1.Identification of nontuberculous mycobacteria in patients with multidrug-resistant tuberculosis in Quezon City, Philippines, using multiplex PCR
Michelle M. Cabanatan ; Alice Alma C. Bungay ; Sharon Yvette Angelina M. Villanueva ; Marohren C. Tobias-altura ; Dario D. Defensor ; Maria Margarita M. Lota
Acta Medica Philippina 2025;59(4):103-112
BACKGROUND AND OBJECTIVE
Nontuberculous mycobacteria (NTM) lung disease appears like tuberculosis infection but is resistant to primary anti-tuberculosis drugs. Hence, patients whose sputum sample tests positive for acid-fast bacilli (AFB) and bacterial culture for several times should be assessed for colonization or infection with NTM in a damaged lung secondary to TB. In such cases, though drug-resistant TB may be adequately treated, treatment may need to be directed towards the NTM as well. In NTM therapy, the duration and choice of treatment agent is based upon the specific organism and disease extent. This study used one-step multiplex PCR (mPCR) assay for rapid differentiation of solid cultures in Ogawa medium as Mycobacterium tuberculosis (MTB) and/or NTM.
METHODSA total of 80 stocked isolates obtained from the Lung Center of the Philippines from January to December 2018 were screened for NTM in terms of growth in Ogawa medium, acid fastness, and MPT64 TB antigen test result. These were from sputum specimens of multidrug-resistant tuberculosis (MDR-TB) patients. DNA was extracted from cultures (n=55) grown in Ogawa medium and one-step mPCR was performed to identify NTM to the species level.
RESULTSOut of 80 samples screened, a total of 55 isolates were identified as NTM. One-step mPCR identified 12.73% (7/55) as M. abscessus, 34.55% (19/55) as M. massiliense, 1.82% (1/55) as M. kansasii, and 50.91% (28/55) were identified only up to genus Mycobacteria spp. Neither M. avium complex nor M. intracellulare was identified among the samples tested.
CONCLUSIONOne-step mPCR was able to identify isolates as MTB or NTM coinciding with the initial screening using MPT64 TB antigen test. Multiplex PCR has given a more specific identificati on to the species level. The use of mPCR in identifying MTB and clinically significant NTM’s is suitable for the adequate treatment of mycobacterial infection.
Human ; Bacteria ; Multiplex Pcr ; Multiplex Polymerase Chain Reaction ; Mycobacteria ; Mycobacterium ; Tuberculosis, Multidrug-resistant
2.Neurolisteriosis in a 31-year-old man: A case report
Pamela Alyssa E. Olaoguera ; Maritzie R. Eribal
Philippine Journal of Internal Medicine 2025;63(3):22-27
INTRODUCTION
Neurolisteriosis is caused by Listeria monocytogenes, a gram-positive microorganism. It usually affects vulnerable population including pregnant women, neonates, immunocompromised individuals, and elderly persons. This report describes a case of neurolisteriosis in a 31-year-old immunocompetent man.
CASE SUMMARYThis case involves a 31-year-old Filipino male who presented with decrease sensorium. A lumbar puncture was performed, and polymerase chain reaction (PCR) testing of the cerebrospinal fluid confirmed the presence of Listeria monocytogenes. On the fifth day of hospitalization, the patient developed unilateral sixth cranial nerve palsy and facial nerve palsy. He was treated with intravenous ampicillin for 21 days, resulting in significant improvement in the cranial nerve deficits.
CONCLUSIONIt is the first neurolisteriosis case in this institution. There is only one published neurolisteriosis case in the Philippines which presented with brain abscess. Neurolisteriosis, although uncommon, is one of the differential diagnoses in patients presenting with fever, headache, and nuchal rigidity. Isolation of Listeria monocytogenes in the cerebrospinal fluid and blood culture is diagnostic. Neurolisteriosis is an invasive disease which can result in neurologic sequalae such as cranial nerve palsies. Targeted treatment aids in good clinical outcomes.
Human ; Bacteria ; Male ; Adult: 25-44 Yrs Old ; Listeria Monocytogenes
3.Research progress on immunological properties of ESAT-6 secreted by Mycobacterium tuberculosis and its role in new vaccines.
Yujie LI ; Haiyan YU ; Yuting YANG ; Guoping YANG
Chinese Journal of Cellular and Molecular Immunology 2024;40(1):89-94
Early secreted antigenic target of 6 kDa protein (ESAT-6) is the major virulence factor of Mycobacterium tuberculosis (MTB), which can resist the clearance of MTB in bodies by inhibiting macrophage phagocytosis and autophagy reaction, thus impeding the immune defense function of the body against MTB infection. In addition, ESAT-6-induced apoptosis of macrophage and massive necrosis of innate immune cells can foster MTB proliferation and colonization, leading to systemic MTB infection. Moreover, ESAT-6 hampers the protective immune response of Th1 cells, reducing the secretion of pro-inflammatory cytokines and contributing to immune dysfunction, thus accelerating the course of MTB infection. During the process, the high immunogenicity of ESAT-6 can be leveraged as a dominant antigen in the development of new TB vaccines, making it a promising candidate with broad prospects for further development.
Humans
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Mycobacterium tuberculosis
;
Vaccines
;
Cytokines
;
Apoptosis
;
Autophagy
;
Sepsis
4.Lactobacillus brevis BIOTECH 1766 attenuates oxidative stress and histopathological changes following aluminum poisoning in ICR mice
Gerwin Louis T. Dela Torre ; Richelle Ann M. Manalo ; Szarina Krisha K. Ko ; Erna C. Arollado ; Arlene A. Samaniego
Acta Medica Philippina 2024;58(19):56-63
OBJECTIVE
The aim of this study was to investigate the protective effects of Lactobacillus brevis BIOTECH 1766 against oxidative damage in the brain, liver, and kidneys induced by aluminum (Al) poisoning in ICR mice.
METHODSTwenty mice were divided into four groups (n = 5): (I) control, (II) Al, (III) citric acid (CA), and (IV) L. brevis BIOTECH 1766 group. A 14-day treatment period was implemented, wherein groups I and II received sterile water, while groups III and IV received 10 mg/kg bw of CA and 1 x 109 cfu/kg bw of L. brevis BIOTECH 1766, respectively. On day 15, all except the control group received a single oral dose of 1438 mg/kg bw of AlCl3. 6H2O. After 24 h, mice were euthanized to collect the brain, liver, and kidneys for the oxidative stress marker analyses and histopathological examination.
RESULTSAcute intoxication of Al led to a significant increase in tissue malondialdehyde (MDA) and a significant decrease in the tissue's reduced glutathione (GSH), catalase (CAT), and superoxide dismutase (SOD). Mice pretreated with CA or L. brevis BIOTECH 1766 have markedly reduced CAT activity in the liver, and SOD in all three organs. Extensive organ injuries were also prevented by CA and L. brevis BIOTECH 1766 pretreatment, with the latter providing better protection against liver damage.
CONCLUSIONThe findings showed that L. brevis BIOTECH 1766 provides a protective effect against acute Al poisoning in mice by ameliorating oxidative damage in the brain, liver, and kidneys.
Animals ; Catalase ; Lactobacillus Brevis ; Oxidative Stress ; Superoxide Dismutase
5.A comparison of lactobacillus acidophilus adhesion to metal and ceramic brackets with coated and uncoated nickel titanium orthodontic archwires: An in vitro study
Ardiansyah S. Pawinru ; Nasyrah Hidayati ; Eka Erwansyah ; Eddy Heriyanto Habar ; Baharuddin M. Ranggang ; Suhesti Suronoto
Acta Medica Philippina 2024;58(22):106-110
Background and Objective:
According to microbiological investigations, microorganisms, especially Lactobacillus strains, considerably increase after using fixed orthodontic appliances. One of the Lactobacilli bacteria found in the oral cavity is Lactobacillus acidophilus. The purpose of this study was to compare the adhesion of Lactobacillus acidophilus to metal and ceramic brackets with coated and uncoated nickel titanium (NiTi) orthodontic archwires.
Methods:
Forty () samples were divided into four groups for this in vitro study: 10 metal brackets with coated NiTi archwire, 10 metal brackets with uncoated NiTi archwire, 10 ceramic brackets with coated NiTi archwire, and 10 ceramic brackets with uncoated NiTi archwire. Elisa Reader was used to count the number of Lactobacillus acidophilus attachments, and the one-way ANOVA and Tukey HSD tests were used to analyze all results.
Results:
The results showed significant differences in the attachment of Lactobacillus Acidophilus between the ceramic bracket and coated NiTi archwire sample groups and the metal bracket and uncoated NiTi archwire sample groups (P= 0.01). The adherence of Lactobacillus acidophilus to the ceramic bracket and uncoated NiTi archwire group was higher than the metal bracket and coated NiTi archwire group, and the metal bracket and uncoated NiTi archwire group. The attachment of Lactobacillus acidophilus to the metal bracket and uncoated NiTi archwire groups was the lowest of all sample groups in this study.
Conclusion
The highest Lactobacillus acidophilus adherence was in the ceramic bracket with coated NiTi archwire group compared to the other three groups.
Lactobacillus acidophilus
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Orthodontic Brackets
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Orthodontic Wires
6.Evaluation of Microsphere-based xMAP Test for gyrA Mutation Identification in Mycobacterium Tuberculosis.
Xi Chao OU ; Bing ZHAO ; Ze Xuan SONG ; Shao Jun PEI ; Sheng Fen WANG ; Wen Cong HE ; Chun Fa LIU ; Dong Xin LIU ; Rui Da XING ; Hui XIA ; Yan Lin ZHAO
Biomedical and Environmental Sciences 2023;36(4):384-387
7.Isolation of a foodborne Bacillus cereus strain and its effect on intestinal mucosal immunity-associated factors and gut microbial community in mice.
Li GAO ; Shan HE ; Lili WANG ; Yuting LIU ; Tong WEN
Chinese Journal of Biotechnology 2023;39(4):1759-1772
Bacillus cereus is a common foodborne pathogen. Accidently eating food contaminated by B. cereus will cause vomiting or diarrhea, and even death in severe cases. In the present study, a B. cereus strain was isolated from spoiled rice by streak culture. The pathogenicity and drug resistance of the isolated strain were analyzed by drug sensitivity test and PCR amplification of virulence-associated gene respectively. Cultures of the purified strain were injected intraperitoneally into mice to examine their effects on intestinal immunity-associated factors and gut microbial communities, to provide references for the pathogenic mechanism and medication guidance of these spoilage microorganisms. The results showed that the isolated B. cereus strain was sensitive to norfloxacin, nitrofurantoin, tetracycline, minocycline, ciprofloxacin, spectinomycin, clindamycin, erythrocin, clarithromycin, chloramphenicol, levofloxacin, and vancomycin, but resistant to bactrim, oxacillin and penicillin G. The strain carries seven virulence-associated genes including hblA, hblC, hblD, nheA, nheB, nheC and entFM, which are involved in diarrhea-causing toxins production. After infecting mice, the isolated B. cereus strain was found to cause diarrhea in mice, and the expression levels of immunoglobulins and inflammatory factors in the intestinal mucosae of the challenged mice were significantly up-regulated. Gut microbiome analysis showed that the composition of gut microbial community in mice changed after infection with B. cereus. The abundance of the uncultured_bacterium_f_Muribaculaceae in Bacteroidetes, which is a marker of body health, was significantly decreased. On the other hand, the abundance of uncultured_bacterium_f_Enterobacteriaceae, which is an opportunistic pathogen in Proteobacteria and a marker of dysbacteriosis, was significantly increased and was significantly positively correlated with the concentrations of IgM and IgG. These results showed that the pathogenic B. cereus carrying diarrhea type virulence-associated gene can activate the immune system by altering the composition of gut microbiota upon infection.
Animals
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Mice
;
Bacillus cereus/metabolism*
;
Food Microbiology
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Immunity, Mucosal
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Diarrhea
;
Microbiota
;
Enterotoxins/genetics*
8.Efficient biosynthesis of γ-aminobutyric acid by rationally engineering the catalytic pH range of a glutamate decarboxylase from Lactobacillus plantarum.
Jiewen XIAO ; Jin HAN ; Zhina QIAO ; Guodong ZHANG ; Wujun HUANG ; Kai QIAN ; Meijuan XU ; Xian ZHANG ; Taowei YANG ; Zhiming RAO
Chinese Journal of Biotechnology 2023;39(6):2108-2125
γ-aminobutyric acid can be produced by a one-step enzymatic reaction catalyzed by glutamic acid decarboxylase. The reaction system is simple and environmentally friendly. However, the majority of GAD enzymes catalyze the reaction under acidic pH at a relatively narrow range. Thus, inorganic salts are usually needed to maintain the optimal catalytic environment, which adds additional components to the reaction system. In addition, the pH of solution will gradually rise along with the production of γ-aminobutyric acid, which is not conducive for GAD to function continuously. In this study, we cloned the glutamate decarboxylase LpGAD from a Lactobacillus plantarum capable of efficiently producing γ-aminobutyric acid, and rationally engineered the catalytic pH range of LpGAD based on surface charge. A triple point mutant LpGADS24R/D88R/Y309K was obtained from different combinations of 9 point mutations. The enzyme activity at pH 6.0 was 1.68 times of that of the wild type, suggesting the catalytic pH range of the mutant was widened, and the possible mechanism underpinning this increase was discussed through kinetic simulation. Furthermore, we overexpressed the Lpgad and LpgadS24R/D88R/Y309K genes in Corynebacterium glutamicum E01 and optimized the transformation conditions. An optimized whole cell transformation process was conducted under 40 ℃, cell mass (OD600) 20, 100 g/L l-glutamic acid substrate and 100 μmol/L pyridoxal 5-phosphate. The γ-aminobutyric acid titer of the recombinant strain reached 402.8 g/L in a fed-batch reaction carried out in a 5 L fermenter without adjusting pH, which was 1.63 times higher than that of the control. This study expanded the catalytic pH range of and increased the enzyme activity of LpGAD. The improved production efficiency of γ-aminobutyric acid may facilitate its large-scale production.
Glutamate Decarboxylase/genetics*
;
Lactobacillus plantarum/genetics*
;
Catalysis
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gamma-Aminobutyric Acid
;
Hydrogen-Ion Concentration
;
Glutamic Acid
9.Functional analysis of functional membrane microdomains in the biosynthesis of menaquinone-7.
Yajun DONG ; Shixiu CUI ; Yanfeng LIU ; Jianghua LI ; Guocheng DU ; Xueqin LÜ ; Long LIU
Chinese Journal of Biotechnology 2023;39(6):2215-2230
Functional membrane microdomains (FMMs) that are mainly composed of scaffold proteins and polyisoprenoids play important roles in diverse cellular physiological processes in bacteria. The aim of this study was to identify the correlation between MK-7 and FMMs and then regulate the MK-7 biosynthesis through FMMs. Firstly, the relationship between FMMs and MK-7 on the cell membrane was determined by fluorescent labeling. Secondly, we demonstrated that MK-7 is a key polyisoprenoid component of FMMs by analyzing the changes in the content of MK-7 on cell membrane and the changes in the membrane order before and after destroying the integrity of FMMs. Subsequently, the subcellular localization of some key enzymes in MK-7 synthesis was explored by visual analysis, and the intracellular free pathway enzymes Fni, IspA, HepT and YuxO were localized to FMMs through FloA to achieve the compartmentalization of MK-7 synthesis pathway. Finally, a high MK-7 production strain BS3AT was successfully obtained. The production of MK-7 reached 300.3 mg/L in shake flask and 464.2 mg/L in 3 L fermenter.
Bacillus subtilis/metabolism*
;
Vitamin K 2/metabolism*
;
Bioreactors/microbiology*
;
Membrane Microdomains/metabolism*
10.Development of biosensors highly responsive to N-acetylneuraminic acid in Bacillus subtilis.
Jiaqi SUN ; Yanting CAO ; Xueqin LÜ ; Jianghua LI ; Long LIU ; Guocheng DU ; Jian CHEN ; Yanfeng LIU
Chinese Journal of Biotechnology 2023;39(5):2502-2516
Bacillus subtilis is recognized as a generally-regarded-as-safe strain, and has been widely used in the biosynthesis of high value-added products, including N-acetylneuraminic acid (NeuAc) which is widely used as a nutraceutical and a pharmaceutical intermediate. Biosensors responding to target products are widely used in dynamic regulation and high-throughput screening in metabolic engineering to improve the efficiency of biosynthesis. However, B. subtilis lacks biosensors that can efficiently respond to NeuAc. This study first tested and optimized the transport capacity of NeuAc transporters, and obtained a series of strains with different transport capacities for testing NeuAc-responsive biosensors. Subsequently, the binding site sequence of Bbr_NanR responding to NeuAc was inserted into different sites of the constitutive promoter of B. subtilis, and active hybrid promoters were obtained. Next, by introducing and optimizing the expression of Bbr_NanR in B. subtilis with NeuAc transport capacity, we obtained an NeuAc-responsive biosensor with wide dynamic range and higher activation fold. Among them, P535-N2 can sensitively respond to changes in intracellular NeuAc concentration, with the largest dynamic range (180-20 245) AU/OD. P566-N2 shows a 122-fold of activation, which is 2 times of the reported NeuAc-responsive biosensor in B. subtilis. The NeuAc-responsive biosensor developed in this study can be used to screen enzyme mutants and B. subtilis strains with high NeuAc production efficiency, providing an efficient and sensitive analysis and regulation tool for biosynthesis of NeuAc in B. subtilis.
N-Acetylneuraminic Acid/metabolism*
;
Bacillus subtilis/metabolism*
;
Promoter Regions, Genetic/genetics*
;
Binding Sites
;
Biosensing Techniques


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