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首页> 外文期刊>International journal of medical microbiology: IJMM >Virulence-related genes are associated with clinical and nutritional outcomes of Shigella/Enteroinvasive Escherichia coli pathotype infection in children from Brazilian semiarid region: A community case-control study
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Virulence-related genes are associated with clinical and nutritional outcomes of Shigella/Enteroinvasive Escherichia coli pathotype infection in children from Brazilian semiarid region: A community case-control study

机译:毒力相关基因与巴西半干旱地区儿童的志贺氏菌/肠内大肠杆菌病理型感染的临床和营养结果有关:社区案例控制研究

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Shigella/Enteroinvasive Escherichia coli (EIEC) pathotype is a major enteropathogen associated with diarrhea and malnutrition in children from developing countries. This study aimed to correlate Shigella/EIEC virulence-related genes (VRGs) with clinical symptoms, nutritional status and coenteropathogens in children from the Brazilian semiarid region. We designed a case-control study of community diarrhea in six cities of the Brazil semiarid region with 1200 children aging 2-36 months. Standardized questionnaire was applied for collecting sociodemographic, nutritional status and clinical information of the children. DNA samples were extracted from stools and diagnosed for Shigella/EIEC using PCR-based approaches. Positive samples were tested for 28 VRGs using four multiplex PCRs. Intestinal inflammation was determined by measuring fecal myeloperoxidase (MPO). Shigella/EIEC pathotype was detected in 5% of the children and was significantly associated with diarrhea. The genes sen (encoding Shigella enterotoxin 2), ipgB2, ipgB1 (both encoding type 3 secretion system-T3SS effectors that modulate actin filament), and ospF (encoding a T3SS effector involved in suppression of host responses) were further associated with diarrhea in Shigella/EIEC positive children. Among children presenting diarrhea, virA gene (encoding a T3SS effector that promotes microtubule destabilization) was associated with fever, while virB (encoding a major transcriptional activator) was associated with low height-for-age z-score. In addition, these VRGs were associated with increased fecal MPO, and coinfection with Salmonella spp. was associated with increased abdominal pain. These data reinforce the impact of Shigella/EIEC on diarrhea in children from Brazilian semiarid region and highlighted the contributions of specific virulence genes for its pathobiology.
机译:Shigella /肠内侵入性大肠杆菌(EIEC)致病型是与发展中国家的儿童腹泻和营养不良有关的主要肠球病。本研究旨在将志贺氏菌/ eIEC毒力相关基因(VRG)与巴西半干旱地区的儿童中的临床症状,营养状况和结合剂相关联。我们设计了对巴西半干旱地区六个城市的社区腹泻的病例对照研究,1200名儿童2-36个月。标准化的问卷适用于收集儿童的社会造影,营养状况和临床信息。用基于PCR的方法从粪便中萃取DNA样品并诊断为Shigella / EIEC。使用四种多重PCRS测试28 VRG的阳性样品。通过测量粪便髓过氧化物酶(MPO)测定肠炎症。在5%的儿童中检测到Shigella / EiC型病理型,与腹泻显着相关。该基因SEN(编码志氏肠毒素2),IPGB2,IPGB1(编码3型分泌系统-T3SS效应器调节肌动蛋白长丝的效应器)和OSPF(编码抑制宿主反应的T3SS效应)进一步与令人遗叫的腹泻有关/ eiec阳性儿童。在患有腹泻的儿童中,Vira基因(编码促进微管稳定化的T3SS效应)与发热有关,而病毒(编码主要转录激活剂)与低高度Z分数相关。此外,这些VRG与粪便增加有关,与沙门氏菌SPP的繁殖。与增加的腹痛有关。这些数据强化了志贺氏菌/ eIEC在巴西半干旱地区儿童腹泻的影响,并突出了特定毒力基因对其病理学的贡献。

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