Molecular and Clinical Characteristics of Clonal Complex 59 Methicillin-Resistant Staphylococcus aureus Infections in Mainland China

Detailed molecular analyses of Clonal Complex 59 (CC59) methicillin-resistant Staphylococcus aureus (MRSA) isolates from children in seven major cities across Mainland China were examined. A total of 110 CC59 isolates from invasive and non-invasive diseases were analyzed by multilocus sequence typing (MLST), Staphylococcus cassette chromosome mec (SCCmec) typing, staphylococcal protein A (spa) typing and pulsed-field gel electrophoresis (PFGE). Antibiotics susceptibilities, carriage of plasmids and 42 virulence genes and the expression of virulence factors were examined. ST59 (101/110, 91.8%) was the predominant sequence type (ST), while single locus variants (SLVs) belonging to ST338 (8/110, 7.3%) and ST375 (1/110, 0.9%) were obtained. Three SCCmec types were found, namely type III (2.7%), type IV (74.5%) and type V (22.7%). Seven spa types including t437, which accounted for 87.3%, were determined. Thirteen PFGE types were obtained. PFGE types A and B were the major types totally accounting for 81.8%. The dominant clone was ST59-t437-IVa (65.5%), followed by ST59-t437-V (14.5%). The positive rate of luks-PV and lukF-PV PVL encoding (pvl) gene was 55.5%. Plasmids were detected in 83.6% (92/110) of the strains. The plasmid size ranging from 23.4 kb to 50 kb was most prevalent which accounted for 83.7% (77/92). A significantly lower expression of hla was found in ST59-t437-IVa compared with ST59-t437-V. Among the 110 cases, 61.8% of the patients were less than 1 year old. A total of 90 cases (81.8%) were community-associated (CA) infections whereas 20 cases (18.2%) were hospital-associated (HA) infections. Out of the 110 patients, 36.4% (40/110) were diagnosed with invasive infectious diseases in which ST59-t437-IVa accounted for 67.5% (27/40). In brief, ST59-t437-IVa was proved as the dominant clone in CC59 MRSA strains. The carriage rate of pvl gene was high. CC59 MRSA could result in CA and HA infections. The majortiy of MRSA infection children were in young age.     

轻度支气管哮喘儿童的诱导痰菌群特征

目的探讨轻度支气管哮喘儿童的诱导痰菌群特征及临床意义。方法纳入年龄为6~12周岁于2018年11月至2019年1月在深圳市儿童医院呼吸科门诊定期复诊的轻度支气管哮喘患儿51例(哮喘组),留取诱导痰,匹配同年龄段97例健康无过敏儿童的口咽拭子作为对照。诱导痰及口咽拭子提取总DNA并扩增,对16S rRNA基因进行高通量测序并对测序结果进行生物信息学分析。结果NMDS分析结果显示哮喘组与健康对照组研究对象菌群结构存在差异;哮喘组的诱导痰菌群多样性指数(Shannon index)高于健康对照组(2.34±0.53 vs 1.87±0.50,P<0.05)。门水平分析显示,哮喘组与健康对照组的菌群均主要为厚壁菌门(38.34%vs 44.74%,P<0.05)、变形杆菌门(31.14%vs 19.78%,P<0.05)、拟杆菌门(14.59%vs 20.52%,P<0.05)、放线菌门(10.41%vs 7.85%,P<0.05)和梭杆菌门(2.82%vs 6.67%,P<0.05),但两组之间的构成比有明显差异。与健康对照组相比,在属水平上哮喘组韦荣球菌属(5.27%vs 8.96%)、普雷沃菌属(8.38%vs 17.35%)、罗斯菌属(1.50%vs 5.46%)、纤毛菌属(1.37%vs 4.39%)等非条件致病菌属比例明显下降(均P<0.05),而嗜血杆菌属(9.83%vs 6.17%)、卟啉单胞菌属(2.48%vs 1.41%)、莫拉菌属(5.66%vs 0.42%)、诺卡菌属(3.40%vs 0.00%)等条件致病菌属比例明显上升(均P<0.05)。结论尽管轻度支气管哮喘患儿已临床控制,但诱导痰内菌群仍存在结构紊乱。气道菌群紊乱可能是儿童支气管哮喘的发病机制之一。除了致病菌属外,非致病菌菌属的构成变化可能也是儿童哮喘的一个发生机制。     

双歧杆菌对实验性大肠癌PCNA和bcl-2表达的影响

目的：观察青春型双歧杆菌对大肠癌移植瘤增殖细胞核抗原（ＰＣＮＡ）和ｂｃｌ－２基因蛋白表达水平的影响。方法：以大肠癌裸鼠移植瘤为动物模型,用免疫组化法。结果：显示双歧杆菌注射组大肠癌移植瘤ＰＣＮＡ阳性细胞密度以及ｂｃｌ－２蛋白表达率、表达强度、阳性细胞密度均显著低于肿瘤对照组（Ｐ＜０．０１）。结论：青春型双歧杆菌能明显降低大肠癌的增殖活性,同时使其ｂｃｌ－２基因的表达下调。     

Serotype Distribution and Antimicrobial Resistance of Streptococcus pneumoniae Isolates Causing Invasive Diseases from Shenzhen Children’s Hospital

Objective

To provide guidance for clinical disease prevention and treatment, this study examined the epidemiology, antibiotic susceptibility, and serotype distribution of Streptococcus pneumoniae (S. pneumoniae) associated with invasive pneumococcal diseases (IPDs) among children less than 14 years of age in Shenzhen, China.

Materials and Methods

All the clinical strains were isolated from children less than 14 years old from January 2009 to August 2012. The serotypes and antibiotic resistance of strains of S. pneumoniae were determined using the capsular swelling method and the E-test.

Results

A total of 89 strains were isolated and 87 isolates were included. The five prevailing serotypes were 19F (28.7%), 14 (16.1%), 23F (11.5%), 19A (9.2%) and 6B (6.9%). The most common sequence types (ST) were ST271 (21.8%), ST876 (18.4%), ST320 (8.0%) and ST81 (6.9%) which were mainly related to 19F, 14, 19A and 23F, respectively. The potential coverage by 7-, 10-, and 13-valent pneumococcal conjugate vaccine were 77.0%, 77.0%, and 89.7%, respectively. Among the 87 isolates investigated, 11.5% were resistant to penicillin, and for meningitis isolates, the resistance rate was 100%. Multi-drug resistance (MDR) was exhibited by 49 (56.3%) isolates. Eighty-four isolates were resistance to erythromycin, among which, 56 (66.7%) carried the ermB gene alone and 28 (33.3%) expressed both the ermB and mefA/E genes.

Conclusions

The potential coverage of PCV13 is higher than PCV7 and PCV10 because high rates of serotypes 19A and 6A in Shenzhen. The clinical treatment of IPD needs a higher drug concentration of antibiotics. Continued surveillance of the antimicrobial susceptibility and serotypes distribution of IPD isolates may be necessary.     

Application of sodium erythorbate to promote the growth of <Emphasis Type="Italic">Chlorella vulgaris</Emphasis>

Sodium erythorbate (NaE) is a common antioxidant in food processing. In this study, the abilities of NaE to reduce photosynthetic oxygen accumulation in culture medium and improve microalgal growth were evaluated using the green microalga Chlorella vulgaris and glucose as a reference. NaE (from 2.0 to 16.0 g L^?1) led to a lower accumulation of dissolved oxygen (DO) in a concentration-dependent manner. A significant negative correlation (p < 0.05) between the optical density (OD₆₈₀) and DO level suggested that algal growth was promoted by NaE through depleting oxygen in the medium. After 12 days of cultivation, maximum OD₆₈₀ and biomass were obtained with a NaE dosage of 8.0 g L^?1 (respectively, 3.99 and 6.26 times greater than in the control without NaE). Compared with this dosage group which maintained an appropriate low DO level (2 to 6 mg L^?1), higher dosage groups showed relatively little growth promotion due to an insufficiency of DO (<2 mg L^?1). When glucose was added into mixotrophic systems for C. vulgaris, to the same total carbon amount as NaE, DO fell rapidly to less than 2 mg L^?1 owing to its greater consumption (43.9%) compared to that of NaE (16.7%). Furthermore, in the NaE treatment, the pigment contents, cell density, and algal biomass were, respectively, 4.17 to 4.44 times, 2.67 times, and 1.21 times greater than in the glucose treatment. These findings indicate that algal autotrophic growth could be enhanced effectively by NaE through the moderate control of DO.     

双歧杆菌对EPEC和ETEC粘附的竞争抑制作用

观察双歧杆菌与肠上皮细胞系Lovo 细胞粘附后对肠致病性大肠杆菌(EPEC)及产毒性大肠杆菌(ETEC)粘附的竞争性抑制作用。发现双歧杆菌能完全抑制EPEC与ETEC的粘附,这种作用可能是由于双歧杆菌的占位性保护机制,在空间上阻止了病原菌与Lovo细胞的进一步接近     

Application of Clinico-Radiologic-Pathologic Diagnosis of Diffuse Parenchymal Lung Diseases in Children in China

Diffuse parenchymal lung diseases in children (chDPLD) or interstitial lung diseases in children (chILD) represent a heterogeneous group of respiratory disorders that are mostly chronic and associated with high morbidity and mortality. However, the incidence of chDPLD is so low that most pediatricians lack sufficient knowledge of chDPLD, especially in China. Based on the clinico- radiologic- pathologic (CRP) diagnosis, we tried to describe (1) the characteristics of chDPLD and (2) the ratio of each constituent of chDPLD in China. Data were evaluated, including clinical, radiographic, and pathologic results from lung biopsies. We collected 25 cases of chDPLD, 18 boys and 7 girls with a median age of 6.0 years, from 16 hospitals in China. The most common manifestations included cough (n = 24), dyspnea (n = 21), and fever (n = 4). There were three cases of exposure-related interstitial lung disease (ILD), three cases of systemic disease-associated ILD, nineteen cases of alveolar structure disorder-associated ILD, and no cases of ILD specific to infancy. Non-specific interstitial pneumonia (n = 9) was the two largest groups. Conclusion: Non-specific interstitial pneumonia is the main categories of chDPLD in China. Lung biopsy is always a crucial step in the final diagnosis. However, clinical and imaging studies should be carefully evaluated for their value in indicating a specific chDPLD.     

Rice plastidial NAD‐dependent malate dehydrogenase 1 negatively regulates salt stress response by reducing the vitamin B6 content

Salinity is an important environmental factor that adversely impacts crop growth and productivity. Malate dehydrogenases (MDHs) catalyse the reversible interconversion of malate and oxaloacetate using NAD(H)/NADP(H) as a cofactor and regulate plant development and abiotic stress tolerance. Vitamin B6 functions as an essential cofactor in enzymatic reactions involved in numerous cellular processes. However, the role of plastidial MDH in rice (Oryza sativa) in salt stress response by altering vitamin B6 content remains unknown. In this study, we identified a new loss‐of‐function osmdh1 mutant displaying salt stress‐tolerant phenotype. The OsMDH1 was expressed in different tissues of rice plants including leaf, leaf sheath, panicle, glume, bud, root and stem and was induced in the presence of NaCl. Transient expression of OsMDH1‐GFP in rice protoplasts showed that OsMDH1 localizes to chloroplast. Transgenic rice plants overexpressing OsMDH1 (OsMDH1OX) displayed a salt stress‐sensitive phenotype. Liquid chromatography–mass spectrometry (LC‐MS) metabolic profiling revealed that the amount of pyridoxine was significantly reduced in OsMDH1OX lines compared with the NIP plants. Moreover, the pyridoxine content was higher in the osmdh1 mutant and lower in OsMDH1OX plants than in the NIP plants under the salt stress, indicating that OsMDH1 negatively regulates salt stress‐induced pyridoxine accumulation. Furthermore, genome‐wide RNA‐sequencing (RNA‐seq) analysis indicated that ectopic expression of OsMDH1 altered the expression level of genes encoding key enzymes of the vitamin B6 biosynthesis pathway, possibly reducing the level of pyridoxine. Together, our results establish a novel, negative regulatory role of OsMDH1 in salt stress tolerance by affecting vitamin B6 content of rice tissues.     

Responses of a new isolated <Emphasis Type="Italic">Cyanobacterium aponinum</Emphasis> strain to temperature,pH, CO<Subscript>2</Subscript> and light quality

A new strain of cyanobacteria was isolated from seawater samples collected near Jimo hot springs, Qingdao, China, and was identified as Cyanobacterium aponinum by 16S rDNA analysis. This study examined the effects of temperature, pH, light quality and high CO₂ concentration on the growth of the cyanobacteria. Results showed that the strain exhibited a higher growth rate (about 168.4 mg L^?1 day^?1) at 35 °C than other temperatures (surviving at up to 50 °C) and a wide growth tolerance to acidic stress (pH 3.0 to 4.0) resulting from either H₂SO₄ or HNO₃. The four light qualities, ranked by greatest to least biomass effect, were as follows: LED white light (LW) > LED red light (LR) > fluorescent white light (FW) > LED blue light (LB), achieving a higher lighting effect at a LW light intensity (60 μmol photons m^?2 s^?1) lower than other light qualities, which implied less energy consumption therewith. This strain demonstrates excellent CO₂ tolerance at least 10% CO₂ with the highest productivity in biomass (about 337.8 mg L^?1 day^?1) measured at 1% CO₂ level. Results indicate that this strain is a promising candidate for use in biofixation of CO₂ from flue gases emitted by thermoelectric plants.