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1.
J Antimicrob Chemother ; 79(1): 128-133, 2024 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-37991189

RESUMO

OBJECTIVES: We explored the epidemiological and molecular characteristics of Candida parapsilosis sensu stricto isolates in China, and their mechanisms of azole resistance. METHODS: Azole susceptibilities of 2318 non-duplicate isolates were determined using CLSI broth microdilution. Isolates were genotyped by a microsatellite typing method. Molecular resistance mechanisms were also studied and functionally validated by CRISPR/Cas9-based genetic alterations. RESULTS: Fluconazole resistance occurred in 2.4% (n = 56) of isolates, and these isolates showed a higher frequency of distribution in ICU inpatients compared with susceptible isolates (48.2%, n = 27/56 versus 27.8%, 613/2208; P = 0.019). Microsatellite-genotyping analysis yielded 29 genotypes among 56 fluconazole-resistant isolates, of which 10 genotypes, including 37 isolates, belonged to clusters, persisting and transmitting in Chinese hospitals for 1-29 months. Clusters harbouring Erg11Y132F (5/10; 50%) were predominant in China. Among these, the second most dominant cluster MT07, including seven isolates, characteristically harbouring Erg11Y132F and Mrr1Q625K, lent its carriage to being one of the strongest associations with cross-resistance and high MICs of fluconazole (>256 mg/L) and voriconazole (2-8 mg/L), causing transmission across two hospitals. Among mutations tested, Mrr1Q625K led to the highest-level increase of fluconazole MIC (32-fold), while mutations located within or near the predicted transcription factor domain of Tac1 (D440Y, T492M and L518F) conferred cross-resistance to azoles. CONCLUSIONS: This study is the first Chinese report of persistence and transmissions of multiple fluconazole-resistant C. parapsilosis sensu stricto clones harbouring Erg11Y132F, and the first demonstration of the mutations Erg11G307A, Mrr1Q625K, Tac1L263S, Tac1D440Y and Tac1T492M as conferring resistance to azoles.


Assuntos
Candida parapsilosis , Fluconazol , Fluconazol/farmacologia , Candida parapsilosis/genética , Antifúngicos/farmacologia , Azóis/farmacologia , China/epidemiologia , Testes de Sensibilidade Microbiana , Farmacorresistência Fúngica/genética
2.
Environ Res ; 245: 118040, 2024 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-38154566

RESUMO

Humans are having an increasingly profound impact on the environment along with the advent of the Anthropocene. Ecological risk assessment (ERA) as a method to quantify ecological problems can provide support for decision-makers, and it is one of key issues to integrate ecosystem services into ERA. In this study, an ERA framework was proposed under the loss-probability paradigm from the perspective of ecosystem services risk bundles. The results showed that initiatives aimed at ecological protection in Shanxi Province had been effective, the number of watersheds with low-risk bundles increased significantly (from 16.09% to 34.49%) and the watersheds basically overlapped with key forestation areas. However, the effects of forestation activities may no longer be as significant as they once were, as the relationship between forestation and water supply was becoming increasingly contradictory. Meanwhile, the conflict between urban expansion and natural ecosystem protection was intensifying, habitat degradation risks were gradually polarized, and the risk bundles dominated by high carbon emission and habitat degradation were increasing significantly (from 15.88% to 33.54%). Strengthening the construction of urban green space and controlling the expansion of human activities may be the next focus of ecological conservation in Shanxi Province. This study enriched the ERA framework with an ecosystem services risk bundle approach.


Assuntos
Conservação dos Recursos Naturais , Ecossistema , Humanos , Abastecimento de Água , China , Medição de Risco
3.
Mycopathologia ; 189(3): 35, 2024 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-38637433

RESUMO

Candida auris, an emerging and multidrug-resistant fungal pathogen, has led to numerous outbreaks in China. While the resistance mechanisms against azole and amphotericin B have been studied, the development of drug resistance in this pathogen remains poorly understood, particularly in in vivo-generated drug-resistant strains. This study employed pathogen whole-genome sequencing to investigate the epidemiology and drug-resistance mutations of C. auris using 16 strains isolated from two patients. Identification was conducted through Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry, and antimicrobial susceptibilities were assessed using broth microdilution and Sensititre YeastOne YO10. Whole-genome sequencing revealed that all isolates belonged to the South Asian lineage, displaying genetic heterogeneity. Despite low genetic variability among patient isolates, notable mutations were identified, including Y132F in ERG11 and A585S in TAC1b, likely linked to increased fluconazole resistance. Strains from patient B also carried F214L in TAC1b, resulting in a consistent voriconazole minimum inhibitory concentration of 4 µg/mL across all isolates. Furthermore, a novel frameshift mutation in the SNG1 gene was observed in amphotericin B-resistant isolates compared to susceptible ones. Our findings suggest the potential transmission of C. auris and emphasize the need to explore variations related to antifungal resistance. This involves analyzing genomic mutations and karyotypes, especially in vivo, to compare sensitive and resistant strains. Further monitoring and validation efforts are crucial for a comprehensive understanding of the mechanisms of drug resistance in C. auris.


Assuntos
Antifúngicos , Candidíase , Humanos , Antifúngicos/farmacologia , Candidíase/microbiologia , Candida auris , Candida , Anfotericina B/farmacologia , Farmacorresistência Fúngica/genética , Testes de Sensibilidade Microbiana
4.
J Clin Microbiol ; 61(11): e0080623, 2023 11 21.
Artigo em Inglês | MEDLINE | ID: mdl-37877725

RESUMO

The infection proportion of Candida orthopsilosis, a member of the C. parapsilosis complex, has increased globally in recent years, and nosocomial outbreaks have been reported in several countries. This study aimed to establish microsatellite loci-based typing method that was able to effectively distinguish among C. orthopsilosis isolates. Three reference C. orthopsilosis genome sequences were analyzed to identify repeat loci. DNA sequences containing over eight bi- or more nucleotide repeats were selected. A total of 51 loci were initially identified, and locus-specific primers were designed and tested with 20 epidemiologically unrelated isolates. Four loci with excellent reproducibility, specificity, and resolution for molecular typing purposes were identified, and the combined discriminatory power (DP, based on 20 epidemiologically unrelated isolates) of these four loci was 1.0. Reproducibility was demonstrated by consistently testing three strains each in triplicate, and stability, demonstrated by testing 10 successive passages. Then, we collected 48 C. orthopsilosis non-duplicate clinical isolates from the China Hospital Invasive Fungal Surveillance Net study to compare the DP of the microsatellite-based typing with internal transcribed spacer (ITS) and amplified fragment length polymorphism (AFLP) typing analyses, using ATCC 96139 as a reference strain. These 49 isolates were subdivided into 12 microsatellite types (COMT1-12), six AFLP types, and three ITS types, while all the isolates with the same COMT belonged to consistent AFLP and ITS type, demonstrating the high DP of our microsatellite-type method. According to our results, COMT12 was found to be the predominant type in China, and COMT5 was the second largest and responsible for causing a nosocomial outbreak. This microsatellite-type method is a valuable tool for the differentiation of C. orthopsilosis and could be vital for epidemiological studies to determine strain relatedness and monitor transmission.


Assuntos
Candidíase , Infecção Hospitalar , Humanos , Candida parapsilosis , Candida/genética , Análise do Polimorfismo de Comprimento de Fragmentos Amplificados , Candidíase/diagnóstico , Candidíase/epidemiologia , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/microbiologia , Reprodutibilidade dos Testes , Hospitais , Surtos de Doenças , Genótipo , Repetições de Microssatélites , Técnicas de Tipagem Micológica/métodos
5.
J Environ Manage ; 316: 115160, 2022 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-35588668

RESUMO

Clarifying the complex land use impacts on ecosystem services (ESs) trade-off will be beneficial to watershed sustainable development, especially through scientific land use management and decision making. Dongting Lake Basin (DLB) is not only one of the most significant ecological barriers for the Yangtze River Economic Belt, but also an important grain production base of China. The trade-off between the grain production (GP) and water purification (WP) has become increasingly prominent. Here, we chose DLB as a case study area, applied spatial continuous wavelet transform and wavelet coherence analysis, characterized the ES trade-off intensity by wavelet coherence coefficient, and explored the influence of land use type, conflict and intensity on the trade-off between GP and WP. The results showed that the trade-off intensity between GP and WP in the DLB in 2015 had alleviated compared with 2005, and the coherence coefficient had increased while maitaining the negative value. The trade-off intensity was the strongest in farmland and forest land, and weaker in grassland and water body. The impact of land use conflict mainly depended on the specific types of land use conversions. For the transects where land use conversions mainly appeared between farmland and forest land, the intensification of land use conflict would increase the trade-off intensity (2005: R2 = 0.3862, p < 0.05; 2015: R2 = 0.2543, p < 0.05), while for the transects dominated by conversions to water body and grassland, stronger land use conflicts would reduce the trade-off intensity (2005: R2 = 0.3438, p < 0.05; 2015: R2 = 0.2668, p < 0.05). The impact of land use intensity was also realized through the land use type, with lower interpretation ratio. In addition, the wavelet coherence analysis showed that the scale about 10.51 km was the most suitable for exploring the trade-off between GP and WP, which was equivalent to the scale of the secondary watershed in the study area.


Assuntos
Conservação dos Recursos Naturais , Ecossistema , China , Grão Comestível , Florestas , Rios , Água
6.
J Environ Manage ; 318: 115476, 2022 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-35714471

RESUMO

Although it is well acknowledged that the improvement of ecosystem services is conducive to human well-being, there is still a lack of approach to determining reasonable improvement goals, especially for ecosystem services with trade-off relationship. Based on the method of production possibility frontier (PPF), this study presented a novel approach to identifying the improvement goals of interacting ecosystem services with considering their context dependency. By calculating the gap between the current supply of ecosystem services and the reasonable improvement goal, the ecosystem services supply efficiency was defined and measured to identify the optimization potentials of ecosystem services with trade-off relationship. The results showed that the supply efficiency of ecosystem services (grain production and water purification) decreased and then increased significantly along with the increasing of farmland area ratio in the Dongting Lake Basin (DLB). Meanwhile, the inflection point appeared when the farmland area ratio was 0.16. The change of farmland area ratio was significantly influenced by the change of elevation, with the regression coefficients of elevation on the left and right sides of the inflection point being -1.28 and -0.5 respectively, which were higher than that of other factors. Along with the increasing of elevation, the ecosystem services supply efficiency decreased but increased when the elevation exceeded 721.74 m. Furthermore, the sub-watersheds with farmland area ratio below the inflection point, i.e. mainly high elevation areas, were located around national or provincial level poor counties, posing a great challenge for improving ecosystem services with trade-off relationship. Development strategies for sub-watersheds should consider the non-linear trade-offs of ecosystem services, especially the opposite stages of supply efficiency. This study highlighted the elevation dependency of ecosystem services supply efficiency through farmland area ratio in great lake watershed.


Assuntos
Ecossistema , Lagos , China , Conservação dos Recursos Naturais , Humanos
7.
Psychol Sci ; 32(5): 692-704, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33819436

RESUMO

Accumulating evidence suggests that distinct aspects of successful navigation-path integration, spatial-knowledge acquisition, and navigation strategies-change with advanced age. Yet few studies have established whether navigation deficits emerge early in the aging process (prior to age 65) or whether early age-related deficits vary by sex. Here, we probed healthy young adults (ages 18-28) and midlife adults (ages 43-61) on three essential aspects of navigation. We found, first, that path-integration ability shows negligible effects of sex or age. Second, robust sex differences in spatial-knowledge acquisition are observed not only in young adulthood but also, although with diminished effect, at midlife. Third, by midlife, men and women show decreased ability to acquire spatial knowledge and increased reliance on taking habitual paths. Together, our findings indicate that age-related changes in navigation ability and strategy are evident as early as midlife and that path-integration ability is spared, to some extent, in the transition from youth to middle age.


Assuntos
Navegação Espacial , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
8.
J Infect Dis ; 221(Suppl 2): S139-S147, 2020 03 16.
Artigo em Inglês | MEDLINE | ID: mdl-32176789

RESUMO

BACKGROUND: Candidemia is the most common, serious fungal infection and Candida antifungal resistance is a challenge. We report recent surveillance of candidemia in China. METHODS: The study encompassed 77 Chinese hospitals over 3 years. Identification of Candida species was by mass spectrometry and DNA sequencing. Antifungal susceptibility was determined using the Clinical and Laboratory Standards Institute broth microdilution method. RESULTS: In total, 4010 isolates were collected from candidemia patients. Although C. albicans was the most common species, non-albicans Candida species accounted for over two-thirds of isolates, predominated C. parapsilosis complex (27.1%), C. tropicalis (18.7%), and C. glabrata complex (12.0%). Most C. albicans and C. parapsilosis complex isolates were susceptible to all antifungal agents (resistance rate <5%). However, there was a decrease in voriconazole susceptibility to C. glabrata sensu stricto over the 3 years and fluconazole resistance rate in C. tropicalis tripled. Amongst less common Candida species, over one-third of C. pelliculosa isolates were coresistant to fluconazole and 5-flucytocine, and >56% of C. haemulonii isolates were multidrug resistance. CONCLUSIONS: Non-albicans Candida species are the predominant cause of candidemia in China. Azole resistance is notable amongst C. tropicalis and C. glabrata. Coresistance and multidrug resistance has emerged in less common Candida species.


Assuntos
Antifúngicos/farmacologia , Azóis/farmacologia , Candida/classificação , Candida/efeitos dos fármacos , Candidemia/epidemiologia , Candidemia/microbiologia , Candida/isolamento & purificação , China , Farmacorresistência Fúngica , Monitoramento Epidemiológico , Hospitais , Humanos , Proteínas de Membrana , Testes de Sensibilidade Microbiana , Análise de Sequência de DNA
9.
Neuroimage ; 220: 117091, 2020 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-32621974

RESUMO

The brain is an endocrine organ, sensitive to the rhythmic changes in sex hormone production that occurs in most mammalian species. In rodents and nonhuman primates, estrogen and progesterone's impact on the brain is evident across a range of spatiotemporal scales. Yet, the influence of sex hormones on the functional architecture of the human brain is largely unknown. In this dense-sampling, deep phenotyping study, we examine the extent to which endogenous fluctuations in sex hormones alter intrinsic brain networks at rest in a woman who underwent brain imaging and venipuncture for 30 consecutive days. Standardized regression analyses illustrate estrogen and progesterone's widespread associations with functional connectivity. Time-lagged analyses examined the temporal directionality of these relationships and suggest that cortical network dynamics (particularly in the Default Mode and Dorsal Attention Networks, whose hubs are densely populated with estrogen receptors) are preceded-and perhaps driven-by hormonal fluctuations. A similar pattern of associations was observed in a follow-up study one year later. Together, these results reveal the rhythmic nature in which brain networks reorganize across the human menstrual cycle. Neuroimaging studies that densely sample the individual connectome have begun to transform our understanding of the brain's functional organization. As these results indicate, taking endocrine factors into account is critical for fully understanding the intrinsic dynamics of the human brain.


Assuntos
Encéfalo/diagnóstico por imagem , Rede de Modo Padrão/diagnóstico por imagem , Ciclo Menstrual/fisiologia , Rede Nervosa/diagnóstico por imagem , Encéfalo/efeitos dos fármacos , Conectoma , Anticoncepcionais Orais Combinados/administração & dosagem , Rede de Modo Padrão/efeitos dos fármacos , Estradiol/sangue , Feminino , Hormônio Foliculoestimulante/sangue , Neuroimagem Funcional , Humanos , Hormônio Luteinizante/sangue , Imageamento por Ressonância Magnética , Ciclo Menstrual/sangue , Ciclo Menstrual/efeitos dos fármacos , Rede Nervosa/efeitos dos fármacos , Progesterona/sangue , Adulto Jovem
10.
Int J Med Microbiol ; 310(1): 151357, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31570247

RESUMO

Understanding the evolutionary path of M. catarrhalis from macrolide-susceptible to macrolide-resistant organism, is important for hindering macrolide resistance from propagation. Multilocus sequence typing (MLST), pulsed-field gel electrophoresis (PFGE) and whole genome SNP typing (WGST), as useful and practical typing tools, have both advantages and disadvantages. We studied the utility of these 3 typing methods, including the level of agreement, consistency and drawbacks, in characterizing M. catarrhalis clones and clonal complexes. We focused on four clonal complexes [CC224, CC363, CC449 (CCN10) and CC446 (CCN08)] and found that PFGE and WGST had a high level of agreement and a proper consistency of the same clone or very closely related clones, while MLST is less discriminatory for different clones. Furthermore, we also established an evolutionary distance cut-off value for "The same clone". Moreover, we detected macrolide-resistant M. catarrhalis in CC224, which had previously been considered as a macrolide-susceptible clonal complex. A higher number of isolates belonged to ST215 compared to ST446, implying that ST215 is more likely to be the primary founder. Our study also demonstrated that all the four clonal complexes belong to the M. catarrhalis lineage 1, which is considered to be related to increased virulence potential and serum resistance. We also observed that copB II was highly related to CC449 and LOS type B was mainly confined in CC224. In conclusion, these findings provide further insight into the evolutionary characteristics of M. catarrhalis.


Assuntos
Técnicas de Tipagem Bacteriana/métodos , Evolução Molecular , Genoma Bacteriano , Genótipo , Moraxella catarrhalis/genética , Adulto , Líquido da Lavagem Broncoalveolar/microbiologia , Criança , Orelha/microbiologia , Eletroforese em Gel de Campo Pulsado , Humanos , Moraxella catarrhalis/classificação , Infecções por Moraxellaceae/microbiologia , Tipagem de Sequências Multilocus , Filogenia , Polimorfismo de Nucleotídeo Único , Escarro/microbiologia
11.
J Clin Microbiol ; 57(2)2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30463892

RESUMO

A total of 133 clinical Trichosporon isolates were collected in the National China Hospital Invasive Fungal Surveillance Net (CHIF-NET) program in 2009 to 2016. Accurate identification was performed by sequencing of the intergenic spacer 1 (IGS1) region. Among these isolates, Trichosporon asahii (108 isolates [81.2%]) was the leading species, followed by Trichosporon dermatis (7 isolates [5.3%]), Trichosporon asteroides (5 isolates [3.8%]), Trichosporon inkin (5 isolates [3.8%]), Trichosporon dohaense (3 isolates [2.3%]), and 1 isolate (0.7%) each of Trichosporon faecale, Trichosporon jirovecii, Trichosporon mucoides, Trichosporon coremiiforme, and Trichosporon montevideense Both the Vitek mass spectrometry (MS) (bioMérieux, Marcy l'Etoile, France) and Bruker Biotyper MS (Bruker Daltonics GmbH, Germany) platforms gave high levels (>97.5%) of correct identification when the species were present in the database. The geometric mean (GM) of amphotericin B MICs for T. asahii was 2-fold higher than that for non-asahii Trichosporon High fluconazole MICs (≥8 µg/ml) were observed for 25% of T. asahii isolates (27/108 isolates) and 16% of non-asahii Trichosporon (4/25 isolates) isolates. Itraconazole MICs were ≤0.5 µg/ml for 89.5% of the isolates. Voriconazole was the most potent antifungal agent in vitro, with a GM of 0.09 µg/ml. Genotyping of the isolates using IGS1 sequence alignment revealed that genotype 1 was most common (41.7%), followed by genotype 4 (31.5%), genotype 3 (23.1%), genotype 5 (0.9%), genotype 6 (0.9%), and genotype 7 (1.8%). Our data on species distribution, genotypes, and antifungal susceptibilities may contribute to a better understanding of the epidemiology of invasive Trichosporon infections throughout China.


Assuntos
Antifúngicos/farmacologia , Genótipo , Infecções Fúngicas Invasivas/epidemiologia , Trichosporon/isolamento & purificação , Tricosporonose/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , China/epidemiologia , DNA Fúngico/química , DNA Fúngico/genética , DNA Ribossômico/química , DNA Ribossômico/genética , DNA Espaçador Ribossômico/química , DNA Espaçador Ribossômico/genética , Feminino , Técnicas de Genotipagem , Humanos , Lactente , Recém-Nascido , Infecções Fúngicas Invasivas/microbiologia , Masculino , Técnicas Microbiológicas , Pessoa de Meia-Idade , Estudos Prospectivos , Análise de Sequência de DNA , Trichosporon/classificação , Trichosporon/efeitos dos fármacos , Trichosporon/genética , Tricosporonose/microbiologia , Adulto Jovem
12.
Artigo em Inglês | MEDLINE | ID: mdl-29581110

RESUMO

Among 158 Candida glabrata bloodstream isolates collected from numerous centers in China, a resistance to fluconazole was seen in 8.9%. Three isolates (1.9%) were resistant to all echinocandins. Multilocus sequence typing (MLST) revealed that sequence type 7 ([ST7] 65.8%) was the most common type, followed by ST3 (7.6%). PDR1 polymorphisms were associated with the acquisition of fluconazole resistance in C. glabrata isolates, while MSH2 polymorphisms were associated with the STs and microsatellite genotypes, irrespective of fluconazole resistance.


Assuntos
Antifúngicos/farmacologia , Candida glabrata/efeitos dos fármacos , Candida glabrata/genética , Farmacorresistência Fúngica Múltipla/genética , Equinocandinas/farmacologia , Fluconazol/farmacologia , Proteína 2 Homóloga a MutS/genética , Fatores de Transcrição/genética , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Candida glabrata/isolamento & purificação , Candidemia/tratamento farmacológico , Candidemia/microbiologia , Criança , Pré-Escolar , China , Proteínas de Ligação a DNA/genética , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Testes de Sensibilidade Microbiana , Repetições de Microssatélites/genética , Pessoa de Meia-Idade , Tipagem de Sequências Multilocus , Polimorfismo de Nucleotídeo Único/genética , Adulto Jovem
13.
J Clin Microbiol ; 56(8)2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29769274

RESUMO

The objective of this study was to evaluate the performance of four phenotypic methods in the detection of carbapenemase-producing Enterobacteriaceae (CPE) in China. We evaluated the performance of four carbapenemase detection methods, the modified Hodge test (MHT), the Carba NP test, the meropenem hydrolysis assay (MHA) with 1- and 2-h incubation, and the modified carbapenem inactivation method (mCIM) with meropenem, imipenem, and ertapenem, on 342 carbapenem-resistant Enterobacteriaceae isolates (CRE) in China. PCR was used as the gold standard. The 2-h-incubation MHA performed the best in carbapenemase detection (overall sensitivity, specificity, positive predictive value, and negative predictive value all 100%). Second was the Carba NP test, with a sensitivity of 99.6%. The 1-h-incubation MHA performed poorly in Klebsiella pneumoniae carbapenemase (KPC) detection (sensitivity, 71.3%). For mCIM, the best performance was observed with the meropenem disk. The MHT exhibited the worst performance, with a specificity of 88.8%. All assays except 1-h-incubation MHA, which failed to identify 68 KPC-2s, had a sensitivity of >98% in the detection of 172 KPCs. Likewise, all assays had a sensitivity of >95% in the detection of 70 class B carbapenemases, except for MHT (82.9%). The 2-h-incubation MHA significantly improved the accuracy in CPE detection compared with that for 1-h incubation and performed the best in the detection of class A and B carbapenemases. Our findings suggest that the MHA is the most practical assay for carbapenemase detection. For those who cannot afford the associated equipment, both the Carba NP test and mCIM are good alternatives with regard to the practical requirements of time and cost.


Assuntos
Proteínas de Bactérias/análise , Enterobacteriáceas Resistentes a Carbapenêmicos/enzimologia , Testes de Sensibilidade Microbiana/métodos , beta-Lactamases/análise , Antibacterianos/farmacologia , Proteínas de Bactérias/genética , Enterobacteriáceas Resistentes a Carbapenêmicos/classificação , Enterobacteriáceas Resistentes a Carbapenêmicos/efeitos dos fármacos , Enterobacteriáceas Resistentes a Carbapenêmicos/isolamento & purificação , Carbapenêmicos/farmacologia , Humanos , Testes de Sensibilidade Microbiana/normas , Tipagem de Sequências Multilocus , Sensibilidade e Especificidade , beta-Lactamases/genética
14.
J Clin Microbiol ; 56(7)2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29743305

RESUMO

Data on the epidemiology of invasive candidiasis (IC) and the antifungal susceptibility of Candida isolates in China are still limited. Here we report on surveillance for IC from the China Hospital Invasive Fungal Surveillance Net (CHIF-NET) study. Sixty-five tertiary hospitals collected 8,829 Candida isolates from 1 August 2009 to 31 July 2014. Matrix-assisted laser desorption ionization-time of flight mass spectrometry supplemented by ribosomal DNA sequencing was used to define the species, and the fluconazole and voriconazole susceptibilities were determined by the Clinical and Laboratory Standards Institute disk diffusion method. A total of 32 Candida species were identified. Candida albicans was the most common species (44.9%), followed by the C. parapsilosis complex (20.0%), C. tropicalis (17.2%), and the C. glabrata complex (10.8%), with other species comprising <3% of isolates. However, in candidemia, the proportion of cases caused by C. albicans was only 32.3%. C. albicans and C. parapsilosis complex isolates were susceptible to fluconazole and voriconazole (<6% resistance), while fluconazole and azole cross-resistance rates were high in C. tropicalis (13.3% and 12.9%, respectively), C. glabrata complex (18.7% and 14%, respectively), and uncommon Candida species (44.1% and 10.3%, respectively) isolates. Moreover, from years 1 to 5 of the study, there was a significant increase in the rates of resistance to fluconazole among C. glabrata complex isolates (12.2% to 24.0%) and to both fluconazole (5.7% to 21.0%) and voriconazole (5.7% to 21.4%) among C. tropicalis isolates (P < 0.01 for all comparisons). Geographic variations in the causative species and susceptibilities were noted. Our findings indicate that antifungal resistance has become noteworthy in China, and enhanced surveillance is warranted.


Assuntos
Antifúngicos/farmacologia , Azóis/farmacologia , Candida/classificação , Candida/efeitos dos fármacos , Candidíase Invasiva/epidemiologia , Candidíase Invasiva/microbiologia , Monitoramento Epidemiológico , China/epidemiologia , Farmacorresistência Fúngica , Hospitais , Humanos , Testes de Sensibilidade Microbiana , Técnicas de Tipagem Micológica
15.
AAPS PharmSciTech ; 19(1): 470-480, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28828580

RESUMO

Enterovirus 71 (EV71) is a pathogenic factor of severe hand, foot, and mouth disease (HFMD). No vaccine or specific treatment is currently available for EV71 infection. Hence, we developed a buccal mucoadhesive gel containing matrine to protect against HFMD. Mucoadhesive gels were prepared by Carbopol 974P and were combined with Carbopol 971P, sodium carboxymethyl cellulose (CMC-Na), or hydroxypropylmethy cellulose (HPMC K100M). The formulations were characterized in terms of tensile testing and continuous flow techniques for mucoadhesion. The rheological studies and in vitro drug release characteristics were also investigated. The results showed that combinations of two polymers significantly improved mucoadhesion, especially Carbopol 974P blended with HPMC. Carbopol 974P to HPMC blend ratios of 1:1 and 2:1 induced better mucoadhesion in the tensile test and continuous flow method, respectively. The most sustained release was obtained at a Carbopol 974P to HPMC ratio of 2.5:1. A predominantly non-Fickian diffusion release mechanism was obtained. The gel containing 2.5% Carbopol 974P combined with 1% HPMC showed good mucoadhesion properties and sustained drug release.


Assuntos
Alcaloides/administração & dosagem , Antivirais/administração & dosagem , Quinolizinas/administração & dosagem , Acrilatos , Adesividade , Administração Bucal , Alcaloides/química , Animais , Antivirais/química , Carboximetilcelulose Sódica , Preparações de Ação Retardada , Composição de Medicamentos , Liberação Controlada de Fármacos , Excipientes , Febre Aftosa/prevenção & controle , Géis , Cinética , Quinolizinas/química , Solubilidade , Resistência à Tração , Matrinas
16.
J Clin Microbiol ; 54(8): 2187-9, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27252461

RESUMO

With molecular sequencing as a gold standard, the Vitek MS, Bruker Biotyper MS, and Vitek-2 Compact systems correctly identified 92.7%, 97.0%, and 15.2% of 164 Candida guillermondii isolates, respectively, and none of 8 C. fermentati isolates. All of the isolates showed high susceptibility to echinocandins, but some C. guilliermondii isolates showed low azole susceptibility.


Assuntos
Antifúngicos/farmacologia , Candida/efeitos dos fármacos , Candida/isolamento & purificação , Candidíase/microbiologia , Adulto , Idoso , China , Feminino , Humanos , Masculino , Testes de Sensibilidade Microbiana , Pessoa de Meia-Idade
17.
Mol Genet Genomics ; 290(4): 1277-85, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25585662

RESUMO

The myosin essential light chain (ELC) is a structure component of the actomyosin cross-bridge, however, the functions in the central nervous system (CNS) development and regeneration remain poorly understood. Planarian Dugesia japonica has revealed fundamental mechanisms and unique aspects of neuroscience and neuroregeneration. In this study, the cDNA DjElc, encoding a planarian essential light chain of myosin, was identified from the planarian Dugesia japonica cDNA library. It encodes a deduced protein with highly conserved functionally domains EF-Hand and Ca(2+) binding sites that shares significant similarity with other members of ELC. Whole mount in situ hybridization studies show that DjElc expressed in CNS during embryonic development and regeneration of adult planarians. Loss of function of DjElc by RNA interference during planarian regeneration inhibits brain lateral branches regeneration completely. In conclusion, these results demonstrated that DjElc is required for maintenance of neurons and neurite outgrowth, particularly for involving the brain later branch regeneration.


Assuntos
Encéfalo/metabolismo , Proteínas de Helminto/genética , Cadeias Leves de Miosina/genética , Planárias/genética , Regeneração/genética , Animais , Encéfalo/embriologia , Encéfalo/fisiologia , Perfilação da Expressão Gênica , Regulação da Expressão Gênica no Desenvolvimento , Biblioteca Gênica , Hibridização In Situ , Microscopia Confocal , Dados de Sequência Molecular , Cadeias Leves de Miosina/classificação , Neuritos/metabolismo , Neuritos/fisiologia , Neurônios/metabolismo , Neurônios/fisiologia , Filogenia , Planárias/embriologia , Planárias/fisiologia , Interferência de RNA , Reação em Cadeia da Polimerase Via Transcriptase Reversa
18.
Acta Pharmacol Sin ; 36(8): 908-16, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26027656

RESUMO

Highly active antiretroviral therapy (HAART) can effectively suppress the replication of human immunodeficiency virus-1 (HIV-1) and block disease progression. However, chronic HIV-1 infection remains incurable due to the persistence of a viral reservoir, including the transcriptionally silent provirus in CD4(+) memory T cells and the sanctuary sites that are inaccessible to drugs. Reactivation and the subsequent elimination of latent virus through virus-specific cytotoxic effects or host immune responses are critical strategies for combating the disease. Indeed, a number of latency reactivating reagents have been identified through mechanism-directed approaches and large-scale screening, including: (1) histone deacetylase inhibitors (HDACi); (2) cytokines and chemokines; (3) DNA methyltransferase inhibitors (DNMTI); (4) histone methyltransferase inhibitors (HMTI); (5) protein kinase C (PKC) activators; (6) P-TEFb activators; and (7) unclassified agents, such as disulfram. They have proved to be efficacious in latent cell line models and CD4(+) T lymphocytes from HIV-1-infected patients. This review comprehensively summarizes the recent progress and relative challenges in this field.


Assuntos
Fármacos Anti-HIV/uso terapêutico , Infecções por HIV/tratamento farmacológico , Infecções por HIV/virologia , HIV-1/efeitos dos fármacos , HIV-1/fisiologia , Latência Viral/efeitos dos fármacos , Animais , Fármacos Anti-HIV/farmacologia , Linfócitos T CD4-Positivos/virologia , Citocinas/farmacologia , Citocinas/uso terapêutico , Metilases de Modificação do DNA/antagonistas & inibidores , Inibidores de Histona Desacetilases/farmacologia , Inibidores de Histona Desacetilases/uso terapêutico , Histona Metiltransferases , Histona-Lisina N-Metiltransferase/antagonistas & inibidores , Humanos
19.
Acta Pharmacol Sin ; 35(1): 33-40, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24141567

RESUMO

AIM: To investigate the roles of cysteinyl leukotriene receptors CysLT1R and CysLT2R in leukotriene D4 (LTD4)-induced activation of microglial cells in vitro. METHODS: Mouse microglial cell line BV2 was transfected with pcDNA3.1(+)-hCysLT1R or pcDNA3.1(+)-hCysLT2R. The expression of relevant mRNAs and proteins in the cells was detected using RT-PCR and Western blotting, respectively. Phagocytosis was determined with flow cytometry analysis. The release of interleukin-1ß (IL-1ß) from the cells was measured using an ELISA assay. RESULTS: The expression of CysLT1R or CysLT2R was considerably increased in the transfected BV2 cells, and the receptors were mainly distributed in the plasma membrane and cytosol. Treatment of the cells expressing CysLT1R or CysLT2R with CysLT receptor agonist LTD4 (0.1-100 nmol/L) concentration-dependently enhanced the phagocytosis, and increased mRNA expression and release of IL-1ß. Moreover, the responses of hCysLT1R-BV2 cells to LTD4 were significantly larger than those of hCysLT2R-BV2 or WT-BV2 cells. Pretreatment of hCysLT1R-BV2 cells with the selective CysLT1R antagonist montelukast (1 µmol/L) significantly blocked LTD4-induced phagocytosis as well as the mRNA expression and release of IL-1ß, whereas the selective CysLT2R antagonist HAMI 3379 (1 µmol/L) had no such effects. CONCLUSION: CysLT1R mediates LTD4-induced activation of BV2 cells, suggesting that CysLT1R antagonists may exert anti-inflammatory activity in brain diseases.


Assuntos
Leucotrieno D4/farmacologia , Microglia/efeitos dos fármacos , Microglia/metabolismo , Receptores de Leucotrienos/agonistas , Receptores de Leucotrienos/fisiologia , Animais , Linhagem Celular , Relação Dose-Resposta a Droga , Humanos , Camundongos
20.
Zhejiang Da Xue Xue Bao Yi Xue Ban ; 43(3): 265-72, 2014 05.
Artigo em Zh | MEDLINE | ID: mdl-24998648

RESUMO

OBJECTIVE: To investigate the protective effect of histone deacetylase inhibitor NL101 on L-homocysteine (HCA)-induced toxicity in rat neurons, and the toxic effect on normal rat neurons. METHODS: In the presence of NL101 at various concentrations, HCA (5 mmol/L)-induced changes in cell density, necrosis, and viability were determined in the mixed cultures of rat cortical cells and the primary cultures of rat neurons. The direct effect of NL101 on primary neurons was also observed in the absence of HCA. Histone deacetylase inhibitor suberoylanilide hydroxamic acid (SAHA) was used as the control. After the treatments, cell viability, the density, and morphology of neurons and glial cells, and cell necrosis were determined. RESULTS: In the mixed cultures of cortical cells, NL101 had no effect on HCA (5 mmol/L)-induced cell number reduction at 0.001-10µmol/L; however, it significantly attenuated necrosis at 1-10 µmol/L, and increased neuronal number at 1 µmol/L. NL101 had no effect on the mixed cortical cells in the absence of HCA. In the primary neurons, NL101 reduced neuronal viability and mildly increased necrosis at 1-10 µmol/L in the absence of HCA, while it significantly attenuated HCA-induced neuronal viability reduction at 0.01-10 µmol/L and reduced neuronal necrosis at 1-10 µmol/L. The effects of NL101 were apparently similar to those of SAHA. CONCLUSION: NL101 has protective effect on HCA-induced neuronal injury but it is neurotoxic at high concentrations, which is similar to the typical histone deacetylase inhibitor SAHA.


Assuntos
Inibidores de Histona Desacetilases/farmacologia , Neurônios/efeitos dos fármacos , Animais , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Ratos
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