氟喹诺酮类抗生素及耐药基因污染控制的研究进展北大核心CSCD

氟喹诺酮类抗生素属于喹诺酮类抗生素,是一类人畜通用的抗生素。近年来,被广泛应用于人类和畜牧、水产等养殖业领域,然而其大量使用,造成在环境中的不断残留和累积,给自然环境和人类健康造成了较大威胁。现有研究表明,微生物降解是有效去除氟喹诺酮类抗生素残留污染的有效方法之一。本文总结和介绍了近年来氟喹诺酮类抗生素微生物降解单株菌和混合菌群、微生物降解酶、降解途径以及微生物降解氟喹诺酮类抗生素的实际应用,并对目前氟喹诺酮类抗生素微生物降解研究中存在的问题进行了分析,以及对未来氟喹诺酮类抗生素微生物降解研究的重点进行了探讨,以期为后续的研究提供参考。     

土壤中氟喹诺酮类药物残留的生态效应及归宿

氟喹诺酮类药物是人工合成的高效广谱抗菌药, 对细菌的DNA螺旋酶具有选择性抑制作用, 因其具有良好的药物动力学特性及治疗效果, 临床应用非常广泛, 但同时也引起环境污染。本文综述了氟喹诺酮类药物的理化特性及其对环境的影响, 土壤中残留氟喹诺酮类药物的检测以及氟喹诺酮类药物污染土壤的生物修复。     

土壤中氟喹诺酮类药物残留的生态效应及归宿

氟喹诺酮类药物是人工合成的高效广谱抗菌药,对细菌的DNA螺旋酶具有选择性抑制作用,因其具有良好的药物动力学特性及治疗效果,临床应用非常广泛,但同时也引起环境污染.本文综述了氟喹诺酮类药物的理化特性及其对环境的影响,土壤中残留氟喹诺酮类药物的检测以及氟喹诺酮类药物污染土壤的生物修复.     

结核分枝杆菌耐氟喹诺酮类药物的分子机制研究进展

结核病是由结核分枝杆菌(Mycobacterium tuberculosis)通过空气传播引起人类感染的慢性传染病,耐药结核分枝杆菌的流行是目前结核病防治的世界难题。氟喹诺酮类药物是人工合成药物,应用于耐药结核的临床治疗中,在治疗中起着核心的作用。但近年来,氟喹诺酮类药物的抗性菌株不断出现,愈发增加了结核病治疗的困难与治疗失败风险。在临床中氟喹诺酮药物的靶点比较清楚,是结核分枝杆菌的DNA旋转酶。目前发现结核分枝杆菌耐氟喹诺酮类药物的机制主要包括药物靶点DNA旋转酶的关键氨基酸改变、药物外排泵系统、细菌细胞壁厚度的增加以及喹诺酮抗性蛋白MfpA介导的DNA旋转酶活性调控。其中在氟喹诺酮靶标DNA旋转酶功能活性改变的耐药机制方面,编码DNA旋转酶基因突变一直是研究的热点,但近年来发现DNA旋转酶的调控蛋白MfpA以及DNA旋转酶的修饰在细菌耐药性中起着重要的作用,相关机制还亟待发现。本文综述了当前结核分枝杆菌耐氟喹诺酮类药物的作用机制,旨在为研发精准诊断技术和药物发掘提供科学理论基础和参考。     

肺炎克雷伯杆菌对氟喹诺酮耐药的机制研究

目的研究肺炎克雷伯杆菌对氟喹诺酮类药物（FQNs）的耐药机制。方法筛选临床分离的对环丙沙星耐药的肺炎克雷伯杆菌共10株,采用微量肉汤稀释法检测菌株对5种氟喹诺酮类药物的MIC值;采用PCR方法检测菌株染色体和质粒携带的喹诺酮耐药基因（gyrA基因、parC基因和qnr基因）并测序;质粒接合试验验证qnr基因的转移性。结果 10株肺炎克雷伯杆菌对5种氟喹诺酮类药物均产生耐药性。扩增产物经测序发现10株肺炎克雷伯杆菌染色体的gyrA基因和parC基因均有突变;有2株菌株（K79和K107）携带qnrA基因,这2株菌的接合菌对喹诺酮抗菌药的MIC值上升了5～30倍;未检测到qnrB阳性的菌株。结论 gyrA和parC基因突变是肺炎克雷菌对氟喹诺酮类产生耐药机制的主要原因,质粒上qnrA基因的存在,也是产生喹诺酮耐药的一个重要因素。     

氟喹诺酮类抗生素在土壤中的归趋及其生态毒性研究进展

氟喹诺酮类抗生素是治疗人和动物细菌性感染的高效广谱抗菌药,因其具有良好的药物动力学特性及治疗效果,临床应用非常广泛.其残留物进入土壤后,会发生吸附、降解、植物吸收等一系列转化过程.本文对土壤中氟喹诺酮类抗生素的主要污染源及其在土壤中的吸附、降解、植物吸收与富集等一系列转化过程进行了分析,并探讨了土壤中氟喹诺酮类抗生素残留所引起的生态效应,旨在为土壤污染防治和修复提供依据.     

肠沙门菌副伤寒甲血清型的萘啶酸抗性和克隆扩散

目的了解玉溪市1999年至2008年甲型副伤寒患者肠沙门菌甲型副伤寒血清型(SPA)分离株的萘啶酸抗性和克隆扩散。方法采用有对照的K-B纸片扩散技术对4060株SPA进行抗微生物药物敏感性试验;对随机选择的166个萘啶酸抗性(NAR)株和20个萘啶酸敏感(NAS)株进行SpeI消化染色体DNA脉冲场凝胶电泳(PFGE)分型、聚类分析以及氟喹诺酮最小抑菌浓度(MIC)测定。结果分离株的NAR率由1999年的12.5%、2000年82.2%、2001年93%上升到2008年的100%;NAS株在1999年占优势,但在2000年以后被NAR株替代;166个NAR株都降低了对氟喹诺酮类药物的敏感性,其MIC值比20个NAS株的高得多。186个菌株SpeI消化产物得出以SpeI01、SpeI02型占优势的9种PFGE型。结论萘啶酸筛检实验可用于检测SPA降低氟喹诺酮敏感性,SpeI01和SpeI02是玉溪流行的主要克隆,建议制定并实施氟喹诺酮药物抗性株引起爆发流行的处理方案。     

临床分离铜绿假单胞菌对氟喹诺酮类抗菌药物的耐药性检测

目的了解临床分离铜绿假单胞菌对喹诺酮类等抗菌药物的耐药性。方法琼脂稀释法测定86株铜绿假单胞菌对5种氟喹诺酮类抗菌药物以及头孢吡肟、美罗培南的耐药性。结果铜绿假单胞菌对诺氟沙星、氧氟沙星、左氧氟沙星、环丙沙星、加替沙星的耐药率分别为50%、61.6%、51.2%、48.8%、51.2%;对头孢吡肟和美罗培南的耐药率分别为30.2%、23.2%。结论铜绿假单胞菌对氟喹诺酮类抗菌药物耐药显著,临床应加强检测和监测。     

氧氟沙星在鲤体内的药物动力学和残留研究

氧氟沙星(Ofloxacin)是氟喹诺酮类药物之一, 由日本第一制药株式会社于1982 年开发的, 由于分子的基本结构中引入了疏水性的氟原子及亲水性的哌嗪环, 其抗菌活性得到了增强、细菌耐药性大大降低。       

aac（6＇）-Ib-cr介导的喹喏酮类新耐药机制研究进展

AAC（6＇）-Ib是重要的氨基糖苷乙酰基团转移酶,其变异基因aac（6＇）-Ib-cr可同时作用于氨基糖苷类和氟喹诺酮类两类结构不同的抗生素,是引起细菌耐药性的一种重要作用机制。该文主要对aac（6＇）-Ib-cr介导的喹诺酮类新耐药机制相关研究进行综述。     

Ecto-ATPase activity in the rat cardiac muscle: biochemical characteristics and histocytochemical localization

We used a combined biochemical and histocytochemical approach to study ecto-ATPase in the rat cardiac muscle. The reaction medium employed for histocytochemical detection was optimized in biochemical assays to achieve the highest enzyme activity and lowest inhibition by the capture agent used for visualization of the reaction product. Approximately 70% of the enzyme activity was retained in samples after the fixation procedure. Divalent cations stimulated ecto-ATPase. High activity was detectable within a wide pH range. Histocytochemical reaction was observed at sites at which extracellular ATP can potentially exert its actions on the cardiac muscle: nerve endings, plasma membranes of cardiac myocytes and capillary endothelial cells, and T-tubules. Product of the reaction was found exclusively at the outer surface of the cells. In controls, enzyme activity was abolished by diethyl pyrocarbonate and slightly stimulated by digitonin and concanavalin A, whereas sodium orthovanadate, N-ethylmaleimide, and sodium azide yielded no effect. Our results support the view that cardiac ecto-ATPase is involved in important physiological functions and suggest that its activity may be regulated by the release of ATP from nerve endings.     

DYNAMICS OF NERVE CELLS : II. THE TEMPERATURE COEFFICIENTS OF CARBON DIOXIDE PRODUCTION BY THE HEART GANGLION OF LIMULUS POLYPHEMUS.

1. It is possible to determine by the colorimetric method the rate of production of carbon dioxide by the cardiac ganglion of Limulus. 2. Carbon dioxide formation in the cardiac ganglion was found to run parallel to the rate of heart beat for different temperatures. 3. The conclusion seems justified that the rate of cardiac rhythm of Limulus depends upon a chemical reaction in the nerve cells of the cardiac ganglion and that this reaction is associated with the production of carbon dioxide since the rate of beat and the rate of CO₂ production are similarly affected by changes in temperature.     

The effector cells and cellular mediators of immune system involved in cardiac inflammation and fibrosis after myocardial infarction

The cardiac repair after myocardial infarction (MI) involves two phases, namely, inflammatory response and proliferative response. The former is an inflammatory reaction, evoked by different kinds of pro-inflammatory leukocytes and molecules stimulated by myocardial necrosis, while the latter is a repair process, predominated by a magnitude of anti-inflammatory cells and cytokines, as well as fibroblasts. Cardiac remodeling post-MI is dependent on the balance of individualized intensity of the post-MI inflammation and subsequent cardiac fibrosis. During the past 30 years, enormous studies have focused on investigating immune cells and mediators involved in cardiac inflammation and fibrosis, which are two interacting processes of post-MI cardiac repair. These results contribute to revealing the mechanism of adverse cardiac remodeling after MI and alleviating the impairment of cardiac function. In this study, we will broadly discuss the role of immune cell subpopulation and the involved cytokines and chemokines during cardiac repair post-MI, particular in cardiac inflammation and fibrosis.     

Reaction rates of creatine kinase and ATP synthesis in the isolated rat heart. A 31P NMR magnetization transfer study

The NMR technique of magnetization transfer can be used to define intracellular reaction kinetics. In order to determine the relationship between ATP synthesis and flux through the creatine kinase reaction in the intact heart, we used this technique to measure flux through the creatine kinase reaction in the isolated, isovolumic rat heart at five levels of cardiac performance and oxygen consumption. The unidirectional reaction rate constants (s-1) calculated from a two-site exchange model for both the forward and reverse creatine kinase reactions increased with cardiac performance and oxygen consumption. As the rate-pressure product varied from 0 to 44.7 X 10(3) mm Hg/min and oxygen consumption rose from 5.9 to 45.8 mumol of O2/g dry weight/min, kforward increased from 0.27 to 1.30 and kreverse increased from 0.31 to 1.14. The relationship between creatine kinase flux and oxygen consumption, and thus ATP synthesis, took the form of the Michaelis-Menten equation. Rates of ATP synthesis estimated from magnetization transfer were similar to values calculated from oxygen consumption. The longitudinal relaxation time of creatine phosphate (2.06 s), the gamma-phosphorus atom of ATP (0.75 s), and inorganic phosphate (0.81 s) did not change with cardiac performance. These results show that myocardial energy transfer via the creatine kinase reaction is closely coupled to energy production.     

Cerebrovascular Involvement in Liposome—Induced Cardiopulmonary Distress in Pigs

Intravenous administration of liposomes, including Doxil, can cause severe life-threatening hemodynamic changes in pigs. The reaction is due to complement activation, and it is characterized by massive pulmonary hypertension, systemic hypotension, and severe cardiac abnormalities including falling cardiac output, tachy-or bradycardia with arrhythmia. There were no data suggesting the involvement of cerebrovascular changes in this reaction; however, clinical observations allowed this hypothesis. Here we measured the accompanying changes during liposome infusion by monitoring pulsatile electrical impedance (rheoencephalogram- REG) on the skull (n = 24 pigs, 57 trials, 19 types of liposomes). A transient but significant decrease of REG pulse amplitudes followed the injection of liposomes (78.43% in the total sample, and 91.66% in the Doxil subgroup; P = 0.003, n = 12), indicating the involvement of cerebrovascular reaction during liposome infusion.     

Contact allergy to a subcutaneous implantable cardiac defibrillator – A rare problem with a golden solution

Contact allergy to implantable cardiac defibrillators (ICD) is an uncommon and underdiagnosed complication. We report a case of a 20-years-old man patient that was resuscitated from sudden cardiac death. Workup imaging study was unremarkable, but genetic testing identified a mutation in the KCNH2 gene of uncertain significance. The patient underwent a subcutaneous implantable cardiac defibrillator (S-ICD) implantation, with no complications. The patient suffered two hospital re-admissions due to a device-related inflammatory reaction, leading to two device re-implantations. At the first time, it was considered a bacterial infection and the S-ICD was replaced by an endovascular device. At the second time, a tissue-device interaction, with hypersensitivity reaction and device rejection was suspected. The skin patch-tests were inconclusive, but it was decided to implant a custom-made gold-coated endovascular ICD. Indeed, the tendency is an initial misdiagnosis as an infection and a high clinical suspicion is essential to an early diagnosis.     

Participation of the opioid-ergic system in the regulation of afferent reactions of the damaged myocardium

It has been established that in lesion of the myocardium accumulation of huge amount of algesic compounds may cause limitation of the level of cardiac afferentation. Use of naloxone, buterfanol tartrate and D-ala-2-lei-enkephalin prevent the development of the reaction. The possibility of participation of the endogenic cardiac opioids in anti-nociceptive reactions of heart during its lesion is considered.     

Cerebrovascular involvement in liposome-induced cardiopulmonary distress in pigs

Intravenous administration of liposomes, including Doxil, can cause severe life-threatening hemodynamic changes in pigs. The reaction is due to complement activation, and it is characterized by massive pulmonary hypertension, systemic hypotension, and severe cardiac abnormalities including falling cardiac output, tachy-or bradycardia with arrhythmia. There were no data suggesting the involvement of cerebrovascular changes in this reaction; however, clinical observations allowed this hypothesis. Here we measured the accompanying changes during liposome infusion by monitoring pulsatile electrical impedance (rheoencephalogram- REG) on the skull (n=24 pigs, 57 trials, 19 types of liposomes). A transient but significant decrease of REG pulse amplitudes followed the injection of liposomes (78.43% in the total sample, and 91.66% in the Doxil subgroup; P=0.003, n=12), indicating the involvement of cerebrovascular reaction during liposome infusion.     

线粒体融合蛋白2与心血管疾病

线粒体融合蛋白2(mitofusin2,Mfn2)不仅是一种不可或缺的调控线粒体形态和功能的动力素(dynamin)相关蛋白,还是一个重要的细胞内信号分子,参与调控细胞增殖、分化、凋亡等生命过程。Mfn2与高血压、冠状动脉腔内成形术后再狭窄、动脉粥样硬化、心肌肥厚、心肌氧化损伤等多种心血管疾病的病理生理过程密切相关,并通过调节物质代谢影响糖尿病和胰岛素抵抗等的发病。此外,Mfn2还可能是心血管疾病的一个重要的分子标志和治疗靶分子。     

Distribution of isomyosin in cultured cardiac myocytes as determined by monoclonal antibodies and adenosine triphosphatase activity

The distribution of isomyosin in cardiac muscle cells in culture has been investigated with monoclonal antibodies and Ca2+-activated myosin ATPase cytochemical staining. With immunofluorescent studies using monoclonal antibodies to isomyosins V1 and V3, the cardiac myocytes grown in a serum-free and thyroxine (T4)-free medium for 7 days contained a predominant population of cells which were strongly reactive to anti-V3 antibody. A small population of myocytes in this culture exhibited weak or no reaction to anti-V3 antibody. When cultures were exposed to anti-V1 antibody, the predominant cardiac myocyte population showed little or no reactivity to this antibody, whereas a small population of the myocytes were strongly reactive. The myosin ATPase staining reaction of the positive myocyte population was significantly less pronounced than that of the V3-negative population which showed a strong reaction. The staining pattern changed dramatically after exposure of cultured myocytes to thyroid hormone for 7 days. Most of the cells were found to react strongly with anti-V1 antibody, while some cells showed little reactivity and some were not stained at all. A small number of cardiac myocytes in this culture showed little or no reactivity to anti-V1 antibody but were strongly reactive to anti-V3 antibody. The predominant anti-V1-positive myocyte population exhibited strong myosin ATPase staining as compared to a smaller V3-positive myocyte population which showed very weak staining. The cytochemical results of ATPase staining in cardiac myocytes agreed well with ATPase activity as determined on pyrophosphate gels containing isomyosin derived from cultured cardiac myocytes with or without T4. This study has demonstrated that cultured myocytes contain a small population of muscle cells which is not responsive to thyroid hormone or to the lack of it.