基于双重芯片式数字PCR快速鉴定KPC型碳青霉烯耐药肺炎克雷伯菌的方法

【背景】由于碳青霉烯类药物的泛用和滥用,致使肺炎克雷伯菌碳青霉烯耐药株与日俱增,产碳青霉烯酶是肺炎克雷伯菌对碳青霉烯类药物耐药的主要原因。目前对肺炎克雷伯菌碳青霉烯耐药株的检测方法存在费时费力、特异性差、灵敏度低等问题。【目的】建立一种能同时检测肺炎克雷伯菌和碳青霉烯酶基因bla_KPC的双重芯片式数字PCR方法。【方法】依据肺炎克雷伯菌的特有基因yhaI和碳青霉烯耐药基因bla_KPC保守序列设计特异性引物和探针,确定双重芯片式数字PCR同时对yhaI和bla_KPC两个基因核酸浓度绝对定量的检测范围、检出限和最佳实验体系,并进行方法特异性、灵敏度、重复性分析及临床菌株的检测。【结果】双重芯片式数字PCR检测灵敏度比双重实时荧光定量PCR提高了约1.5个数量级,在两基因同时检出的情况下,最低检出限分别为3.74 copies/μL (yhaI基因)和1.93 copies/μL (bla_KPC基因);优化后的双重芯片式数字PCR对参考菌株检测特异性的结果与双重实时荧光定量PCR结果一致;利用优化后的双重芯片式数字PCR方法共检测58株临床菌株,其中肺炎克雷伯菌43株,属肺炎克雷伯菌且含有bla_KPC基因的菌株13株,这与质谱及耐药谱检测结果一致。【结论】利用双重芯片式数字PCR技术建立了产KPC型碳青霉烯酶肺炎克雷伯菌的绝对定量检测方法。该方法特异性强、灵敏度高、准确度好,可用于检测具有碳青霉烯酶基因bla_KPC的肺炎克雷伯菌的核酸检测和定量分析,也为产其他类型碳青霉烯酶的病原菌检测提供了新的技术参考。     

Fumarate mitigates disruption induced by fenpropathrin in the silkworm Bombyx mori (Lepidoptera): A metabolomics study

The silkworm Bombyx mori L. is a model organism of the order Lepidoptera. Understanding the mechanism of pesticide resistance in silkworms is valuable for Lepidopteran pest control. In this study, comparative metabolomics was used to analyze the metabolites of 2 silkworm strains with different pesticide resistance levels at 6, 12, and 24 h after feeding with fenpropathrin. Twenty-six of 27 metabolites showed significant differences after fenpropathrin treatment and were classified into 6 metabolic pathways: glycerophospholipid metabolism, sulfur metabolism, glycolysis, amino acid metabolism, the urea cycle, and the tricarboxylic acid (TCA) cycle. After analyzing the percentage changes in the metabolic pathways at the 3 time points, sulfur metabolism, glycolysis, and the TCA cycle showed significant responses to fenpropathrin. Confirmatory experiments were performed by feeding silkworms with key metabolites of the 3 pathways. The combination of iron(II) fumarate + folic acid (IF-FA) enhanced fenpropathrin resistance in silkworms 6.38 fold, indicating that the TCA cycle is the core pathway associated with resistance. Furthermore, the disruption of several energy-related metabolic pathways caused by fenpropathrin was shown to be recovered by IF-FA in vitro. Therefore, IF-FA may have a role in boosting silkworm pesticide resistance by modulating the equilibrium between the TCA cycle and its related metabolic pathways.     

肺炎支原体肺炎患儿血清sB7-H3含量与细胞因子水平及病情严重程度的相关性研究

摘要 目的：研究肺炎支原体肺炎（mycoplasma pneumoniae pneumonia, MPP）患儿血清可溶性共刺激分子B7-H3（soluble co-stimulatory molecule B7-H3, sB7-H3）含量与细胞因子水平及病情严重程度的相关性。方法：收集2019年3月至2020年6月期间我院收治的MPP患儿共96例,根据患儿病情严重程度分为轻症MPP组和重症MPP组,另选取同期于我院体检中心体检的健康儿童50例作为对照组。收集所有受试者的一般资料、主要临床表现、临床指标及细胞因子水平,对各指标进行Pearson相关性分析和多元逐步回归分析。结果：与对照组相比,MPP组患儿的白细胞计数（white blood cell, WBC）、中性粒细胞计数（neutrophil, NE）、红细胞沉降率（erythrocyta sedimentation rate, ESR）、C反应蛋白（C-reactive protein,CRP）、sB7-H3、粒细胞-巨噬细胞集落刺激因子（granulocyte-macrophage colony stimulating factor, GM-CSF）、干扰素-γ（interferon-γ, IFN-γ）、白介素-10（interleukin-10,IL-10）和白介素-17A（interleukin-17A,IL-17A）均较高（P＜0.05）;与轻症MPP组患儿相比,重症MPP组患儿的WBC、NE、ESR、CRP、sB7-H3、GM-CSF、IFN-γ、IL-10和IL-17A均较高（P＜0.05）。Pearson相关性分析结果表明,sB7-H3与WBC、NE、ESR、CRP、GM-CSF、IFN-γ、IL-10和IL-17A呈正相关（P＜0.05）。多元线性回归分析显示,GM-CSF（β=0.103,P＜0.001）、IFN-γ（β=0.121,P＜0.001）、IL-10（β=0.026,P＜0.001）和IL-17A（β=0.093,P＜0.001）是sB7-H3的独立影响因素。结论：MPP患儿血清sB7-H3、GM-CSF、IFN-γ、IL-10和IL-17A与MPP的病情严重程度密切相关,且sB7-H3的表达水平与GM-CSF、IFN-γ、IL-10和IL-17A的水平呈正相关。     

血清SAA、YKL-40及SP-A的联合检测对小儿难治性肺炎支原体肺炎的预测价值分析

摘要 目的：探究血清淀粉样蛋白A（SAA）、几丁质酶样蛋白YKL-40和肺表面活性物质相关蛋白-A（SP-A）表达水平对的联合检测对小儿难治性肺炎支原体肺炎（RMPP）的预测价值。方法：纳入2019年11月至2021年12月期间我院收治的60例MPP患儿作为研究对象,依据病情最终转归将其分为RMPP组和普通肺炎支原体肺炎（GMPP）组,另纳入同期于我院行体格检查的60例健康儿童作为对照组。收集所有受试儿童的临床资料、实验室指标及影像学结果,采用酶联免疫吸附法（ELISA）检测血清SAA、YKL-40和SP-A的表达水平,应用受试者工作特征曲线（ROC）判定各指标单项检测和联合检测的预测效能。结果：MPP组患儿和对照组儿童一般资料相比无统计学差异（P＞0.05）。依据病情最终转归,60例MPP患儿中共有23例（38.33 %）进展为RMPP,RMPP组与GMPP组患儿在白介素-6（IL-6）、C-反应蛋白（CRP）、降钙素原（PCT）、D-二聚体（D-D）等实验室指标以及肺不张、胸腔积液等影像学特征方面相比有统计学差异（P＜0.05）。RMPP组和GMPP组血清SAA、YKL-40和SP-A的表达水平显著高于对照组（P＜0.05）,同时RMPP组血清SAA、YKL-40和SP-A的表达水平显著高于GMPP组（P＜0.05）。血清SAA的最佳截断值为39.75 mg/L,预测RMPP发生的ROC曲线下面积为0.894（95%CI：0.861-0.925）,敏感度为78.26 %,特异度为86.67 %;血清YKL-40的最佳截断值为31.85 ng/mL,预测RMPP发生的ROC曲线下面积为0.754（95%CI：0.634-0.873）,敏感度为73.91 %,特异度为67.21 %;血清SP-A的最佳截断值为35.59 ng/mL,预测RMPP发生的ROC曲线下面积为0.761（95%CI：0.640-0.891）,敏感度为73.91 %,特异度为75.00 %;SAA+YKL-40-1+SP-A三者联合检测预测RMPP的AUC为0.914（95%CI：0.871-0.957）,敏感度为91.30 %,特异度为91.66 %。结论：血清SAA、YKL-40和SP-A表达水平的检测可作为预测RMPP发生的重要生物学指标,且三者联合检测的预测效能较高,可为临床尽早诊断RMPP、尽早干预、改善患儿预后提供一定的帮助。     

多药耐药菌感染重症肺炎患者预后的危险因素分析

摘要 目的：探讨多药耐药菌感染重症肺炎患者预后的危险因素。方法：选取本院2019年5月至2022年5月收治的198例重症肺炎患者,根据患者在ICU住院期间是否死亡分为存活组（121例）和死亡组（77例）。对重症肺炎患者多药耐药菌感染情况,多药耐药G⁺耐药情况,多药耐药G^-耐药情况进行分析,对影响多药耐药菌感染重症肺炎患者预后危险因素的单因素分析,将单因素分析中差异有统计学意义的变量进行多因素Logistic回归分析,筛选影响多药耐药菌感染重症肺炎患者预后的危险因素。结果：198例重症肺炎患者中,多药耐药菌感染患者60例,占比30.30 %,共分离出病原菌290株,其中多药耐药菌65株,占比22.41 %,其中占比比较高的有鲍曼不动杆菌（23.08 %）、铜绿假单胞菌（20.00 %）、金黄色葡萄球菌（20.00 %）、肠炎克雷伯菌（10.77 %）;重症肺炎患者多药耐药G⁺对青霉素、克林霉素、红霉素等具有较高的耐药性,而对万古霉素、替考拉宁、替加环素较为敏感;重症肺炎患者多重耐药G^-对多种抗菌药物均表现出耐药性,其中对头孢他啶、头孢吡肟等具有较高的耐药性;单因素分析结果显示,死亡组患者中男性、年龄≥70岁、APACHEⅡ评分≥26分、有创通气的患者占比显著高于存活组,碳青霉烯类抗生素使用的患者占比显著低于存活组（均P<0.05）,两组患者肺部基础疾病、脑血管疾病、高血压、联合使用其他抗生素的占比,以及两组患者机械通气时间比较无差异（均P>0.05）;纳入多因素非条件Logistic回归模型分析显示,男性、年龄≥70岁、APACHEⅡ评分≥26分、有创通气为多药耐药菌感染重症肺炎患者预后的危险因素（OR=1.568、1.203、2.812、1.674,均P<0.05）,而碳青霉烯类抗生素使用是多药耐药菌感染重症肺炎患者预后的保护因素（OR=0.542,P<0.05）。结论：多药耐药菌感染重症肺炎患者的主要菌株为鲍曼不动杆菌,且男性、年龄≥70岁、APACHEⅡ评分≥26分、有创通气为多药耐药菌感染重症肺炎患者预后的危险因素,而碳青霉烯类抗生素使用是多药耐药菌感染重症肺炎患者预后的保护因素。     

Environmental risk assessment of releases of transgenic plants containing virus-derived inserts

Sequences derived from the genomes of plant viruses are being used to provide virus resistance in transgenic crop plants. Although the environmental hazards associated with the release of such plants have been discussed widely, it has not been possible to reach generally acceptable conclusions about their safety. A case-by-case approach to the risk assessment of real examples is recommended as a means of building up confidence and of indicating areas of uncertainty. A logical framework for risk assessment is suggested, a key feature of which is identification of the viruses in the release environment that may infect the transgenic plants. Each of these is considered in relation to each of the three main classes of hazard (transcapsidation, recombination and synergism), and the risk associated with each event is analysed.     

Isolation and characterization ofPleurotus ostreatus mutant strains resistant to a carboxin-derived fungicide,flutolanil

To develop a dominant genetic marker inPleurotus ostreatus, mutant strains resistant to a carboxin-derived fungicide, flutolanil, were isolated. These mutants included strains which showed resistance to 50-fold higher concentration of fluotolanil than the wild-type strain, even after successive cultivations in the absence of the drug. Dominance of the phenotype was confirmed by back-crossing between the resistant and wild-type monokaryons. The flutolanilresistance was also shown to be stably inherited by the basidiospore-derived progenies of the mutant strains.     

Establishing apoptosis resistant cell lines for improving protein productivity of cell culture

The authors established apoptosis resistant COS–1, myeloma, hybridoma, and Friend leukemia cell lines by genetically engineering cells, aiming at more efficient protein production by cell culture. COS–1 cells, which are most widely used for eukariotic gene expression, were transfected with human bcl–2 gene. Both bcl–2 and mock transfected COS–1 cells were cultured at low (0.2%) serum concentration for 9 days. The final viable cell number of the bcl–2 transfected cells was ninefold of that of the mock transfectants. Both bcl–2 and mock transfectants were further transfected with the vector pcDNA- containing SV40 ori and immunoglobulin gene for transiently expressing protein. The bcl–2 expressing COS–1 cells produced more protein than the mock transfected COS–1 cells after 4 days posttransfection.Mouse myeloma p3-X63-Ag.8.653 cells, which are widely used as the partner for preparing hybridoma, and hybridoma 2E3 cells were transfected with human bcl–2 gene. Both bcl–2 transfected myeloma and hybridoma survived longer than the corresponding original cells in batch culture. The bcl–2 transfected 2E3 cells survived 2 to 4 four days longer in culture, producing 1.5- to 4-fold amount of antibody in comparison with the mock transfectants.Coexpression of bag–1 with bcl–2 improved survival of hybridoma 2E3 cells more than bcl–2 expression alone. The bag–1 and bcl–2 coexpressing cells produced more IgG than the the cells expressing bcl–2 alone.Apoptosis of Friend murine erythroleukemia(F-MEL) cells was suppressed with antisense c-jun expression. The antisense c-jun expressing cells survived 16 days at non-growth state.     

KCN和NaN3预处理对烟草愈伤组织抗氰呼吸的影响

用０．５ ｍ ｍ ｏｌ／Ｌ ＫＣＮ 或０．０１ ｍ ｍ ｏｌ／Ｌ ＮａＮ３ 预处理继代培养２５ ｄ 的“甘肃黄花烟草”（Ｎｉｃｏｔｉａｎａ ｒｕｓｔｉｃａ Ｌ． ｃｖ． Ｇａｎｓｕ ｙｅｌｌｏｗ ｆｌｏｗ ｅｒ）愈伤组织对其呼吸作用有明显的影响。ＫＣＮ 和ＮａＮ３ 预处理１２ ｈ 可分别使愈伤组织的总呼吸速率下降１２％ 和１７％ ,细胞色素途径的实际运行量分别下降２２％ 和２８％ ;抗氰交替途径在最大容量（Ｖａｌｔ）基本不变的情况下,实际运行量（ρ·Ｖａｌｔ）不但未随总呼吸速率和细胞色素途径运行量的下降而降低,反而还略有上升。结果导致细胞色素途径对总呼吸的贡献下降而抗氰交替途径对总呼吸的贡献上升。ＫＣＮ 预处理２４ ｈ,细胞色素途径的实际运行量虽略有回升,但仍低于对照;ＮａＮ３ 预处理２４ ｈ 则使细胞色素途径运行继续下降而交替途径运行持续上升。上述结果表明,在继代培养的烟草愈伤组织中,当细胞色素主路途径被部分抑制后交替途径的电子流量明显加强,从而起着一种补偿作用     

Energy-dispersive X-ray analysis of the extracellular cadmium sulfide crystallites of Klebsiella aerogenes

Klebsiella aerogenes forms electron-dense partieles on the cell surface in response to the presence of cadmium ions in the growth medium. These particles ranged from 20 to 200 nm in size, and quantitative energy dispersive X-ray analysis established that they comprise cadmium and sulfur in a 1:1 ratio. This observation leads to the conclusion that the particles are cadmium sulfide crystallites. A combination of atomic absorption spectroscopy, inductively coupled plasma mass spectrometry, and acid-labile sulfide analysis revealed that the total intracellular and bound extracellular cadmium:sulfur ratio is also 1:1, which suggests that the bulk of the cadmium is fixed as extracellular cadmium sulfide. The tolerance of K. acrogenes to cadmium ions and the formation of the cadmium sulfide crystallites were dependent on the buffer composition of the growth medium. The addition of cadmium ions to phosphate-buffered media resulted in cadmium phosphate precipitates that remove the potentially toxic cadmium ions from the growth medium. Electrondense particles formed on the surfaces of bacteria grown under these conditions were a combination of cadmium sulfide and cadmium phosphates. The specific bacterial growth rate in the exponential phase of batch cultures was not affected by up to 2mM cadmium in Tricine-buffered medium, but formation of cadmium sulfide crystallites was maximal during the stationary phase of batch culture. Cadmium tolerance was much lower (10 to 150 M) in growth media buffered with Tris, Bistris propane, Bes, Tes, or Hepes. These results illustrate the importance of considering medium composition when comparing levels of bacterial cadmium tolerance.Abbreviations EDXA Energy dispersive X-ray analysis - AAS Atomic absorption spectroscopy - TEM Transmission electron microscopy - SEM Scanning electron microscopy - ICP-MS Inductively coupled plasma mass spectrometry - ALSA Acid-labile sulfide analysis