医院获得性耐甲氧西林金黄色葡萄球菌中PSM-α基因检测及相关研究
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牟晓峰

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R378.1+1

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Detection and related study of  PSMα gene in hospitalacquired methicillinresistant Staphylococcus aureus
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    摘要:

    目的了解某地区耐甲氧西林金黄色葡萄球菌(MRSA)中α型酚溶调制蛋白(PSMα)基因携带情况及对人外周血中性粒细胞的影响,为指导临床治疗及明确该地区MRSA致病机制提供理论依据。方法收集临床标本中分离并经SCCmec分型的MRSA 90株,采用聚合酶链反应(PCR)方法扩增PSMα基因,并通过细胞形态学方法研究PSMα对人外周血中性粒细胞的影响。结果86株医院获得性MRSA(HAMRSA)中,PSMα基因阳性者78株,PSMα阳性率为 90.70%;4株社区获得性MRSA(CAMRSA) 中,2株为PSMα基因阳性,阳性率为50.00%;PSMα阳性组中性粒细胞死亡率与生理盐水组、PSMα阴性组和ATCC 25923组间比较,差异有统计学意义。PSMα阳性组死亡率高于其他3组,而PSMα阴性组和ATCC 25923组差异无统计学意义。结论该地区HAMRSA携带PSMα基因,且PSMα基因阳性的MRSA菌株分泌的PSMα具有促进中性粒细胞溶解的活性。

    Abstract:

    ObjectiveTo investigate the carriage of phenol soluble modulinα (PSMα) in methicillinresistant Staphylococcus aureus(MRSA)and influence in human peripheral blood neutrophils, so as to provide theoretical basis for guiding clinical treatment and identifying pathogenesis of MRSA.MethodsNinety MRSA isolates which were isolated from clinical specimens and performed SCCmec genotyping were collected, PSMα gene was amplified by polymerase chain reaction(PCR), and the effects of PSMα gene on  hunman peripheral blood neutrophils was studied by cell morphology analysis.ResultsOf 86 hospitalacquired MRSA(HAMRSA) isolates,78 were positive for PSMα gene,the positive gene was 90.70%; Of 4 communityacquired MRSA(CAMRSA), 2 were positive for PSMα gene,the positive rate was 50.00%; neutrophil death rate in PSMα positive group was significantly higher than normal saline group, PSMα negative group and ATCC 25923 group, but there was no significant difference between  PSMα negative group and ATCC 25923 group.ConclusionHAMRSA detected in this region carry PSMα gene, and PSMα secreted by PSMα positive MRSA has the activity of promoting the lysis of neutrophils.

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于淼、,赵自云,刘成玉,等.医院获得性耐甲氧西林金黄色葡萄球菌中PSM-α基因检测及相关研究[J]. 中国感染控制杂志,2015,14(7):443-446. DOI:10.3969/j. issn.1671-9638.2015.07.003.
YU Miao, ZHAO Ziyun, et al. Detection and related study of  PSMα gene in hospitalacquired methicillinresistant Staphylococcus aureus[J]. Chin J Infect Control, 2015,14(7):443-446. DOI:10.3969/j. issn.1671-9638.2015.07.003.

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  • 收稿日期:2014-12-25
  • 最后修改日期:2015-02-23
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  • 在线发布日期: 2015-07-30
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