弯曲杆菌:新见解、临床诊断和实验室方法

Christopher Ifunanya Chukwu, R. Nwalozie, B. A. Nnokam, R. Esiere
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引用次数: 0

摘要

弯曲杆菌是全球肠胃炎的主要病因,对全球的影响不断升级,同时影响着工业化国家和发展中国家。尽管空肠弯曲菌和大肠杆菌是感染的主要原因,但新病原体的出现使得了解疾病机制、传播动态以及研究较少的物种的进化成为当务之急。通过高通量测序获得的全基因组序列使深入病原组学研究变得更加容易,尤其是对胎儿肠杆菌和大肠杆菌等物种的研究。这些研究揭示了与致病性相关的基因组特征,并提供了对形成其基因组的进化机制的见解,从而在临床微生物学中显示出新的应用前景。有效的病原体管理迫切需要对新出现的弯曲杆菌物种致病性的进化有更深入的了解。本综述综合了这一关键领域的现有知识,并概述了未来的研究方向。被称为弯曲杆菌的革兰氏阴性、无芽孢、弯曲或螺旋杆状菌包括对水行业非常重要的 "嗜热菌群",其中包括空肠弯曲杆菌、大肠弯曲杆菌和上皮弯曲杆菌。急性腹泻是人类感染弯曲杆菌的常见症状,关键的致病因子已被确定为抗生素耐药基因和鞭毛 DNA。许多弯曲杆菌经常出现在污水和经过处理的污水中,而地表水受到的污染较少。通过流行病学方法检测弯曲杆菌的流行情况需要在表型数据和基因型数据之间取得谨慎的平衡。弯曲杆菌对氧气很敏感,但它们有很强的生存策略,可能会形成生物膜。对大肠菌群有效的灭活方法被认为也适用于弯曲杆菌。这篇详尽的综述除了综述当前的知识和确定未来的研究方向,以推进有效管理和缓解弯曲杆菌相关感染的策略外,还强调了我们迫切需要开展更多的研究来加深对这些病原体的了解。对与致病性、传播动态和生存策略有关的遗传特征的研究突出了弯曲杆菌感染的复杂性。弯曲杆菌作为肠胃炎的主要致病菌,其动态特性要求我们继续开展研究工作,以指导有针对性的干预措施,减轻这一严重公共卫生问题对全球的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Campylobacter Species: New Insight, Clinical Diagnosis and Laboratory Approach
Campylobacter, a prevalent cause of global gastroenteritis, has exhibited an escalating impact worldwide, affecting both industrialized and developing nations. Even though Campylobacter jejuni and C. coli are the main causes of infection, new pathogens make it imperative to comprehend the disease mechanisms, dynamics of transmission, and evolution of less-studied species. Accessible whole-genome sequences obtained through high-throughput sequencing have made it easier to conduct in-depth pathogenomic studies, particularly on species such as C. fetus and C. concisus. These studies have shown novel applications in clinical microbiology by revealing genomic traits associated with pathogenicity and offering insights into the evolutionary mechanisms shaping their genomes. Effective pathogen management urgently requires deeper understanding of the evolution of pathogenicity in emerging Campylobacter species are urgently required for effective pathogen management. This comprehensive review synthesizes existing knowledge and outlines future research directions in this crucial field. The Gram-negative, non-spore-forming, curved or spiral rods known as campylobacters include a "thermophilic group" that is important to the water industry and includes C. jejuni, C. coli, and C. upsaliensis. Acute diarrhea is the usual symptom of a human Campylobacter infection, and key virulence factors have been identified as antibiotic resistance genes and flagellar DNA. Many campylobacters are frequently found in sewage and treated sewage effluents, whereas surface waters are less contaminated. Testing for Campylobacter prevalence through epidemiological methods requires a careful balance between phenotypic and genotypic data. Campylobacters are sensitive to oxygen, but they have strong survival strategies that may involve the formation of biofilms. Methods of inactivation that work well for coliforms are thought to be appropriate for Campylobacter. In addition to providing a synthesis of current knowledge and identifying future research directions to advance strategies for the effective management and mitigation of Campylobacter-related infections, this thorough review highlights the urgent need for additional research to deepen our understanding of these pathogens. The investigation of genetic features linked to pathogenicity, dynamics of transmission, and survival strategies highlights the complex character of Campylobacter infections. The dynamic nature of Campylobacter as a primary cause of gastroenteritis necessitates continued research endeavors to guide focused interventions and lessen the worldwide impact of this grave public health issue.
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