as calcite and vaterite. Furthermore, the maximum deposition of CaCO3 by strain NS-6 was achieved using response surface methodology (RSM), amounting to 193.8 mg (4.845 mg/mL) when the concentration of calcium ions was 0.5 mmol/L supplemented with 0.9 mmol/L of urea at pH 8.0. Genome-wide analysis revealed that strain NS-6 possesses a chromosome of 5,736,360 base pairs, containing 5,442 predicted genes, including 3,966 predicted functional genes and 1,476 functionally unknown genes. Genes like ureA, ureB, and ureC related to urea catabolism were identified by gene annotation, indicating that strain NS-6 is a typical urease-producing bacterium and possesses a serial of genes involved in metabolic pathways that mediated the deposition of CaCO3 at genetic level.
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  • 文章类型: Journal Article
    尿病原体具有通过有效利用和耐受尿代谢物而在宿主泌尿道中存活的适应策略。许多尿路病原体带有用于分解尿素的脲酶,而尿素的酶分解会增加pH并促进鸟粪石结晶。在这项研究中,研究了不同营养条件下尿路致病性大肠杆菌和铜绿假单胞菌的差异脲酶活性。实验包括生长测量,pH值,脲酶活性,不同条件下菌株NH4-N的产生和脲酶基因(ureC)的表达。Further,还评估了尿素分解对鸟粪石体外结晶和生物膜形成的影响。该研究包括脲酶阳性分离株,作为比较,包括脲酶阴性分离株。与脲酶阴性菌株相比,脲酶阳性菌株形成了更高的生物膜和运动性。在实验条件下,与大肠杆菌相比,脲酶阳性铜绿假单胞菌显示出显著更高(p<0.01)的pH和脲酶活性(A557-A630)。Further,向生长培养基补充葡萄糖显着增加铜绿假单胞菌的脲酶活性,在大肠杆菌中明显较低。与大肠杆菌相比,脲酶基因(ureC)在铜绿假单胞菌中的表达谱显著更高(p<0.001),并且与营养条件下脲酶活性的生化结果一致。在两种营养条件下不同的脲酶活性影响生物源鸟粪石结晶。它与脲酶活性相关,在铜绿假单胞菌中显示出比大肠杆菌更高的结晶速率。结果强调了不同营养条件下两种常见尿路病原体的脲酶活性差异,这可能对毒力的调节具有重要作用。致病性和肾结石疾病。
    Uropathogens have adaptation strategies to survive in the host urinary tract by efficiently utilizing and tolerating the urinary metabolites. Many uropathogens harbour the enzyme urease for the breakdown of urea and the enzymatic breakdown of urea increases the pH and facilitate the struvite crystallization. In this study, the differential urease activity of uropathogenic Escherichia coli and Pseudomonas aeruginosa strains was investigated under different nutritional conditions. The experiments included measurement of growth, pH, urease activity, NH4-N generation and urease gene (ureC) expression among the bacterial strains under different conditions. Further, the implications of urea breakdown on the struvite crystallization in vitro and biofilm formation were also assessed. The study included urease positive isolates and for comparison urease negative isolates were included. Compared to the urease negative strains the urease positive strains formed higher biofilms and motility. The urease positive P. aeruginosa showed significantly higher (p < 0.01) pH and urease activity (A557-A630) compared to E. coli under experimental conditions. Further, supplementation of glucose to the growth media significantly increased the urease activity in P. aeruginosa and in contrast, it was significantly lower in E. coli. The expression profile of urease gene (ureC) was significantly higher (p < 0.001) in P. aeruginosa compared to E. coli and was consistent with the biochemical results of the urease activity under the nutritional conditions. The differential urease activity under two nutritional conditions influenced the biogenic struvite crystallization. It correlated with the urease activity showing higher crystallization rate in P. aeruginosa compared to E. coli. The results highlight the differential urease activity in two common uropathogens under different nutritional conditions that may have significant role on the regulation of virulence, pathogenicity and in the kidney stone disease.
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  • 文章类型: Case Reports
    尿素呼气试验(UBT)通常用于诊断幽门螺杆菌感染及其根除。然而,即使对于幽门螺杆菌以外的其他脲酶活性细菌,本文也能给出阳性结果.即使在成功根除幽门螺杆菌之后,肠道和口腔中其他脲酶活性细菌的存在可导致胃酸分泌减少的患者的UBT阳性结果。在这里,通过2016年启动的佐贺县初中三年级学生幽门螺杆菌检测和治疗计划,一名15岁男孩被诊断患有幽门螺杆菌感染.他接受了三联疗法,包括vonoprazan;然而,发现UBT即使在治疗后也是阳性的。即使在四线根除治疗后,结果仍保持阳性。粪便抗原,使用胃液进行PCR,显微镜,文化,快速脲酶试验均为阴性。胃蛋白酶原水平正常,这些发现均未提示自身免疫性胃炎。胃菌群分析显示口腔菌群显示脲酶活性。UBT被认为对确定幽门螺杆菌的成功根除有用;然而,它可能对幽门螺杆菌感染和根除判断都产生假阳性结果。尽管患者没有自身免疫性胃炎或胃酸分泌减少,据推测,显示脲酶活性的口腔共生细菌居住在胃中,导致持续积极的UBT结果。总之,幽门螺杆菌的重复假阳性UBT结果可能发生,即使没有胃酸分泌减少。如果根据UBT根除幽门螺杆菌不成功,应考虑通过粪便幽门螺杆菌抗原测试进行额外测试。
    The urea breath test (UBT) is often used to diagnose Helicobacter pylori infection and for its eradication. However, this text can give positive results even for other urease-active bacteria other than H. pylori. Even after the successful eradication of H. pylori, the presence of other urease-active bacteria in the gut and oral cavity can lead to positive UBT results in patients with decreased gastric acid secretion. Herein, a 15-year-old boy was diagnosed with H. pylori infection through the testing and treatment program for H. pylori for third-year junior high-school students in Saga Prefecture initiated in 2016. He underwent triple therapy comprising vonoprazan; however, UBT was found to be positive even after therapy. The results remained positive even after fourth-line eradication therapy. Stool antigen, PCR using gastric fluid, microscopy, culture, and rapid urease tests were all negative. Pepsinogen levels were normal, and none of the findings suggested autoimmune gastritis. Gastric microflora analysis revealed oral flora showing urease activity. UBT is considered useful for determining the successful eradication of H. pylori; however, it may give false-positive results for both H. pylori infection and eradication judgment. Although the patient did not have autoimmune gastritis or decreased gastric acid secretion, it is presumed that oral commensal bacteria showing urease activity inhabited the stomach, resulting in the persistently positive UBT results. In conclusion, repeated false-positive UBT results for H. pylori may occur even without gastric acid hyposecretion. If H. pylori eradication is unsuccessful based on UBT, additional test by stool H. pylori antigen tests should be considered.
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