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豚鼠中与克林霉素相关的小肠结肠炎:细菌毒素的证据

Clindamycin-associated enterocolitis in guinea pigs: evidence for a bacterial toxin.

作者信息

Knoop F C

出版信息

Infect Immun. 1979 Jan;23(1):31-3. doi: 10.1128/iai.23.1.31-33.1979.

DOI:10.1128/iai.23.1.31-33.1979
PMID:422233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC550684/
Abstract

Experimental enterocolitis was induced in guinea pigs by intraperitoneal injection of clindamycin. Specimens of feces were collected daily in phosphate-buffered saline (pH 7.0) and pooled every second day. The pooled samples were centrifuged to remove solids, and the supernatant was sterilized by membrane filtration. The sterile fecal supernatants were then dialyzed for 48 h against two 15-liter changes of phosphate-buffered saline and subsequently tested for toxicity in cultured monolayers of mouse adrenal cells. A filterable toxin(s) was found in the fecal supernatants on days 2, 4, and 6 postchallenge and not in pretreatment samples. The toxin(s) caused enterocolitis when administered orogastrically to healthy animals and altered the morphology of cultured mouse adrenal cells. The alteration of adrenal cell morphology was neutralized by specific antitoxin to Clostridium histolyticum.

摘要

通过腹腔注射克林霉素在豚鼠中诱发实验性小肠结肠炎。每天在磷酸盐缓冲盐水(pH 7.0)中收集粪便样本,每两天合并一次。将合并的样本离心以去除固体,上清液通过膜过滤进行灭菌。然后将无菌粪便上清液在磷酸盐缓冲盐水中透析48小时,换液两次,每次15升,随后在培养的小鼠肾上腺细胞单层中测试其毒性。在攻击后第2、4和6天在粪便上清液中发现了一种可过滤毒素,而在预处理样本中未发现。当经口胃途径给予健康动物时,该毒素会导致小肠结肠炎,并改变培养的小鼠肾上腺细胞的形态。肾上腺细胞形态的改变可被溶组织梭状芽孢杆菌的特异性抗毒素中和。

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本文引用的文献

1
Detection of heat-labile Escherichia coli enterotoxin with the use of adrenal cells in tissue culture.利用组织培养中的肾上腺细胞检测不耐热大肠杆菌肠毒素。
Science. 1974 Jan 25;183(4122):334-6. doi: 10.1126/science.183.4122.334.
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Fatal enterocolitis in hamsters given lincomycin hydrochloride.给仓鼠注射盐酸林可霉素后出现的致命性小肠结肠炎。
Lab Anim Care. 1968 Aug;18(4):411-20.
3
Clindamycin-associated colitis due to a toxin-producing species of Clostridium in hamsters.仓鼠中由产毒素梭状芽孢杆菌引起的克林霉素相关性结肠炎。
J Infect Dis. 1977 Nov;136(5):701-5. doi: 10.1093/infdis/136.5.701.
4
The protective effect of vancomycin on clindamycin-induced colitis in hamsters.万古霉素对仓鼠克林霉素诱导的结肠炎的保护作用。
Johns Hopkins Med J. 1977 Oct;141(4):183-92.
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Undescribed toxin in pseudomembranous colitis.伪膜性结肠炎中未描述的毒素。
Br Med J. 1977 May 14;1(6071):1246-8. doi: 10.1136/bmj.1.6071.1246.
6
Antibiotic-associated pseudomembranous colitis due to toxin-producing clostridia.由产毒素梭状芽孢杆菌引起的抗生素相关性假膜性结肠炎。
N Engl J Med. 1978 Mar 9;298(10):531-4. doi: 10.1056/NEJM197803092981003.
7
Experimental clindamycin-associated colitis in rabbits. Evidence of toxin-mediated mucosal damage.
Gastroenterology. 1978 Feb;74(2 Pt 1):246-52.
8
Gastrointestinal and systemic toxicity of fecal extracts from hamsters with clindamycin-induced colitis.克林霉素诱导的仓鼠结肠炎粪便提取物的胃肠道和全身毒性
Gastroenterology. 1978 Jan;74(1):52-7.
9
Pseudomembranous colitis: Presence of clostridial toxin.伪膜性结肠炎:存在梭菌毒素。
Lancet. 1977;2(8052-8053):1312-4. doi: 10.1016/s0140-6736(77)90363-4.
10
Antibiotic-induced colitis implication of a toxin neutralised by Clostridium sordellii antitoxin.抗生素诱导的结肠炎与一种被索氏梭菌抗毒素中和的毒素有关。
Lancet. 1977 Nov 26;2(8048):1103-6. doi: 10.1016/s0140-6736(77)90547-5.