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[特应性皮炎患者皮肤马拉色菌菌群的分子和定量分析及球形马拉色菌DNA基因分型]

[Molecular and quantitative analyses of Malassezia microflora on the skin of atopic dermatitis patients and genotyping of M. globosa DNA].

作者信息

Sugita Takashi, Nishikawa Akemi

机构信息

Department of Microbiology, Meiji Pharmaceutical University, 2-522-1 Noshio, Kiyose, Tokyo 204-8588, Japan.

出版信息

Nihon Ishinkin Gakkai Zasshi. 2003;44(2):61-4. doi: 10.3314/jjmm.44.61.

Abstract

To elucidate the role of Malassezia species in atopic dermatitis (AD) requires investigation of the Malassezia microflora on the skin of AD patients. Previously, M. furfur was considered the dominant species in the microflora, however, this microorganism has been reclassified into five species and reanalysis of the microflora based on the current Malassezia taxonomy is therefore needed. Malassezia is more difficult to isolate and culture than other pathogenic yeasts such as Candida and Cryptococcus, making it difficult to elucidate the microflora of AD patients accurately. We developed a PCR-based non-culture method that does not require the use of isolation or culture techniques. Of the members of the genus Malassezia, M. globosa colonized the skin of both AD patients and healthy subjects more frequently than other Malassezia species. In addition, we found polymorphisms in the intergenic spacer 1 region of the M. globosar RNA gene. The genotypes of the microorganisms obtained from AD patients were significantly different from those obtained from healthy subjects. We believe that a specific genotype of M. globosa is responsible for exacerbation of AD.

摘要

要阐明马拉色菌属在特应性皮炎(AD)中的作用,需要对AD患者皮肤表面的马拉色菌微生物群落进行研究。此前,糠秕马拉色菌被认为是微生物群落中的优势菌种,然而,这种微生物已被重新分类为五个菌种,因此需要根据当前的马拉色菌分类法对微生物群落进行重新分析。与其他致病性酵母(如念珠菌和隐球菌)相比,马拉色菌更难分离和培养,这使得准确阐明AD患者的微生物群落变得困难。我们开发了一种基于PCR的非培养方法,该方法无需使用分离或培养技术。在马拉色菌属成员中,球形马拉色菌在AD患者和健康受试者皮肤表面的定植频率均高于其他马拉色菌种。此外,我们发现球形马拉色菌RNA基因间隔区1存在多态性。从AD患者身上获取的微生物基因型与从健康受试者身上获取的基因型存在显著差异。我们认为,球形马拉色菌的特定基因型是导致AD病情加重的原因。

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