5 research outputs found

    Role of MAP Kinase in Fusarium Association With Contact Lenses

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    Fusarium solani is a soil-borne pathogen devastating agricultural crops throughout the world. While most pathogens are host specific, the fusaria are able to infect both plants and animals. In 2004, an outbreak of Fusarium occurred in association with contact lens wear. Several species of Fusarium were involved but F. solani and F. oxysporum were most prominent. In this work, we have identified a MAP kinase (MAPK), highly similar to fmk1 in F. oxysporum, belonging to the YERK1 subfamily of extracellular regulated kinases. Directed disruption of fmk1 in F. solani AFR4 (FSSC 1) affected several aspects of fungal growth and pathogenicity. Colonies of AFR4„½fmk1 displayed pigmented colony-like formation as opposed to the cottony-white diffuse growth observed with the wild-type strain. Mutants displayed changes in morphology and conidiation patterns with AFR4„½fmk1 mutants producing increased amounts of macroconidia vs. microconidia. AFR4„½fmk1 germ tube emergence was similar to that of wild-type AFR4 and wet weight growth was equivalent but germinules were not able to sense nutrient in chemotropic assays. The disruption of fmk1 increased spore surface hydrophobicity leading to a decrease in association with commercially available hydrogel contact lenses. FMK1 did not affect unworn lens penetration in phosphate buffered saline as both wild-type and mutant strains were able to penetrate commercially available silicone hydrogel contact lenses. AFR4 displayed increased penetration of silicone lenses and this is likely due to: increased spore/lens association, and the inability of AFR4„½fmk1 macroconidia to germinate in phosphate buffered saline. Diminished invasive growth was also noted with disruption of fmk1. Wild-type AFR4 was detected throughout the eye after conidial microinjection while AFR4„½fmk1 was limited to the vitreous fluid. The reduced invasive growth seen is attributed to the loss of chemotropism. The ability to sense and respond to the environment is essential for pathogenicity. MAPK has been deemed essential for plant pathogenicity and now, with its affect on chemotropism, appears to be necessary for animal pathogenicity. FMK1 plays a conserved role in the pathogenicity of Fusarium

    Evaluation of the performance of a multiplex reverse transcription polymerase chain reaction kit as a potential diagnostic and surveillance kit for rotavirus in Kenya

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    Abstract Background Diarrhea is a serious concern worldwide, especially in developing countries. Rotavirus is implicated in approximately 400,000 infant deaths annually. It is highly contagious elevating the risk of outbreaks especially in enclosed settings such as daycare centers, hospitals, and boarding schools. Reliable testing methods are critical for early detection of infections, better clinical management, pathogen surveillance and evaluation of interventions such as vaccines. Enzyme immunoassays have proved to be reliable and practical in most settings; however, newer multiplex reverse transcription polymerase assays have been introduced in the Kenya market but have not been evaluated locally. Methods Stool samples collected from an ongoing Surveillance of Enteric Pathogens Causing diarrheal illness in Kenya (EPS) study were used to compare an established enzyme immunoassay, Premier™ Rotaclone® (Meridian Bioscience, Cincinnati, Ohio, U.S.A.), that can only detect group A rotavirus against a novel multiplex reverse transcription polymerase chain reaction kit, Seeplex® Diarrhea-V ACE Detection (Seegene, Seoul, Republic of Korea), that can detect rotavirus, astrovirus, adenovirus, and norovirus genogroups I and II. Detection frequency, sensitivity, specificity, turnaround time, and cost were compared to determine the suitability of each assay for clinical work in austere settings versus public health work in well-funded institutes in Kenya. Results The Premier™ Rotaclone® kit had a detection frequency of 11.2%, sensitivity of 77.8%, specificity of 100%, turnaround time of 93 min and an average cost per sample of 13.33 United States dollars (USD). The Seeplex® Diarrhea-V ACE Detection kit had a detection frequency of 16.0%, sensitivity of 100%, specificity of 98.1%, turnaround time of 359 min and an average cost per samples 32.74 United States dollars respectively. The detection frequency sensitivity and specificity of the Seeplex® Diarrhea-V ACE Detection kit mentioned above are for rotavirus only. Conclusions The higher sensitivity and multiplex nature of the Seeplex® Diarrhea-V ACE Detection kit make it suitable for surveillance of enteric viruses circulating in Kenya. However, its higher cost, longer turnaround time and complexity favor well-resourced clinical labs and research applications. The Premier™ Rotaclone®, on the other hand, had a higher specificity, shorter turnaround time, and lower cost making it more attractive for clinical work in low complexity labs in austere regions of the country. It is important to continuously evaluate assay platforms’ performance, operational cost, turnaround time, and usability in different settings so as to ensure quality results that are useful to the patients and public health practitioners.https://deepblue.lib.umich.edu/bitstream/2027.42/152177/1/40794_2019_Article_87.pd

    Trial Evaluating Ambulatory Therapy of Travelers’ Diarrhea (TrEAT TD) Study: A Randomized Controlled Trial Comparing 3 Single-Dose Antibiotic Regimens With Loperamide

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