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使用分枝杆菌培养滤液检测痰液中可培养的结核分枝杆菌。

Detection of differentially culturable tubercle bacteria in sputum using mycobacterial culture filtrates.

机构信息

Department of Science and Technology/National Research Foundation Centre of Excellence for Biomedical TB Research, School of Pathology, Faculty of Health Sciences, University of the Witwatersrand and the National Health Laboratory Service, P. O. Box 1038, Johannesburg, 2000, South Africa.

Perinatal HIV Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

出版信息

Sci Rep. 2021 Mar 22;11(1):6493. doi: 10.1038/s41598-021-86054-z.

Abstract

Rapid detection of tuberculosis (TB) infection is paramount to curb further transmission. The gold standard for this remains mycobacterial culture, however emerging evidence confirms the presence of differentially culturable tubercle bacteria (DCTB) in clinical specimens. These bacteria do not grow under standard culture conditions and require the presence of culture filtrate (CF), from axenic cultures of Mycobacterium tuberculosis (Mtb), to emerge. It has been hypothesized that molecules such as resuscitation promoting factors (Rpfs), fatty acids and cyclic-AMP (cAMP) present in CF are responsible for the growth stimulatory activity. Herein, we tested the ability of CF from the non-pathogenic bacterium Mycobacterium smegmatis (Msm) to stimulate the growth of DCTB, as this organism provides a more tractable source of CF. We also interrogated the role of Mtb Rpfs in stimulation of DCTB by creating recombinant strains of Msm that express Mtb rpf genes in various combinations. CF derived from this panel of strains was tested on sputum from individuals with drug susceptible TB prior to treatment. CF from wild type Msm did not enable detection of DCTB in a manner akin to Mtb CF preparations and whilst the addition of RpfAB and RpfABCDE to an Msm mutant devoid of its native rpfs did improve detection of DCTB compared to the no CF control, it was not statistically different to the empty vector control. To further investigate the role of Rpfs, we compared the growth stimulatory activity of CF from Mtb, with and without Rpfs and found these to be equivalent. Next, we tested chemically diverse fatty acids and cAMP for growth stimulation and whilst some selective stimulatory effect was observed, this was not significantly higher than the media control and not comparable to CF. Together, these data indicate that the growth stimulatory effect observed with Mtb CF is most likely the result of a combination of factors. Future work aimed at identifying the nature of these growth stimulatory molecules may facilitate improvement of culture-based diagnostics for TB.

摘要

快速检测结核分枝杆菌(TB)感染对于遏制进一步传播至关重要。目前,分枝杆菌培养仍然是金标准,但新的证据证实,在临床标本中存在可培养的结核分枝杆菌(DCTB)。这些细菌在标准培养条件下无法生长,需要存在来自结核分枝杆菌(Mtb)无菌培养物的培养滤液(CF)才能出现。有人假设 CF 中存在复苏促进因子(Rpfs)、脂肪酸和环 AMP(cAMP)等分子,这些分子负责生长刺激活性。在此,我们测试了非致病性细菌耻垢分枝杆菌(Msm)CF 刺激 DCTB 生长的能力,因为这种生物体提供了更易于处理的 CF 来源。我们还通过创建表达 Mtb rpf 基因的各种组合的 Msm 重组菌株来研究 Mtb Rpfs 在刺激 DCTB 中的作用。在用药物治疗之前,从患有药物敏感型结核病的个体的痰液中测试了来自该菌株组的 CF。野生型 Msm 的 CF 不能以类似于 Mtb CF 制剂的方式检测到 DCTB,而向缺乏天然 rpf 的 Msm 突变体中添加 RpfAB 和 RpfABCDE 可提高与无 CF 对照相比检测到 DCTB 的能力,但与空载体对照相比并无统计学差异。为了进一步研究 Rpfs 的作用,我们比较了 Mtb CF 及其与 Rpfs 的生长刺激活性,发现它们是等效的。接下来,我们测试了具有不同化学结构的脂肪酸和 cAMP 的生长刺激作用,虽然观察到一些选择性刺激作用,但这并不比培养基对照高得多,也无法与 CF 相比。总之,这些数据表明,与 Mtb CF 观察到的生长刺激作用可能是多种因素的综合结果。未来旨在确定这些生长刺激分子性质的工作可能有助于改善基于培养的结核病诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af35/7985135/9761d122ba37/41598_2021_86054_Fig1_HTML.jpg

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