ABSTRACT
Objective:Based on UPLC-Q-TOF/MS, to screen a panel of plasma metabolite biomarkers for TB diagnosis and evaluate its diagnostic efficacy.Methods:102 active TB patients [49 males, 53 females, age 40.0(24.0, 48.5) years] from Shanghai Pulmonary Hospital and Shanghai East Hospital from January 2017 to January 2018, 100 TB-IGRA positive patients [55 males, 45 females, age 44.0(37.0, 52.0) years] and 96 healthy controls [55 males, 41 females, age 43.0(32.2, 52.8) years] from Shanghai East Hospital were randomly enrolled. UPLC-Q-TOF/MS technology was used to detect small molecule metabolites in plasma. Combined with multivariate statistical methods VIP and univariate statistic analysis Student's t-test, the main differential metabolites in the plasma of patients with active tuberculosis were filtered. The ROC curve was analyzed for the differential metabolites, and the AUC value, specificity, and sensitivity for diagnosis were used to screen metabolic biomarkers with diagnostic potential. Results:All the samples examined resulted in 10 266 variables, and 1 153 substances were identified by qualitative retrieval through the human metabolome database. After pairwise comparison of samples from the three groups, differential metabolites that simultaneously satisfied VIP > 1 and P<0.05 were plotted into a Venn diagram, and the resulting intersection set contained 38 major differential metabolites. The ROC curve analysis of 38 major metabolites showed that the area under the curve of lactic acid, dopamine, 9-pentadecenoic acid, and 12,13-dihydroxy octadecadienoic acid in the diagnosis of active tuberculosis were 0.92, 0.98, 0.94, and 0.94, respectively, the specificity was both more than 90% and the sensitivity was both more than 80%. The specificity and sensitivity of four metabolites in the combined diagnosis of active tuberculosis were both 94%. Conclusion:Lactic acid, dopamine, 9-pentadecenoic acid, and 12, 13-dihydroxy octadecadienoic acid can be used as potential metabolic biomarkers for tuberculosis diagnosis.
ABSTRACT
Objective To understand the etiological characteristics and drug susceptibility of Mycobacterium thermoresistibile and Mycobacterium elephantis isolated from a cow with mastitis and provide evidence for the prevention and control of infectious mastitis in cows.Methods The milk sample was collected from a cow with mastitis,which was pretreated with 4％ NaOH and inoculated with L-J medium for Mycobacterium isolation.The positive cultures were initially identified by acid-fast staining and multi-loci PCR,then Mycobacterium species was identified by the multiple loci sequence analysis (MLSA) with 16S rRNA,hsp65,ITS and SodA genes.The drug sensitivity of the isolates to 27 antibiotics was tested by alamar blue assay.Results Two anti-acid stain positive strains were isolated from the milk of a cow with mastitis,which were identified as non-tuberculosis mycobacterium by multi-loci PCR,and multi-loci nucleic acid sequence analysis indicated that one strain was Mycobacterium thermoresistibile and another one was Mycobacterium elephantis.The results of the drug susceptibility test showed that the two strains were resistant to most antibiotics,including rifampicin and isoniazid,but they were sensitive to amikacin,moxifloxacin,levofloxacin,ethambutol,streptomycin,tobramycin,ciprofloxacin and linezolid.Conclusions Mycobacterium thermoresistibile and Mycobacterium elephantis were isolated in a cow with mastitis and the drug susceptibility spectrum of the pathogens were unique.The results of the study can be used as reference for the prevention and control the infection in cows.
ABSTRACT
Objective To understand the etiological characteristics and drug susceptibility of Mycobacterium thermoresistibile and Mycobacterium elephantis isolated from a cow with mastitis and provide evidence for the prevention and control of infectious mastitis in cows.Methods The milk sample was collected from a cow with mastitis,which was pretreated with 4％ NaOH and inoculated with L-J medium for Mycobacterium isolation.The positive cultures were initially identified by acid-fast staining and multi-loci PCR,then Mycobacterium species was identified by the multiple loci sequence analysis (MLSA) with 16S rRNA,hsp65,ITS and SodA genes.The drug sensitivity of the isolates to 27 antibiotics was tested by alamar blue assay.Results Two anti-acid stain positive strains were isolated from the milk of a cow with mastitis,which were identified as non-tuberculosis mycobacterium by multi-loci PCR,and multi-loci nucleic acid sequence analysis indicated that one strain was Mycobacterium thermoresistibile and another one was Mycobacterium elephantis.The results of the drug susceptibility test showed that the two strains were resistant to most antibiotics,including rifampicin and isoniazid,but they were sensitive to amikacin,moxifloxacin,levofloxacin,ethambutol,streptomycin,tobramycin,ciprofloxacin and linezolid.Conclusions Mycobacterium thermoresistibile and Mycobacterium elephantis were isolated in a cow with mastitis and the drug susceptibility spectrum of the pathogens were unique.The results of the study can be used as reference for the prevention and control the infection in cows.