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[产志贺样毒素大肠杆菌菌株致病基因模式的差异]

[Differences in pattern of pathogenicity genes in Escherichia coli strains producing shiga-like toxin].

作者信息

Shabanova N A, Bondarenko V M

出版信息

Zh Mikrobiol Epidemiol Immunobiol. 2009 Sep-Oct(5):4-8.

Abstract

AIM

The detection by PCR of virulence markers in clinical strains of Escherichia coli strains producing the shiga-like toxin.

MATERIALS AND METHODS

Thirty-four strains of STEC isolated from patients with acute intestinal infection were studied. PCR with primers to following 10 genes of pathogenicity: rfbE, eaeA, iha, saa, stx1, stx2, cdt, cubA, ehx and espP was utilized. Susceptibility of isolated to antibiotics was determined. Presence of class I integrons in bacterial cells was assessed.

RESULTS

rfbE gene coding antigen of serogroup O157 was detected in 31 out of 34 isolates. Twenty-three (74.2%) strains of E. coli O157 had typical pattern of pathogenicity genes (rfbE, eaeA, stx1, stx2, ehx, and espP). In 12 out of 23 cultures (52.2%) sequence of iha gene was detected. Presence of cdt genes was revealed only in 2 clonical isolates belonging to serogroup O157 isolated in Moscow. Two out of 11 strains isolated in Tula region did not have rfbE and eaeA sequences but had sequences saa and subA, which were absent in other studied strains of STEC. Genes of class I integrons were not found in all studied strains although some of them were resistant to sulfonamides, tetracyclines, and aminoglycosides.

CONCLUSION

Heterogeneity in pattern of pathogenicity genes was demonstrated in E. coli producing shiga-like toxin that points to circulation of different cultures among patients with acute intestinal infection, which is necessary to consider during analysis of clinical isolates.

摘要

目的

通过聚合酶链反应(PCR)检测产志贺样毒素大肠杆菌临床菌株中的毒力标记。

材料与方法

对从急性肠道感染患者中分离出的34株肠出血性大肠杆菌(STEC)进行研究。使用针对以下10个致病基因的引物进行PCR:rfbE、eaeA、iha、saa、stx1、stx2、cdt、cubA、ehx和espP。测定分离菌株对抗生素的敏感性。评估细菌细胞中I类整合子的存在情况。

结果

在34株分离株中,有31株检测到编码O157血清群抗原的rfbE基因。23株(74.2%)大肠杆菌O157菌株具有典型的致病基因模式(rfbE、eaeA、stx1、stx2、ehx和espP)。在23株培养物中的12株(52.2%)中检测到iha基因序列。仅在莫斯科分离出的2株属于O157血清群的克隆菌株中发现了cdt基因。在图拉地区分离出的11株菌株中,有2株没有rfbE和eaeA序列,但具有saa和subA序列,而其他研究的STEC菌株中不存在这些序列。尽管部分菌株对磺胺类、四环素类和氨基糖苷类抗生素耐药,但在所有研究菌株中均未发现I类整合子基因。

结论

产志贺样毒素的大肠杆菌致病基因模式存在异质性,这表明急性肠道感染患者中存在不同菌株的传播,在分析临床分离株时需要考虑这一点。

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