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1.
Molecules ; 25(9)2020 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-32354035

RESUMO

The reactions of 2,4-bis(4-methoxyphenyl)-1,3-dithio-2,4-diphosphetane-2,4-disulfide (Lawesson's Reagent, LR) with benzylamine (BzNH2) and 4-phenylbutylamine (PhBuNH2) yield benzylammonium P-(4-methoxyphenyl)-N-benzyl-amidodithiophosphonate (BzNH3)(BzNH-adtp) and 4-phenylbutylammonium P-(4-methoxyphenyl)-N-(4-phenylbutyl)-amidodithiophosphonate (PhBuNH3)(PhBuNH-adtp). The relevant nickel complexes [Ni(BzNH-adtp)2] and [Ni(PhBuNH-adtp)2] and the corresponding hydrolysed derivatives (BzNH3)2[Ni(dtp)2] and (PhBuNH3)2[Ni(dtp)2] were prepared and fully characterized. The antimicrobial activity of the aforementioned amidodithiophosphonates against a set of Gram-positive and Gram-negative pathogen bacteria was evaluated, and [Ni(BzNH-adtp)2] and [Ni(PhBuNH-adtp)2] showed antiproliferative activity towards Staphylococcus aureus and Staphylococcus haemolyticus strains. density functional theory (DFT) calculations were performed to shed some light on the activity of reported compounds related to their tendency towards P-N bond cleavage.


Assuntos
Antibacterianos/síntese química , Antibacterianos/farmacologia , Química Farmacêutica/métodos , Testes de Sensibilidade Microbiana , Níquel/química , Biofilmes/efeitos dos fármacos , Candida/efeitos dos fármacos , Complexos de Coordenação/química , Desenho de Fármacos , Escherichia/efeitos dos fármacos , Hidrólise , Ligantes , Modelos Moleculares , Nitrogênio/química , Fósforo/química , Pseudomonas/efeitos dos fármacos , Teoria Quântica , Espectroscopia de Infravermelho com Transformada de Fourier , Staphylococcus aureus/efeitos dos fármacos , Staphylococcus haemolyticus/efeitos dos fármacos , Difração de Raios X
2.
mBio ; 8(3)2017 05 09.
Artigo em Inglês | MEDLINE | ID: mdl-28487432

RESUMO

Antibiotic resistance is a prevalent problem in public health worldwide. In general, the carbapenem ß-lactam antibiotics are considered a final resort against lethal infections by multidrug-resistant bacteria. Colistin is a cationic polypeptide antibiotic and acts as the last line of defense for treatment of carbapenem-resistant bacteria. Very recently, a new plasmid-borne colistin resistance gene, mcr-2, was revealed soon after the discovery of the paradigm gene mcr-1, which has disseminated globally. However, the molecular mechanisms for MCR-2 colistin resistance are poorly understood. Here we show a unique transposon unit that facilitates the acquisition and transfer of mcr-2 Evolutionary analyses suggested that both MCR-2 and MCR-1 might be traced to their cousin phosphoethanolamine (PEA) lipid A transferase from a known polymyxin producer, Paenibacillus Transcriptional analyses showed that the level of mcr-2 transcripts is relatively higher than that of mcr-1 Genetic deletions revealed that the transmembrane regions (TM1 and TM2) of both MCR-1 and MCR-2 are critical for their location and function in bacterial periplasm, and domain swapping indicated that the TM2 is more efficient than TM1. Matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) confirmed that all four MCR proteins (MCR-1, MCR-2, and two chimeric versions [TM1-MCR-2 and TM2-MCR-1]) can catalyze chemical modification of lipid A moiety anchored on lipopolysaccharide (LPS) with the addition of phosphoethanolamine to the phosphate group at the 4' position of the sugar. Structure-guided site-directed mutagenesis defined an essential 6-residue-requiring zinc-binding/catalytic motif for MCR-2 colistin resistance. The results further our mechanistic understanding of transferable colistin resistance, providing clues to improve clinical therapeutics targeting severe infections by MCR-2-containing pathogens.IMPORTANCE Carbapenem and colistin are the last line of refuge in fighting multidrug-resistant Gram-negative pathogens. MCR-2 is a newly emerging variant of the mobilized colistin resistance protein MCR-1, posing a potential challenge to public health. Here we report transfer of the mcr-2 gene by a unique transposal event and its possible origin. Distribution of MCR-2 in bacterial periplasm is proposed to be a prerequisite for its role in the context of biochemistry and the colistin resistance. We also define the genetic requirement of a zinc-binding/catalytic motif for MCR-2 colistin resistance. This represents a glimpse of transferable colistin resistance by MCR-2.


Assuntos
Antibacterianos/farmacologia , Colistina/farmacologia , Farmacorresistência Bacteriana/genética , Proteínas de Escherichia coli/genética , Escherichia/efeitos dos fármacos , Colistina/química , Cristalografia por Raios X , Proteínas de Escherichia coli/química , Proteínas de Escherichia coli/metabolismo , Mutagênese Sítio-Dirigida , Paenibacillus/metabolismo , Plasmídeos , Polimixinas/biossíntese , Polimixinas/química , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz
3.
J Colloid Interface Sci ; 490: 488-496, 2017 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-27918986

RESUMO

In this work, chitosan (CS) functionalized polyaniline-polypyrrole (Pani-Ppy) copolymer (CS/Pani-Ppy) was synthesized applying a facile one pot method for the enhanced adsorption of Zn(II) and antimicrobial activity for E. coli and E. agglomerans. The synthesized materials were characterized using scanning electron microscopy, energy dispersive X-ray spectroscopy, Fourier transform inferred spectroscopy and X-ray photoelectron spectroscopy. The adsorption of the Zn(II) on the synthesized materials was highly dependent on the pH of the solution, the initial metal ion concentration, and temperature. The adsorption of Zn(II) on the studied materials was as follows: CS/Pani-Ppy>Pani-Ppy>Ppy>Pani>CS. The results reveal that adsorption of Zn(II) follows the Langmuir adsorption isotherm, and that chemisorption occurs through pendant and bridging interactions, with active adsorbent sites. Thermodynamic results show the adsorption is spontaneous and exothermic in nature. The synthesized materials show excellent antimicrobial activity against E. coli and E. agglomerans bacterial organisms, and an approximately 100% decline in the viability of both strains was observed with CS/Pani-Ppy and Pani-Ppy. The order of antimicrobial activity for the synthesized materials was as follows: CS/Ppy-Pani>Ppy-Pani>Ppy>Pani>CS. The results show that the greater activity of CS/Ppy-Pani resulted from the electrostatic interaction between positively charged amine groups and negatively charged bacteria.


Assuntos
Compostos de Anilina/química , Antibacterianos/química , Materiais Biocompatíveis/química , Quitosana/análogos & derivados , Polímeros/química , Pirróis/química , Zinco/isolamento & purificação , Adsorção , Compostos de Anilina/farmacologia , Antibacterianos/farmacologia , Materiais Biocompatíveis/farmacologia , Cátions Bivalentes/isolamento & purificação , Quitosana/farmacologia , Infecções por Enterobacteriaceae/prevenção & controle , Escherichia/efeitos dos fármacos , Escherichia/isolamento & purificação , Humanos , Polímeros/farmacologia , Pirróis/farmacologia
4.
Biomed Res Int ; 2016: 9462571, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27051672

RESUMO

Nonalcoholic fatty liver disease (NAFLD) is the most prevalent chronic liver disease in developed countries. Recent studies indicated that the modification of gut microbiota plays an important role in the progression from simple steatosis to steatohepatitis. Epidemiological studies have demonstrated consumption of fish oil or perilla oil rich in n-3 polyunsaturated fatty acids (PUFAs) protects against NAFLD. However, the underlying mechanisms remain unclear. In the present study, we adopted 16s rRNA amplicon sequencing technique to investigate the impacts of fish oil and perilla oil on gut microbiomes modification in rats with high-fat diet- (HFD-) induced NAFLD. Both fish oil and perilla oil ameliorated HFD-induced hepatic steatosis and inflammation. In comparison with the low-fat control diet, HFD feeding significantly reduced the relative abundance of Gram-positive bacteria in the gut, which was slightly reversed by either fish oil or perilla oil. Additionally, fish oil and perilla oil consumption abrogated the elevated abundance of Prevotella and Escherichia in the gut from HFD fed animals. Interestingly, the relative abundance of antiobese Akkermansia was remarkably increased only in animals fed fish oil compared with HFD group. In conclusion, compared with fish oil, perilla oil has similar but slightly weaker potency against HFD-induced NAFLD and gut dysbiosis.


Assuntos
Dieta Hiperlipídica/efeitos adversos , Óleos de Peixe/administração & dosagem , Hepatopatia Gordurosa não Alcoólica/tratamento farmacológico , Ácido alfa-Linolênico/administração & dosagem , Animais , Disbiose/tratamento farmacológico , Disbiose/microbiologia , Escherichia/efeitos dos fármacos , Escherichia/patogenicidade , Ácidos Graxos Ômega-3 , Feminino , Bactérias Gram-Positivas/efeitos dos fármacos , Bactérias Gram-Positivas/patogenicidade , Sequenciamento de Nucleotídeos em Larga Escala , Fígado/efeitos dos fármacos , Fígado/microbiologia , Fígado/patologia , Masculino , Hepatopatia Gordurosa não Alcoólica/patologia , Óleos de Plantas/administração & dosagem , Prevotella/efeitos dos fármacos , Prevotella/isolamento & purificação , Prevotella/patogenicidade , RNA Ribossômico 16S/genética , Ratos
5.
Medicine (Baltimore) ; 95(15): e3342, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27082589

RESUMO

Many studies have found that probiotics or synbiotics can be used in patients with diarrhea or inflammatory bowel disease for the prevention and treatment of some pathologies by improving gastrointestinal barrier function. However, there are few studies availing the use of probiotics in patients with colorectal cancer. To lay the foundation for the study of nutritional support in colorectal cancer patients, a meta-analysis has been carried out to assess the efficacy of probiotics on the intestinal mucosa barrier in patients with colorectal cancer after operation. To estimate the efficacy of probiotics on the intestinal mucosa barrier in patients with colorectal cancer after operation, a meta-analysis of randomized controlled trials has been conducted. Databases including PubMed, Ovid, Embase, the Cochrane Central Register of Controlled Trials, and the China National Knowledge Infrastructure have been searched to identify suitable studies. Stata 12.0 was used for statistical analysis, and sensitivity analysis was also conducted. Six indicators were chosen to evaluate probiotics in protecting the intestinal mucosa barrier in patients with colorectal cancer. Ratios of lactulose to mannitol (L/M) and Bifidobacterium to Escherichia (B/E), occludin, bacterial translocation, and levels of secretory immunoglobulin A (SIgA), interleukin-6 (IL-6), and C-reactive protein (CRP) were chosen to evaluate probiotics in protecting the intestinal mucosa barrier in patients with colorectal cancer. Seventeen studies including 1242 patients were selected for meta-analysis, including 5 English studies and 12 Chinese studies. Significant effects were found in ratios of L/M (standardized mean difference = 3.83, P = 0.001) and B/E (standardized mean difference = 3.91, P = 0.000), occludin (standardized mean difference = 4.74, P = 0.000), bacterial translocation (standardized mean difference = 3.12, P = 0.002), and levels of SIgA (standardized mean difference = 2.91, P = 0.004) and CRP (standardized mean difference = 4.21, P = 0.000), but no significant effects were found for levels of IL-6 (standardized mean difference = 1.33, P = 0.184). Probiotics can effectively protect the intestinal mucosa physical and biological barrier in patients with colorectal cancer after operation. However, to evaluate the protective effect on intestinal mucosal barrier, further studies on the type and concentration of the probiotics, duration of therapy, and the therapeutic route are required.


Assuntos
Neoplasias Colorretais/tratamento farmacológico , Neoplasias Colorretais/cirurgia , Mucosa Intestinal/metabolismo , Probióticos/farmacologia , Probióticos/uso terapêutico , Translocação Bacteriana/efeitos dos fármacos , Bifidobacterium/efeitos dos fármacos , Proteína C-Reativa/análise , Escherichia/efeitos dos fármacos , Humanos , Imunoglobulina A Secretora/sangue , Interleucina-6/sangue , Mucosa Intestinal/microbiologia , Lactulose/metabolismo , Manitol/metabolismo , Ocludina/metabolismo , Ensaios Clínicos Controlados Aleatórios como Assunto
6.
Mucosal Immunol ; 8(3): 661-71, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25354318

RESUMO

Defensins protect human barriers from commensal and pathogenic microorganisms. Human α-defensin 6 (HD-6) is produced exclusively by small intestinal Paneth cells but, in contrast to other antimicrobial peptides (AMPs) for HD-6, no direct antibacterial killing activity has been detected so far. Herein, we systematically tested how environmental factors, like pH and reducing conditions, affect antimicrobial activity of different defensins against anaerobic bacteria of the human intestinal microbiota. Remarkably, by mimicking the intestinal milieu we detected for the first time antibacterial activity of HD-6. Activity was observed against anaerobic gut commensals but not against some pathogenic strains. Antibiotic activity was attributable to the reduced peptide and independent of free cysteines or a conserved histidine residue. Furthermore, the oxidoreductase thioredoxin, which is also expressed in Paneth cells, is able to reduce a truncated physiological variant of HD-6. Ultrastructural analyses revealed that reduced HD-6 causes disintegration of cytoplasmic structures and alterations in the bacterial cell envelope, while maintaining extracellular net-like structures. We conclude that HD-6 is an antimicrobial peptide. Our data suggest two distinct antimicrobial mechanisms by one peptide: HD-6 kills specific microbes depending on the local environmental conditions, whereas known microbial trapping by extracellular net structures is independent of the reducing milieu.


Assuntos
Antibacterianos/farmacologia , alfa-Defensinas/farmacologia , Antibacterianos/síntese química , Bacteroides/efeitos dos fármacos , Bacteroides/crescimento & desenvolvimento , Bacteroides/ultraestrutura , Bifidobacterium/efeitos dos fármacos , Bifidobacterium/crescimento & desenvolvimento , Bifidobacterium/ultraestrutura , Candida albicans/efeitos dos fármacos , Candida albicans/crescimento & desenvolvimento , Candida albicans/ultraestrutura , Escherichia/efeitos dos fármacos , Escherichia/crescimento & desenvolvimento , Escherichia/ultraestrutura , Humanos , Concentração de Íons de Hidrogênio , Lactobacillus acidophilus/efeitos dos fármacos , Lactobacillus acidophilus/crescimento & desenvolvimento , Lactobacillus acidophilus/ultraestrutura , Testes de Sensibilidade Microbiana , Oxirredução , Celulas de Paneth/imunologia , Celulas de Paneth/metabolismo , Pseudomonas aeruginosa/efeitos dos fármacos , Pseudomonas aeruginosa/crescimento & desenvolvimento , Pseudomonas aeruginosa/ultraestrutura , Salmonella enterica/efeitos dos fármacos , Salmonella enterica/crescimento & desenvolvimento , Salmonella enterica/ultraestrutura , Staphylococcus/efeitos dos fármacos , Staphylococcus/crescimento & desenvolvimento , Staphylococcus/ultraestrutura , Streptococcus/efeitos dos fármacos , Streptococcus/crescimento & desenvolvimento , Streptococcus/ultraestrutura , alfa-Defensinas/síntese química
7.
Braz. j. microbiol ; 45(4): 1199-1209, Oct.-Dec. 2014. ilus, graf, tab
Artigo em Inglês | LILACS | ID: lil-741269

RESUMO

Emergence and distribution of multi-drug resistant (MDR) bacteria in environments pose a risk to human and animal health. A total of 82 isolates of Escherichia spp. were recovered from cloacal swabs of migrating and non-migrating wild birds. All bacterial isolates were identified and characterized morphologically and biochemically. 72% and 50% of isolates recovered from non-migrating and migrating birds, respectively, showed positive congo red dye binding (a virulence factor). Also, hemolysin production (a virulence factor) was showed in 8% of isolates recovered from non-migrating birds and 75% of isolates recovered from migrating birds. All isolates recovered from non-migrating birds were found resistant to Oxacillin while all isolates recovered from migrating birds demonstrated resistance to Oxacillin, Chloramphenicol, Oxytetracycline and Lincomycin. Some bacterial isolates recovered from non-migrating birds and migrating birds exhibited MDR phenotype. The MDR isolates were further characterized by API 20E and 16S rRNA as E. coli and E. vulneris. MDR Escherichia isolates contain ~1-5 plasmids of high-molecular weights. Accordingly, wild birds could create a potential threat to human and animal health by transmitting MDR bacteria to water streams and other environmental sources through their faecal residues, and to remote regions by migration.


Assuntos
Animais , Antibacterianos/farmacologia , Portador Sadio/veterinária , Farmacorresistência Bacteriana Múltipla , Infecções por Enterobacteriaceae/veterinária , Escherichia/efeitos dos fármacos , Escherichia/isolamento & purificação , Técnicas de Tipagem Bacteriana , Aves , Análise por Conglomerados , Portador Sadio/microbiologia , Cloaca/microbiologia , DNA Bacteriano/química , DNA Bacteriano/genética , DNA Ribossômico/química , DNA Ribossômico/genética , Infecções por Enterobacteriaceae/microbiologia , Escherichia/classificação , Dados de Sequência Molecular , Filogenia , /genética , Análise de Sequência de DNA , Fatores de Virulência/análise
8.
Molecules ; 19(10): 16349-72, 2014 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-25314599

RESUMO

Curcuminoids have been reported to possess multiple bioactivities, such as antioxidant, anticancer and anti-inflammatory properties. Three novel series of curcuminoid derivatives (11a-h, 15a-h and 19a-d) with enhanced bioactivity have been synthesized. Among the synthesized compounds, 11b exhibited the most significant activity with an MIC of 0.5 µM /mL against selected medically important Gram-positive cocci (S. aureus and S. viridans) and Gram-negative bacilli (E. coli and E. cloacae). The derivatives exhibited remarkable results in an antioxidant test with an IC50 2.4- to 9.3-folder smaller than curcuminoids. With respect to antiproliferative activity against Hep-G2, LX-2, SMMC7221 and MDA-MB-231, the derivatives exhibited an effect stronger than curcuminoids with an IC50 ranging from 0.18 to 4.25 µM.


Assuntos
Antibacterianos/síntese química , Antineoplásicos/síntese química , Antioxidantes/síntese química , Curcumina/análogos & derivados , Antibacterianos/farmacologia , Antineoplásicos/farmacologia , Antioxidantes/farmacologia , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Escherichia/classificação , Escherichia/efeitos dos fármacos , Células Hep G2 , Humanos , Staphylococcus/classificação , Staphylococcus/efeitos dos fármacos
9.
Microb Drug Resist ; 18(2): 137-48, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22103288

RESUMO

AIM: The aim of this work was to investigate the antimicrobial activity of thyme essential oil against clinical multidrug resistant strains of Staphylococcus, Enterococcus, Escherichia, and Pseudomonas genus. MATERIALS: The antibacterial activity of oil was tested against standard strains of bacteria and 120 clinical strains isolated from patients with infections of the oral cavity, abdominal cavity, respiratory and genitourinary tracts, skin, and from the hospital environment. METHODS: Agar diffusion was used to determine the microbial growth inhibition of bacterial growth at various concentrations of oil from Thymus vulgaris. Susceptibility testing to antibiotics was carried out using disk diffusion. RESULTS: Thyme essential oil strongly inhibited the growth of the clinical strains of bacteria tested. CONCLUSIONS: The use of phytopharmaceuticals based on an investigated essential oil from thyme in the prevention and treatment of various human infections may be reasonable.


Assuntos
Antibacterianos/farmacologia , Bactérias/efeitos dos fármacos , Farmacorresistência Bacteriana Múltipla/efeitos dos fármacos , Óleos Voláteis/farmacologia , Óleos de Plantas/farmacologia , Thymus (Planta)/química , Bactérias/classificação , Bactérias/isolamento & purificação , Infecções Bacterianas/microbiologia , Enterococcus/efeitos dos fármacos , Enterococcus/isolamento & purificação , Escherichia/efeitos dos fármacos , Escherichia/isolamento & purificação , Humanos , Testes de Sensibilidade Microbiana , Pseudomonas/efeitos dos fármacos , Pseudomonas/isolamento & purificação , Staphylococcus/efeitos dos fármacos , Staphylococcus/isolamento & purificação
10.
J Antimicrob Chemother ; 66(11): 2448-54, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21816767

RESUMO

OBJECTIVES: The cystic fibrosis (CF) airway is now considered the site of a complex microbiota, where cross-talking between microbes and lateral gene transfer are believed to contribute to the adaptation of bacteria to this specific environment and to the emergence of multidrug-resistant bacteria. The objective of this study was to retrieve and analyse specific sequences associated with antimicrobial resistance from the CF viromes database. METHODS: Specific sequences from CF metagenomic studies related to the 'antibiotic and toxic compound resistance' dataset were retrieved from the MG-RAST web site, assembled and functionally annotated for identification of the genes. Phylogenetic trees were constructed using a minimum parsimony starting tree topology search strategy. RESULTS: Overall, we found 1031 short sequences in the CF virome putatively encoding resistance to antimicrobials versus only 3 reads in the non-CF virome dataset (P = 0.001). Among them, we could confidently identify 66 efflux pump genes, 15 fluoroquinolone resistance genes and 9 ß-lactamase genes. Evolutionary relatedness determined using phylogenetic information demonstrates the different origins of these genes among the CF microbiota. Interestingly, among annotated sequences within CF viromes, we also found matching 16S rDNA sequences from Escherichia, Cyanobacteria and Bacteroidetes. CONCLUSIONS: Our results suggest that phages in the CF sputum microbiota represent a reservoir of mobilizable genes associated with antimicrobial resistance that may spread in this specific niche. This phenomenon could explain the fantastic adaptation of CF strains to their niche and may represent a new potential therapeutic target to prevent the emergence of multidrug-resistant bacteria, which are responsible for most of the deaths in CF.


Assuntos
Bacteriófagos/genética , Fibrose Cística/microbiologia , Fibrose Cística/virologia , Farmacorresistência Bacteriana Múltipla/genética , Antibacterianos/farmacologia , Bacteroidetes/efeitos dos fármacos , Bacteroidetes/genética , Cianobactérias/efeitos dos fármacos , Cianobactérias/genética , DNA Ribossômico/isolamento & purificação , Escherichia/efeitos dos fármacos , Escherichia/genética , Fluoroquinolonas/farmacologia , Transferência Genética Horizontal , Metagenoma , Filogenia , RNA Ribossômico 16S/isolamento & purificação , Escarro/microbiologia , Escarro/virologia , beta-Lactamases/farmacologia
11.
J Clin Microbiol ; 48(6): 2301-2, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20410344

RESUMO

Extended-spectrum-beta-lactamase (ESBL)-producing organisms have captured the attention of clinicians and laboratorians and are agents of nosocomial and community onset infections (J. D. Pitout and K. B. Laupland, Lancet Infect. Dis. 8:159-166, 2008). ESBLs in many enterobacteriaceae and in nonfermenting Gram-negative organisms have been described (K. Bush and G. A. Jacoby, Antimicrob. Agents Chemother. 54:969-976, 2010). We present the first case of a clinical isolate of multidrug-resistant Escherichia fergusonii expressing an extended-spectrum-beta-lactamase (ESBL).


Assuntos
Cistite/microbiologia , Farmacorresistência Bacteriana Múltipla , Infecções por Enterobacteriaceae/diagnóstico , Escherichia/classificação , Escherichia/enzimologia , beta-Lactamases/biossíntese , Idoso , Antibacterianos/farmacologia , Infecções por Enterobacteriaceae/microbiologia , Escherichia/efeitos dos fármacos , Escherichia/isolamento & purificação , Feminino , Humanos , Testes de Sensibilidade Microbiana
12.
Zhonghua Yu Fang Yi Xue Za Zhi ; 42(2): 123-6, 2008 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-18642667

RESUMO

OBJECTIVE: To observe and investigate the risk factors and pathogen diversification of nosocomial lower respiratory infections in patients with hematological malignancy after chemotherapy. METHODS: Respiratory tract microbial population of fifty patients with different kinds of hematological malignancy and para-prepared to chemotherapy was quantitatively analyzed before and after chemotherapy at an arranged time from April, 2004 to December, 2005. Susceptibility test was determined for bacterium of nosocomial infection, and the homology of the same species of the bacteria was analyzed by a pulsed field gel electrophoresis (PFGE). RESULTS: Incidence rate of lower respiratory infections in patients with the hematological malignant after chemotherapy was 16%. The major nosocomial infectious pathogens were Acinetobacter spp; Escherichia coil and Fungus. Among them, Acinetobacter spp, were highly resistant to cephalosporins, quinolones, aminoglycosides, carbapenems and antibiotic with enzyme inhibitor, respectively but susceptible to Cefoperazone/Sulbactam belonging to antibiotic with enzyme inhibitor. And it was shown that there were two clones by the pulsed field gel electrophoresis (PFGE). CONCLUSION: Following-up of nosocomial lower respiratory infection in patients with hematological malignancy after chemotherapy might offer theoretical evidence for the rational use of antibiotics and the control of nosocomial infections.


Assuntos
Infecção Hospitalar/epidemiologia , Neoplasias Hematológicas/tratamento farmacológico , Infecções Oportunistas/epidemiologia , Infecções Respiratórias/epidemiologia , Acinetobacter baumannii/efeitos dos fármacos , Acinetobacter baumannii/isolamento & purificação , Adulto , Idoso , Antineoplásicos/uso terapêutico , Escherichia/efeitos dos fármacos , Escherichia/isolamento & purificação , Feminino , Seguimentos , Neoplasias Hematológicas/imunologia , Humanos , Contagem de Leucócitos , Masculino , Pessoa de Meia-Idade
13.
J Clin Microbiol ; 46(4): 1551-2, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18256229

RESUMO

We report a case in which Escherichia fergusonii, an emerging pathogen in various types of infections, was associated with cystitis in a 52-year-old woman. The offending strain was found to be multidrug resistant. Despite in vitro activity, beta-lactam treatment failed because of a lack of patient compliance with therapy. The work confirms the pathogenic potential of E. fergusonii.


Assuntos
Cistite/microbiologia , Farmacorresistência Bacteriana Múltipla , Infecções por Enterobacteriaceae/microbiologia , Escherichia/efeitos dos fármacos , Doença Aguda , Antibacterianos/farmacologia , Antibacterianos/uso terapêutico , Escherichia/classificação , Escherichia/isolamento & purificação , Feminino , Humanos , Testes de Sensibilidade Microbiana , Pessoa de Meia-Idade , Urina/microbiologia , beta-Lactamas/farmacologia , beta-Lactamas/uso terapêutico
14.
Antimicrob Agents Chemother ; 44(7): 1803-8, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10858334

RESUMO

Although the microflora associated with oral mucositis initiated by cytotoxic therapy is not well characterized, several studies suggest that reduction of the microbial load in the oral cavity has some clinical benefit. The MICs of IB-367, a synthetic protegrin analog, ranged from 0.13 to 64 microgram/ml for gram-positive bacteria (Streptococcus mitis, Streptococcus sanguis, Streptococcus salivarius, and Staphylococcus aureus) and from 0.06 to 8 microgram/ml for gram-negative species (Klebsiella, Escherichia, and Pseudomonas). IB-367 exhibited rapid, microbicidal activity against both log- and stationary-phase cultures of methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas aeruginosa. At concentrations near the MICs for these two organisms (4 and 2 microgram/ml, respectively), IB-367 reduced viability by more than 3 logs in less than 16 min. Similarly, IB-367 effected a 4-log reduction of the endogenous microflora in pooled human saliva within 2 min at 250 microgram/ml, a concentration readily attained by local delivery. After nine serial transfers at 0.5x the MIC, the MIC of IB-367 for MRSA and P. aeruginosa increased only two to four times. In a phase I clinical study with healthy volunteers, IB-367 was well tolerated, with no detectable systemic absorption. One hour after treatment with 9 mg of IB-367, the prevalence of gram-negative bacteria and yeast was reduced, and the density of the predominant gram-positive oral flora was decreased 1,000 times. IB-367's properties (speed of killing, breadth of spectrum, and lack of resistance) make the compound a strong candidate for the prophylaxis of oral mucositis. Phase II clinical trials with IB-367 are under way for this indication in immunocompromised subjects.


Assuntos
Antibacterianos/farmacologia , Doenças da Boca/microbiologia , Proteínas/farmacologia , Streptococcus/efeitos dos fármacos , Antibacterianos/uso terapêutico , Peptídeos Catiônicos Antimicrobianos , Resistência Microbiana a Medicamentos/fisiologia , Escherichia/efeitos dos fármacos , Escherichia/fisiologia , Humanos , Klebsiella/efeitos dos fármacos , Klebsiella/fisiologia , Testes de Sensibilidade Microbiana , Doenças da Boca/tratamento farmacológico , Mucosa Bucal/efeitos dos fármacos , Mucosa Bucal/microbiologia , Mucosa Bucal/patologia , Peptídeos/farmacologia , Proteínas/uso terapêutico , Saliva/microbiologia , Streptococcus/fisiologia
15.
J Clin Microbiol ; 31(8): 2201-3, 1993 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8370751

RESUMO

Escherichia fergusonii was isolated from a 69-year-old male with pancreatic carcinoma and cholangiosepsis from gallbladder fluid, three blood cultures, feces, and a superficial wound of the abdomen. Biochemical reactions, antimicrobial susceptibility patterns, susceptibility to polyvalent phage 0-1, and rRNA gene restriction analysis suggested that the four strains were of clonal origin. Our data indicate that E. fergusonii possesses a pathogenic potential in humans.


Assuntos
Colangite/microbiologia , Infecções por Enterobacteriaceae/microbiologia , Escherichia/isolamento & purificação , Vesícula Biliar/microbiologia , Neoplasias Pancreáticas/microbiologia , Idoso , Colangite/complicações , Infecções por Enterobacteriaceae/complicações , Escherichia/classificação , Escherichia/efeitos dos fármacos , Humanos , Masculino , Neoplasias Pancreáticas/complicações
16.
J Clin Microbiol ; 22(2): 283-5, 1985 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-3897270

RESUMO

In this report we present clinical descriptions of 12 Hawaiian patients from whom Escherichia vulneris or E. hermannii strains were isolated. All but two patients had soft-tissue infections with multiple bacteria, particularly Staphylococcus aureus. The other two had purulent conjunctivitis associated with S. aureus and infected malignant peritonitis with multiple organisms, respectively. In none of the cases were the Escherichia spp. found in abundant quantities or considered pathogenic. In preliminary animal pathogenicity studies, 12 strains each of E. vulneris and E. hermannii failed to cause serious symptoms in 4-week-old mice when 10(7) cells were injected intraperitoneally. When 10(6) cells were used, none of these bacterial strains injected into mouse soft tissue was capable of producing persistent wound infections. Susceptibility studies of 40 strains of these bacteria to 20 different antimicrobial agents showed that they were susceptible to third-generation cephalosporins as well as to most other cephalosporins, aminoglycosides, trimethoprim, and sulfamethoxazole-trimethoprim; these strains were only marginally susceptible or resistant to penicillin, tetracycline, chloramphenicol, and nitrofurantoin.


Assuntos
Infecções por Escherichia coli/microbiologia , Escherichia/isolamento & purificação , Infecção dos Ferimentos/microbiologia , Adulto , Animais , Escherichia/efeitos dos fármacos , Escherichia/patogenicidade , Feminino , Havaí , Humanos , Lactente , Masculino , Camundongos , Camundongos Endogâmicos ICR , Testes de Sensibilidade Microbiana , Especificidade da Espécie
17.
Antibiotiki ; 22(3): 219-22, 1977 Mar.
Artigo em Russo | MEDLINE | ID: mdl-403854

RESUMO

Sensitivity of the microflora of the oncological patients' wounds to the new antibiotics, such as gentamicin, kanamycin, oxacillin, ampicillin and lincomycin was studied with the help of the disc method. The discs with the above antibiotics were prepared under laboratory conditions in accordance with the respective instructions in the WHO. Sensitivity of 429 bacterial cultures, including 98 cultures of pathogenic staphylocci, 45 cultures of Enterococci, 43 hemolytic streptococci, 143 cultures of Escherichia, 50 cultures of Ps. aeruginosa and 50 cultures of Proteus was determined. The studies showed that gentamicin was the most active antibiotic aganist all the microbial species isolated from the surgical and other wounds of oncological patients. It may be used in treatment of the infections caused by association of the microbes belonging to different species, as well as in treatment of purulent processes before elucidating their etiology, 16.7 per cent of the Enterococcal isolates were resistant to gentamicin. Monomycin, kanamycin, oxacillin, lincomycin and macrolide antibiotics at present are sufficiently active against pathogenic staphylococci and hemolytic streptococci.


Assuntos
Antibacterianos/farmacologia , Neoplasias/microbiologia , Infecção da Ferida Cirúrgica/microbiologia , Resistência Microbiana a Medicamentos , Enterobacteriaceae/efeitos dos fármacos , Escherichia/efeitos dos fármacos , Humanos , Testes de Sensibilidade Microbiana , Proteus/efeitos dos fármacos , Pseudomonas aeruginosa/efeitos dos fármacos , Staphylococcus/efeitos dos fármacos , Streptococcus/efeitos dos fármacos
19.
J Virol ; 13(4): 908-15, 1974 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-4595302

RESUMO

Requirements for bacteriophage T4 DNA synthesis have been investigated in situ by use of plasmolyzed infected cells. When such cells are incubated with dATP, dGTP, dTTP, hydroxymethyldeoxycytidine triphosphate, and rATP, significant semiconservative synthesis of DNA occurs. This DNA hybridizes preferentially to T4 DNA. T4 amber mutants defective in genes 44 and 45, which display a DNA-negative phenotype in vivo, are unable to synthesize DNA in situ. By contrast, T4 amber mutants bearing lesions in genes 41 and 62, which also display a DNA-negative phenotype in vivo, do allow DNA synthesis in situ, the extent of synthesis being 80 to 90% that of the wild-type synthesis under the same conditions. Cells infected with gene 42 mutants (dCMP hydroxymethylase) are unable to synthesize DNA in situ even though exogenous nucleotides are provided. Also one gene 1 mutant (deoxynucleotide kinase) was found to synthesize DNA in situ, but two other gene 1 mutants did not. These results point to possible roles of hydroxymethylase and kinase in DNA metabolism, in addition to provision of essential DNA precursors, as has recently been suggested by Wovcha et al. (1973).


Assuntos
Colífagos/metabolismo , DNA/biossíntese , Mutação , Trifosfato de Adenosina/metabolismo , Bromouracila , Centrifugação com Gradiente de Concentração , Vírus de DNA , Desoxicitidina/metabolismo , Escherichia/efeitos dos fármacos , Escherichia coli , Genes , Guanosina Trifosfato/metabolismo , Hibridização de Ácido Nucleico , Radioisótopos de Fósforo , Sacarose/farmacologia , Nucleotídeos de Timina/metabolismo , Trítio
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