单元型58 (H58) 沙门氏菌的起源 沙门氏菌 Enteric Serovar Typhi 类型
Megan E Carey1,2,3, To Nguyen Thi Nguyen4,5, Do Hoang Nhu Tran6
1Cambridge Institute of Therapeutic Immunology & Infectious Disease (CITIID), Department of Medicine, University of Cambridge, Cambridge, UK. megan.carey@lshtm.ac.uk.
Communications biology
|June 28, 2024
概括
H58 沙门氏菌Typhi 血统是伤寒热中抗菌素耐药性的主要原因,于1987年在印度出现. 这种多药耐药血统在全球传播,由包括慢性携带和诺基诺使用在内的因素驱动.
科学领域:
- 微生物学 微生物学
- 遗传学 是一个遗传学.
- 流行病学 流行病学
背景情况:
- 沙门氏菌 (S. Typhi) 的抗微生物耐药性 (AMR) 是一个重大的临床挑战.
- H58系是最近全球传播的与AMR相关的S Typhi菌株.
研究的目的:
- 调查多药耐药 (MDR) H58 S. Typhi血统的起源和出现.
- 了解H58血统全球成功和AMR收购背后的进化驱动因素.
主要方法:
- 对当代S. Typhi基因组序列的遗传学分析.
- 对跨越H58血统出现时期的基因组数据的分析.
主要成果:
- 1987年在印度发现的最早的H58 S. Typhi生物体已经是MDR.
- 可能与慢性携带和赋予胆汁耐受性的突变相关的出现.
- 随后的诺基诺使用选择了gyrA突变,增加了耐药性.
- 在H58血统中出现了广泛耐药 (XDR) 变种.
结论:
- 了解H58 S. Typhi的起源对于打击AMR驱动的细菌病原体成功至关重要.
- 数据可以指导最佳向伤寒联合疫苗 (TCVs).
- 识别和治疗慢性携带者对于防止新耐药变异的出现和传播至关重要.
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