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李斯特菌病:特征、在家畜中的发生情况、对公共卫生的意义、监测与控制

Listeriosis: Characteristics, Occurrence in Domestic Animals, Public Health Significance, Surveillance and Control.

作者信息

Končurat Ana, Sukalić Tomislav

机构信息

Animal Disease Diagnostics Laboratory, Regional Department Križevci, Croatian Veterinary Institute, 48260 Križevci, Croatia.

出版信息

Microorganisms. 2024 Oct 12;12(10):2055. doi: 10.3390/microorganisms12102055.

Abstract

Listeriosis is a dangerous zoonosis caused by bacteria of the genus , with (LM) being the most pathogenic species. has been detected in various animal species and in humans, and its ability to evolve from an environmental saprophyte to a powerful intracellular pathogen is driven by the invasion mechanisms and virulence factors that enable cell invasion, replication and cell-to-cell spread. Key regulatory systems, including positive regulatory factor A (PrfA) and the stress-responsive sigma factor σ, control the expression of virulence genes and facilitate invasion of host cells. Listeriosis poses a significant threat to cattle, sheep and goat herds, leading to abortions, septicemia and meningoencephalitis, and ruminants are important reservoirs for , facilitating transmission to humans. Other species such as and can also cause disease in ruminants. Resilience of LM in food processing environments makes it an important foodborne pathogen that is frequently transmitted through contaminated meat and dairy products, with contamination often occurring along the food production chain. In humans, listeriosis primarily affects immunocompromised individuals, pregnant women and the elderly and leads to severe conditions, such as meningitis, septicemia and spontaneous abortion. Possible treatment requires antibiotics that penetrate the blood-brain barrier. Despite the relatively low antimicrobial resistance, multidrug-resistant LM strains have been detected in animals, food and the environment. Controlling and monitoring the disease at the herd level, along with adopting a One Health approach, are crucial to protect human and animal health and to minimize the potential negative impacts on the environment.

摘要

李斯特菌病是一种由李斯特菌属细菌引起的危险人畜共患病,其中单核细胞增生李斯特菌(LM)是致病性最强的物种。已在各种动物物种和人类中检测到单核细胞增生李斯特菌,其从环境腐生菌演变为强大的细胞内病原体的能力是由使其能够入侵细胞、复制并在细胞间传播的入侵机制和毒力因子驱动的。关键调控系统,包括正调控因子A(PrfA)和应激反应西格玛因子σ,控制毒力基因的表达并促进宿主细胞的入侵。李斯特菌病对牛、羊和山羊群构成重大威胁,可导致流产、败血症和脑膜脑炎,反刍动物是单核细胞增生李斯特菌的重要宿主,有利于其传播给人类。其他李斯特菌物种,如伊氏李斯特菌和无害李斯特菌,也可在反刍动物中引起疾病。单核细胞增生李斯特菌在食品加工环境中的耐受性使其成为一种重要的食源性病原体,经常通过受污染的肉类和乳制品传播,污染通常发生在食品生产链中。在人类中,李斯特菌病主要影响免疫功能低下的个体、孕妇和老年人,并导致严重疾病,如脑膜炎、败血症和自然流产。可能的治疗需要能够穿透血脑屏障的抗生素。尽管抗菌耐药性相对较低,但已在动物、食品和环境中检测到多重耐药的单核细胞增生李斯特菌菌株。在畜群层面控制和监测该疾病,同时采用“同一健康”方法,对于保护人类和动物健康以及尽量减少对环境的潜在负面影响至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/11510258/9c55bbf85d4b/microorganisms-12-02055-g001.jpg

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