假丝酵母一新种——北京假丝酵母

本文研究了一株从水果表皮分离到的假丝酵母,它与至今已发表的所有已知假丝酵母均不相同,定名为北京假丝酵母(Candida beijingensis)。     

白色念珠菌氟康唑耐药相关基因研究进展

近 2 0年来由于临床上对癌症患者、器官移植患者大量使用化疗药物、广谱抗生素和免疫抑制剂 ,以及艾滋病 (AIDS)的流行 ,使深部真菌感染的发生率在免疫受损的病人群体中急剧升高。深部真菌感染已日益成为一种常见病、多发病 ,并已逐渐成为这类疾病患者死亡的主要原因之一。深部真菌感染中最常见菌属是念珠菌属 (Candidaspecies) ,其中以白色念珠菌 (Candidaalbicans)为最常见菌种。目前临床上常用的抗真菌药物有两大类 :干扰真菌细胞膜脂质合成的药物(二性霉素B ,唑类药物 )和干扰真菌核酸合成的药物 (5 氟胞嘧啶 )。由于唑类药物中的氟…     

穿心莲内酯联合氟康唑抗耐药白假丝酵母菌作用机制研究

目的探讨穿心莲内酯联合氟康唑抗耐药白假丝酵母菌作用及其机制。方法采用微量稀释法检测穿心莲内酯（AG）及联合氟康唑（FLC）对耐药白假丝酵母菌的MIC;采用罗丹明6G（Rh6G）检测AG对耐药白假丝酵母菌CDR外排功能的影响;利用罗丹明123评估AG对耐药白假丝酵母菌MDR外排功能的影响：采用二氢罗丹明检测AG单用及联合FLC对耐药白假丝酵母菌活性氧（ROS）的影响;采用实时荧光定量PCR（qRT—PCR）检测AG联合FLC对耐药白假丝酵母菌外排泵相关基因CDR1、CDR2和MDR1表达的影响。结果AG联合FLC抗耐药白假丝酵母菌呈相加作用;AG对CDR外排功能无影响;AG可抑制MDR外排功能;AG联合FLC能显著提高耐药白假丝酵母菌细胞ROS水平;AG与FLC联合作用于耐药白假丝酵母菌可下调CDR1和MDR1的表达量,上调CDR2的表达量。结论AG联合FLC抗耐药白假丝酵母菌具有相加作用,其机制可能与抑制外排泵及相关基因表达,提高胞内ROS水平有关。     

热带假丝酵母唑类耐药相关基因的研究进展

临床上热带假丝酵母(又称热带念珠菌)的分离率越来越高,唑类抗真菌药物因较低的细胞毒性且大多可口服给药,是治疗热带念珠菌感染的常用药物。我国耐唑类药物热带念珠菌的分离率较高,因此有必要了解其具体机制,为寻求新的药物作用靶点提供依据。目前认为,与热带念珠菌唑类耐药有关的主要机制有靶基因ERG11过度表达和突变、编码转录因子的upc2基因过度表达和突变、外排泵基因过度表达及其他相关基因过度表达等。本文就目前热带念珠菌唑类耐药机制的基因水平研究进展进行综述。     

表型相似的热带假丝酵母和麦芽糖假丝酵母在脉冲电泳核型上的差异

热带假丝酵母Ｃａｎｄｉｄａ ｔｒｏｐｉｃａｌｉｓ （Ｃａｓｔｅｌｌａｎｉ ）Ｂｅｒｋｈｏｕｔ和麦芽糖假丝酵母Ｃ． ｍａｌｔｏｓａＫｏｍａｇａｔａ, Ｎａｋａｓｅ ＆ Ｋａｔｓｕｙａ是两种可利用烃类作为碳和能量来源的酵母菌,前者还是一种条件致病菌,可引起系统感染。这两种假丝酵母菌在形态和生理生化性状上非常相似,用常规分类方法不易准确地鉴别。本研究对Ｃ． Ｔｒｏｐｉｃａｌｉｓ和Ｃ ｍａｌｔｏｓａ的模式菌株以及中国普通微生物菌种保藏中心（ＣＧＭＣＣ）保藏的归于这两个种名下的其它菌株进行了脉冲电泳核型比较分析。发现这两个表型相似的种具有明显不同的染色体ＤＮＡ分子带型,而同一种内的不同菌株却具有相同或相似的分子核型。Ｃ．Ｔｒｏｐｉｃａｌｉｓ的特异染色体ＤＮＡ分子带谱为２条８．５—１．２ Ｍｂ的带, ４条２．３－３．４ Ｍｂ的带。 Ｃ ｍａｌｔｏｓａ的特异带谱为： ３～４条分子量在１．１－１．３Ｍｂ范围内的带, １条约为２．２Ｍｂ的带以及２－３条大小为３．２－３．５Ｍｂ的带。 Ｃ ｔｒｏｐｉｃａｌｉｓ与Ｃ ｍａｌｔｏｓａ在染色体ＤＮＡ分子带型上的差异与二者在可溶性淀粉的同化能力和４０℃下的生长能力上的差异具有明显的相关性…     

假丝酵母尿酸酶形成条件

选出了一株产尿酸酶的产朊候丝酵母(Candida utilis)AS2．117。此菌株尿酸酶形成条件的研究表明：尿酸、黄嘌呤和鸟嘌呤对酶形成起诱导作用;玉米浆对菌株生长和酶形成起十分重要的作用;蔗糖、葡萄塘、D-甘露糖和果糖是酶形成的适合碳源;生物素对酶产生有促进作用;在含有玉米浆培养基中加入无机氮源对产酶无作用,添加有机氮略增加产酶量。尿酸酶形成最适培养基组成为(％)：蔗糖;,玉米浆3,尿酸0．1,蛋白胨0．1,生物素0．05,KCI0．1,NaCl 0.1。最适pH为6．2。在250ml三角瓶中装30ml培养基为最适。在200r／min的旋转摇床上25℃振荡培养21h,在此条件下最终酶活力可达0．6u／ml。     

乳杆菌发酵上清对耐药白假丝酵母生物膜的作用

目的 研究德氏乳杆菌(Lactobacillus delbrueckii,L.delbrueckii)和发酵乳杆菌(Lactobacillus fermentum,L.fermentum)发酵上清液对3株耐氟康唑白假丝酵母临床分离株CA3、CA6、CA8生物膜形成和分散的作用。 方法 通过MIC试验,确认3株白假丝酵母临床分离株对氟康唑耐药;用96孔板构建体外白假丝酵母生物膜;用棋盘法分别检测L.delbrueckii、L.fermentum发酵上清液与氟康唑联用对3株白假丝酵母的作用;用XTT法对生物膜形成量进行定量分析;检测L.delbrueckii、L.fermentum发酵上清液与氟康唑联用对白假丝酵母时间-生长曲线的影响;显微镜拍照检测L.delbrueckii、L.fermentum发酵上清液单独和氟康唑联用对白假丝酵母生物膜形态的影响;平板培养法检测L.fermentum发酵上清液对白假丝酵母黏附作用的影响。 结果 CA3、CA6、CA8三株临床分离菌株对氟康唑耐药,MIC浓度均为8 μg/mL。L.delbrueckii与L.fermentum发酵上清液与氟康唑联用对3株耐药型白假丝酵母的生物膜形成与分散均未表现出协同作用,且发酵上清液与氟康唑联用效果不如发酵上清液单独处理效果好,L.fermentum发酵上清液对生物膜的分散作用较L.delbrueckii发酵上清液强。L.fermentum发酵上清液抑制白假丝酵母的初始黏附。 结论 L.delbrueckii、L.fermentum发酵上清液单独应用时均对耐氟康唑白假丝酵母生物膜的形成与分散有干预作用,与氟康唑联用时未表现出协同作用,抑制耐药白假丝酵母生物膜的作用可能与抑制菌丝形成和起始黏附有关。     

假丝酵母同源性的研究

用分光光度法测定了4株郎比可假丝酵母(Candida lambica)间的DNA-DNA同源性,结果:2.1182与LP012的同源性为90.4%,表明它们是同种的;2.1182与DX22为77.5%,DX22与LP012为76.8%,表明它们虽是同种,但产生了一些分化:LP006与LP012为63.2%,表明它们之间产生了较大的分化,接近种的范围,仍可认为是同种的。     

90株阴道念珠菌的菌群分布及对抗真菌药物MIC的研究

白假丝酵母是目前最常见的条件致病菌。从临床念珠菌感染病例分离株的耐药性进行流行病研究, 可以为指导临床用药提供参考。对由妇科念珠菌性阴道炎患者的外阴分泌物分离纯化得到的９０株假丝酵母 进行了系统鉴定并测定了对 ＭＣＺ, ＫＣＺ和 ＦＣＺ ３种药物的 ＭＩＣ,分析了菌群变化及 ＭＩＣ分布。结果显示,非 白假丝酵母所占比例（４０．０％）明显上升,成为主要条件致病菌,而白假丝酵母所占比例仅为３７．７％,已明显下 降;同时亦显示不同种类的假丝酵母对上述３种抗真菌药物的敏感性也不同。这种菌群变迁可能与近年来抗 真菌药物的广泛应用有关。     

致念珠菌性包皮龟头炎白假丝酵母菌对9种抗真菌药物最低抑菌浓度测定

目的检测引起念珠菌性包皮龟头炎的白假丝酵母菌对9种抗真菌药物MIC,为临床治疗念珠菌性包皮龟头炎提供参考依据。方法常规培养分真菌,并鉴定到种,采用最低抑菌浓度法对白假丝酵母菌进行体外药物敏感试验。结果培养分离的12株菌中,白假丝酵母菌占75.00%,白假丝酵母菌生物变种占16.67%,近平滑假丝酵母菌占8.33%;11株白假丝酵母菌耐药率由高到低依次是氟康唑,伊曲康唑,咪康唑,酮康唑,克霉唑,益康唑,5-氟胞嘧啶啶,两性霉素B,制霉菌素,其中6种药物耐药率大于50%。结论白假丝酵母菌仍是造成念珠菌性包皮龟头炎最常见的致病菌,耐多药现象较为普遍,应根据临床实验室的体外药敏试验结果,指导临床合理用药。     

大蒜素对白色念珠菌生长的抑制作用

探讨大蒜素对白色念珠菌生长的抑制作用。以NCCLS方案检测了胡桃楸提取物和伊曲康唑(ICZ)、氟康唑(FCZ)、两性霉素B(AMB)和5-氟胞嘧啶(5-FC)对133株白念珠菌体外生长抑制作用。标准菌株JC1A的M IC结果表明大蒜素提取物对白念珠菌的抗菌作用相当于FCZ,略低于ICZ、AMB和5-FC;临床分离株对ICZ和FCZ的耐药率很高,对大蒜素提取物的耐药率较低。大蒜素提取物对白色念珠菌生长有强力抑制作用。     

Erythrina poeppigiana-derived phytochemical exhibiting antimicrobial activity against Candida albicans and methicillin-resistant Staphylococcus aureus

AIMS: To screen five phytochemicals isolated from Erythrina poeppigiana (Leguminosae) for antimicrobial activity against both Candida albicans and methicillin-resistant Staphylococcus aureus (MRSA). METHODS AND RESULTS: Roots of E. poeppigiana were macerated with acetone and the chloroform-soluble fraction of the residue was subjected to repeated silica gel column chromatography using various eluting solvents. Structures of the isolated compounds were determined by extensive spectroscopic studies. Each compound was dissolved in dimethyl sulphoxide and added to agar plates (final concentration: 1.56-100 microg ml(-1)) and minimum inhibitory concentrations (MICs) against C. albicans and MRSA were determined. Spectral data indicated the presence of three different types of phytochemicals; isoflavonoids (erypoegin A, demethylmedicarpin and sandwicensin), alpha-methyldeoxybenzoin (angolensin) and cinnamylphenol (erypostyrene). While all compounds showed anti-MRSA activity in this concentration range, isoflavonoids and alpha-methyldeoxybenzoin failed to inhibit the growth of C. albicans. Erypostyrene (E-1-[2-hydroxy-4-methoxy-5-(gamma,gamma-dimethylallyl)benzyl]-2-(4-hydroxyphenyl)ethylene) exhibited not only the highest anti-MRSA activity (MIC value of 6.25 microg ml(-1)) but also anti-candidal potency (MIC value of 50 microg ml(-1)). The compound reduced viable cell numbers of C. albicans and MRSA by approximately 1 of 2000 and 1 of 1000 after 1 h incubation at each MIC, respectively. CONCLUSIONS: A new cinnamylphenol, erypostyrene, possessed anti-candidal and anti-MRSA activity. SIGNIFICANCE AND IMPACT OF THE STUDY: Erypostyrene could be a leading candidate for development of antimicrobial agents with anti-candidal and anti-MRSA activity.     

Cleavage of human big endothelin-1 by Candida albicans aspartic proteinase

Abstract A Candida albicans aspartic proteinase (CAP), one of the secretory proteinases of Candida albicans , is thought to be a possible virulence factor in Candida albicans infection. Whereas endothelin-1 is found as an endothelium-derived strong vasoconstrictive peptide, it is known to have a role in the maintenance of vascular homeostasis and tissue survival. Endothelin-1 is generated from a precursor form of endothelin-1, the so-called big endothelin-1. It has recently been reported that cathepsin D, E and pepsin, which are aspartic proteinases, convert big endothelin-1 to endothelin-1. In this study, the relationship between CAP and big endothelin-1 was studied. High performance liquid chromatography analysis revealed that big endothelin-1 was cleaved into several amino acid sites by CAP, but endothelin-1 was not converted from big endothelin-1. CAP cleaved big endothelin-1 at different sites when compared with that of other known aspartic proteinases, and it suppressed endothelin-1 production through the degradation of big endothelin-1. CAP may break homeostatic mechanism of endothelin-1 in Candida albicans infectious lesion.     

从海蜇中筛选抗真菌活性的海洋细菌菌株

从中国北部湾海域采集的海蜇样品中分离到577株海洋细菌,以条件致病真菌白色念珠菌(Candida albicans)作为敏感测试菌株,采用琼脂块法测定了577株海洋细菌的抗真菌活性,结果表明有119株具有抗白色念珠菌活性,占总数的20.6%。对其中的40株高活性菌株进行抗真菌和抗细菌活性研究,结果表明,有21株海洋细菌对3种或3种以上的真菌有抑制活性,23株对细菌有不同程度的抑制作用,其中1株海洋细菌I0s4-18具有广谱的抗菌作用,对革兰氏阴性细菌、革兰氏阳性细菌、酵母菌及丝状真菌均具有抑制作用。海蜇共附生的微生物中能产生抗真菌活性的微生物的比例是很高的,I0s4-18菌株具有良好的开发前景。     

Effect of 2, 4-di-tert-butylphenol on growth and biofilm formation by an opportunistic fungus Candida albicans

Candida albicans, an opportunistic pathogen, has been known to form hypoxic biofilms on medical devices which in turn confers resistance towards antifungals, resulting in subsequent therapeutic failures. Inclusion of anti-biofilm agents in the control of infections is a topic of current interest in developing potential anti-infectives. The in vitro anti-fungal and anti-biofilm efficacy of 2,4-di-tert-butyl phenol [DTBP] was evaluated in this study, which revealed the potential fungicidal action of DTBP at higher concentrations where fluconazole failed to act completely. DTBP also inhibited the production of hemolysins, phospholipases and secreted aspartyl proteinase which are the crucial virulence factors required for the invasion of C. albicans. Various anti-biofilm assays and morphological observations revealed the efficacy of DTBP in both inhibiting and disrupting biofilms of C. albicans. Inhibition of hyphal development, a key process that aids in initial adhesion of C. albicans, was observed, and this could be a mechanism for the anti-biofilm activity of DTBP.     

深圳市人民医院连续13年真菌血症病原谱分析

目的 调查深圳市人民医院真菌血症病原谱。方法 收集2004‒2016年深圳市人民医院真菌血症患者血液分离的真菌,使用VITEK-2、VITEK-MS系统并结合真菌内转录间隔区（ITS）测序技术进行菌种鉴定。结果 2004‒2016年共发生真菌血症295例,分离296株真菌,假丝酵母菌占89.9%（266/296）。最常见前5位真菌依次为白假丝酵母菌（36.1%,107/296）、近平滑假丝酵母菌种复合群（19.3%,57/296）、热带假丝酵母菌（13.9%,41/296）、光滑假丝酵母菌种复合群（11.8%,35/296）和菌膜假丝酵母菌（4.7%,14/296）;非白假丝酵母菌占53.7%（159/296）。69.8%（206/295）真菌血症来自重症医学科（ICU）（89例）、新生儿科（33例）、血液科（30例）、胃肠外科（29例）和呼吸科（25例）。结论 假丝酵母菌是真菌血症最重要的病原菌,其中非白假丝酵母菌占比过半。     

Purification and germination of Candida albicans and Candida dubliniensis chlamydospores cultured in liquid media

Candida albicans and Candida dubliniensis are the only Candida sp. that have been observed to produce chlamydospores. The function of these large, thick-walled cells is currently unknown. In this report, we describe the production and purification of chlamydospores from these species in defined liquid media. Staining with the fluorescent dye FUN-1 indicated that chlamydospores are metabolically active cells, but that metabolic activity is undetectable in chlamydospores that are >30 days old. However, 5–15-day-old chlamydospores could be induced to produce daughter chlamydospores, blastospores, pseudohyphae and true hyphae depending on the incubation conditions used. Chlamydospores that were preinduced to germinate were also observed to escape from murine macrophages following phagocytosis, suggesting that these structures may be viable in vivo . Mycelium-attached and purified chlamydospores rapidly lost their viability in water and when subjected to dry stress, suggesting that they are unlikely to act as long-term storage structures. Instead, our data suggest that chlamydospores represent an alternative specialized form of growth by C. albicans and C. dubliniensis .