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妊娠相关的人类李斯特菌病:临床样本中单核细胞增生李斯特菌的毒力和基因分型分析

Pregnancy - associated human listeriosis: Virulence and genotypic analysis of Listeria monocytogenes from clinical samples.

作者信息

Soni Dharmendra Kumar, Singh Durg Vijai, Dubey Suresh Kumar

机构信息

Environmental Microbiology Laboratory, Department of Botany, Banaras Hindu University, Varanasi, 221005, India.

出版信息

J Microbiol. 2015 Sep;53(9):653-60. doi: 10.1007/s12275-015-5243-9. Epub 2015 Aug 1.

Abstract

Listeria monocytogenes, a life-threatening pathogen, poses severe risk during pregnancy, may cause abortion, fetal death or neonatal morbidity in terms of septicemia and meningitis. The present study aimed at characterizing L. monocytogenes isolated from pregnant women based on serotyping, antibiotic susceptibility, virulence genes, in vivo pathogenicity test and ERIC- and REP-PCR fingerprint analyses. The results revealed that out of 3700 human clinical samples, a total of 30 (0.81%) isolates [12 (0.80%) from placental bit (1500), 18 (0.81%) from vaginal swab (2200)] were positive for L. monocytogenes. All the isolates belonged to serogroup 4b, and were + ve for virulence genes tested i.e. inlA, inlC, inlJ, plcA, prfA, actA, hlyA, and iap. Based on the mice inoculation tests, 20 isolates showed 100% and 4 isolates 60% relative virulence while 6 isolates were non-pathogenic. Moreover, 2 and 10 isolates were resistant to ciprofloxacin and cefoxitin, respectively, while the rest susceptible to other antibiotics used in this study. ERIC- and REP-PCR collectively depicted that the isolates from placental bit and vaginal swab had distinct PCR fingerprints except a few isolates with identical patterns. This study demonstrates prevalence of pathogenic strains mostly resistant to cefoxitin and/or ciprofloxacin. The results indicate the importance of isolating and characterizing the pathogen from human clinical samples as the pre-requisite for accurate epidemiological investigations.

摘要

单核细胞增生李斯特菌是一种危及生命的病原体,在孕期会带来严重风险,可能导致流产、胎儿死亡或新生儿败血症和脑膜炎等发病情况。本研究旨在基于血清分型、抗生素敏感性、毒力基因、体内致病性试验以及ERIC-PCR和REP-PCR指纹分析,对从孕妇中分离出的单核细胞增生李斯特菌进行特性鉴定。结果显示,在3700份人类临床样本中,共有30份(0.81%)分离株呈单核细胞增生李斯特菌阳性[12份(0.80%)来自胎盘组织样本(共1500份),18份(0.81%)来自阴道拭子样本(共2200份)]。所有分离株均属于血清群4b,且所检测的毒力基因即inlA、inlC、inlJ、plcA、prfA、actA、hlyA和iap均呈阳性。基于小鼠接种试验,20份分离株显示出100%的相对毒力,4份分离株显示出60%的相对毒力,而6份分离株无致病性。此外,分别有2份和10份分离株对环丙沙星和头孢西丁耐药,其余分离株对本研究中使用的其他抗生素敏感。ERIC-PCR和REP-PCR共同显示,胎盘组织样本和阴道拭子样本中的分离株具有不同的PCR指纹图谱,仅有少数分离株具有相同图谱。本研究表明致病性菌株普遍存在,且大多对头孢西丁和/或环丙沙星耐药。结果表明,从人类临床样本中分离和鉴定病原体对于准确的流行病学调查至关重要。

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