Totet Anne, Duwat Hyacinthe, Magois Eline, Jounieaux Vincent, Roux Patricia, Raccurt Christian, Nevez Gilles
Service de Parasitologie, Mycologie et Médecine des Voyages, Hôpital Sud, Centre Hospitalier Universitaire, Université de Picardie Jules Verne, 1 rue Laennec, 80054 Amiens, Paris, France.
Centre Hospitalier Universitaire Saint Antoine, Paris, France.
Microbiology (Reading). 2004 May;150(Pt 5):1173-1178. doi: 10.1099/mic.0.26919-0.
This study describes the genotyping of Pneumocystis jirovecii organisms isolated from three groups of patients that developed diverse forms of P. jirovecii infection; the patients were monitored in the same French hospital. Forty archival specimens from 13 adults with Pneumocystis pneumonia, eight adults colonized by P. jirovecii and 19 immunocompetent infants infected with the fungus contemporaneously with a bronchiolitis episode were analysed retrospectively. Genotyping was performed by analysis of sequences of the internal transcribed spacer (ITS)1 and ITS2 regions, and of the dihydropteroate synthase (DHPS) locus. At the ITS regions, a high diversity of genotypes, identical main genotypes (B(1)a(3) and B(2)a(1)) and the occurrence of mixed infections (more than one genotype) were observed in the three patient groups. At the DHPS locus, the results indicated the presence of mutants in the two adult groups, as well as in the infant group. Consequently, at these two independent genomic regions, P. jirovecii isolates from patients who developed different forms of infection and who lived in the same geographical region presented common characteristics. These results suggest that patients infected with P. jirovecii, whatever the form of infection they present, are part of a common human reservoir for P. jirovecii.
本研究描述了从三组发生不同形式耶氏肺孢子菌感染的患者中分离出的耶氏肺孢子菌生物体的基因分型;这些患者在同一家法国医院接受监测。对13例患有肺孢子菌肺炎的成人、8例被耶氏肺孢子菌定植的成人以及19例在患细支气管炎期间同时感染该真菌的免疫功能正常婴儿的40份存档标本进行了回顾性分析。通过分析内部转录间隔区(ITS)1和ITS2区域以及二氢蝶酸合酶(DHPS)基因座的序列进行基因分型。在ITS区域,在三组患者中均观察到高度多样的基因型、相同的主要基因型(B(1)a(3)和B(2)a(1))以及混合感染(不止一种基因型)的情况。在DHPS基因座,结果表明在两个成人组以及婴儿组中均存在突变体。因此,在这两个独立的基因组区域,来自发生不同感染形式且生活在同一地理区域的患者的耶氏肺孢子菌分离株呈现出共同特征。这些结果表明,感染耶氏肺孢子菌的患者,无论其感染形式如何,都是耶氏肺孢子菌共同人类宿主库的一部分。