The role of virulence factors in the outcome of staphylococcal peritonitis in CAPD patients

<p>Abstract</p> <p>Background</p> <p>Peritonitis continues to be the most frequent cause of peritoneal dialysis (PD) failure, with an important impact on patient mortality. Gram-positive cocci such as <it>Staphylococcus epidermidis</it>, other coagulase-negative staphylococci (CoNS), and <it>Staphylococcus aureus </it>are the most frequent etiological agents of PD-associated peritonitis worldwide. The objective of the present study was to compare peritonitis caused by <it>S. aureus </it>and CoNS and to evaluate the factors influencing outcome.</p> <p>Methods</p> <p>Records of 86 new episodes of staphylococcal peritonitis that occurred between 1996 and 2000 in the Dialysis unit of a single university hospital were studied (35 due to <it>S. aureus</it>, 24 to <it>S. epidermidis </it>and 27 to other CoNS). The production of slime, lipase, lecithinase, nuclease (DNAse), thermonuclease (TNAse), α- and β-hemolysin, enterotoxins (SEA, SEB, SEC, SED) and toxic shock syndrome toxin-1 (TSST-1) was studied in <it>S. aureus </it>and CoNS. Antimicrobial susceptibility was evaluated based on the minimal inhibitory concentration determined by the E-test. Outcome predictors were evaluated by two logistic regression models.</p> <p>Results</p> <p>The oxacillin susceptibility rate was 85.7% for <it>S. aureus</it>, 41.6% for <it>S. epidermidis</it>, and 51.8% for other CoNS (p = 0.001). Production of toxins and enzymes, except for enterotoxin A and α-hemolysin, was associated with <it>S. aureus </it>episodes (p < 0.001), whereas slime production was positive in 23.5% of CoNS and 8.6% of <it>S. aureus </it>strains (p = 0.0047). The first model did not include enzymes and toxins due to their association with <it>S. aureus</it>. The odds of resolution were 9.5 times higher for <it>S. epidermidis </it>than for <it>S. aureus </it>(p = 0.02) episodes, and were similar for <it>S. epidermidis </it>and other CoNS (p = 0.8). The resolution odds were 68 times higher for non-slime producers (p = 0.001) and were not influenced by oxacillin resistance among vancomycin-treated cases (p = 0.89). In the second model, the resolution rate was similar for <it>S. aureus </it>and <it>S. epidermidis </it>(p = 0.70), and slime (p = 0.001) and α-hemolysin (p = 0.04) production were independent predictors of non-resolution.</p> <p>Conclusion</p> <p>Bacterial species and virulence factors rather than antibiotic resistance influence the outcome of staphylococcal peritonitis.</p

Description of a new genus and species of Chrysopetalidae (Annelida: Polychaeta) from the NE Atlantic, with some further records of related species

Five chrysopetalid species are reported from samples collected at bathyal depths in three NE Atlantic regions: the Bay of Biscay, the Horseshoe Abyssal Plain and the Gulf of Cadiz. Arichlidon reyssi (Katzmann et al., 1974), Dysponetus caecus (Langerhans, 1880) and D. profundus Böggemann, 2009 are free-living forms found mainly on biogenic substrates (e.g., coral and sunken wood). A brief description and taxonomical remarks are given for each of these species and their geographical distributions and habitat records were updated accordingly. Natsushima bifurcata Miura &amp; Laubier, 1990 and Craseoschema thyasiricola gen. et sp. nov. are symbionts inhabiting the mantle cavity of chemosynthesis-based bivalves known from four mud volcanoes from the Gulf of Cadiz. Craseoschema thyasiricola gen. et sp. nov. was found inside a thyasirid bivalve and presents mixed morphological characteristics of free-living and symbiotic forms within Calamyzinae Hartmann-Schröder, 1971. A full description of the new species is given together with DNA sequences of the genes COI, 16S and H3 that were used in a phylogenetic analysis to indicate the position of the new genus within the family.</p

Effect of caffeine on Alzheimer’s molecular factors in correlation with involved cell communication systems in developing zebrafish Danio rerio

Background: Epidemiological studies suggested that caffeine/coffee could be an effective therapeutic agent against Alzheimer disease (AD). The mechanism has not been well established; however, molecular genetic analyses suggest that many genes influence it. Methods: Using developing zebrafish (Danio rerio), we studied the regulatory effect of caffeine on AD molecular factors, APP, Psen1, Psen2, ApoE, and Sorl1, and on receptor expression of two cell communication systems involved in the disease, adenosine (AR) and dopamine receptors (DR). Results: All genes are already expressed at early developmental stages. No morphological changes were found at tested concentrations and control. Caffeine significantly down-regulated the expression of all AD tested genes at 24 h post-fertilization (hpf) and APP, Sorl1, and Psen1 at 96 and 168 hpf. A(2aa) and A(2ab) receptors have higher affinity for caffeine than A(2b). Significant down-regulation occurred in A(2b) at 168 hpf in both concentrations. Caffeine blocked the expression of drd(2a) and drd(2c) at 24 hpf but significantly stimulated the expression at 96 and 168 hpf. Conclusions: Zebrafish is a promising organism in studying AD at the molecular level because all tested factors are already expressed at early developmental stages. Caffeine has a regulatory effect on all tested genes and may protect against the disease via amyloid pathway as well as AR and DR.N