念珠菌阴道炎及其耐药性分析

目的探索女性念珠菌阴道炎发病情况及耐药性。方法白带常规采用直接盐水涂片法；阴道分泌物培养按细菌培养常规法进行培养。结果白带常规检查中念珠菌阳性率为12．9％，滴虫阳性率为2．0％，线索细胞阳性率为10．3％，清洁度（Ⅲ～Ⅳ）为13．0％。阴道分泌物培养情况如下：念珠菌阳性率为26％，细菌感染阳性率为45％．今珠菌培养阳性的标本中：白色念珠菌占90％，光滑念珠菌占7．8％，热带念珠菌占2．2％。念珠菌药敏结果分析：制霉素敏感度大于80％，是治疗念珠菌阴道炎最理想的药物。结论念珠菌阴道炎处于逐年上升的趋势：医生应根据药敏结果合理选择抗真菌药物，以免抗生素的滥用。     

连续性血浆滤过吸附对严重感染合并MODS患者炎症因子水平的影响

目的:探讨连续性血浆滤过吸附对严重感染合并多脏器功能障碍综合征(MODS)患者炎症因子水平的影响。方法:研究对象选取我院2013年3月-2016年3月收治严重感染合并MODS患者共160例,以随机数字表法分为对照组(80例)和观察组(80例),患者均先给予高容量血液滤过(HVHF)治疗,观察组加用连续性血浆滤过吸附辅助治疗,比较两组患者治疗前后平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO_2)、碳酸氢根(HCO_3~-)、肌酐(Scr)、总胆红素(TBi L)、急性生理与慢性健康II(APACHE Ⅱ)评分、肿瘤坏死因子α(TNF-α)、超敏C反应蛋白(hs-CRP)及白介素6(IL-6)水平。结果:两组治疗后MAP、Scr、TBi L、TNF-α、IL-6、hs-CRP及APACHE Ⅱ评分均有所降低,而HR、SpO_2、HCO_3~-水平均上升,且观察组以上各指标改善更明显,差异均有统计学意义(P0.05)。结论:连续性血浆滤过吸附辅助治疗严重感染合并MODS可有效稳定生命体征,改善生化指标,延缓病情进展,并有助于降低机体炎症反应水平。     

Rearing and Injection of Manduca sexta Larvae to Assess Bacterial Virulence

Manduca sexta, commonly known as the tobacco hornworm, is considered a significant agricultural pest, feeding on solanaceous plants including tobacco and tomato. The susceptibility of M. sexta larvae to a variety of entomopathogenic bacterial species^1-5, as well as the wealth of information available regarding the insect''s immune system^6-8, and the pending genome sequence⁹ make it a good model organism for use in studying host-microbe interactions during pathogenesis. In addition, M. sexta larvae are relatively large and easy to manipulate and maintain in the laboratory relative to other susceptible insect species. Their large size also facilitates efficient tissue/hemolymph extraction for analysis of the host response to infection.The method presented here describes the direct injection of bacteria into the hemocoel (blood cavity) of M. sexta larvae. This approach can be used to analyze and compare the virulence characteristics of various bacterial species, strains, or mutants by simply monitoring the time to insect death after injection. This method was developed to study the pathogenicity of Xenorhabdus and Photorhabdus species, which typically associate with nematode vectors as a means to gain entry into the insect. Entomopathogenic nematodes typically infect larvae via natural digestive or respiratory openings, and release their symbiotic bacterial contents into the insect hemolymph (blood) shortly thereafter¹⁰. The injection method described here bypasses the need for a nematode vector, thus uncoupling the effects of bacteria and nematode on the insect. This method allows for accurate enumeration of infectious material (cells or protein) within the inoculum, which is not possible using other existing methods for analyzing entomopathogenesis, including nicking¹¹ and oral toxicity assays¹². Also, oral toxicity assays address the virulence of secreted toxins introduced into the digestive system of larvae, whereas the direct injection method addresses the virulence of whole-cell inocula.The utility of the direct injection method as described here is to analyze bacterial pathogenesis by monitoring insect mortality. However, this method can easily be expanded for use in studying the effects of infection on the M. sexta immune system. The insect responds to infection via both humoral and cellular responses. The humoral response includes recognition of bacterial-associated patterns and subsequent production of various antimicrobial peptides⁷; the expression of genes encoding these peptides can be monitored subsequent to direct infection via RNA extraction and quantitative PCR¹³. The cellular response to infection involves nodulation, encapsulation, and phagocytosis of infectious agents by hemocytes⁶. To analyze these responses, injected insects can be dissected and visualized by microscopy^{13, 14}.     

Nippostrongylus brasiliensis: Peripheral blood leucocyte response of rats,with special reference to basophils

Changes in peripheral blood leucocytes were followed in male August rats given one or two infections with the parasitic nematode, Nippostrongylus brasiliensis. During the initial infection, there was a biphasic increase in total numbers of leucocytes, lymphocytes, neutrophils, large mononuclear cells, and eosinophils. All except eosinophils fell rapidly to normal levels as the parasites were expelled, but eosinophils were elevated much longer. All these cell types increased in number to a single peak 5 days after reinfection. Basophils were detected at very low levels in uninfected rats (0.06% or $\text{1}\text{1600}$ leucocytes) and increased in number to a peak 13 days after initial infection, at which time they represented about 4.5% of total leucocytes, an 80-fold increase compared with the number in normal rats. In reinfected rats, the basophilia occurred more rapidly than in a primary infection, suggesting that the appearance of these cells in the circulation is probably an immunologically mediated event.     

A critical role of interleukin-1 in preterm labor

Preterm birth (PTB) is a leading cause of neonatal mortality and morbidity worldwide, and represents a heavy economic and social burden. Despite its broad etiology, PTB has been firmly linked to inflammatory processes. Pro-inflammatory cytokines are produced in gestational tissues in response to stressors and can prematurely induce uterine activation, which precedes the onset of preterm labor. Of all cytokines implicated, interleukin (IL)-1 has been largely studied, revealing a central role in preterm labor. However, currently approved IL-1-targeting therapies have failed to show expected efficacy in pre-clinical studies of preterm labor. Herein, we (a) summarize animal and human studies in which IL-1 or IL-1-targeting therapeutics are implicated with preterm labor, (b) focus on novel IL-1-targeting therapies and diagnostic tests, and (c) develop the case for commercialization and translation means to hasten their development.     

CD4+CD25+调节性T细胞与人类获得性免疫缺陷病毒感染

CD4 CD25 是调节性T细胞中功能最重要的一类.它是一类具有特殊免疫调节功能的T细胞亚群.它能够抑制自身免疫病的发生和发展,参与肿瘤免疫的调节,同时在感染和移植免疫中也发挥着极其重要的作用.T细胞的这一亚群具有免疫调节和免疫抑制的特性,新近发现它亦与爱滋病的发生、发展关系密切.HIV进入人体后,CD4 CD25 调节性T细胞抑制了机体的免疫效应但它也同时被感染,最终由于细胞毒的作用而死亡.由于调节性T细胞数量的减少不能有效的发挥其抑制作用,HIV持续的过度活化使得T细胞逐渐耗竭说明在HIV发生、发展的不同阶段Treg细胞可能都发挥了免疫抑制作用,但是却对HIV感染与爱滋病发病的进程产生了不同的效应.此外,CD4 CD25 调节性T细胞还与HIV病毒的持续存在密切相关.本文就CD4 CD25 调节性T细胞与人类获得性免疫缺陷病毒(HIV)感染之间关系进行初步的探讨.     

Isolation of monoclonal antibodies reacting with peribacteriod membranes and other components of pea root nodules containing Rhizobium leguminosarum

Plant and bacterial antigens contributing to nodule development and symbiosis in pea (Pisum sativum L.) roots were identified after isolation of a set of monoclonal antibody (McAb)-producing hybridoma lines. Rats were immunised with the peribacteriod material released by mild osmotic shock treatment from membrane-enclosed bacteroids of Rhizobium leguminosarum bv. viceae. In order to diversify the range of McAb specificities, this material was either used as immunogen directly (method 1), or after immunodepletion of a set of glycoprotein and lipopolysaccharide antigens (method 2), or after deglycosylation (method 3). After fusion and screening of cloned hybridoma lines, these three immunisation methods gave respectively 4, 2 and 1 classes of McAb with unique antigen specificities. Ultrastructural immunogold localisation studies showed four different antigens to be present on peribacteriod and plasma membranes (identified by MAC 64, 202, 206 or 209); in addition, a glycoprotein of plant origin but present in the infection-thread matrix was identified by MAC 204. Although none of the epitopes recognised by these McAb was nodule-specific, several were found to be more abundant in extracts of nodule tissue than in uninfected roots (MAC 64, 202, 204, 206). Two McAb reacted with new bacterial antigens: MAC 203 identified a bacterial antigen expressed upon infection but not in free-living cultures of Rhizobium, and MAC 115 identified a bacterial polypeptide (55 kdaltons) that was present in both free-living and bacteroid forms. There were also some McAb of broader specificity that react with antigens present in both plant and bacterial cytoplasms.Abbreviations ELISA enzyme-linked immunosorbent assay - Ig inmunoglobulin - kDa kilodalton - LPS lipopolysaccharide - McAb monoclonal antibody - PBM peribacteroid membrane - SDS-PAGE sodium dodecyl sulfate-polyacryl-amide gel electrophoresis - TFMS trifluoromethane sulfonic acid     

食线虫真菌侵染性胞外酶和生防应用

食线虫真菌作为重要的植物寄生线虫的生物防治资源,深入了解它们的侵染方式、毒力因子是了解食线虫真菌侵染的分子机理和开发高效、稳定的生物杀线虫制剂的关键。目前的研究表明,食线虫真菌能分泌具有降解线虫体壁或线虫卵壳的胞外酶,它们在食线虫真菌侵染线虫的过程中起着非常重要的作用。对这些侵染性胞外水解酶的深入研究将促进人们对食线虫真菌的侵染过程和侵染机制的了解以及高效生防制剂的开发。综述了近年来食线虫真菌侵染性胞外酶的研究概况,对食线虫真菌胞外丝氨酸蛋白酶进行同源性分析,对以后食线虫真菌侵染性胞外酶的研究和高效生防制剂开发进行了评述。     

病原真菌感染与TOLL样受体

TOLL样受体(TLR)是参与天然免疫的主要模式识别受体之一,与许多微生物病原体及其产物的病原相关分子模式PAMP结合后通过MyD88依赖性或非依赖性途径启动宿主胞内信号传导途径,引发一系列生物学效应。白色念珠菌表面的特征性糖磷脂甘露聚糖可被TLR2、TLR4识别,诱导前炎性细胞因子的释放及促进中性粒细胞的聚集等来介导宿主的抗真菌免疫反应。烟曲霉则可能利用表型转换(酵母样与菌丝态),通过不同TLRs逃避宿主天然免疫系统的识别。新型隐球菌的多糖荚膜成分葡糖醛氧化甘露聚糖GXM可与TLR2、TLR4、CD14结合,在单核细胞、巨噬细胞对GXM的内化、吞噬中起重要作用,而不是诱导细胞因子的分泌;酿酒酵母胞壁成分酵母多糖则可激活TLR2、TLR6异源二聚体。总之,TLR与真菌配体相互作用的具体机制及其活化后胞内信号传导调控机制的深入研究与分析,对临床真菌病的免疫调节及治疗具有重要意义。