结核分枝杆菌滤过型的初步研究

目的研究结核分枝杆菌滤过型的生物学特性与检测方法。方法菌阴肺结核患者的结核分枝杆菌及其L型的液体培养物经0.45μm滤膜过滤后,涂片观察细菌形态,滤液分别进行分枝杆菌及其L型培养,并采用荧光基因定量法进行结核菌DNA检测。培养物用免疫组化染色鉴定,并采用透射电镜观察。结果30例痰、血滤前、滤后FQ-PCR检测同时阳性为53%,同时阴性为13%,滤前、滤后FQ-PCR结果符合率为67%。滤过后液体培养9例涂片见少许抗酸颗粒或椭圆性球菌。透射电镜见细胞壁缺失的"致密体"样细菌和细胞壁缺如菌。结论菌阴肺结核痰及血培养物中存在结核菌滤过型,滤过型携带遗传信息并可自我复制,采用生物学方法可以对其进行检测。     

子宫内膜与细菌L型感染

本文报道41例宫腔刮出物的病原微生物培养,其中子宫异常出血和早孕胎盘组织各15例,月经紊乱6例和不孕症5例。19例细菌培养为阳性(46.35),19例中之7例为细菌兼有 L 型感染,8例为单纯 L 型感染,3例为解脲脲原体和1例 G~ 厌氧球菌感染。L 型菌落呈典型“油煎蛋”样或颗粒样。子宫内膜和胎盘组织切片的细菌学检查发现大量 L 型巨形体、圆球体和长丝体。作者认为在妇产科范围内,细菌 L 型和解脲脲原体感染并非少见,可能是子宫异常出血、月经紊乱、不孕症和流产的重要原因之一。L 型的形成与抗生素治疗及体内因素的诱导有关。在治疗 L 型感染过程中,药物的选择很重要。     

厌氧细菌L型的诱导

用苯唑青霉素、羧苄青霉素对脆弱类杆菌、多形类杆菌、核梭杆菌、产气荚膜杆菌和艰难杆菌等5种厌氧菌进行L型菌的诱导。通过诱导,可见到脆弱类杆菌、多形类杆菌和产气荚膜杆菌形成油煎蛋状或颗粒状菌落。革兰氏染色镜检,见到菌体肿胀,并有丝状体、圆球体和巨球体。细胞壁染色法可见到部分细菌因胞壁缺损而被结晶紫透入菌体着色。诱导后的少数细菌可转变成可滤过型而能通过0.4μm孔径的滤膜。核梭杆菌诱导后形态改变极显著而较难识别。艰难杆菌形态改变小。建设在临床标本细菌培养时,有时尚需增加L型厌氧菌培养,以提高检出率。     

El Tor型霍乱弧菌L型诱导及其意义的探讨

本文报道儿种体内外因素可诱导 El Tor 型霍乱弧菌产生 L 型。羧苄青霉素纸片法和倾注平板法可诱导 El Tor 型霍乱弧菌产生长丝体、圆球体和巨形体。El Tor 型霍乱弧菌分型噬菌体可诱导产生长丝体。El Tor 型霍乱弧菌陈旧肉汤培养物中可出现许多圆球体样物。上述因素诱导的 L 型均不稳定,很容易回复为原菌。作者还用鳝鱼和鲫鱼的胆汁诱导 El Tor 型霍乱弧菌形成稳定 L 型,并对 EL Tor 型霍乱弧菌 L 型的流行病学意义及其与霍乱弧菌越冬的关系进行了讨论。     

咽部活组织中细菌L型的检出及意义

应用病原微生物培养、电镜、组织切片细菌学检查及Ｌ型抗体免疫组化染色等方法,检测６４例慢性咽炎组织的细菌Ｌ型。结果有４２例培养出细菌Ｌ型,其阳性率为６５．６％;它与切片革兰氏染色Ｌ型检出阳性率（６７．２％）无显著性差异,Ｐ＞０．０５。透射电镜在慢性咽炎组织的间质及上皮细胞、巨噬细胞等细胞内见皮细菌Ｌ型;且Ｌ型抗体免疫组化染色亦证实组织中有细菌Ｌ型抗原。提示,细菌Ｌ型感染与慢性咽炎关系密切,Ｌ型侵入组织并在宿主细胞内生长的特征,可能是慢性咽炎反复发作,迁延不愈的重要原因。     

应用分离培养与免疫组化检测子宫颈癌中的细菌L型

本文应用微生物培养、革兰氏染色、免疫组化技术对５０侧宫颈癌进行了研究。结果发现,宫颈癌细菌及Ｌ型培养阳性率为５８％,以金黄色葡萄球菌（金葡菌）及其Ｌ型为主（２６％）,革兰氏染色Ｌ型检出率为６６／,免疫组化Ｌ型抗原阳性率为６８％,Ｌ型主要分布于间质和癌细胞内。提示Ｌ型感染与宫颈癌可能有一定关系     

原位核酸杂交检测宫颈癌中金黄色葡萄球菌L型DNA

应用病原微生物培养、改良革兰氏染色、免疫组化染色及原位核酸杂交等方法,对５０例宫颈癌和３３例慢性宫颈炎进行了研究。结果发现宫颈癌病原微生物培养细菌及其Ｌ型阳性感染率为５８％（２９／５０例）,以金黄色葡萄球菌（金葡菌）及其Ｌ型多见（１３／２９例）;宫颈癌和慢性宫颈炎组织切片革兰氏染色,细菌Ｌ型检出率分别为６６％和４５．５％;免疫组化染色（ＡＢＣ法）金葡菌Ｌ型抗原阳性率各为６８％和４８．５％。Ｌ型主要分布于癌间质、癌巢及宫颈上皮下结缔组织内。１２例宫颈癌金葡菌Ｌ型ＤＮＡ探针原位杂交显示,１０／１２例癌细胞核内有金葡菌Ｌ型ＤＮＡ杂交阳性信号,表明金葡菌Ｌ型ＤＮＡ已进入宫颈癌细胞内,可能会在基因水平上影响宫颈上皮恶变,提示宫颈癌发生与金葡菌Ｌ型感染关系密切,值得进一步研究。     

慢性扁桃体炎与细菌L型感染

通常认为,慢性扁桃体炎主要致病菌是金黄色葡萄球菌和乙型溶血性链球菌。通过50例慢性扁桃体炎的病原微生物培养、组织切片细菌学及电镜等研究,发现慢性扁桃体炎组织中细菌L型也相当常见,L型培养阳性率是88.5％,且组织切片L型感染率与培养阳性率基本一致(P>0.05)。电镜在扁桃体组织间质及上皮细胞、淋巴细胞等多种细胞内均见到细菌L型。提示慢性扁桃体炎与细菌L型感染关系极为密切。并认为,L型侵入组织并在宿主细胞内生长的特性,可能是慢性扁桃体炎反复发作、迁延不愈的重要原因。     

慢性扁桃体炎、咽炎与细菌L型的关系及慢性咽炎发生原因的探讨

应用病原微生物培养、组织切片革兰氏染色Ｌ型检查和Ｌ型抗体免疫组化染色的方法,对１７５例标本（慢性扁桃体炎１１１例、慢性咽炎６４例）进行细菌Ｌ型检测。结果显示,培养的１１４例标本中有８６例培养出细菌Ｌ型,其阳性率为７５．４％;组织切片革兰氏染色有１４６例（８３．４％）查见细菌Ｌ型,两者阳性率之间无显著性差异（Ｐ＞０．０５）;免疫组化染色金葡菌ＣｏｗａｎⅠ株Ｌ型抗休标记阳性率为５８．３％。提示,细菌Ｌ型感染与慢性扁桃体炎、慢性咽炎关系密切。并认为,细菌Ｌ型感染是扁桃体切除后发生慢性咽炎的原因之一。     

假结核耶氏菌在实验条件下细菌L型的观察

细菌L型广泛分布在生物体内外,并为细菌生命周期的一相。本文应用假结核耶氏菌(Yersinia pseudotuberculosis)作为研究材料,在L型培养基中无抗生素存在情况下连续传代,观察到:正常型(杆状)假结核菌出现圆球体、丝状体,继续传代又返祖为正常型。实验表明,细菌L型是细菌生命周期中的一相。     

钙化胎盘中纳米细菌的分离培养与鉴定

目的分离、培养与鉴定钙化胎盘中的纳米细菌,为进一步探讨纳米细菌致胎盘钙化的机制奠定基础。方法剖腹产手术收集25份钙化胎盘组织标本,通过脱矿、过滤、离心处理,用细胞培养的方法进行纳米细菌培养,观察其生长情况。运用透射电镜、扫描电镜观察培养物形态。结果 (1)培养3~4周后,对钙化组织培养标本进行观察,发现部分培养管底部出现紧贴管壁生长的白色沉淀物。(2)扫描电镜见纳米细菌为大颗粒成簇分布。(3)透射电镜可见纳米细菌为针状物的聚集体,大小不一。结论首次从钙化胎盘组织中分离培养鉴定出纳米细菌,表明其感染与胎盘钙化有关,需进一步研究其矿化机制以及所致钙化对后代的影响。     

Permanent alterations of the L-forms of proteus and salmonella under various conditions

L-forms obtained from three strains of Proteus and from one strain of Salmonella have been kept for 15 to 20 years by weekly or monthly transfers on agar plates containing penicillin. The morphology and growth requirements of these strains have changed. They now grow abundantly on the surface of agar and in broth. The cultures consist of large bodies, small granules, and transitional forms. These organisms are more resistant to distortion and stain more deeply than organisms of the usual L-forms. In broth and to a lesser extent on agar, branching filaments develop, on the ends of which both the large, round organisms and small organisms are produced. The filaments are a transitional stage in the development of the cultures. Usual bacillary forms were not present in the culture and did not appear in successive transfers in the absence of penicillin. Bacilli reappeared on exposure of the L cultures to the influence of a spore-bearing bacillus. A similar transformation of L-forms has also been observed developing within a short time in recently isolated A and B type L cultures of one Proteus strain during the process of reversion to the bacterial form. The altered cultures are fixed in a stage of transition between the B type L-form and the regular bacteria.     

Electron Microscopy of Tissue Culture Cells Infected with Brucella abortus

Thin sections of hamster kidney tissue cultures were examined by electron microscopy over a 7-day period after infection with Brucella abortus 3183. Numerous bacteria and structures resembling L-forms were present both intracellularly and extracellularly after the first 24 hr of infection. Most intracellular microorganisms were enclosed by a cytoplasmic membrane, but in a few instances no limiting membrane was detected. After 4 to 7 days, fewer microorganisms were present, and most normal-appearing bacteria were intracellular, particularly in antibiotic-treated cultures. Structures typical of Brucella L-forms were extracellular at the latter time intervals. Several structures were observed in cells from infected cultures whose relationship to the infecting organisms is not known. These consisted of various membranous structures within cytoplasmic vacuoles, myelin-like structures surrounding occasional intracellular organisms, and small bodies present within vacuoles and extracellularly. The latter structures observed throughout the experimental period appeared to occur more frequently as the duration of the infection increased.     

细菌L型的厌氧诱导和培养

厌氧条件下以羧卡青霉素诱导金黄色葡萄球菌、大肠杆菌和蜡样芽胞杆菌形成Ｌ型,观察细菌Ｌ型在厌氧条件下的形成、形态、生长及时渗透压的敏感性等特性。结果表明：蜡样芽胞杆菌在厌氧条件下不能形成Ｌ型或其Ｌ型在厌氧条件下亦不能返祖。金黄色葡萄球菌和大肠杆菌在厌氧条件下虽能诱生Ｌ型,但形成丝状体的构成Ｌ型菌落难以传代培养,厌氧培养未见Ｌ型圆球体和典型Ｌ型油煎蛋样菌落。金黄色葡萄球菌Ｌ型在含１％～１０％ＮａＣｌ的Ｌ型培养基上可生长形成Ｌ型菌落或非菌落形式存在的Ｌ型巨形体;大肠杆菌和蜡样芽胞杆菌的Ｌ型在含２％～６％ＮａＣｌ的Ｌ型培养基上可生长形成Ｌ型菌落或非菌落形式存在的Ｌ型巨形体。涂片染色或返祖试验证实细菌Ｌ型在含０．５％ＮａＣｌ的Ｌ型培养基或常规细菌学培养基上亦可生存。非菌落性Ｌ型巨形体和丝形体是细菌Ｌ型在琼脂培养基上广泛的存在形式。     

The cytologic features of chlamydial cervicitis

Chlamydial cervicitis is a common and important infection. Diagnostic cytologic criteria have been proposed, but not generally accepted. To better evaluate the cytologic changes, cervical cultures for Chlamydia trachomatis and duplicate cervical smears for Papanicolaou staining and immunofluorescence staining for chlamydial organisms were taken from 496 patients. A total of 61 (12.3%) of the patients had a positive culture for C. trachomatis. By immunofluorescence, the organisms were present as very small extracellular elementary bodies in mucus or as similar bodies in leukocytes; inclusions within epithelial cells were seen in only two cases. The organisms did not stain with the Papanicolaou stain. Chlamydial infection correlated with the degree of inflammation, with the presence of histiocytes and lymphocytes, especially large "transformed" lymphocytes, and with the presence of unidentified short bacteria, which stained red with the Papanicolaou stain. These features predict which patients should be tested more definitively for the presence of chlamydial organisms. However, we found no cytologic criteria that can reliably permit its diagnosis.     

Ultrastructure of Brucella abortus L-forms induced by penicillin in a liquid and in a semisolid medium

Brucella abortus L-forms were induced by 5.0 or 10.0 mug of penicillin/ml in a broth medium containing 0.3 m sucrose, and in a semisolid medium containing 10% calf serum and 20.0, 40.0, or 60.0 mug of penicillin/ml. After 96 hr of incubation, L-forms of various sizes and shapes were observed. Basic structures of the L-forms were similar whether induced in liquid or semisolid medium. L-forms had two "unit" membranes, each consisting of two outer dense layers separated by a lucent layer. A few large, irregularly shaped organisms in penicillin-treated broth cultures had additional surface material and were referred to as "transitional" forms. In contrast with L-forms, the bacterial cells were fairly uniform in size and shape, were smaller, and had a more complex cell wall structure. Small bodies limited by a "unit" membrane were present within and around numerous L-forms from liquid and semisolid medium cultures. Other internal membranous structures were also seen in some L-forms. Most Brucella L-forms described in this paper reverted to bacteria in the absence of penicillin and were structurally characteristic of unstable L-forms.     

On the pathogenicity of nonstable Brucella L-forms and their revertants.

The pathogenicity of B. abortus 870 L-forms obtained by long-term passaging of virulent culture on media with penicillin and of revertants obtained in vitro and in vivo was studied. L-form cultures stimulated only a mild response of the reticulo-endothelial system of the animal organism, at the same time displaying a certain level of toxicity. In vitro revertants approximated to L-forms, while in vivo revertants stood closer to the initial virulent culture, as regards pathogenicity. This seems to be evidence of a potential danger of brucella L-forms for the human and animal organisms.     

L-Form Induction, Morphology, and Development in Two Related Strains of Erysipelothrix rhusiopathiae

Two related strains of Erysipelothrix rhusiopathiae, one the parent and the other an L-form revertant, were studied for their propensity or ability to produce L-forms under the influence of penicillin. The parent strain produced L-forms in nutrient solid media in an osmolarity range between 0.85 and 5.0% NaCl concentration whereas the revertant strain did so between 0.5 and 3.0% NaCl concentration. When various hyperosmolar media were tried without penicillin, recovery of L-forms from the revertant strain was optimal at a salt concentration of 2.0%, whereas the parent strain occasionally produced a few L-forms on 3.0% salt medium only. The process of penicillin-induced transformation from bacteria to L-form followed an unusual morphological sequence, beginning with beading of the bacterial body, followed by disintegration into granules from which the L-form colony derived. No large bodies were seen during the initial process of L-form induction, but they evolved later from the original granules and had the potential to reproduce L-type growth. The spontaneous development of L-forms in hyperosmolar media had a different morphological sequence starting with elongation of the bacteria into filaments which later developed polar and central dilatations from which granules and L-type growth developed. The differences in biological behavior between these related bacterial strains suggest that the revertant strain developed new properties, probably of genetic origin. Consequently, the assumption that L-forms revert to the "parent" bacteria may not always be justified. It can be made only after the biological properties of the parent and the revertant organisms have been properly identified.     

Electron microscopic study of the interrelation of the L forms of beta-hemolytic Streptococcus group A with mouse peritoneal macrophages

Interrelations between the L-forms of group A beta-hemolytic streptococci and mouse peritoneal macrophages have been studied by electron microscopy. The macrophages have been shown to actively phagocytize L-form cells in great amounts. Most of the phagocytized L-forms are destroyed and become nonviable, but a few of them survive as elementary bodies within 48 hours.     

Morphology and Reproductive Processes of the L Forms of Bacteria II. Comparative Study of L Forms and Mycoplasma with the Electron Microscope

Representative electron micrographs, from the study of eight strains of L forms and one strain of Mycoplasma, are presented. A- and B-type L forms were derived from two strains of Proteus, two other L forms were derived from a diphtheroid and from a staphylococcus strain, and two strains (designated as LX) were isolated from L forms derived from a group A beta-hemolytic streptococcus and from a staphylococcus. The Mycoplasma strain was isolated from goats. Sections were made of young colonies grown within agar and from parts of surface colonies embedded in the agar. B-type L colonies of Proteus were produced by inoculation of bacteria into media containing penicillin. The large bodies developing from the bacteria and the organisms in B-type L colonies of Proteus, like the parent bacteria, had a cell wall consisting of a plasma membrane and an outer cell wall. The loss of rigidity in the cell wall indicated an alteration in its structure. The A-type L cultures of Proteus consisted of irregular branching masses extending in several directions, of small dense organisms corresponding to the elementary corpuscles present in cultures of Mycoplasma, and of intermediary forms. In contrast to the B-type, all organisms in the A-type colonies were surrounded by a single unit membrane corresponding to the plasma membrane of bacteria. The structures inside the cell membrane, both in the A- and B-type, seemed to correspond to the structure of the parent bacteria, which contained ribosomes and threads of DNA. The elementary corpuscles formed chains and filaments, and, apparently, these corpuscles took part in the multiplication by gradual enlargement. The organisms seen in the cultures of all L forms and Mycoplasma studied, except in the B-type L forms of Proteus, corresponded in size, shape, and structure, as well as in the development of elementary corpuscles, to the organisms in the A-type L form of Proteus. In contrast to the spherical organisms usually seen in broth cultures, the organisms in young cultures of Mycoplasma, which were grown within the agar, were similar in morphology, as well as in the discernible structure of the organisms, to L forms. Significant morphological and structural differences were not apparent between the L forms and Mycoplasma (in cultures grown within agar media) under the conditions of this investigation.