Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 174
Filtrar
1.
J Appl Microbiol ; 124(3): 652-666, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29281768

RESUMO

AIMS: Genomic characterization of Harveyi clade vibrio strain Y6 causing 'Scale drop and Muscle Necrosis syndrome' (SDMN) isolated from barramundi (Lates calcarifer) in Vietnam. METHODS AND RESULTS: A bacterial genome was sequenced using Illumina MiSeq platform. Multilocus sequence analysis confirmed that the bacterium belongs to Vibrio harveyi species. Further phylogenetic analysis inferred from core genome SNPs revealed a close relationship between our bacterium and the V. harveyi isolated from groupers in Taiwan and China. blastp results indicated that V. harveyi piscine strains carried numerous adhesin, secretion system, siderophore and toxin-related genes. Genome comparison between Y6 and 32 strains of V. harveyi from different origins showed that at least 17 potential virulence genes were present exclusively in the strain Y6. Many of these (six of 17 genes) were homologous to pyoverdine siderophore, a secreted high-affinity iron chelator, clusters originally found in Pseudomonas aeruginosa. Genome of V. harveyi Y6 was incorporated by a bacteriophage VHY6φ and replication protein of the phage was most similar to CTXφ described previously in Vibrio cholerae and Vibrio fischeri. However, the cholera toxin-encoding genes, namely ctxA and ctxB, were absent from VHY6φ, while the CTXφ-enterotoxin gene (zonula occludens toxin; zot) remained intact. CONCLUSIONS: Several putative virulence genes and a phage carrying toxin gene were identified in the genomes of SDMN-associated V. harveyi Y6. SIGNIFICANCE AND IMPACT OF THE STUDY: This study confers genomic information of the piscine pathogenic V. harveyi which recently caused widespread mortality. Such information is of importance to gain insight into bacterial molecular pathogenesis.


Assuntos
Doenças dos Peixes/microbiologia , Genoma Bacteriano , Genômica/métodos , Vibrio/genética , Animais , China , Filogenia , Taiwan , Vibrio/patogenicidade , Virulência , Fatores de Virulência
2.
J Appl Microbiol ; 122(6): 1497-1507, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28295891

RESUMO

AIMS: This study aimed to biotype Streptococcus agalactiae isolated from tilapia farms in Thailand based on molecular biotyping methods and to determine the correlation between the serotype and virulence of bacteria. In addition to a biotyping (serotyping) technique based on multiplex PCR of cps genes, in this study, we developed multiplex PCR typing of Group B streptococcus (GBS) virulence genes to examine three clusters of virulence genes and their correlation with the pathogenicity of S. agalactiae. The epidemiology of S. agalactiae in Thailand was analysed to provide bacterial genetic information towards a future rational vaccine strategy for tilapia culture systems. METHODS AND RESULTS: Streptococcus agalactiae were isolated from diseased tilapia from different areas of Thailand. A total of 124 S. agalactiae isolates were identified by phenotypic analysis and confirmed by 16S rRNA PCR. Bacterial genotyping was conducted based on (i) molecular serotyping of the capsular polysaccharide (cps) gene cluster and (ii) virulence gene profiling using multiplex PCR analysis of 14 virulence genes (lmb, scpB, pavA, cspA, spb1, cyl, bca, rib, fbsA, fbsB, cfb, hylB, bac and pbp1A/ponA). Only serotypes Ia and III were found in this study; serotype Ia lacks the lmb, scpB and spb1 genes, whereas serotype III lacks only the bac gene. Virulence tests in juvenile Nile tilapia demonstrated a correlation between the pathogenicity of the bacteria and their virulence gene profile, with serotype III showing higher virulence than serotype Ia. Epidemiological analysis showed an almost equal distribution in all regions of Thailand, except serotype III was found predominantly in the southern areas. CONCLUSIONS: Only two serotypes of S. agalactiae were isolated from diseased tilapia in Thailand. Serotype Ia showed fewer virulence genes and lower virulence than serotype III. Both serotypes showed a similar distribution throughout Thailand. SIGNIFICANCE AND IMPACT OF THE STUDY: We identified two major serotypes of S. agalactiae isolates associated with the outbreak in tilapia culture in Thailand. We developed multiplex PCR assays for 14 virulence genes, which may be used to predict the pathogenicity of the isolates and track future infections. Multiplex PCR typing of the GBS virulence genes was developed and might be further used to predict the pathogenicity of S. agalactiae.


Assuntos
Streptococcus agalactiae/genética , Tilápia/microbiologia , Fatores de Virulência/genética , Adolescente , Animais , Pesqueiros , Genótipo , Humanos , Reação em Cadeia da Polimerase Multiplex , Sorotipagem , Streptococcus agalactiae/isolamento & purificação , Streptococcus agalactiae/patogenicidade , Tailândia , Virulência
3.
J Fish Dis ; 40(11): 1497-1509, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28422295

RESUMO

Neobenedenia melleni is a monogenean parasite that causes significant mortality and economic losses in fish aquaculture. Changes in the antigenic composition of this parasite occur during its developmental stages. In this study, we evaluated humoral parameters in serum and transcriptional immune responses of yellowtail naturally infected with N. melleni. In addition, in vitro assays were performed to study the stimulatory effects of antigens from larvae and adults on spleen leucocytes from non-infected fish at 6 and 24 h post-stimulation. The results showed enhanced total protein, myeloperoxidase and antiprotease activities in N. melleni-infected fish compared with non-infected ones. The induction of Toll-like receptors (TLRs) and pro-inflammatory cytokines in spleen leucocytes during natural infection with N. melleni suggests that these immune-related genes play an important role in the initiation of the immune defence mechanism for controlling parasite infection. Interestingly, the magnitude of in vitro responses of spleen leucocytes was dependent on the parasitic stage. An important stimulation of gene expression by adult antigens on spleen leucocytes was observed. Differential expression patterns of TLRs and target cytokines in yellowtail leucocytes in both in vivo and in vitro studies suggest that the quality of yellowtail immune response is conditioned by N. melleni development.


Assuntos
Antígenos de Helmintos/imunologia , Doenças dos Peixes/imunologia , Imunidade Humoral , Imunidade Inata , Perciformes , Trematódeos/imunologia , Infecções por Trematódeos/veterinária , Animais , Citocinas/genética , Citocinas/metabolismo , Doenças dos Peixes/parasitologia , Proteínas de Peixes/genética , Proteínas de Peixes/metabolismo , Larva/genética , Larva/imunologia , Leucócitos/metabolismo , Baço/metabolismo , Receptores Toll-Like/genética , Receptores Toll-Like/metabolismo , Trematódeos/crescimento & desenvolvimento , Infecções por Trematódeos/imunologia , Infecções por Trematódeos/parasitologia
4.
J Appl Microbiol ; 121(6): 1755-1765, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27522063

RESUMO

AIMS: To investigate the virulence of the Vp_PirAB-like genes in Vibrio parahaemolyticus- acute hepatopancreatic necrosis disease (AHPND)-causing strain and the factors that are associated with the virulence level. METHODS AND RESULTS: The virulence of Vp_PirAB-like was examined using a non-virulent strain FP11 of V. parahaemolyticus transformed with a plasmid harbouring Vp_PirAB-like genes and then it was used to challenge shrimp Litopenaeus vannamei and Marsupenaeus japonicus. Both species experienced 100% mortality at 10 days post infection. Analysis of a mutant strain (E1M), that was originally identified as virulent strain (E1) but lost its virulence to L. vannamei, revealed that it lacked a part of the Vp_PirA-like gene and all of the Vp_PirB-like gene. The copy numbers of Vp_PirA-like and Vp_PirB-like genes varied among virulent strains and were not correlated with their virulence. In Western blotting, Vp_PirA-like and Vp_PirB-like proteins were detected in both the cell lysate and the culture supernatant. The strongest intensity of detecting band in the culture supernatant was observed in the strain that caused the highest mortality. The V. parahaemolyticus AHPND-causing strain, unlike the human tdh-positive strain, did not show any enterotoxicity. CONCLUSION: Vibrio parahaemolyticus AHPND-causing strains secrete the Vp_PirA-like and Vp_PirB-like proteins during the growing phase. The amount of secreted proteins affects the shrimp mortality. SIGNIFICANCE AND IMPACT OF THE STUDY: The secreted proteins of Vp_PirAB-like are key factors of virulence in the V. parahaemolyticus AHPND-causing strain, but not gene copy.


Assuntos
Proteínas de Bactérias/metabolismo , Penaeidae/microbiologia , Vibrio parahaemolyticus/patogenicidade , Animais , Células CHO , Linhagem Celular , Cricetinae , Cricetulus , Dosagem de Genes , Células HeLa , Humanos , Masculino , Plasmídeos , Coelhos , Vibrio parahaemolyticus/genética , Vibrio parahaemolyticus/metabolismo , Fatores de Virulência/genética
7.
J Fish Dis ; 35(12): 927-34, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22943666

RESUMO

RNA aptamers are artificial nucleic acids that specifically bind to a wide variety of targets. They are an effective tool for pharmaceutical research and development of antiviral agents. Here, we describe four Hirame rhabdovirus (HIRRV)-RNA aptamers (H1, H2, H3 and H4) that we obtained from an in vitro process called the systematic evolution of ligands by exponential enrichment (SELEX). The HIRRV-RNA aptamers specifically bind to HIRRV. Hirame natural embryo (HINAE) cells treated with virus and the RNA aptamer showed a decrease in appearance of cytopathic effect when compared with control (treated only with virus). Rhodovulum sulfidophilum was transformed with genes for the RNA aptamers, and the aptamers were detected in the culture medium, indicating that they were secreted from the cells. Thus, the recombinant R. sulfidophilum might be a powerful tool for the prevention of HIRRV in aquaculture.


Assuntos
Aptâmeros de Nucleotídeos/metabolismo , Aptâmeros de Nucleotídeos/farmacologia , Novirhabdovirus/crescimento & desenvolvimento , Replicação Viral/efeitos dos fármacos , Animais , Antivirais/farmacologia , Aptâmeros de Nucleotídeos/biossíntese , Linhagem Celular , DNA Recombinante/genética , Linguado , Plasmídeos/genética , Rhodovulum/genética
10.
Dev Comp Immunol ; 31(4): 372-82, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17045337

RESUMO

This study elucidates the immune modulation including the expression of cytokine genes following dietary administration of three selected probiotic bacteria--Lactobacillus rhamnosus, Enterococcus faecium and Bacillus subtilis to fish, rainbow trout Oncorhynchus mykiss. They were fed for 45 days on either a basal control diet or one of the three probiotic diets containing the specific bacteria in freeze-dried form at a density of 10(9)CFUgfeed-1. The non-specific immune parameters examined--superoxide anion production by the head kidney leukocytes and the alternate complement activity of serum was improved by probiotic feeding. Besides this, the relative gene expressions of interleukin-1beta1, tumor necrosis factor 1 and 2 and transforming growth factor-beta were up regulated in the spleen and the head kidney. The comparatively better performance of E. faecium could possibly be linked to their suitable ambient temperature conditions. Thus, probiotic bacteria delivered in feed exerts its influence on the immune system of fish, both at cellular and molecular levels.


Assuntos
Citocinas/biossíntese , Citocinas/genética , Imunidade Inata/genética , Fatores Imunológicos/fisiologia , Oncorhynchus mykiss/genética , Oncorhynchus mykiss/imunologia , Probióticos/administração & dosagem , Ração Animal/microbiologia , Animais , Bacillus subtilis/imunologia , Enterococcus faecium/imunologia , Fatores Imunológicos/metabolismo , Interleucina-1beta/biossíntese , Interleucina-1beta/genética , Lacticaseibacillus rhamnosus/imunologia , Oncorhynchus mykiss/microbiologia , Fator de Necrose Tumoral alfa/biossíntese , Fator de Necrose Tumoral alfa/genética
11.
J Natl Cancer Inst ; 61(4): 1161-4, 1978 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-279716

RESUMO

The effect of the fecal stream on the induction of intestinal tumors was studied in 3 groups of SD rats. Rats in group 1 were subjected to single-barreled colostomies for the complete exclusion of the fecal stream at the proximal one-third level of the colons and were given consecutive iv injections of methylazoxymethanol acetate. Rats in group 2 were given methylazoxymethanol acetate alone. Rats in group 3 were not treated and served as controls. Tumors were noted in the small and large intestines of almost all rats in both groups 1 and 2. Even animals with single-barreled colostomies frequently developed tumors in the colon distal to the colostomy where the mucosa did not have contact with the fecal stream. These results indicated that carcinogens could probably reach the intestinal mucosa via the vascular system as well as by biliary transport.


Assuntos
Compostos Azo , Colo/fisiologia , Neoplasias Intestinais/etiologia , Acetato de Metilazoximetanol , Animais , Compostos Azo/metabolismo , Bile/metabolismo , Neoplasias do Colo/etiologia , Colostomia , Feminino , Mucosa Intestinal/metabolismo , Intestino Delgado , Masculino , Acetato de Metilazoximetanol/sangue , Acetato de Metilazoximetanol/metabolismo , Ratos , Neoplasias Retais/etiologia
12.
J Natl Cancer Inst ; 61(3): 865-9, 1978 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-278864

RESUMO

The carcinogenicity of Symphytum officinale L., Russian comfrey, used as a green vegetable or tonic, was studied in inbred ACI rats. Three groups of 19--28 rats each were fed comfrey leaves for 480--600 days; four additional groups of 15--24 rats were fed comfrey roots for varying lengths of time. A control group was given a normal diet. Hepatocellular adenomas were induced in all experimental groups that received the diets containing comfrey roots and leaves. Hemangioendothelial sarcoma of the liver was infrequently induced.


Assuntos
Carcinógenos , Neoplasias Hepáticas Experimentais/etiologia , Magnoliopsida , Animais , Feminino , Hemangioendotelioma/etiologia , Hemangioendotelioma/patologia , Neoplasias Hepáticas/etiologia , Neoplasias Hepáticas/patologia , Neoplasias Hepáticas Experimentais/patologia , Masculino , Neoplasias Experimentais/etiologia , Ratos , Ratos Endogâmicos ACI , Fatores de Tempo , Neoplasias da Bexiga Urinária/etiologia
13.
J Natl Cancer Inst ; 66(3): 579-83, 1981 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-6162992

RESUMO

The carcinogenicity of dextran sulfate sodium was studied in inbred ACI rats. In group 1, 10 male rats were fed a 10% dextran sulfate sodium diet; in group 2, 14 male and 12 female rats were fed a 5% dextran sulfate sodium diet; and in the control group, 9 male and 9 female rats were given the basal diet without dextran sulfate sodium. After the start of the feeding regimen, all rats given the 10% dextran sulfate sodium diet died of severe diarrhea and anemia within 14 days and 15 of 23 surviving rats fed a 5% dextran sulfate sodium diet developed intestinal tumors between 134 and 215 days. These tumors were induced in the colon and cecum and consisted of adenomas, adenocarcinomas, and papillomas.


Assuntos
Adenocarcinoma/induzido quimicamente , Adenoma/induzido quimicamente , Carcinógenos , Dextranos/toxicidade , Neoplasias Intestinais/induzido quimicamente , Papiloma/induzido quimicamente , Animais , Neoplasias do Ceco/induzido quimicamente , Neoplasias do Colo/induzido quimicamente , Sulfato de Dextrana , Dieta , Neoplasias Experimentais/induzido quimicamente , Ratos , Ratos Endogâmicos ACI
14.
J Natl Cancer Inst ; 58(4): 1155-7, 1977 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-191625

RESUMO

The carcinogenic activity of petasitenine, a new pyrrolizidine alkaloid isolated from young flower stalk of Petasites japonicus, was studied in ACI rats. All rats that had received a 0.05% solution of petasitenine in drinking water died or were killed in moribund condition 72 days after the start of experiment. They showed necrosis, hemorrhage, and remarkable proliferation of the bile ducts in the liver. In another group that had received a 0.01% solution, 8 of 10 animals surviving beyond 160 days developed tumors in the liver, i.e., hemangioendothelial sarcomas in 5 rats and liver cell adenomas in 5 rats, 2 of which simultaneously developed hemangioendothelial sarcomas. No tumors were observed in the livers of the control animals.


Assuntos
Carcinógenos , Neoplasias Hepáticas/induzido quimicamente , Alcaloides de Pirrolizidina/toxicidade , Animais , Compostos Azabicíclicos , Carcinoma Hepatocelular/induzido quimicamente , Feminino , Hemangioendotelioma/induzido quimicamente , Fígado/efeitos dos fármacos , Magnoliopsida , Masculino , Neoplasias Experimentais/induzido quimicamente , Ratos
15.
J Natl Cancer Inst ; 79(5): 1143-9, 1987 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-3479640

RESUMO

Fifteen female ACI rats initially 5 weeks old were each given a diet containing 0.027-0.08% ptaquiloside [(PT) CAS: 87625-62-5], a carcinogen in bracken, throughout the 210-day experimental period. A control group of 20 female ACI rats was given basal diet without PT. Both ileal and urinary bladder tumors developed in all rats in the experimental group. The ileal tumors were multiple and mostly developed in the distal 10 cm of the ileum. These ileal tumors were identified histologically as epithelial tumors, such as adenomas and adenocarcinomas, and also as nonepithelial malignant tumors, malignant fibrous histiocytomas. The urinary bladder tumors were transitional cell carcinomas, keratinizing squamous cell carcinomas, and sarcomas. Papillomas of the urinary bladder were found in 4 rats in the control group. These results show that, like bracken diet, PT induces tumors in both the ileum and urinary bladder.


Assuntos
Carcinógenos , Neoplasias do Íleo/induzido quimicamente , Indanos , Sesquiterpenos , Terpenos/toxicidade , Neoplasias da Bexiga Urinária/induzido quimicamente , Animais , Peso Corporal/efeitos dos fármacos , Dieta , Feminino , Hematúria/induzido quimicamente , Neoplasias Hepáticas Experimentais/induzido quimicamente , Ratos , Ratos Endogâmicos ACI , Sarcoma Experimental/induzido quimicamente
16.
J Natl Cancer Inst ; 77(3): 777-81, 1986 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-3091901

RESUMO

The effect of betel nut on chemical carcinogenesis in the upper digestive tract and liver was examined in two different experimental models with ACI rats. The incidences of neoplasms and preneoplastic lesions of the tongue in animals given 5 ppm 4-nitroquinoline-1-oxide (4-NQO; CAS: 56-57-5) in the drinking water for 16 weeks and followed by 20% betel nut in the diet for 40 weeks were significantly higher than those in animals given 4-NQO alone. No enhancing effect from betel nut on the incidences of neoplastic and preneoplastic lesions in the upper digestive tract was found in animals administered 4-NQO for 12 weeks. The number of altered liver cell foci in rats given 200 ppm N-2-fluorenylacetamide (FAA; CAS: 53-96-3) in the diet for 8 weeks and followed by the betel nut diet for 16 weeks was significantly greater than that in animals fed the FAA diet alone. These results indicate enhancing effects of dietary administration of betel nut on oral carcinogenesis by 4-NQO and hepatocarcinogenesis initiated by FAA.


Assuntos
Areca , Neoplasias Hepáticas Experimentais/induzido quimicamente , Neoplasias Bucais/induzido quimicamente , Plantas Medicinais , 2-Acetilaminofluoreno , 4-Nitroquinolina-1-Óxido , Animais , Aberrações Cromossômicas , Cocarcinogênese , Feminino , Masculino , Lesões Pré-Cancerosas/induzido quimicamente , Ratos , Ratos Endogâmicos ACI , Neoplasias da Língua/induzido quimicamente
17.
J Natl Cancer Inst ; 63(2): 469-72, 1979 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-287835

RESUMO

The carcinogenicity of the pyrrolizidine alkaloids senkirkine and symphytine was studied in male inbred ACI rats. Animals were divided into 3 groups: Group I received ip injections of freshly prepared senkirkine at a dose of 10% of the median lethal dose (LD50) twice weekly for 4 weeks and then once a week for 52 weeks. Group II received ip injections of symphytine at a dose of 10% of the LD50 by the same injection schedule as in group I. The control group was given ip injections of a 0.9% NaCl solution following the same injection schedule as in experimental groups. All group I rats survived for more than 290 days after the start of injections, and 9 of 20 rats developed liver cell adenoma. All group II animals survived for more than 330 days after the start of injections. Of 20 rats, 4 had liver tumors, 3 had hemangioendothelial sarcomas, and 1 had liver cell adenoma. The hemangioendothelial sarcomas showed metastasis in the lungs of 2 rats. The control group had no liver tumors.


Assuntos
Neoplasias Hepáticas/induzido quimicamente , Alcaloides de Pirrolizidina/toxicidade , Animais , Hemangioendotelioma/induzido quimicamente , Hemangioendotelioma/patologia , Neoplasias Hepáticas/patologia , Neoplasias Hepáticas Experimentais/induzido quimicamente , Neoplasias Hepáticas Experimentais/patologia , Masculino , Neoplasias Experimentais/induzido quimicamente , Ratos , Ratos Endogâmicos ACI , Fatores de Tempo
18.
Cancer Res ; 41(1): 250-2, 1981 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-7448764

RESUMO

This study indicated that there was no significant difference in the incidence of intestinal tumors between germ-free and conventional rats fed a diet containing bracken, suggesting that gut microflora did not play a definite role in bracken tumorigenesis. However, bracken induced exclusively sarcoma but no adenocarcinoma in germ-free rats, whereas it induced predominantly adenocarcinoma in conventional rats.


Assuntos
Vida Livre de Germes , Neoplasias Experimentais/etiologia , Plantas Comestíveis , Plantas Tóxicas , Animais , Biotransformação , Neoplasias Experimentais/patologia , Ratos
19.
Biochim Biophys Acta ; 1520(1): 35-44, 2001 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-11470157

RESUMO

In this study, we cloned the goose-type (g-type) lysozyme gene from the Japanese flounder genomic DNA library, the first such data in fish and only the second after the chicken g-type lysozyme gene. The Japanese flounder g-type lysozyme gene was 1252 bp in length from the transcription site to the polyadenylation site, coded for 758 bp of mRNA and 195 deduced amino acids, which contain five exons and four introns. A phylogenetic analysis based on amino acid sequences showed that the flounder gene was closer to g-type lysozyme, followed by phage-type lysozyme and then chicken-type (c-type) lysozyme. Although exon 1 of the flounder gene differs from exons 1 and 2 of the chicken g-type lysozyme gene, three catalytic residues, as well as their neighboring amino acids were conserved between the Japanese flounder and the four avian g-type lysozymes. In a Southern blot analysis using the genomic DNA of homo-cloned Japanese flounder, the flounder g-type lysozyme gene showed a simple pattern, suggesting that it is encoded by a single copy gene. A Northern blot analysis showed that this gene was expressed in all tissues of Japanese flounder that we examined in this study and showed major differences from those expressed tissues of the chicken g-type gene. Japanese flounder g-type lysozyme mRNA levels in the intestine, heart and whole blood increased after injecting the fish with Edwardsiella tarda. Recombinant flounder g-type lysozyme, which has an optimal pH and temperature of pH 6.0 and 25 degrees C, possessed lytic activity against Micrococcus lysodeikticus and several fish pathogenic bacteria. This is the first report of a g-type lysozyme gene other than for reported avian species.


Assuntos
Linguado/genética , Muramidase/genética , Animais , Baculoviridae/metabolismo , Sequência de Bases , Aves , Northern Blotting , Southern Blotting , Clonagem Molecular , DNA Complementar/química , Evolução Molecular , Concentração de Íons de Hidrogênio , Japão , Micrococcus/química , Dados de Sequência Molecular , Muramidase/biossíntese , Muramidase/química , Filogenia , Proteínas Recombinantes/metabolismo , Alinhamento de Sequência , Temperatura
20.
Int J Tuberc Lung Dis ; 9(9): 970-6, 2005 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16158889

RESUMO

SETTING: A low-income neighborhood of Sao Paulo, Brazil. OBJECTIVE: To determine the incidence, risk factors and transmission patterns of multidrug-resistant tuberculosis (MDR-TB). DESIGN: Prospective longitudinal study of patients with pulmonary TB (PTB). METHODS: Sputum culture-confirmed patients with PTB were recruited between March 2000 and May 2002. Bivariate and multivariate logistic regression analyses were performed to identify factors associated with MDR-TB. Mycobacterium tuberculosis isolates were tested for drug susceptibility and typed by IS6110-RFLP analysis. RESULTS: Of 420 patients, respectively 71% and 27% were new and previously treated; 15.5% of the patients' M. tuberculosis isolates were resistant to at least one drug; of these, 11% and 27% were found among new and previously treated cases, respectively. Respectively 1% and 16.7% of the new and previously treated cases were MDR-TB. RFLP analysis showed that new transmission of MDR strains was uncommon. By multivariate logistic regression analysis, previous TB and hospitalization in the 24 months before TB diagnosis were identified as independent predictors of MDR-TB. CONCLUSIONS: The results showed an intermediate level of MDR-TB incidence in a neighborhood of Sao Paulo and identified predictors that can be targeted for intervention by national and local TB control programs.


Assuntos
Tuberculose Resistente a Múltiplos Medicamentos/epidemiologia , Tuberculose Resistente a Múltiplos Medicamentos/transmissão , Adolescente , Adulto , Brasil/epidemiologia , Feminino , Humanos , Incidência , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Polimorfismo de Fragmento de Restrição , Pobreza , Estudos Prospectivos , Fatores de Risco , População Urbana
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA