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Disparity in pseudohyphal morphogenic switching response to the quorum sensing molecule 2-phenylethanol in commercial brewing strains of Saccharomyces cerevisiae. 酿酒酵母商业酿酒菌株假菌丝形态发生切换对群体感应分子2-苯乙醇响应的差异。
Pub Date : 2023-01-01 DOI: 10.1093/femsmc/xtad002
Scott J Britton, Lisa J Rogers, Jane S White, Hedwig Neven, Dawn L Maskell

Saccharomyces cerevisiae can undergo filamentous growth in response to specific environmental stressors, particularly nitrogen-limitation, whereby cells undergo pseudohyphal differentiation, a process where cells transition from a singular ellipsoidal appearance to multicellular filamentous chains from the incomplete scission of the mother-daughter cells. Previously, it was demonstrated that filamentous growth in S. cerevisiae is co-regulated by multiple signaling networks, including the glucose-sensing RAS/cAMP-PKA and SNF pathways, the nutrient-sensing TOR pathway, the filamentous growth MAPK pathway, and the Rim101 pathway, and can be induced by quorum-sensing aromatic alcohols, such as 2-phenylethanol. However, the prevalent research on the yeast-pseudohyphal transition and its induction by aromatic alcohols in S. cerevisiae has been primarily limited to the strain Σ1278b. Due to the prospective influence of quorum sensing on commercial fermentation, the native variation of yeast-to-filamentous phenotypic transition and its induction by 2-phenylethanol in commercial brewing strains was investigated. Image analysis software was exploited to enumerate the magnitude of whole colony filamentation in 16 commercial strains cultured on nitrogen-limiting SLAD medium; some supplemented with exogenous 2-phenylethanol. The results demonstrate that phenotypic switching is a generalized, highly varied response occurring only in select brewing strains. Nevertheless, strains exhibiting switching behavior altered their filamentation response to exogenous concentrations of 2-phenylethanol.

酿酒酵母在特定的环境胁迫条件下,特别是氮限制条件下,可以进行丝状生长,因此细胞会进行假菌丝分化,这是一个细胞从单一椭球状外观转变为多细胞丝状链的过程。此前的研究表明,酿酒酵母的丝状生长受多个信号网络的共同调控,包括葡萄糖感应RAS/cAMP-PKA和SNF通路、营养感应TOR通路、丝状生长MAPK通路和Rim101通路,并可由群体感应芳香醇(如2-苯乙醇)诱导。然而,关于酿酒酵母-假菌丝转化和芳香醇诱导的流行研究主要局限于菌株Σ1278b。由于群体感应在商业发酵中的潜在影响,研究了商业酿酒菌株酵母向丝状表型转变的天然变异及其2-苯乙醇的诱导作用。利用图像分析软件对16株在限氮SLAD培养基上培养的商业菌株进行了全菌落成丝的计数;有些添加了外源2-苯乙醇。结果表明,表型转换是一个普遍的,高度变化的反应只发生在选择酿造菌株。然而,表现出切换行为的菌株改变了它们对外源浓度2-苯乙醇的成丝反应。
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引用次数: 2
Insights into the mechanism of mycelium transformation of Streptomyces toxytricini into pellet. 毒三角链霉菌菌丝转化成球的机制研究。
Pub Date : 2023-01-01 DOI: 10.1093/femsmc/xtad017
Punit Kumar, Khushboo, Deepanshi Rajput, Kashyap K Dubey

Formation of the mycelial pellet in submerged cultivation of Streptomycetes is unwanted in industrial fermentation processes as it imposes mass transfer limitations, changes in the rheology of a medium, and affects the production of secondary metabolites. Though detailed information is not available about the factors involved in regulating mycelial morphology, it is studied that culture conditions and the genetic information of strain play a crucial role. Moreover, the proteomic study has revealed the involvement of low molecular weight proteins such as; DivIVA, FilP, ParA, Scy, and SsgA proteins in apical growth and branching of hyphae, which results in the establishment of the mycelial network. The present study proposes the mechanism of pellet formation of Streptomyces toxytricini (NRRL B-5426) with the help of microscopic and proteomic analysis. The microscopic analysis revealed that growing hyphae contain a bud-like structure behind the apical tip, which follows a certain organized path of growth and branching, which was further converted into the pellet when shake flask to the shake flask inoculation was performed. Proteomic analysis revealed the production of low molecular weight proteins ranging between 20 and 95 kDa, which are involved in apical growth and hyphae branching and can possibly participate in the regulation of pellet morphology.

在工业发酵过程中,链霉菌深层培养中菌丝球的形成是不需要的,因为它施加了传质限制,改变了培养基的流变学,并影响了次生代谢物的产生。虽然调控菌丝形态的因素尚未得到详细的资料,但研究表明培养条件和菌株的遗传信息在其中起着至关重要的作用。此外,蛋白质组学研究揭示了低分子量蛋白质的参与,如;DivIVA、FilP、ParA、Scy和SsgA蛋白参与了菌丝的顶端生长和分支,导致了菌丝网络的建立。本文从显微镜和蛋白质组学的角度探讨了毒三角链霉菌(Streptomyces toxytricini, NRRL B-5426)的成球机制。显微分析发现,生长菌丝在顶尖后方有一个芽状结构,遵循一定的生长和分支的组织路径,在摇瓶到摇瓶接种时进一步转化成球。蛋白质组学分析显示产生的低分子量蛋白在20 - 95 kDa之间,这些蛋白参与了根尖生长和菌丝分支,并可能参与颗粒形态的调节。
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引用次数: 0
Legionella relative abundance in shower hose biofilms is associated with specific microbiome members. 军团菌在淋浴软管生物膜中的相对丰度与特定微生物组成员有关。
Pub Date : 2023-01-01 DOI: 10.1093/femsmc/xtad016
Alessio Cavallaro, William J Rhoads, Émile Sylvestre, Thierry Marti, Jean-Claude Walser, Frederik Hammes

Legionella are natural inhabitants of building plumbing biofilms, where interactions with other microorganisms influence their survival, proliferation, and death. Here, we investigated the associations of Legionella with bacterial and eukaryotic microbiomes in biofilm samples extracted from 85 shower hoses of a multiunit residential building. Legionella spp. relative abundance in the biofilms ranged between 0-7.8%, of which only 0-0.46% was L. pneumophila. Our data suggest that some microbiome members were associated with high (e.g. Chthonomonas, Vrihiamoeba) or low (e.g. Aquabacterium, Vannella) Legionella relative abundance. The correlations of the different Legionella variants (30 Zero-Radius OTUs detected) showed distinct patterns, suggesting separate ecological niches occupied by different Legionella species. This study provides insights into the ecology of Legionella with respect to: (i) the colonization of a high number of real shower hoses biofilm samples; (ii) the ecological meaning of associations between Legionella and co-occurring bacterial/eukaryotic organisms; (iii) critical points and future directions of microbial-interaction-based-ecological-investigations.

军团菌是建筑管道生物膜的天然居民,与其他微生物的相互作用影响它们的生存、增殖和死亡。在这里,我们研究了从多单元住宅楼的85个淋浴软管中提取的生物膜样品中军团菌与细菌和真核微生物组的关系。军团菌在生物膜中的相对丰度为0 ~ 7.8%,其中嗜肺乳杆菌的相对丰度仅为0 ~ 0.46%。我们的数据表明,一些微生物组成员与军团菌的相对丰度高(如Chthonomonas, Vrihiamoeba)或低(如水藻菌,Vannella)相关。不同军团菌变异(检测到30个零半径otu)的相关性表现出不同的模式,表明不同军团菌占据不同的生态位。本研究提供了关于军团菌生态学的见解:(i)大量真实淋浴软管生物膜样品的定植;军团菌与共生细菌/真核生物之间关联的生态学意义;(iii)基于微生物相互作用的生态学研究的关键点和未来方向。
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引用次数: 1
Dynamic single cell analysis in a proximal-tubule-on-chip reveals heterogeneous epithelial colonization strategies of uropathogenic Escherichia coli under shear stress. 在近端微管芯片上的动态单细胞分析揭示了尿路致病性大肠杆菌在剪切压力下的异质上皮定植策略。
Pub Date : 2023-01-01 DOI: 10.1093/femsmc/xtad007
Haris Antypas, Tianqi Zhang, Ferdinand X Choong, Keira Melican, Agneta Richter-Dahlfors

The urinary tract is a hydrodynamically challenging microenvironment and uropathogenic Escherichia coli (UPEC) must overcome several physiological challenges in order to adhere and establish a urinary tract infection. Our previous work in vivo revealed a synergy between different UPEC adhesion organelles, which facilitated effective colonization of the renal proximal tubule. To allow high-resolution real-time analysis of this colonization behavior, we established a biomimetic proximal-tubule-on-chip (PToC). The PToC allowed for single-cell resolution analysis of the first stages of bacterial interaction with host epithelial cells, under physiological flow. Time-lapse microscopy and single-cell trajectory analysis in the PToC revealed that while the majority of UPEC moved directly through the system, a minority population initiated heterogeneous adhesion, identified as either rolling or bound. Adhesion was predominantly transient and mediated by P pili at the earliest time-points. These bound bacteria initiated a founder population which rapidly divided, leading to 3D microcolonies. Within the first hours, the microcolonies did not express extracellular curli matrix, but rather were dependent on Type 1 fimbriae as the key element in the microcolony structure. Collectively, our results show the application of Organ-on-chip technology to address bacterial adhesion behaviors, demonstrating a well-orchestrated interplay and redundancy between adhesion organelles that enables UPEC to form microcolonies and persist under physiological shear stress.

尿路是一个具有流体动力学挑战性的微环境,尿路致病性大肠杆菌(UPEC)必须克服几个生理挑战才能粘附并建立尿路感染。我们之前在体内的工作揭示了不同UPEC粘附细胞器之间的协同作用,促进了肾近端小管的有效定植。为了对这种定植行为进行高分辨率实时分析,我们建立了一个仿生近端微管芯片(PToC)。PToC允许在生理流动下对细菌与宿主上皮细胞相互作用的第一阶段进行单细胞分辨率分析。延时显微镜和单细胞轨迹分析显示,虽然大多数UPEC直接通过系统移动,但少数群体发起异质粘附,确定为滚动或结合。黏附主要是短暂的,在最早的时间点由毛杆菌介导。这些结合的细菌产生了一个创始群体,这个群体迅速分裂,形成了三维微菌落。在最初的几个小时内,微菌落不表达细胞外卷曲基质,而是依赖于作为微菌落结构关键元素的1型菌毛。总的来说,我们的研究结果显示了器官芯片技术在解决细菌粘附行为方面的应用,展示了粘附细胞器之间精心安排的相互作用和冗余,使UPEC能够形成微菌落并在生理剪切应力下持续存在。
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引用次数: 0
Quantitative PCR versus metagenomics for monitoring antibiotic resistance genes: balancing high sensitivity and broad coverage. 定量PCR与宏基因组学监测抗生素耐药基因:平衡高灵敏度和广泛覆盖。
Pub Date : 2023-01-01 DOI: 10.1093/femsmc/xtad008
Catarina Ferreira, Saria Otani, Frank Møller Aarestrup, Célia M Manaia

The widespread occurrence of clinically relevant antibiotic resistance within humans, animals, and environment motivates the development of sensitive and accurate detection and quantification methods. Metagenomics and quantitative PCR (qPCR) are amongst the most used approaches. In this study, we aimed to evaluate and compare the performance of these methods to screen antibiotic resistance genes in animal faecal, wastewater, and water samples. Water and wastewater samples were from hospital effluent, different treatment stages of two treatment plants, and of the receiving river at the discharge point. The animal samples were from pig and chicken faeces. Antibiotic resistance gene coverage, sensitivity, and usefulness of the quantitative information were analyzed and discussed. While both methods were able to distinguish the resistome profiles and detect gradient stepwise mixtures of pig and chicken faeces, qPCR presented higher sensitivity for the detection of a few antibiotic resistance genes in water/wastewater. In addition, the comparison of predicted and observed antibiotic resistance gene quantifications unveiled the higher accuracy of qPCR. Metagenomics analyses, while less sensitive, provided a markedly higher coverage of antibiotic resistance genes compared to qPCR. The complementarity of both methods and the importance of selecting the best method according to the study purpose are discussed.

临床相关抗生素耐药性在人类、动物和环境中的广泛发生,促使人们发展敏感、准确的检测和定量方法。宏基因组学和定量PCR (qPCR)是最常用的方法。在本研究中,我们旨在评估和比较这些方法在动物粪便、废水和水样中筛选抗生素耐药基因的性能。水和废水样本来自医院废水、两个处理厂的不同处理阶段以及排放点的接收河流。动物样本来自猪和鸡的粪便。对抗生素耐药基因的覆盖、敏感性和定量信息的有效性进行了分析和讨论。两种方法均能区分猪粪和鸡粪的梯度逐步混合物,但qPCR对水/废水中少数抗生素耐药基因的检测灵敏度更高。此外,通过对预测和观察到的抗生素耐药基因定量的比较,发现qPCR具有更高的准确性。宏基因组分析虽然灵敏度较低,但与qPCR相比,提供了明显更高的抗生素耐药基因覆盖率。讨论了两种方法的互补性以及根据研究目的选择最佳方法的重要性。
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引用次数: 3
Changes in cell surface properties of Pseudomonas fluorescens by adaptation to NaCl induced hypertonic stress. NaCl诱导的高渗胁迫对荧光假单胞菌细胞表面特性的影响
Pub Date : 2023-01-01 DOI: 10.1093/femsmc/xtac028
Abd Alaziz Abu Quba, Marc-Oliver Goebel, Mariam Karagulyan, Anja Miltner, Matthias Kästner, Jörg Bachmann, Gabriele E Schaumann, Doerte Diehl

Determination of the effect of water stress on the surface properties of bacteria is crucial to study bacterial induced soil water repellency. Changes in the environmental conditions may affect several properties of bacteria such as the cell hydrophobicity and morphology. Here, we study the influence of adaptation to hypertonic stress on cell wettability, shape, adhesion, and surface chemical composition of Pseudomonas fluorescens. From this we aim to discover possible relations between the changes in wettability of bacterial films studied by contact angle and single cells studied by atomic and chemical force microscopy (AFM, CFM), which is still lacking. We show that by stress the adhesion forces of the cell surfaces towards hydrophobic functionalized probes increase while they decrease towards hydrophilic functionalized tips. This is consistent with the contact angle results. Further, cell size shrunk and protein content increased upon stress. The results suggest two possible mechanisms: Cell shrinkage is accompanied by the release of outer membrane vesicles by which the protein to lipid ratio increases. The higher protein content increases the rigidity and the number of hydrophobic nano-domains per surface area.

测定水分胁迫对细菌表面特性的影响是研究细菌诱发土壤拒水性的关键。环境条件的变化会影响细菌的一些特性,如细胞的疏水性和形态。在此,我们研究了适应高渗胁迫对荧光假单胞菌细胞润湿性、形状、粘附性和表面化学成分的影响。由此,我们的目的是发现接触角研究的细菌膜的润湿性变化与原子和化学力显微镜(AFM, CFM)研究的单细胞之间可能存在的关系,这是目前尚缺乏的。我们表明,通过应力,细胞表面对疏水功能化探针的粘附力增加,而对亲水功能化尖端的粘附力减少。这与接触角的结果一致。此外,细胞大小缩小,蛋白质含量增加。结果提出了两种可能的机制:细胞收缩伴随着外膜囊泡的释放,从而使蛋白脂比增加。较高的蛋白质含量增加了硬度和每表面积疏水纳米结构域的数量。
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引用次数: 1
In vitro antimicrobial activity of crude propolis extracts and fractions. 粗蜂胶提取物和组分的体外抗菌活性。
Pub Date : 2023-01-01 DOI: 10.1093/femsmc/xtad010
Alhassan Sa-Eed, Eric S Donkor, Reuben E Arhin, Patience B Tetteh-Quarcoo, Simon K Attah, Daniel E K Kabotso, Fleischer C N Kotey, Nicholas T K D Dayie

The search for antimicrobials in propolis presents a new dimension for addressing the problem of antimicrobial drug resistance. The aim of this study was to determine the antimicrobial activity of extracts of crude propolis collected from different regions in Ghana and their active fractions. The antimicrobial activity of the extracts, as well as that of the chloroform, ethyl acetate, and petroleum ether fractions of the active samples were determined using the agar well diffusion method. The minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC) of the most active fractions were determined. The various crude propolis extracts frequently produced zones of inhibition against Staphylococcus aureus (17/20) than Pseudomonas aeruginosa (16/20), and Escherichia coli (1/20) test isolates. Chloroform and ethyl acetate solvents produced fractions possessing greater antimicrobial activity than the petroleum ether fraction. The mean MIC range of the most active fractions was greatest for S. aureus (76.0 ± 34.8-48.0 ± 33.0 mg/ml) than for P. aeruginosa (40.8 ± 33.3-30.4 ± 6.7 mg/ml) and E. coli, as was the mean MBC. Propolis has antimicrobial potential, and hence should be exploited as an alternative for the treatment of bacterial infections.

蜂胶中抗菌素的研究为解决抗菌素耐药性问题提供了一个新的维度。本研究的目的是测定从加纳不同地区收集的粗蜂胶提取物及其活性组分的抗菌活性。采用琼脂孔扩散法测定提取物的抑菌活性,以及活性样品的氯仿、乙酸乙酯和石油醚组分的抑菌活性。测定了最有效部位的最小抑菌浓度(MIC)和最小杀菌浓度(MBC)。不同粗蜂胶提取物对金黄色葡萄球菌(17/20)的抑制区比铜绿假单胞菌(16/20)和大肠杆菌(1/20)的抑制区多。氯仿和乙酸乙酯溶剂产生的馏分比石油醚馏分具有更大的抗菌活性。金黄色葡萄球菌(76.0±34.8 ~ 48.0±33.0 mg/ml)的平均MIC范围大于铜绿假单胞菌(40.8±33.3 ~ 30.4±6.7 mg/ml)和大肠杆菌(MBC)。蜂胶具有抗菌潜力,因此应作为治疗细菌感染的替代方法加以开发。
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引用次数: 2
Disruption of the skin, gill, and gut mucosae microbiome of gilthead seabream fingerlings after bacterial infection and antibiotic treatment. 在细菌感染和抗生素治疗后,黄颡鱼幼鱼的皮肤、鳃和肠道黏膜微生物群的破坏。
Pub Date : 2023-01-01 DOI: 10.1093/femsmc/xtad011
Daniela Rosado, Paula Canada, Sofia Marques Silva, Nuno Ribeiro, Pedro Diniz, Raquel Xavier

The activity of the microbiome of fish mucosae provides functions related to immune response, digestion, or metabolism. Several biotic and abiotic factors help maintaining microbial homeostasis, with disruptions leading to dysbiosis. Diseases and antibiotic administration are known to cause dysbiosis in farmed fish. Pathogen infections greatly affect the production of gilthead seabream, and antibiotic treatment is still frequently required. Here, we employed a 16S rRNA high-throughput metataxonomics approach to characterize changes in the gut, skin, and gill microbiomes occurring due to infection with Photobacterium damselae subsp. piscicida and subsequent antibiotic treatment with oxytetracycline (OTC), as well as during recovery. Although microbiota response differed between studied tissues, overall changes in composition, diversity, structure, and predicted function were observed in all mucosae. The skin and gill microbiomes of diseased fish became largely dominated by taxa that have been frequently linked to secondary infections, whereas in the gut the genus Vibrio, known to include pathogenic bacteria, increased with OTC treatment. The study highlights the negative impacts of disease and antibiotic treatment on the microbiome of farmed fish. Our results also suggest that fish transportation operations may have profound effects on the fish microbiome, but further studies are needed to accurately evaluate their impact.

鱼类粘膜微生物群的活性提供了与免疫反应、消化或代谢有关的功能。一些生物和非生物因素有助于维持微生物稳态,破坏导致生态失调。众所周知,疾病和抗生素的使用会导致养殖鱼类的生态失调。病原菌感染极大地影响了鳙鱼的生产,仍然经常需要抗生素治疗。在这里,我们采用16S rRNA高通量元组学方法来表征由于感染光杆菌damselae亚sp而发生的肠道、皮肤和鳃微生物组的变化。随后用土霉素(OTC)进行抗生素治疗,以及在康复期间。尽管所研究的组织中微生物群的反应不同,但在所有粘膜中都观察到组成、多样性、结构和预测功能的总体变化。患病鱼类的皮肤和鳃微生物群主要由经常与继发性感染相关的分类群控制,而在肠道中,已知包括致病菌的弧菌属随着OTC治疗而增加。该研究强调了疾病和抗生素治疗对养殖鱼类微生物群的负面影响。我们的研究结果还表明,鱼类运输操作可能对鱼类微生物群产生深远的影响,但需要进一步的研究来准确评估其影响。
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引用次数: 0
The modular pYT vector series employed for chromosomal gene integration and expression to produce carbazoles and glycolipids in P. putida. 模块化pYT载体系列用于染色体基因整合和表达,以在P.putida中产生咔唑和糖脂。
Pub Date : 2022-12-19 eCollection Date: 2023-01-01 DOI: 10.1093/femsmc/xtac030
Robin Weihmann, Sonja Kubicki, Nora Lisa Bitzenhofer, Andreas Domröse, Isabel Bator, Lisa-Marie Kirschen, Franziska Kofler, Aileen Funk, Till Tiso, Lars M Blank, Karl-Erich Jaeger, Thomas Drepper, Stephan Thies, Anita Loeschcke

The expression of biosynthetic genes in bacterial hosts can enable access to high-value compounds, for which appropriate molecular genetic tools are essential. Therefore, we developed a toolbox of modular vectors, which facilitate chromosomal gene integration and expression in Pseudomonas putida KT2440. To this end, we designed an integrative sequence, allowing customisation regarding the modes of integration (random, at attTn7, or into the 16S rRNA gene), promoters, antibiotic resistance markers as well as fluorescent proteins and enzymes as transcription reporters. We thus established a toolbox of vectors carrying integrative sequences, designated as pYT series, of which we present 27 ready-to-use variants along with a set of strains equipped with unique 'landing pads' for directing a pYT interposon into one specific copy of the 16S rRNA gene. We used genes of the well-described violacein biosynthesis as reporter to showcase random Tn5-based chromosomal integration leading to constitutive expression and production of violacein and deoxyviolacein. Deoxyviolacein was likewise produced after gene integration into the 16S rRNA gene of rrn operons. Integration in the attTn7 site was used to characterise the suitability of different inducible promoters and successive strain development for the metabolically challenging production of mono-rhamnolipids. Finally, to establish arcyriaflavin A production in P. putida for the first time, we compared different integration and expression modes, revealing integration at attTn7 and expression with NagR/PnagAa to be most suitable. In summary, the new toolbox can be utilised for the rapid generation of various types of P. putida expression and production strains.

生物合成基因在细菌宿主中的表达可以获得高价值的化合物,而适当的分子遗传工具对这些化合物至关重要。因此,我们开发了一个模块化载体工具箱,它促进了恶臭假单胞菌KT2440的染色体基因整合和表达。为此,我们设计了一个整合序列,允许定制整合模式(随机、attTn7或进入16S rRNA基因)、启动子、抗生素抗性标记物以及作为转录报告子的荧光蛋白和酶。因此,我们建立了一个携带整合序列的载体工具箱,称为pYT系列,其中我们提出了27个现成的变体,以及一组配备了独特“着陆垫”的菌株,用于将pYT插入到16S rRNA基因的一个特定拷贝中。我们使用描述良好的紫曲霉素生物合成的基因作为报告基因来展示基于随机Tn5的染色体整合,从而导致紫曲霉素和脱氧紫曲霉素的组成型表达和产生。脱氧紫曲霉素同样在基因整合到rrn操纵子的16S rRNA基因中后产生。attTn7位点的整合用于表征不同诱导型启动子和连续菌株发育对代谢挑战性的单鼠李糖脂生产的适用性。最后,为了首次在P.putida中建立arcyriaflavin A的生产,我们比较了不同的整合和表达模式,揭示了在attTn7的整合和用NagR/PnagAa表达是最合适的。总之,新的工具箱可用于快速生成各种类型的P.putida表达和生产菌株。
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引用次数: 1
Detection of pneumococcus during hospitalization for SARS-CoV-2. 严重急性呼吸系统综合征冠状病毒2型住院期间肺炎球菌的检测。
Pub Date : 2022-10-16 eCollection Date: 2022-01-01 DOI: 10.1093/femsmc/xtac026
Anne Stahlfeld, Laura R Glick, Isabel M Ott, Samuel B Craft, Devyn Yolda-Carr, Christina A Harden, Maura Nakahata, Shelli F Farhadian, Lindsay R Grant, Ronika Alexander-Parrish, Adriano Arguedas, Bradford D Gessner, Daniel M Weinberger, Anne L Wyllie

Background: Infections with respiratory viruses [e.g. influenza and respiratory syncytial virus (RSV)] can increase the risk of severe pneumococcal infections. Likewise, pneumococcal coinfection is associated with poorer outcomes in viral respiratory infection. However, there are limited data describing the frequency of pneumococcus and SARS-CoV-2 coinfection and the role of coinfection in influencing COVID-19 severity. We, therefore, investigated the detection of pneumococcus in COVID-19 inpatients during the early pandemic period.

Methods: The study included patients aged 18 years and older, admitted to the Yale-New Haven Hospital who were symptomatic for respiratory infection and tested positive for SARS-CoV-2 during March-August 2020. Patients were tested for pneumococcus through culture-enrichment of saliva followed by RT-qPCR (to identify carriage) and serotype-specific urine antigen detection (UAD) assays (to identify presumed lower respiratory tract pneumococcal disease).

Results: Among 148 subjects, the median age was 65 years; 54.7% were male; 50.7% had an ICU stay; 64.9% received antibiotics; and 14.9% died while admitted. Pneumococcal carriage was detected in 3/96 (3.1%) individuals tested by saliva RT-qPCR. Additionally, pneumococcus was detected in 14/127 (11.0%) individuals tested by UAD, and more commonly in severe than moderate COVID-19 [OR: 2.20; 95% CI: (0.72, 7.48)]; however, the numbers were small with a high degree of uncertainty. None of the UAD-positive individuals died.

Conclusions: Pneumococcal lower respiratory tract infection (LRTI), as detected by positive UAD, occurred in patients hospitalized with COVID-19. Moreover, pneumococcal LRTI was more common in those with more serious COVID-19 outcomes. Future studies should assess how pneumococcus and SARS-CoV-2 interact to influence COVID-19 severity in hospitalized patients.

背景:感染呼吸道病毒[如流感和呼吸道合胞病毒(RSV)]会增加严重肺炎球菌感染的风险。同样,肺炎球菌合并感染与病毒性呼吸道感染的不良结局有关。然而,描述肺炎球菌和SARS-CoV-2共同感染的频率以及共同感染在影响新冠肺炎严重程度中的作用的数据有限。因此,我们调查了疫情早期新冠肺炎住院患者中肺炎球菌的检测情况。方法:该研究包括耶鲁纽黑文医院收治的18岁及以上的患者,他们在2020年3月至8月期间出现呼吸道感染症状,严重急性呼吸系统综合征冠状病毒2型检测呈阳性。通过唾液培养富集、RT-qPCR(鉴定携带)和血清型特异性尿液抗原检测(UAD)(鉴定推测的下呼吸道肺炎球菌疾病)对患者进行肺炎球菌检测。结果:148名受试者中,中位年龄为65岁;54.7%为男性;50.7%曾入住ICU;64.9%接受了抗生素治疗;14.9%在入院时死亡。唾液RT-qPCR检测到3/96(3.1%)个体携带肺炎球菌。此外,在UAD检测的14/127(11.0%)个体中检测到肺炎球菌,在严重而非中度新冠肺炎中更常见[OR:2.20;95%CI:(0.72,7.48)];然而,这些数字很小,不确定性很高。无UAD阳性个体死亡。结论:经UAD阳性检测,新冠肺炎住院患者发生了肺炎球菌下呼吸道感染(LRTI)。此外,肺炎球菌LRTI在新冠肺炎后果更严重的患者中更常见。未来的研究应评估肺炎球菌和SARS-CoV-2如何相互作用,以影响住院患者的新冠肺炎严重程度。
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引用次数: 4
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FEMS microbes
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