Caracterização genotípica dos fatores de virulência em amostras de Escherichia coli isoladas de pacientes com cistite

Adhesins (P-fimbriae, S-fimbriae, type 1 fimbriae and afimbrial adhesin), toxins (α-hemolysin and cytotoxic necrotizing factor type 1), iron acquisition systems (aerobactin) and host defense avoidance mechanisms (capsule or lipopolysaccharide) have been shown to be prevalent in Escherichia coli strains associated with urinary tract infections. In this work, 162 Uropathogenic Escherichia coli (UPEC) strains from patients with cystitis were genotypically characterized by polymerase chain reaction (PCR) assay. We developed three multiplex PCR assays for virulence-related genes papC, papE/F, papG alleles, fimH, sfa/foc, afaE, hly, cnf-1, usp, cdtB, iucD, and kpsMTII, all of them previously identified in UPEC strains. The PCR assay results identified 158 fimH (97.5%), 86 kpsMTII (53.1%), 53 papC/papEF/papG (32.7%), 45 sfa (27.8%), 42 iucD (25.9%), 41 hly (25.3%), 36 usp (22.2%), 30 cnf-1(18.5%) and 10 afa (6.2%) strains. No strain was positive for cdtB. In this work, we also demonstrated that adhesins may be multiple within a single strain and that several virulence genes can occur combined in association.Adesinas (Fímbria P, fímbria S, fímbria do tipo 1 e a adesina afimbrial), toxinas (α-hemolisina e o fator necrosante citotóxico do tipo 1), sistemas de captação de ferro (aerobactina), e mecanismos de defesa do hospedeiro (cápsula ou lipopolissacarídeo) são prevalentes em amostras de Escherichia coli associadas a infecções do trato urinário. O objetivo deste trabalho foi caracterizar genotipicamente 162 amostras de Escherichia coli uropatogênica (UPEC) de pacientes com cistite através do ensaio da reação em cadeia da polimerase. Foram realizados três ensaios de PCR multiplex para os seguintes fatores de virulência: papC, papE/F, alelos de papG, fimH, sfa/foc, afaE, hly, cnf-1, usp, cdtB, iucD, e kpsMTII. Os resultados da PCR identificaram, 158 amostras fimH (97,5%), 86 amostras kpsMTII (53,1%), 53 amostras papC/papEF/papG (32,7%), 45 amostras sfa (27,8%), 42 amostras iucD (25,9%), 41 amostras hly (25,3%), 36 amostras usp (22,2%), 30 amostras cnf-1 (18,5%) e 10 amostras afa (6,2%). Nenhuma amostra foi positiva para o gene cdtB. Neste trabalho, demonstramos que podemos encontrar múltiplas adesinas em uma única amostra e que diferentes genes de fatores de virulência podem ser encontrados em associação

Identification of putative new Escherichia coli flagellar antigens from human origin using serology, PCR-RFlP and DNA sequencing methods

Escherichia coli has been isolated frequently, showing flagellar antigens that are not recognized by any of the 53 antisera, provided by the most important reference center of E. coli, The International Escherichia and Klebsiella Center (WHO) of the Statens Serum Institute, Copenhagen, Denmark. The objective of this study was to characterize flagellar antigens of E. coli that express non-typeable H antigens. The methods used were serology, PCR-RFLP and DNA sequencing. This characterization was performed by gene amplification of the fliC (flagellin protein) by polymerase chain reaction in all 53 standards E.coli strains for the H antigens and 20 E. coli strains for which the H antigen was untypeable. The amplicons were digested by restriction enzymes, and different restriction enzyme profiles were observed. Anti-sera were produced in rabbits, for the non-typeable strains, and agglutination tests were carried out. In conclusion,the results showed that although non-typeable and typable H antigens strains had similar flagellar antigens, the two types of strains were distinct in terms of nucleotide sequence, and did not phenotypically react with the standard antiserum, as expected. Thirteen strains had been characterized as likely putative new H antigen using PCR-RFLP techniques, DNA sequencing and/or serology.14415

Salmonella enterica serotypes from human and nonhuman sources in Sao Paulo State, Brazil, 2004-2020

Salmonellosis ranks among the most frequently reported zoonosis worldwide and is often associated with foodborne outbreaks. Since the 1950s, the distribution of Salmonella serotypes in Sao Paulo State, Brazil, has been documented and periodically reported. In this study, we updated the data on the distribution of Salmonella serotypes received in our reference laboratory, isolated from human infections and nonhuman sources, from 2004 to 2020. In that period, a total of 9,014 Salmonella isolates were analyzed, of which 3,553 (39.4%) were recovered from human samples, mainly of stool (65%) and blood (25.6%), and 5,461 (60.6%) were isolated from nonhuman origins, such as animals (47.2%), food (27.7%) and animal environments (18.6%). In human isolates, a total of 104 serotypes were identified and the most frequent ones were Enteritidis, Typhimurium, S . I. 4,[5],12:i:-, Dublin and Typhi. A consistent reduction of the Enteritidis proportion was observed over the years. Among the 156 serotypes identified in isolates with nonhuman origins, Enteritidis, Mbandaka, Typhimurium, Agona and Anatum were ranked as the top five Salmonella serotypes; in more recent years, S . Heidelberg has increased in frequency. Although with different proportions, the top 10 prevalent serotypes were identified in both human and nonhuman origins, underscoring the role of animals, food products and environment as reservoirs of Salmonella with potential to cause human salmonellosis

Emergence and Persistence of High-Risk Clones Among MDR and XDR A. baumannii at a Brazilian Teaching Hospital

Dissemination of carbapenem-resistant Acinetobacter baumannii is currently one of the priority themes discussed around the world, including in Brazil, where this pathogen is considered endemic. A total of 107 carbapenem-resistant A. baumannii (CRAB) isolates were collected from patients with bacteraemia attended at a teaching hospital in Brazil from 2008 to 2014. From these samples, 104 (97.2%) carried blaOXA−23−like, all of them associated with ISAba1 The blaOXA−231 (1.9%) and blaOXA−72 (0.9%) genes were also detected in low frequencies. All isolates were susceptible to minocycline, and 38.3% of isolates presented intermediate susceptibility to tigecycline (MIC = 4 μg/ml). Molecular typing assessed by multi-locus sequence typing demonstrated that the strains were mainly associated with clonal complexes CC79 (47.4%), followed by CC1 (16.9%), and CC317 (18.6%), belonging to different pulsotypes and in different prevalences over the years. Changes in the clones' prevalence reinforce the need of identifying and controlling CRAB in hospital settings to preserve the already scarce therapeutic options available

Identification of new Escherichia coli flagellar antigen from human origin

Orientador: Domingos da Silva LeiteTese (doutorado) - Universidade Estadual de Campinas, Instituto de BiologiaResumo: Escherichia coli tem sido isolada, com certa freqüência, apresentando antígenos flagelares (H) que não são reconhecidos por nenhum dos anti-soros disponibilizado pelo mais importante centro de referência de E. coli, The International Escherichia and Klebsiella Centre (WHO) do Statens Serum Institut, Copenhague, Dinamarca. Atualmente são reconhecidos 53 antígenos "H" e, nos últimos 29 anos, nenhuma modificação ocorreu na lista dos antígenos flagelares associados à Escherichia coli. Isto posto, os objetivos deste trabalho foram identificar os antígenos flagelares das cepas de E. coli que expressam H não tipável (HNT) e que apresentam fatores de virulência associados à diferentes enteropatias. Esta identificação foi realizada inicialmente, pela reação em cadeia da polimerase (PCR) do gene fliC, responsável pela proteína flagelina, das 53 amostras padrões para os antígenos H e das 20 amostras HNT (H não-tipável). Em seguida, os amplicons foram digeridos por enzimas de restrição e daquelas amostras que apresentaram perfis de restrições distintos daqueles observados para as amostras padrões de antígeno H, foram produzidos soros em coelhos. Foram realizados testes de titulação frente aos 53 antígenos padrões, frente ao antígeno homólogo e frente aos antígenos das amostras HNT. As seqüência gênicas das amostras HNT, obtidas na reação de sequenciamento, foram comparadas aos diferentes genes de fliC armazenados no banco de dados do "National Center for Biotecnology Information" (NCBI) através do sistema BLAST, e o programa ClustalW foi utilizado para alinhamento das seqüências. Os resultados demonstraram que estas amostras apresentaram similaridade com antígenos padrões, entretanto, elas não possuem a mesma seqüência nucleotídica e também não reagiram fenotipicamente com o anti-soro esperado. Os dados obtidos permitem concluir que no conjunto de amostras estudado, treze amostras apresentaram antígeno flagelar diferente daqueles já descritos na literatura, quando utilizado as técnicas de PCR e/ou sorologia.Abstract: Escherichia coli has been isolated frequently, showing flagellar antigens that are not recognized by any of the antisera, provided by the most important reference center of E. coli, The International Escherichia and Klebsiella Centre (WHO) of the Statens Serum Institute, Copenhagen, Denmark. Are currently recognized 53 H antigens and in the last 29 years, no change occurred in the list of flagellar antigens associated with Escherichia coli. The objectives of this study were to identify the flagellar antigens of E. coli that do not express non-typeable H antigens and presenting the virulence factors associated with different diseases. This identification was performed initially by gene amplification of the fliC, (flagellin protein) by the polymerase chain reaction (PCR) in all 53 standards E. coli strains for the H antigens and 20 non-typeable H-antigens E. coli strains, being then, the amplicons were digested by restriction enzymes. Anti-sera were produced in rabbits, those strains that showed different restriction profiles of these patterns observed for the nontypeable H antigens E. coli strains. Agglutination testes were carried out against the 53 antigens standards, against the homologous antigen and H antigens of the non-typeable strains. DNA sequences were compared to different fliC genes stored in the database of the National Center for Biotecnology Information (NCBI) through the BLAST, and ClustalW program was used to align the sequences. The results showed that although these strains have homology with a standard H-antigen, they do not have the same nucleotide sequence and did not phenotypically reacted with the antiserum expected. The data obtained showed that thirteen strains had a different H antigen those already described in the literature when used the techniques of PCR-RFLP and/or serology.DoutoradoMicrobiologiaDoutor em Genetica e Biologia Molecula

Determinação genotipica dos fatores de virulencia em amostras de Escherichia coli isoladas de cistite

Orientadores: Domingos da Silva Leite, Tomomasa YanoDissertação (mestrado) - Universidade Estadual de Campinas, Instituto de BiologiaMestrad