Pires-Gonçalves Regina Helena, Miranda Elaine Toscano, Baeza Lilian Cristiane, Matsumoto Marcelo Teruyuki, Zaia José Eduardo, Mendes-Giannini Maria José Soares
Departamento de Análises Clínicas, Faculdade de Ciências Farmacêuticas, UNESP, Araraquara, SP, Brazil.
Mycopathologia. 2007 Dec;164(6):255-63. doi: 10.1007/s11046-007-9052-5. Epub 2007 Sep 29.
The aim of this study is to describe the degree of yeast-colonization in diabetic and hemodialysed-users of dental prostheses. Individuals (306) were examined using an oral rinse technique in order to evaluate the incidence of yeast-carriage, and genotype of C. albicans. Yeasts were isolated from 68.4% (91/133) individual's dental prostheses users. Dental prostheses were found to be a significant factor for the yeast colonization (P < 0.05). Overall, the intensity of carriage was higher in diabetic patients as compared with health and hemodialysed individuals (P < 0.05). The isolation rates were: C. albicans (51.7%), C. parapsilosis (20.9%), C. tropicalis (14.3%), C. glabrata (6.6%), C. krusei (3.3%), C. rugosa (1.1%), and Pichia (Pichia ohmeri, 2.2%). Ready-To-Go RAPD Analysis Beads were used and primer OPJ 6 distinguished the C. albicans isolates found in prostheses users. All the isolates were grouped into 11 RAPD profiles in four main clusters and, the average S (AB) for the entire collection of 47 C. albicans isolates were 0.779 +/- 0.178. Over 85% of isolates had a similarity level higher than or equal to 0.8 reinforcing the idea that the use of dental prostheses, independently of the host's clinical condition, probably provides the necessary conditions for these strains to gain a growth-specific advantage over others.
本研究旨在描述糖尿病患者及使用假牙的血液透析患者的酵母菌定植程度。采用口腔冲洗技术对306名个体进行检查,以评估酵母菌携带率及白色念珠菌的基因型。在133名假牙使用者中,68.4%(91/133)的个体分离出酵母菌。假牙被发现是酵母菌定植的一个重要因素(P<0.05)。总体而言,与健康个体和血液透析患者相比,糖尿病患者的携带强度更高(P<0.05)。分离率分别为:白色念珠菌(51.7%)、近平滑念珠菌(20.9%)、热带念珠菌(14.3%)、光滑念珠菌(6.6%)、克柔念珠菌(3.3%)、皱落念珠菌(1.1%)和毕赤酵母(奥默毕赤酵母,2.2%)。使用即用型随机扩增多态性DNA分析磁珠,引物OPJ 6可区分假牙使用者中发现的白色念珠菌分离株。所有分离株被分为4个主要簇中的11个随机扩增多态性DNA图谱,47株白色念珠菌分离株的总体平均S(AB)为0.779±0.178。超过85%的分离株相似度水平高于或等于0.8,这强化了以下观点:无论宿主的临床状况如何,假牙的使用可能为这些菌株提供了必要条件,使其相对于其他菌株获得生长特异性优势。