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使用巢式聚合酶链反应从吸入性小鼠肺部模型的新鲜组织中检测马尔尼菲篮状菌

Detection of Talaromyces marneffei from Fresh Tissue of an Inhalational Murine Pulmonary Model Using Nested PCR.

作者信息

Liu Yinghui, Huang Xiaowen, Yi Xiuwen, He Ya, Mylonakis Eleftherios, Xi Liyan

机构信息

Department of Dermatology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.

Department of Dermatology, General Hospital of Guangzhou Military Command of PLA, Guangzhou, China.

出版信息

PLoS One. 2016 Feb 17;11(2):e0149634. doi: 10.1371/journal.pone.0149634. eCollection 2016.

Abstract

Penicilliosis marneffei, often consecutive to the aspiration of Talaromyces marneffei (Penicillium marneffei), continues to be one of the significant causes of morbidity and mortality in immunocompromised patients in endemic regions such as Southeast Asia. Improving the accuracy of diagnosing this disease would aid in reducing the mortality of associated infections. In this study, we developed a stable and reproducible murine pulmonary model that mimics human penicilliosis marneffei using a nebulizer to deliver Talaromyces marneffei (SUMS0152) conidia to the lungs of BALB/c nude mice housed in exposure chamber. Using this model, we further revealed that nested PCR was sensitive and specific for detecting Talaromyces marneffei in bronchoalveolar lavage fluid and fresh tissues. This inhalation model may provide a more representative analysis tool for studying the development of penicilliosis marneffei, in addition to revealing that nested PCR has a predictive value in reflecting pulmonary infection.

摘要

马尔尼菲青霉病通常继发于马尔尼菲篮状菌(马尔尼菲青霉)的吸入,在东南亚等流行地区仍然是免疫功能低下患者发病和死亡的重要原因之一。提高这种疾病的诊断准确性将有助于降低相关感染的死亡率。在本研究中,我们开发了一种稳定且可重复的小鼠肺部模型,该模型使用雾化器将马尔尼菲篮状菌(SUMS0152)分生孢子递送至置于暴露箱中的BALB/c裸鼠肺部,从而模拟人类马尔尼菲青霉病。利用该模型,我们进一步揭示了巢式PCR在检测支气管肺泡灌洗液和新鲜组织中的马尔尼菲篮状菌时具有敏感性和特异性。这种吸入模型除了揭示巢式PCR在反映肺部感染方面具有预测价值外,还可能为研究马尔尼菲青霉病的发展提供更具代表性的分析工具。

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