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采用多位点序列分型对来自伊朗的光滑念珠菌临床分离株进行基因分型,并确定其群体结构和耐药谱。

Genotyping of clinical isolates of Candida glabrata from Iran by multilocus sequence typing and determination of population structure and drug resistance profile.

作者信息

Amanloo Saeid, Shams-Ghahfarokhi Masoomeh, Ghahri Mohammad, Razzaghi-Abyaneh Mehdi

机构信息

Department of Mycology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran 14115-331, Iran.

Department of Biological Sciences, Faculty of Basic Sciences, Imam Hossein University, Tehran, Iran.

出版信息

Med Mycol. 2018 Feb 1;56(2):207-215. doi: 10.1093/mmy/myx030.

Abstract

Candida glabrata is often the second most common causative agent for candidiasis following Candida albicans. Despite the importance of C. glabrata infections, few epidemiological studies have been conducted on this issue. The goal of this study was genotyping of clinical isolates of C. glabrata by multilocus sequence typing (MLST) technique for determination of the endemic prevalent genotypes and any association between isolation source and drug resistance. A total of 50 C. glabrata clinical isolates from Iran were analyzed by MLST and tested for in-vitro susceptibilities to amphotericin-B, caspofungin, fluconazole, and voriconazole according to the Clinical Laboratory Standards Institute (CLSI) M27-A4 document guidelines. Among these isolates, 16 distinct STs were identified, indicating a discriminatory power index of 0.9029. The three major sequence types (STs) were ST-59, ST-74, and ST-7 with 10, 8, and 7 isolates, respectively. Furthermore, a total of 11 new sequences were found, to which no allele numbers were assigned in the MLST database. All the isolates were susceptible to amphotericin B and caspofungin. Fluconazole resistance was shown in four isolates. Also, a sole isolate was voriconazole resistant. This study shows that the population structure of C. glabrata in Iran consists of groups closely related to the global database as well as to some new clonal clusters and STs. Regarding the high prevalence of 11 new sequences found in this study, it can be concluded that, these new alleles are among the endemic genotypes of Iran. The genotypes or STs were independent of drug susceptibility and anatomic sources.

摘要

光滑念珠菌通常是仅次于白色念珠菌的第二大常见念珠菌病病原体。尽管光滑念珠菌感染很重要,但针对此问题的流行病学研究却很少。本研究的目的是通过多位点序列分型(MLST)技术对光滑念珠菌临床分离株进行基因分型,以确定地方流行基因型以及分离源与耐药性之间的任何关联。根据临床实验室标准协会(CLSI)M27 - A4文件指南,对来自伊朗的50株光滑念珠菌临床分离株进行了MLST分析,并测试了它们对两性霉素B、卡泊芬净、氟康唑和伏立康唑的体外敏感性。在这些分离株中,鉴定出16种不同的序列型(ST),鉴别力指数为0.9029。三种主要的序列型分别是ST - 59、ST - 74和ST - 7,分离株数量分别为10株、8株和7株。此外,共发现11个新序列,在MLST数据库中未为其指定等位基因编号。所有分离株对两性霉素B和卡泊芬净敏感。4株分离株显示对氟康唑耐药。还有1株分离株对伏立康唑耐药。本研究表明,伊朗光滑念珠菌的种群结构由与全球数据库密切相关的群体以及一些新的克隆簇和序列型组成。鉴于本研究中发现的11个新序列的高流行率,可以得出结论,这些新等位基因属于伊朗的地方流行基因型。基因型或序列型与药物敏感性和解剖学来源无关。

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