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冈比亚锥虫对戊烷脒耐药的遗传标记和印度次大陆内脏利什曼病患者戊烷脒治疗失败。

Genetic markers for SSG resistance in Leishmania donovani and SSG treatment failure in visceral leishmaniasis patients of the Indian subcontinent.

机构信息

Department of Biomedical Sciences, Institute of Tropical Medicine Antwerp, Belgium.

出版信息

J Infect Dis. 2012 Sep 1;206(5):752-5. doi: 10.1093/infdis/jis424. Epub 2012 Jun 29.

DOI:10.1093/infdis/jis424
PMID:22753945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4125624/
Abstract

The current standard to assess pentavalent antimonial (SSG) susceptibility of Leishmania is a laborious in vitro assay of which the result has little clinical value because SSG-resistant parasites are also found in SSG-cured patients. Candidate genetic markers for clinically relevant SSG-resistant parasites identified by full genome sequencing were here validated on a larger set of clinical strains. We show that 3 genomic locations suffice to specifically detect the SSG-resistant parasites found only in patients experiencing SSG treatment failure. This finding allows the development of rapid assays to monitor the emergence and spread of clinically relevant SSG-resistant Leishmania parasites.

摘要

目前评估五价锑(SSG)对利什曼原虫敏感性的标准是一种繁琐的体外检测方法,其结果几乎没有临床价值,因为在 SSG 治愈的患者中也发现了 SSG 耐药寄生虫。通过全基因组测序确定的具有临床相关性的 SSG 耐药寄生虫候选遗传标记,在此基础上对更大的一组临床菌株进行了验证。我们表明,仅需 3 个基因组位置即可特异性检测到仅在 SSG 治疗失败的患者中发现的 SSG 耐药寄生虫。这一发现为监测具有临床相关性的 SSG 耐药利什曼原虫寄生虫的出现和传播提供了快速检测方法。

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本文引用的文献

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Genome-wide SNP and microsatellite variation illuminate population-level epidemiology in the Leishmania donovani species complex.全基因组 SNP 和微卫星变异揭示利什曼原虫复合种的人群水平流行病学。
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Use of antimony in the treatment of leishmaniasis: current status and future directions.锑在利什曼病治疗中的应用:现状与未来方向。
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Whole genome sequencing of multiple Leishmania donovani clinical isolates provides insights into population structure and mechanisms of drug resistance.对多个利什曼原虫临床分离株的全基因组测序为了解种群结构和耐药机制提供了线索。
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