副溶血性弧菌食物中毒及腹泻菌株III型分泌系统的检测及分析

目的了解副溶血性弧菌食物中毒和临床腹泻株Ⅲ型分泌系统的分布以及耐药特征。方法对食物中毒和临床腹泻分离到的共21株副溶血性弧菌进行毒力基因tdh、trh、T3SS1、T3SS2α、T3SS2β和toxR检测,并用VITEK 2 compact全自动微生物鉴定系统进行了耐药性分析。结果 21株菌株中tdh+/trh-占90.48%(19/21),tdh-/trh+和tdh-/trh-分别占4.76%、4.76%,未检测到tdh+/trh+菌株。T3SS1广泛存在于所有菌株中。T3SS2α存在于tdh+/trh-菌株,T3SS2β存在于tdh-/trh+菌株。1株食物中毒菌株毒力基因携带情况为tdh-/trh-/T3SS2α-/T3SS2β-。21株副溶血性弧菌对阿莫西林、头孢吡肟、抗菌素B、庆大霉素、环丙沙星和复方新诺明敏感,对氨苄西林完全耐药。结论食物中毒和临床腹泻分离到的菌株大多携带tdh基因,T3SS2α与tdh相关,而T3SS2β则存在于trh+菌株。未携带tdh和trh基因的食物中毒分离株表明副溶血性弧菌不仅仅依赖TDH和TRH发挥毒力作用,其致病机制具有多样性和复杂性。     

2012年上海地区副溶血性弧菌血清分型和毒力基因携带状况研究

为了解2012年上海地区副溶血性弧菌人源株和食源株的优势血清型及其毒力基因携带状况,本研究收集了2012年从上海市15个区(县)腹泻患者和食品监测中分离的副溶血性弧菌株,进行血清分型,并采用聚合酶链反应(PCR)检测tdh和trh基因。结果显示,854株副溶血性弧菌中,88.1%为血清可分型,89.8%为产毒株。O3∶K6、O4∶K8、O1∶K25、O4∶K68、O4∶K9、O1∶K36、O3∶K29为上海地区可分型人源株的优势血清型(93.8%),其中O3∶K6最多,达56.2%。副溶血性弧菌全部分离株的月份分布显示出聚集趋势,7~8月为高峰期。O4∶K9和O1∶K36血清型菌株的月份分布与其他优势血清型菌株不同,未表现出明显聚集趋势。食源株无明显优势血清型,且与人源株分布不同。人源株产毒株构成(95.6%)高于食源株(5.5%)。人源株优势血清型产毒株构成(99.9%)高于非优势血清型(71.1%)。血清可分型人源株的tdh携带率(97.5%)高于不可分型人源株(67.6%),血清可分型人源株的trh携带率(0.8%)低于不可分型人源株(42.6%)。结果提示,副溶血性弧菌血清型分布与历史数据相比变化较大,血清型与毒力基因携带呈一定程度关联,且人源株与食源株在血清型和毒力基因携带上具有分离现象。因此,在副溶血性弧菌的监测与检测中应充分考虑血清分型和毒力基因的重要性。     

荧光定量PCR法检测副溶血弧菌tlh和tdh基因的表达差异

副溶血弧菌是广泛存在于近海区域,盐湖和海产品中的食源性致病菌,会引起大规模的食物中毒。TLH(不耐热溶血毒素)和TDH(耐热直接溶血毒素)是副溶血弧菌最主要的毒力基因,通过比较毒力基因的表达量可以间接比较同种菌株在不同应激条件下以及不同菌株之间的毒力差异。本文以在不同条件下培养的3株Vp为材料,分别提取其总RNA,以16S rRNA为内标基因,运用荧光定量PCR技术检测副溶血弧菌TLH和TDH基因在不同应激条件下的表达差异。结果表明:不同菌株和同种菌株在不同应激条件下tlh、tdh基因表达差异均显著;tlh的最适表达条件分别为5%盐度和20°C;tdh的最适表达条件分别为1%盐度和25°C。运用SPSS软件对实验结果进行统计学分析表明:菌株对tlh表达的影响大于盐度大于温度;菌株对tdh表达的影响大于温度大于盐度。     

CalR激活副溶血弧菌Ⅵ型分泌系统1相关基因的转录

[目的]研究副溶血弧菌群体感应(quorum sensing,QS)系统核心调控子AphA和OpaR对calR基因以及CalR对Ⅵ型分泌系统l(type VI secretion system 1,T6SS1;vp1386-1420)相关基因的转录调控关系.[方法]提取副溶血弧菌野生株(wild-type,WT)和调控...     

辽宁省2014‒2016年副溶血性弧菌毒力基因及 血清型、耐药性

摘要：目的 研究辽宁省近三年副溶血性弧菌毒力基因携带、血清型分布及抗生素的耐药情况,为副溶血性弧菌疾病防治提供科学依据。方法 运用多重荧光定量PCR对2014?2016年共计317株食品中和临床分离出的副溶血性弧菌进行毒力基因tdh、trh和tlh检测,同时进行血清分型,并用肉汤稀释法测定对15种抗生素的耐药性。结果 317株分离菌中均携带tlh基因,其中有50.5％的菌株携带tdh基因。167株临床分离株中158株携带tdh基因,检出率为94.6％。317株副溶血性弧菌中85株不能进行K分型,其他菌株共分为29个血清型,167株临床分离株中71.3%为血清型为O3:K6。150株食品分离株中8%为血清型O2:K28,6%为血清型O2:K3。317株副溶血性弧菌对头孢唑啉耐药率达36.9%。结论 辽宁省副溶血性弧菌临床分离株多携带tdh毒力基因,食品分离株毒力基因tdh、trh携带率低。临床分离株中O3:K6血清型菌株均携带tdh基因,且更易产生耐药。辽宁省副溶血性弧菌食源性疾病菌株以携带tdh基因的O3:K6型菌株为主。食品分离株血清型分布比较分散,O2血清群为主要流行血清型。辽宁省地区副溶血性弧菌主要对β-内酰胺类和大环内酯类抗生素产生耐药性。     

宁波地区环境中副溶血弧菌血清学及毒力相关基因研究

目的 了解宁波地区环境来源海产品中副溶血弧菌血清学特点及毒力相关基因分布。方法 采集并分离2013年6‒10月宁波地区海产品中副溶血弧菌,对其进行O、K抗原血清学分型;并采用PCR或多重PCR的方法来检测溶血素基因（tlh、tdh、trh）、大流行群遗传标志基因（toxRS/new、orf8）和Ⅲ型分泌系统（T3SS1、T3SS2α、T3SS2β）基因。结果 从海产品样本中分离鉴定到44株副溶血弧菌的菌株,分属于20种血清型,型别多样,未见优势血清型;溶血素基因检测发现3株tdh+trh-致病性菌株,遗传标志基因检测发现1株tdh+trh-toxRS/new+大流行株,其血清型为O3:K6型;Ⅲ型分泌系统基因检测发现T3SS1基因存在于所有的副溶血弧菌菌株中,而T3SS2α基因则主要分布在tdh+的菌株中。结论 宁波地区环境中副溶血弧菌致病性菌株和大流行株的检出,说明该地区具有潜在的食源性疾病爆发的风险。     

四重PCR检测副溶血性弧菌及其毒力基因方法的建立

【目的】建立同时检测副溶血性弧菌tox R、tdh、trh、tlh基因的四重PCR快速检测方法。【方法】分别以副溶血性弧菌的tox R、tdh、trh、tlh 4个基因为靶基因,设计4对特异性引物,对4对引物浓度和退火温度进行优化,获得最佳引物比例和扩增条件,建立快速检测致病性副溶血性弧菌的四重PCR体系。通过特异性验证、灵敏度验证以及模拟样品检测进行方法确认。【结果】四重PCR体系扩增条带与预期相符,即115 bp(tox R)、244 bp(tdh)、418 bp(trh)、759 bp(tlh)4个目的条带;用74株副溶血性弧菌和37株非目标菌的测试结果表明,所建立的方法有良好的特异性。该方法对模板DNA的检测灵敏度为50μg/L,纯培养物的检测灵敏度为6.7×103 CFU/m L;副溶血性弧菌含量为1.36 CFU/g的人工模拟样品增菌6 h后,tox R、tlh、tdh、trh 4个基因可同时被检出。【结论】该方法可实现同时检测携带tox R、tdh、trh、tlh 4种基因的副溶血性弧菌,对开展致病性副溶血性弧菌的检测研究具有一定现实意义。     

副溶血弧菌海产品分离株tdh基因及其临近区域结构分析

摘要：【目的】初步探索副溶血弧菌海产品分离株tdh基因区域的结构特征。【方法】采用长距离PCR和基因步移技术进行tdh基因侧翼序列扩增,测序验证后拼接成疑似毒力基因片段,将所获序列与NCBI数据库进行比较,初步明确tdh基因侧翼序列的结构与功能。【结果】海产品分离株ZS34与参考菌株 RIMD2210633的tdh基因区域（VPA1310-VPA1327）结构基本一致,核苷酸同源性达98.3%;而FJ14与WZ64株基因组中的tdh基因均与tdh3的同源性最高,在基因组中的位置也不同于ZS34株和参考菌株     

副溶血弧菌毒力评价小鼠模型的建立与应用

目的建立用于评价副溶血弧菌毒力的小鼠模型,为研究副溶血弧菌的致病机制奠定基础。方法将适宜浓度的菌液经腹腔感染4～5周龄雌性BALB/c小鼠,观察小鼠的症状及死亡数。结果高盐(2%NaCl)条件下培养的强毒株RIMD2210633,经腹腔感染107CFU的菌量,小鼠存活率为20%～30%,而环境无毒株S251的小鼠存活率为100%。结论建立了评价副溶血弧菌毒力的实验小鼠模型,并应用于不同盐分浓度培养的强毒株与环境无毒株的毒力比较实验。     

QsvR对副溶血弧菌VI型分泌系统1相关基因的转录调控

【目的】研究调控蛋白QsvR对副溶血弧菌VI型分泌系统1 （type VI secretion system 1,T6SS1）相关基因的转录调控关系。【方法】提取野生株（wild type,WT）和qsvR突变株（ΔqsvR）的总RNA,采用实时定量PCR （quantitative real-time PCR,qPCR）研究QsvR对靶基因的调控关系;进而采用引物延伸法定位靶基因的转录起始位点和核心启动子区,并根据引物延伸产物丰度判断QsvR对靶基因的调控关系;将靶基因的调控区DNA序列克隆入pHRP309质粒中的β-半乳糖苷酶基因上游（LacZ重组质粒）,并将重组质粒转化入WT和ΔqsvR中,通过LacZ报告基因融合试验研究QsvR对靶基因的调控关系;将LacZ重组质粒分别转化入含有pBAD33或pBAD33-qsvR的大肠杆菌100lpir中,进一步采用LacZ报告基因融合试验研究在异体宿主中QsvR对靶基因的调控关系;PCR扩增靶基因调控区DNA序列,同时表达并纯化His-QsvR重组蛋白,采用凝胶阻滞试验（electrophoresis mobility shift assay,EMSA）研究His-QsvR对靶基因调控区DNA序列是否具有直接的结合作用。【结果】qPCR结果显示,与WT相比,ΔqsvR中T6SS1相关基因VP1388 （操纵子VP1388-1390首基因）和hcp1 （操纵子VP1393-1406首基因）的转录水平显著性升高,表明QsvR抑制VP1388和hcp1的转录;引物延伸结果显示VP1388和hcp1各有一个转录起始位点,分别为C （-64）和T （-62）,且它们的转录活性受QsvR的抑制;LacZ报告基因融合试验结果显示QsvR可以抑制副溶血弧菌和EC100lpir中VP1388和hcp1的启动子区转录活性;EMSA结果显示His-QsvR对VP1388和hcp1的启动子区DNA序列具有直接的结合活性。【结论】QsvR对T6SS1相关操纵子VP1388-1390和VP1393-1406的转录具有直接的抑制作用。     

Investigation of seven Vibrio virulence genes among Vibrio alginolyticus and Vibrio parahaemolyticus strains from the coastal mariculture systems in Guangdong, China

AIMS: To investigate the distribution of the virulence of two Vibrio species among different strains obtained from the mariculture systems on the coast of Guangdong in China and the correlation between the virulence strains and the virulence genes among Vibrio alginolyticus. METHODS: Besides three strains, 72 V. alginolyticus strains and seven Vibrio parahaemolyticus strains were examined by PCR or semi-nested PCR for the virulence genes (tlh, trh, tdh, toxR, toxRS, ctxA, VPI). Additionally, the virulence of 18 V. alginolyticus strains was tested. SIGNIFICANCE AND IMPACT OF THE STUDY: Virulence genes homologous to those in the V. parahaemolyticus and Vibrio cholerae are widely distributed among V. alginolyticus and V. parahaemolyticus in the coastal mariculture systems in Guangdong, China. Some of the V. alginolyticus strains are pathogenic to aquatic animals, and might have derived their virulence genes from V. parahaemolyticus or V. cholerae, representing a possible reservoir of these genes. However, there is no correlation between presence and absence of the virulence genes used to investigate V. alginolyticus and its virulent strains. In this report, we also show that tlh is distributed among V. alginolyticus.     

副溶血性弧菌毒力基因表达时内参基因的选择

[目的]筛选出合适的内参基因用于分析不同环境条件下副溶血性弧菌毒力基因的表达情况.[方法]本研究以虾样品中、海水样品中、过滤海水样品中以及TSB培养条件下的副溶血性弧菌为材料,利用qRT-PCR技术评价了GAPDH、pvuA、pvsA和rpoS4种常用管家基因在不同条件下的表达稳定性.[结果]4种管家基因均能特异扩增,表达稳定性排列顺序为pvuA(2.906)＞pvsA(3.197)＞GAPDH(3.746)＞rpoS(6.512),进一步通过geNorm软件分析,最终选择两个表达最为稳定的内参基因即pvuA和pvsA,以二者的几何平均值作为参照可更为准确地校正目的基因的表达.[结论]pvuA和pvsA可作为环境样品中副溶血性弧菌毒力基因表达变化研究的内参基因.     

急性腹泻患者类志贺邻单胞菌流行及药物敏感性分析

目的了解类志贺邻单胞菌在急性腹泻患者中的分布及对常用抗菌药物的敏感性,为疾病的预防和临床治疗提供依据。方法收集2012年6月至2013年12月期间浙江省4家医院急性腹泻患者病例,采用常规微生物检验程序对常见肠道致病菌进行分离培养及检测。分离到的类志贺邻单胞菌采用K-B法进行药物敏感性试验。结果收集1 640例病例,共分离到类志贺邻单胞菌共41株,检出率为2.5%,占所有分离菌株的7.5%,居细菌性病原第四。41例病例中,男女检出率分别为2.6%和2.4%,差异无统计学意义;患者半数以上分布在18~44岁;每月均能够分离到类志贺邻单胞菌,其中夏季(6-8月)分离率最高,达3.9%。类志贺邻单胞菌对氨苄西林耐药率高达89.3%,对阿米卡星、复方新诺明、庆大霉素耐药率分别在30%~50%,未出现对头孢哌酮-舒巴坦、哌拉西林-他唑巴坦、亚胺培南及美罗培南耐药株。结论类志贺邻单胞菌是沿海地区夏秋季腹泻较为常见的病原菌之一,是临床肠道感染中不可忽视的病原。     

Chemical and serological properties of lipopolysaccharides from Vibrio parahaemolyticus O-untypeable strains isolated from patients

Chemical and serological studies have been carried out on the O-antigenic lipopolysaccharides (LPS) of six strains, U-6443, W-90144, X-3972, AD-7999, 90A-6611 and KX-V212, of Vibrio parahaemolyticus isolated from patients. The O-serotypes of these strains have not been identified because they were not agglutinated by any diagnostic antisera against known O-serotype strains. A compositional sugar analysis of their LPS revealed that out of the six O-untypeable (OUT) strains, U-6443, W-90144 and AD-7999 strains belonged to chemotype II (chemotype of O2), 90A-6611 and KX-V212 strains to chemotype III (chemotype of O3, O5, O11 and O13) and X-3972 strain to chemotype IV (chemotype of O4). A structural analysis of LPS isolated from KX-V212 revealed that the inner core region of the LPS consisted of only one mole of 2-keto-3-deoxy-D-manno-octonic acid, which carried a phosphate group at position C4 and the outer core at position C5. In passive hemolysis tests performed by using LPS as the antigen to sensitize sheep red blood cells (SRBC), and diagnostic antisera (O1 to O11) or anti-whole-cell rabbit antisera raised against O12, O13 and the six OUT strains, strong cross-reactivity was observed among LPS derived from the strains belonging to chemotype II (U-6443, W-90144, AD-7999 and O2). Strong cross-reactivity was also observed between X-3972 (chemotype IV) and O4 LPS. In contrast, LPS from two of the strains belonging to chemotype III (90A-6611 and KX-V212) did not react with any of the antisera raised against known O-serotypes. Cross-absorption tests showed that the O-antigens of U-6443, W-90144 and AD-7999 were identical to that of O2, and the O-antigen of X-3972 to that of O4. On the other hand, after the absorption of antisera raised against 90A-6611 and KX-V212 with O2 cells, the hemolytic activities against SRBC sensitized with homologous LPS were still retained at a high titer, whereas the hemolytic activities against SRBC sensitized with LPS from other O-serotype strains were completely eliminated. A cross-absorption test revealed that the O-antigens of these two strains were identical to each other. Thus, it was demonstrated that the O-serotype of OUT strains 90A-6611 and KX-V212 was not involved in the known O-serotypes; rather it represented a novel serotype which has not hitherto been reported.     

Cytotoxicity and antimicrobial susceptibility of Clostridium difficile isolated from hospitalized children with acute diarrhea

Clostridium difficile is an important pathogen associated with outbreaks of pseudomembranous colitis and other intestinal disorders such as diarrhea. In this study, 181 stool samples from children with and without acute diarrhea were analysed. Eighteen children with acute diarrhea were positive to C. ramosum, C. difficile, C. limosum, C. clostridioforme, C. septicum, C. butyricum, C. innocuum and Clostridium sp. Nineteen children without diarrhea harbored C. ramosum, C. septicum, C. barattii, C. butyricum, C. innocuum, C. sphenoides, C. bifermentans, C. clostridioforme and C. paraputrificum. No patient with diarrhea harbored C. barattii, C. bifermentans, C. paraputrificum and C. sphenoides. In addition, ten C. difficile strains were detected in 5 (5.5%) of the children with diarrhea. Also, no children from control group harbored C. difficile, C. limosum and Clostridium sp. Most of the tested strains were resistant to all the used antimicrobial. Nine C. difficile were toxigenic on VERO cells and by multiplex PCR, six strains showed both toxin A and B genes and three strains showed only toxin B gene. In this study, the presence of C. difficile was not significant, and it is suggested the need of more studies to evaluate the role of clostridia or C. difficile play in the childhood diarrhea and these organisms must be looked for routinely and a periodic evaluation of antimicrobial susceptibility should be performed.     

Differences in virulence genes in Vibrio cholerae eltor strains isolated from different sources in Turkmenistan territory

Polymerase chain reaction (PCR) detected the presence of various genes associated with virulence in genome of strains V. cholerae eltor isolated in Turkmenistan territory during epidemic and epidemic-free perios. It was found that a complete set of virulence genes (ctxA+, tcpA+ and toxR+) contained strains isolated from patients, carriers and environment only in cholera epidemics. Strains isolated from the environment in the period free of epidemics did not contain ctxA and tcpA in 78.2% of cases, but 5.2% of the strains carried a complete set of virulence genes. There were also nontoxigenic strains containing genes tcpA and toxR. Such strains were isolated from the environment (16.6%) and vibrion carriers (42.9%). Isolated were also strains V.cholerae eltor carrying bacteriophage CTX phi with incomplete set of virulence genes and having genotype ctxA-, ace+ and zot+. Almost all the strains ctxA-, tcpA+ carry attRS1-site in genome. This shows that such strains may transform into toxigenic as a result of infection with bacteriophage CTX phi.     

食源性相关腹泻肠炎沙门菌感染抗菌药物敏感性

目的 了解食源性相关腹泻非伤寒沙门菌感染的菌种分布及其对抗菌药物敏感性,为控制该类细菌的感染及传播提供技术支持。方法 对2015‒2017年本系统2家社区卫生服务中心就诊的食源性相关腹泻患者粪便（或肛拭子）标本采用直接分离与增菌分离相结合的方法常规培养分离获得42株沙门菌;采用血清凝集法进行快速血清分型,并自动化生化鉴定及抗菌药物敏感性试验;通过现况调查进行流行病学危险因素分析。结果 自动化生化鉴定结果能够覆盖常规血清学快速鉴定结果,同属沙门菌群;42株沙门菌以肠炎沙门菌、鼠伤寒沙门菌和斯坦利沙门菌为主,其中肠炎沙门菌占全部菌株的23.81%,鼠伤寒沙门菌占19.06%,斯坦利沙门菌占14.29%;其中肠炎沙门菌可对氟喹诺酮类、三四代头孢菌素类与碳青霉烯类等敏感（敏感率可达97.00%以上）,而对氨基糖苷类可产生双向耐药。通过现况调查,发现患者有腹痛、腹泻等胃肠道症状,可伴有发热,所有患者48 h内有可疑食物暴露史,无水源性案例,均为散发。结论 菌种鉴定应以常规快速血清学凝集结果为准,自动化生化鉴定仅供参考,并将鉴定菌种与药敏报告相关联,可根据药敏结果合理选用敏感抗菌药物;应对社区居民开展针对性的健康宣教。