屠丽红, 陈洪友, 陈敏. 上海市2014年腹泻患者弯曲菌分离、毒力基因检测及分子分型结果[J]. 上海预防医学, 2015, 27(6): 311-314.
引用本文: 屠丽红, 陈洪友, 陈敏. 上海市2014年腹泻患者弯曲菌分离、毒力基因检测及分子分型结果[J]. 上海预防医学, 2015, 27(6): 311-314.
TU Li-hong, CHEN Hong-you, CHEN Min. Campylobacter spp. isolation,its toxin genes detection and molecular subtyping in diarrhea patients in Shanghai in 2014[J]. Shanghai Journal of Preventive Medicine, 2015, 27(6): 311-314.
Citation: TU Li-hong, CHEN Hong-you, CHEN Min. Campylobacter spp. isolation,its toxin genes detection and molecular subtyping in diarrhea patients in Shanghai in 2014[J]. Shanghai Journal of Preventive Medicine, 2015, 27(6): 311-314.

上海市2014年腹泻患者弯曲菌分离、毒力基因检测及分子分型结果

Campylobacter spp. isolation,its toxin genes detection and molecular subtyping in diarrhea patients in Shanghai in 2014

  • 摘要: 目的了解上海市2014年腹泻患者中弯曲菌感染现状,并分析弯曲菌的毒力基因及分子分型特征。方法采用膜过滤法对2014年上海市2 235例腹泻患者肛拭标本进行弯曲菌检测,并用常规生化试验和PCR方法鉴定分离菌株。采用PCR检测弯曲菌分离株的6种毒力相关基因,包括鞭毛蛋白基因flaA,细胞溶涨毒素cdt基因簇cdtA、cdtB、cdtC,pVir质粒virB同源性基因virB11,外膜蛋白基因cadF。采用脉冲场凝胶电泳(PFGE)法对弯曲菌分离株进行分子分型。结果2 235例腹泻患者的肛拭标本中共检出弯曲菌43株,阳性率为1.9%。其中空肠弯曲菌占95.3%(41/43),结肠弯曲菌占4.7%(2/43)。毒力相关基因检测显示,100.0%(43/43)的弯曲菌菌株flaA基因和cadF基因阳性,93.0%(40/43)的弯曲菌菌株cdtA基因和cdtB基因阳性,88.4%(38/43)的弯曲菌菌株cdtC基因阳性,只有7.0%(3/43)的弯曲菌菌株virB11基因阳性。43株弯曲菌经PFGE分型,共分为6个聚类。结论上海市腹泻患者中分离的弯曲菌普遍存在flaAcadF基因,cdtA、cdtB、cdtC基因携带率高,virB11携带率略低。弯曲菌分子分型呈多样化和复杂化特征,其引起的腹泻以散发为主。

     

    Abstract: Objective To investigate the status quo of Campylobacter spp. infection in Shanghai and study its molecular characteristics and virulence and toxin genes. Methods Stool samples collected from diarrheal patients were cultured for bacterial pathogens using membrane filter method. The strains were identified by biochemical tests and PCR. PCR was applied to detect six virulence and toxin genes including flaA,cdtA,cdtB,cdtC,virB11,cadF. Pulsed-field gel electrophoresis (PFGE) was carried out for subtyping. Results A total of 43 Campylobacter spp. (1.9%) were collected from 2 235 stool samples in Shanghai in 2014 including 41 Campylobacter jejuni isolates(95.3%) and 2 Campylobacter coli isolates(4.7%). The data showed 100.0% (43/43) of the isolates were positive for flaA and cadF, and 93.0% (40/43) of the isolates positive for cdtA and cdtB. And 88.4% (38/43) of the isolates were positive for cdtC. Only 7.0% (3/43) of the isolates were positive for virB11. Using PFGE, 43 Campylobacter jejuni and Campylobacter coli strains were subtyped into 6 clusters. Conclusion The genes of flaA and cadF are ubiquitous on Campylobacter spp. isolates. The distribution of cdt gene cluster in Campylobacter spp. is high, while that of virB11 is low. The PFGE types of Campylobacter spp. isolated in Shanghai are of diversified and complicated features, which causes mainly sporatic diarrhea.

     

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