内膜转运蛋白编码基因PEG-344在肺炎克雷伯菌毒力鉴别中的应用
作者:
作者单位:

1.南通大学附属无锡市第二人民医院检验科, 江苏 无锡 214002;2.青海省海东市平安区中医医院检验科, 青海 海东 810699

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通讯作者:

胡仁静  E-mail: weiweihuhu112@163.com

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基金项目:

青海省卫生健康委指导性计划课题(2021-wjzdx-121);无锡市卫健委青年项目(Q201901);无锡市卫健委科技成果和适宜技术推广项目(T202134)


Application of PEG-344 gene encoding metabolite transporter in virulence identification of Klebsiella pneumoniae
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Affiliation:

1.Department of Laboratory Medicine, Wuxi Second People's Hospital Affiliated to Nantong University, Wuxi 214002, China;2.Department of Laboratory Medicine, Ping'an District Hospital of Traditional Chinese Medicine of Haidong City of Qinghai Province, Haidong 810699, China

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    摘要:

    目的 评估新型标志物PEG-344在高毒力肺炎克雷伯菌以及经典肺炎克雷伯菌毒力鉴别中的应用价值。 方法 收集2020—2021年某院血流感染患者血标本分离的肺炎克雷伯菌,采用大蜡螟毒力试验结果作为金标准进行分组,将菌株分为高毒力组和经典组;进一步进行黏液丝试验、wzi基因测序和毒力基因检测(prmpA、prmpA2、PEG-1631、PEG-589、PEG-344)。 结果 共收集肺炎克雷伯菌36株,根据大蜡螟毒力试验结果将其分为高毒力组16株,经典组20株;高毒力组黏液丝阳性菌株占87.50%(14株),经典组黏液丝阳性菌株占15.00%(3株);毒力基因PEG-344检测的灵敏度、特异度高于经典的独立标志物prmpA、prmpA2。除1株经典组wxwh3(wzi-2)菌株PEG-344阳性以外,其余菌株PEG-344结果与毒力分组完全一致。 结论 内膜转运蛋白编码基因PEG-344能更准确地鉴别高毒力菌株,及时提醒临床合理用药,为临床医生优化诊疗方案提供依据。

    Abstract:

    Objective To evaluate the application value of a new biomarker PEG-344 in the identification of hypervirulent Klebsiella pneumoniae (KP) and classical KP. Methods KP isolated from blood specimens of patients with bloodstream infection in a hospital from 2020 to 2021 were collected, virulence test results of Galleria mellonella was as the gold standard for grouping, strains were divided into hypervirulent group and classical group; string test, wzi gene sequencing and virulence gene detection (prmpA, prmpA2, PEG-1631, PEG-589, PEG-344) were performed. Results A total of 36 KP strains were collected, according to Galleria mellonella virulence test results, KP strains were divided into hypervirulence group (n=16 strains) and classical group (n=20 strains); string test positive strains in hypervirulence group and classical group were 87.50% (14 strains) and 15.00% (3 strains) respectively; the sensitivity and specificity of detection of virulence gene PEG-344 were higher than those of classical independent biomarkers prmpA and prmpA2. Except one wxwh3 (wzi-2) strain in classical group was PEG-344 positive, results of other strains were completely consistent with the virulence grouping. Conclusion PEG-344 gene encoding metabolite transporter can more accurately identify hypervirulent strains, timely remind clinical rational drug use, and provide basis for clinicians to optimize diagnosis and treatment plan.

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范沁榕,杨笑,胡仁静.内膜转运蛋白编码基因PEG-344在肺炎克雷伯菌毒力鉴别中的应用[J]. 中国感染控制杂志,2022,(5):414-419. DOI:10.12138/j. issn.1671-9638.20222397.
Qin-rong FAN, Xiao YANG, Ren-jing HU. Application of PEG-344 gene encoding metabolite transporter in virulence identification of Klebsiella pneumoniae[J]. Chin J Infect Control, 2022,(5):414-419. DOI:10.12138/j. issn.1671-9638.20222397.

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  • 收稿日期:2022-01-04
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  • 在线发布日期: 2024-04-28
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