解淀粉芽胞杆菌C1 对金黄色葡萄球菌感染小鼠的免疫调节作用

目的探究解淀粉芽胞杆菌C-1对金黄色葡萄球菌感染小鼠的抗感染作用及其相关的免疫调节机制。方法将48只6～8周龄雌性昆明小鼠随机分为对照组、致病组、预防组和治疗组,每组12只。以金黄色葡萄球菌ATCC 25923灌胃动物制备急性感染动物模型,在感染金黄色葡萄球菌前、后连续3 d分别灌胃2×10~9 CFU解淀粉芽胞杆菌C-1作为预防组和治疗组;生理盐水灌胃动物作阴性对照。动物实验结束后,处死动物,取肠道组织进行HE染色和免疫组化分析小鼠组织病理改变;通过肠上皮细胞HT-29的细胞毒性试验检测肠内容物中金黄色葡萄球菌毒素活性;ELISA试验检测肠道黏膜分泌细胞因子sIgA、IFN-γ、IL-2和IL-6的浓度;采集肠道粪便标本通过气相色谱法检测6种短链脂肪酸组成。结果感染模型成功,致病组小鼠的肠道内容物细胞毒性、sIgA及肠道黏膜细胞因子IL-6、IL-2和IFN-γ浓度均高于对照组,差异具有统计学意义(W=113.000 0,P=0.039 2;t=2.899 0,P=0.042 3;t=2.364 0,P=0.002 2;t=4.483 0,P=0.001 0;t=2.364 0,P=0.033 0)。干预后,C-1干预组(预防组和治疗组)动物的肠道腺泡增生和肠绒毛增殖细胞数量、肠道内容物细胞毒性、sIgA、IFN-γ、IL-6低于致病组;IL-2及粪便中丙酸、丁酸、戊酸浓度均低于致病组,预防组低于治疗组,差异具有统计学意义(W=99.000 0,P=0.003 0;W=96.000 0,P=0.002 0;W=88.000 0,P0.000 1)。结论解淀粉芽胞杆菌C-1可以通过减少致病菌的肠道定植、限制炎症反应和加强肠道屏障来预防金黄色葡萄球菌的感染。     

蜂胶酊对金黄色葡萄球菌性阴道炎疗效观察

目的探讨蜂胶酊对小鼠阴道内致病菌抑制及调理阴道菌群的作用。方法通过感染金黄色葡萄球菌建立小鼠阴道炎模型,用10％蜂胶酊冲洗治疗去除金黄色葡萄球菌在小鼠阴道的定植。倾注培养法（37℃,48h）计数阴道分泌物的细菌总数,镜下观察阴道黏膜炎症程度。结果蜂胶酊治疗组小鼠阴道内细菌的数量明显较对照组数量减少（P〈0．05）,治疗组黏膜炎症的治愈程度显著好于对照组。结论蜂胶酊对小鼠金黄色葡萄球菌性阴道炎有较好的治疗效果。     

Effects of prophylactic administration of bacteriophages to immunosuppressed mice infected with Staphylococcus aureus

Background  

Bacteriophages can be successfully applied to treat infections caused by antibiotic-resistant bacteria. Until now no attempts have been undertaken to treat infections in immunosuppressed patients with phages. In this work we investigated the prophylactic efficacy of specific bacteriophages in CBA mice treated with cyclophosphamide (CP) and infected with Staphylococcus aureus.     

Photodynamic therapy for Staphylococcus aureus infected burn wounds in mice.

The rise of multiply antibiotic resistant bacteria has led to searches for novel antimicrobial therapies to treat infections. Photodynamic therapy (PDT) is a potential candidate; it uses the combination of a photosensitizer with visible light to produce reactive oxygen species that lead to cell death. We used PDT mediated by meso-mono-phenyl-tri(N-methyl-4-pyridyl)-porphyrin (PTMPP) to treat burn wounds in mice with established Staphylococcus aureus infections The third degree burn wounds were infected with bioluminescent S. aureus. PDT was applied after one day of bacterial growth by adding a 25% DMSO/500 microM PTMPP solution to the wound followed by illumination with red light and periodic imaging of the mice using a sensitive camera to detect the bioluminescence. More than 98% of the bacteria were eradicated after a light dose of 210 J cm(-2) in the presence of PTMPP. However, bacterial re-growth was observed. Light alone or PDT both delayed the wound healing. These data suggest that PDT has the potential to rapidly reduce the bacterial load in infected burns. The treatment needs to be optimized to reduce wound damage and prevent recurrence.     

Transfer of Antibiotic Resistance in Staphylococcus aureus

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Bacteriophage Types and Antibiotic Susceptibility of Staphylococcus aureus

In vitro tests of 132 strains of Staphylococcus aureus, among which were 38 (28.7%) heteroresistant strains, were performed with 14 commonly used antibiotics, including gentamicin and vancomycin. Heteroresistant strains were found predominantly, but not only, with group 3 phage-typable strains; no heteroresistant strain was found in out-patients. Gentamicin appeared as a uniformly effective agent at low concentrations against oxacillin-sensitive and -resistant strains. It is suggested that gentamicin should be compared to vancomycin in future clinical therapeutic trials in severe staphylococcal infections, especially in cases due to oxacillin-resistant strains.     

Bacteriostatic activity in cow's milk from udders infected with Streptococcus agalactiae and Staphylococcus aureus.

Milk samples from infected udders contained more lactoperoxidase and more thiocyanate than before infection. Irritation of 10 quarters of 5 cows caused the increase in the bacteriostatic activity of milk. Bacteriostatic activity of milk from the udders infected with staphylococci dropped after several weeks of chronic mastitis.     

Antibiotic resistant Staphylococcus aureus: a paradigm of adaptive power

Nothing documents better the spectacular adaptive capacity of Staphylococcus aureus than the response of this important human and animal pathogen to the introduction of antimicrobial agents into the clinical environment. The effectiveness of penicillin introduced in the early 1940s was virtually annulled within a decade because of the plasmid epidemics that spread the ss-lactamase gene through the entire species of S. aureus. In 1960 within one to two years of the introduction of penicillinase resistant ss-lactams (methicillin), methicillin resistant S. aureus (MRSA) strains were identified in clinical specimens. By the 1980s, epidemic clones of MRSA acquired multidrug resistant traits and spread worldwide to become one of the most important causative agents of hospital acquired infections. In the early 2000s, MRSA strains carrying the Tn1546 transposon-based enterococcal vancomycin resistant mechanism were identified in clinical specimens, bringing the specter of a totally resistant bacterial pathogen closer to reality. Then, in the late 1990s, just as effective hygienic and antibiotic use policies managed to bring down the frequency of MRSA in hospitals of several countries, MRSA strains began to show up in the community.     

深圳市金黄色葡萄球菌耐药性分析及分子分型

目的 了解深圳市金黄色葡萄球菌的耐药性特点及分子分型特征。方法 收集2012年来自深圳市7所医院的428株金黄色葡萄球菌,以琼脂稀释法测定其对12种抗菌药物的最低抑菌浓度（MIC）,采用聚合酶链式反应（PCR）检测杀白细胞毒素（PVL）,并对携带PVL基因的菌株进行多位点基因序列分型（MLST）。结果 428株金黄色葡萄球菌中耐甲氧西林金黄色葡萄球菌（MRSA）116株（26.2%）,甲氧西林敏感金黄色葡萄球菌（MSSA）312株（73.8%）。12种抗菌药物中,该菌对青霉素和红霉素的耐药率最高,分别为88.8%和44.2%;未发现替考拉宁、利奈唑胺和万古霉素的耐药株。MRSA对青霉素和环丙沙星的耐药率显著高于MSSA。428株金黄色葡萄球菌中,60株（14.02%）携带PVL基因。MLST分型结果显示共有14种已知序列型和4种新的序列型,其中ST59和ST338最多,分别为16株和12株。结论 深圳地区金黄色葡萄球菌MRSA检出率以及对多种抗菌药物的耐药率均低于全国平均水平,PVL基因阳性率处于中等水平;存在多种ST分型,以ST59和ST338多见,具有遗传多样性和独特的遗传背景。     

Photosensitizing activity of hematoporphyrin on Staphylococcus aureus cells

The photosensitizing action of hematoporphyrin (Hp) on two Staphylococcus aureus strains was investigated to determine if the photoprocess induces in vivo damage in DNA in addition to that occurring at the level of the cytoplasmic membrane. The results obtained demonstrate that the photokilling is dependent on the Hp dose even though the two strains, having a similar Hp-binding capacity, show different levels of photosensitivity. The electrophoretic analysis of cytoplasmic membrane proteins and DNA (chromosomal and plasmidial) suggests that the membrane represents the primary target of the photoprocess, while the DNA, that is damaged both in vivo and in vitro only at relatively long irradiation time, might be a secondary target. Moreover, the photoprocess results in mutagenesis for Salmonella typhimurium tester strains. This information is particularly important in view of the potential use of photodynamic therapy for the treatment of microbial infections.     

Metabolic Profiling for Detection of Staphylococcus aureus Infection and Antibiotic Resistance

Due to slow diagnostics, physicians must optimize antibiotic therapies based on clinical evaluation of patients without specific information on causative bacteria. We have investigated metabolomic analysis of blood for the detection of acute bacterial infection and early differentiation between ineffective and effective antibiotic treatment. A vital and timely therapeutic difficulty was thereby addressed: the ability to rapidly detect treatment failures because of antibiotic-resistant bacteria. Methicillin-resistant Staphylococcus aureus (MRSA) and methicillin-sensitive S. aureus (MSSA) were used in vitro and for infecting mice, while natural MSSA infection was studied in humans. Samples of bacterial growth media, the blood of infected mice and of humans were analyzed with combined Gas Chromatography/Mass Spectrometry. Multivariate data analysis was used to reveal the metabolic profiles of infection and the responses to different antibiotic treatments. In vitro experiments resulted in the detection of 256 putative metabolites and mice infection experiments resulted in the detection of 474 putative metabolites. Importantly, ineffective and effective antibiotic treatments were differentiated already two hours after treatment start in both experimental systems. That is, the ineffective treatment of MRSA using cloxacillin and untreated controls produced one metabolic profile while all effective treatment combinations using cloxacillin or vancomycin for MSSA or MRSA produced another profile. For further evaluation of the concept, blood samples of humans admitted to intensive care with severe sepsis were analyzed. One hundred thirty-three putative metabolites differentiated severe MSSA sepsis (n = 6) from severe Escherichia coli sepsis (n = 10) and identified treatment responses over time. Combined analysis of human, in vitro, and mice samples identified 25 metabolites indicative of effective treatment of S. aureus sepsis. Taken together, this study provides a proof of concept of the utility of analyzing metabolite patterns in blood for early differentiation between ineffective and effective antibiotic treatment in acute S. aureus infections.     

Chrysin protects mice from Staphylococcus aureus pneumonia

Aim: To elucidate the effect of chrysin on α‐haemolysin production by Staphylococcus aureus and protection against pneumonia in a murine model. Methods and Results: Haemolysis, Western blot and real‐time RT‐PCR assays were performed to evaluate the effect of chrysin on α‐haemolysin secretion by Staph. aureus. The efficacy of chrysin against human alveolar epithelial cell injury by α‐haemolysin was tested using live/dead staining or by measuring lactate dehydrogenase activity. Furthermore, we determined the protective effect of chrysin against Staph. aureus pneumonia through histopathology experiments in a mouse model. The production of α‐haemolysin by Staph. aureus was inhibited when presented with an increasing subinhibitory concentration of chrysin in vitro. Consistent with this result, chrysin prevented α‐haemolysin‐mediated cell injury and protected mice from Staph. aureus pneumonia. Conclusions: Chrysin is a potent inhibitor of α‐haemolysin expression by Staph. aureus, and it conferred a significant degree of protection against Staph. aureus pneumonia. Significance and Impact of Study: The chrysin‐mediated inhibition of α‐haemolysin production and protection against Staph. aureus pneumonia may offer a new strategy in combating pathogen infections.     

木犀草素对金黄色葡萄球菌的抑菌活性及其机制

【目的】研究木犀草素对金黄色葡萄球菌的抑制活性及其机制。【方法】利用2,3,5-氯化三苯基四氮唑(TTC)染色,细胞膜渗透性测定,SDS-PAGE蛋白谱变化,4′,6-二脒基-2-苯基吲哚(DAPI)荧光染色法等对木犀草素的抑菌活性及其机制进行研究。【结果】木犀草素能影响金黄色葡萄球菌细胞膜的通透性,木犀草素作用16h,菌体可溶性蛋白总量减少64.54%,DNA含量减少48.44%,RNA含量减少39.35%,木犀草素的浓度为1.6mg/mL时,拓扑异构酶I和II的活性可完全被抑制。【结论】木犀草素有明显的抑菌活性,其抑菌机制主要是通过抑制DNA拓扑异构酶的活性,进而影响菌体核酸及蛋白质的合成来实现的。