来自癌症患者的分子特征和基因型鉴定,这些患者患有 Clostridioides difficile 感染或无症状殖民
Daniel de-la-Rosa-Martinez1,2, Miriam Bobadilla Del Valle3, Veronica Esteban-Kenel3
1Plan de Estudios Combinados en Medicina (PECEM), Faculty of Medicine, Universidad Nacional Autonoma de Mexico, México City, Mexico.
Journal of medical microbiology
|August 25, 2023
概括
在癌症患者中,Clostridioides difficile无症状殖民 (CDAC) 与C. difficile感染 (CDI) 具有克隆性联系. 了解CDAC分子特征是控制CDI在易受癌症影响的人群中传播的关键.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 癌症患者面临着Clostridioides difficile感染 (CDI) 的风险增加和C. difficile无症状殖民 (CDAC) 的高率.
- 癌症患者中CDAC的分子特征和传播作用仍未得到充分研究.
研究的目的:
- 为了比较来自癌症患者的C. difficile分离物的分子和基因型特征,CDAC和CDI.
- 调查CDAC在癌症患者中与医疗保健相关的传播中的潜在作用.
主要方法:
- 对患有CDAC或CDI的癌症患者进行前性队列研究.
- 对C. difficile分离物的分子特征,菌株类型和tcdC基因表达分析.
- 对毒素基因存在 (tcdA,tcdB,ctdA,ctdB) 和tcdC突变的分析.
主要成果:
- 分析了37个CDI和14个CDAC分离物. 所有的CDI分离物都具有毒性 (tcdA+/tcdB+).
- 71%的CDAC分离物具有毒性. 有关毒性CDAC分离物的很大一部分 (60%) 与CDI分离物具有克隆相关性.
- 特定的tcdC缺失和突变在一组分离物中被确定.
结论:
- 在癌症患者中,CDAC和CDI的C. difficile分离物之间存在克隆关联.
- 需要进一步的研究来阐明无症状携带者在非住院性CDI传播中的作用.
- 这些发现可能会为感染控制策略提供信息,以减少高风险癌症患者群体的CDI负担.
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