混合菌株病原体种群加速了患者抗生素耐药性的演变
Julio Diaz Caballero1, Rachel M Wheatley1, Natalia Kapel1
1University of Oxford, Department of Biology, 11a Mansfield Rd, Oxford, UK.
Nature communications
|July 12, 2023
概括
抗生素耐药性在患有混合病原体菌株的患者中发展得更快,这是由于选择了先前存在的耐药性. 当抗生素不存在时,宿主内部的多样性也会导致抵抗性丧失.
科学领域:
- 微生物学 微生物学
- 进化生物学 进化生物学
- 临床医学 临床医学
背景情况:
- 抗生素耐药性是全球主要的健康问题.
- 了解宿主内病原体的进化对于有效治疗至关重要.
- 病原体种群通常被认为是宿主内部的克隆.
研究的目的:
- 研究宿主病原体多样性在抗生素耐药性的出现中的作用.
- 为了比较单菌株和混合菌株感染中的耐药性演变.
- 探索宿主体内的多样性对抗性动态的影响.
主要方法:
- 研究了机会主义的病原体Pseudomonas aeruginosa.
- 分析了患者内的病原体种群.
- 在单菌株和混合菌株殖民中比较耐药性演变.
主要成果:
- 在宿主中,P. aeruginosa的混合菌株种群很常见.
- 在混合菌株感染中,通过选择先前存在的耐药菌株,发生了快速的耐药性演变.
- 单菌株感染中的零星耐药性演变是由于对新突变的选择而产生的.
- 在混合菌株中,耐药性和生长速度之间的强烈权衡可能会导致抗生素没有耐药性损失.
结论:
- 主体内病原体的多样性显著影响抗生素耐药性的出现和丧失.
- 与单一菌株感染相比,混合菌株感染加速了耐药性演变.
- 主体内部的多样性具有双重作用,促进抗生素压力下耐药性的出现和缺少抗生素的损失.
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