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新生鼠侵袭性念珠菌病中念珠菌属向深部器官的播散。

Dissemination of Candida auris to deep organs in neonatal murine invasive candidiasis.

机构信息

Departamento de Microbiología, Universidad Autónoma de Nuevo León, Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Av. Francisco I. Madero, Mitras Centro, 64460, Monterrey, Mexico.

Division of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

出版信息

Microb Pathog. 2021 Dec;161(Pt B):105285. doi: 10.1016/j.micpath.2021.105285. Epub 2021 Nov 10.

Abstract

Candida auris is an emerging multidrug resistant fungal pathogen, which represents a major challenge for newborns systemic infections worldwide. Management of C. auris infections is complicated due to its intrinsic antifungal resistance and the limited information available on its pathogenesis, particularly during neonatal period. In this study, we developed a murine model of C. auris neonatal invasive infection. C. auris dissemination was evaluated by fungal burden and histopathological analysis of lung, brain, liver, kidney, and spleen at different time intervals. We found fungal cells in all the analyzed tissues, neonatal liver and brain were the most susceptible tissues to fungal invasion. This model will help to better understand pathogenesis mechanisms and facilitate strategies for control and prevention of C. auris infections in newborns.

摘要

耳念珠菌是一种新兴的、具有多重耐药性的真菌病原体,它对全球新生儿的系统性感染构成了重大挑战。由于其内在的抗真菌耐药性以及关于其发病机制的有限信息,特别是在新生儿期,耳念珠菌感染的管理变得复杂。在本研究中,我们建立了耳念珠菌新生感染的小鼠模型。通过真菌负荷和不同时间间隔的肺、脑、肝、肾和脾的组织病理学分析,评估了耳念珠菌的传播。我们在所有分析的组织中都发现了真菌细胞,新生儿的肝脏和大脑是最易受真菌侵袭的组织。该模型将有助于更好地了解发病机制,并为控制和预防新生儿耳念珠菌感染提供策略。

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