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1.
Colloids Surf B Biointerfaces ; 230: 113530, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37683323

ABSTRACT

Cardiovascular metal stents have shown potential in the treatment of coronary artery disease using percutaneous coronary intervention. However, thrombosis, endothelialization, and new atherosclerosis after stent implantation remain unsolved problems. Herein, a multifunctional coating material based on phase-transited lysozyme was developed to promote stent endothelialization and simultaneously reduce thrombus events by embedding moieties of heparin and co-immobilized copper ions for in-situ catalyzing nitric oxide (NO) generation. The lysozyme-based biomimetic coating is compatible with blood and enables facile loading and sustainable release of copper ions to produce NO with donors via catalytic reaction. The novel coating strategy displayed several bio-effects of anti-thrombosis; it synergistically promoted endothelial cell growth and inhibited smooth muscle cell growth. Thus, this systemic in vitro study will provide a foundation for developing multifunctional cardiovascular stents in clinical settings.


Subject(s)
Cardiovascular System , Copper , Heparin , Muramidase , Ions , Nitric Oxide
2.
Front Public Health ; 11: 1077177, 2023.
Article in English | MEDLINE | ID: mdl-37139369

ABSTRACT

Introduction: Chinese workers suffer more from overtime than in many countries. Excessive working hours can crowd out personal time and cause work-family imbalance, affecting workers' subjective well-being. Meanwhile, self-determination theory suggests that higher job autonomy may improve the subjective well-being of employees. Methods: Data came from the 2018 China Labor-force Dynamics Survey (CLDS 2018). The analysis sample consisted of 4,007 respondents. Their mean age was 40.71 (SD = 11.68), and 52.8% were males. This study adopted four measures of subjective well-being: happiness, life satisfaction, health status, and depression. Confirmation factor analysis was employed to extract the job autonomy factor. Multiple linear regression methods were applied to examine the relationship between overtime, job autonomy, and subjective well-being. Results: Overtime hours showed weak association with lower happiness (ß = -0.002, p < 0.01), life satisfaction (ß = -0.002, p < 0.01), and health status (ß = -0.002, p < 0.001). Job autonomy was positively related to happiness (ß = 0.093, p < 0.01), life satisfaction (ß = 0.083, p < 0.01). There was a significant negative correlation between involuntary overtime and subjective well-being. Involuntary overtime might decrease the level of happiness (ß = -0.187, p < 0.001), life satisfaction (ß = -0.221, p < 0.001), and health status (ß = -0.129, p < 0.05) and increase the depressive symptoms (ß = 1.157, p < 0.05). Conclusion: While overtime had a minimal negative effect on individual subjective well-being, involuntary overtime significantly enlarged it. Improving individual's job autonomy is beneficial for individual subjective well-being.


Subject(s)
Employment , Workload , Male , Humans , Adult , Female , Health Status , China , Surveys and Questionnaires
3.
Phytomedicine ; 90: 153630, 2021 Sep.
Article in English | MEDLINE | ID: mdl-34217968

ABSTRACT

BACKGROUND: Intracerebral hemorrhage (ICH), the most fatal subtype of stroke, has no disease-modifying treatment. Da-cheng-qi decoction (DCQ), composed of rhubarb, is one of the most commonly used Chinese traditional decoctions in ICH treatment. But the mechanism is not clear. Emodin is an active compound found in rhubarb. PURPOSE: To study the protective effects of DCQ on ICH and its possible mechanisms of action. METHODS: The ICH model was reproduced by injecting collagenase-VII into the left caudate putamen (CPu) of rats. DCQ and emodin were used to treat the ICH rats for 7 days. Behavior tests, proteomic analysis, morphological studies, and western blotting were performed. RESULTS: The neurological deficits in the ICH rats recovered with DCQ and emodin on the 14th day after ICH. The proteomics data revealed that DCQ significantly corrected the pathological signals in the CPu and hippocampus after ICH. The numbers of amoebic microglia in the CPu and M2 microglia in both CPu and hippocampus were significantly increased after DCQ and emodin treatment. The increase in GluN2B-containing NMDA receptor (NR2B) and postsynaptic density protein-95, activation of mitogen-activated protein kinase (MAPK) signals in the CPu, and secondary neurodegeneration (SND) in the hippocampus were significantly recovered in DCQ-treated rats. Inhibition of MAPK p38 (p38) in the hippocampus was observed after DCQ and emodin treatment. CONCLUSION: The protective effects of DCQ on ICH were confirmed in this study, and its mechanism may be related to the inhibition of MAPK and activation of M2 microglia. These results are beneficial to the development of ICH therapeutic targets.


Subject(s)
Cerebral Hemorrhage , Drugs, Chinese Herbal , Emodin/pharmacology , Hippocampus/drug effects , Animals , Cerebral Hemorrhage/drug therapy , Drugs, Chinese Herbal/pharmacology , Proteomics , Rats , p38 Mitogen-Activated Protein Kinases/antagonists & inhibitors
4.
Phytomedicine ; 90: 153624, 2021 Sep.
Article in English | MEDLINE | ID: mdl-34216932

ABSTRACT

BACKGROUND: There is an increase in cases of Alzheimer's disease (AD) stemming from a globally ageing population demographic. Although substantial research efforts were performed for the scope of prophylaxis and therapeutic measure development against AD, based on its pathogenesis, most were unsuccessful. Bushen-Huatan-Yizhi formula (BSHTYZ) is extensively implemented to manage dementia. However, few studies have been carried out to understand how BSHTYZ enhances recovery of spatial learning and memory and how it modulates relevant molecular interplays in order to achieve this. PURPOSE: To investigate neuroprotective function, ameliorating learning/memory capacity of BSHTYZ via GSK-3ß / CREB signaling pathway in rat AD models influenced through Aß1-42. METHODS: A total of 60 male SD rats (3 months old) were randomized into six groups and treated with 2.6 µg/µl Aß1-42 (5 µl) into the lateral ventricle, though the control group (Con) was administered an equivalent volume of vehicle. Consequently, the rat cohorts were administered either BSHTYZ or donepezil hydrochloride or normal saline, by intragastric administration, for four weeks. Spatial learning / memory were detected through the Morris water maze, and possible mechanisms detected by histomorphological examination and Western blot in the rat AD models induced by Aß1-42. RESULTS: Spatial learning/memory issues were monitored after Aß1-42 infusion in rats. Simultaneously, neuron loss in cornuammonis1 (CA1) / dentate gyrus (DG) within hippocampus region were identified, together with enhanced black granule staining within the hippocampus and hyperphosphorylated tau within Ser202 and Ser396 sites. It was also elucidated that Aß1-42 had the capacity to up-regulate glycogen synthase kinase-3ß (GSK-3ß) and down-regulate cAMP response element binding protein (CREB). BSHTYZ was found to reverse such molecular interplays. CONCLUSION: The study suggested BSHTYZ could possibly provide neuroprotective role against learning / memory impairment, which provided a potential therapeutic tool delaying the progression of AD molecular interplays that includes the GSK-3ß / CREB signaling pathway.


Subject(s)
Alzheimer Disease , Cyclic AMP Response Element-Binding Protein/metabolism , Drugs, Chinese Herbal/pharmacology , Glycogen Synthase Kinase 3 beta/metabolism , Maze Learning , Alzheimer Disease/drug therapy , Animals , Hippocampus/metabolism , Male , Phosphorylation , Rats , Rats, Sprague-Dawley , tau Proteins/metabolism
5.
CNS Neurosci Ther ; 26(10): 1031-1044, 2020 10.
Article in English | MEDLINE | ID: mdl-32488963

ABSTRACT

INTRODUCTION: Lactate accumulation in the brain is caused by the anaerobic metabolism induced by ischemic damages, which always accompanies intracerebral hemorrhages (ICH). Our former findings showed that microglia's movement was always directly toward hemorrhagic center with the highest lactate concentration, and penumbra area has the largest density of compactly arrayed microglia. However, the relationship between microglia and lactate concentration has not been well documented. METHODS: Cerebral hemorrhage model was successfully achieved by injecting collagenase VII (causing stabile localized bleeding) in CPu (striatum) of SD rats. Emodin was used as a potential therapeutic for ICH. The function of the lactate was examined with in vitro culture studies. Then, the effect of lactate on the proliferation, cell survival, migration, and phagocytosis property of microglia was investigated by in vitro culture studies. RESULTS: Lactate accumulation was observed with in vivo MRS method, and its concentration was monitored during the recovery of ICH and treatment of emodin. Lactate concentration significantly increased in the core and penumbra regions of hemorrhagic foci, and it decreased after the treatment of emodin. The in vitro culture study was verified that lactate was beneficial for the proliferation, cell survival, migration, and phagocytosis property of the microglia. CONCLUSION: Results from in vitro verification study, investigations from the recovery of ICH, and treatment of emodin verify that lactate plays an important role during the recovery of ICH. This could provide a novel therapeutic approach for ICH.


Subject(s)
Cerebral Hemorrhage/drug therapy , Cerebral Hemorrhage/metabolism , Emodin/pharmacology , Lactic Acid/metabolism , Microglia/drug effects , Protein Kinase Inhibitors/pharmacology , Animals , Disease Models, Animal , Magnetic Resonance Spectroscopy , Male , Rats , Rats, Sprague-Dawley
6.
Arch Biochem Biophys ; 684: 108314, 2020 05 15.
Article in English | MEDLINE | ID: mdl-32088220

ABSTRACT

Signal transducer and activator of transcription 3 (STAT3) is expressed aberrantly in multiple tumors, including gastric cancer (GC). STAT3 overexpression and excessive activation have been confirmed to play vital roles in tumorigenesis. Cucurbitacin B (CuB) is a natural product with potent anti-cancer activities in solid tumors. Here, we systematically studied the underlying molecular mechanisms of CuB inhibition of GC both in vitro and in vivo. In GC cell lines, nanomolar concentrations of CuB decreased the phosphorylation of TYR-705 in STAT3 and suppressed STAT3 target gene expression, including c-Myc and Bcl-xL. Computational docking analysis showed that CuB interacts with the DNA-binding domain of STAT3 at several hydrophobic residues. In addition, pull-down experiments showed that CuB is a direct inhibitor of STAT3. CuB in combination with the conventional chemotherapy drug cisplatin exerted enhanced cytotoxicity in GC cells, possibly due to the potentiated inhibition of STAT3 activation. Moreover, a xenograft mouse model confirmed the therapeutic effect of CuB in vivo. These characteristics render CuB a promising candidate drug for further development in the design of new effective STAT3 inhibitors for treating GC.


Subject(s)
Antineoplastic Agents/therapeutic use , STAT3 Transcription Factor/antagonists & inhibitors , Stomach Neoplasms/drug therapy , Triterpenes/therapeutic use , Animals , Antineoplastic Agents/metabolism , Antineoplastic Agents/pharmacology , Apoptosis/drug effects , Cell Line, Tumor , Cell Movement/drug effects , Cisplatin/pharmacology , Female , Humans , Male , Mice, Nude , Molecular Docking Simulation , Neoplasm Invasiveness , Protein Binding , STAT3 Transcription Factor/metabolism , Stomach Neoplasms/pathology , Triterpenes/metabolism , Triterpenes/pharmacology , Xenograft Model Antitumor Assays
7.
J Cell Mol Med ; 22(7): 3489-3502, 2018 07.
Article in English | MEDLINE | ID: mdl-29675957

ABSTRACT

Endoplasmic reticulum (ER) stress is involved in Alzheimer's disease (AD), but the mechanism is not fully understood. Here, we injected tunicamycin (TM), a recognized ER stress inducer, into the brain ventricle of Sprague-Dawley (SD) rats to induce the unfolded protein response (UPR), demonstrated by the enhanced phosphorylation of pancreatic ER kinase (PERK), inositol-requiring enzyme-1 (IRE-1) and activating transcription factor-6 (ATF-6). We observed that UPR induced spatial memory deficits and impairments of synaptic plasticity in the rats. After TM treatment, GSK-3ß was activated and phosphorylation of cAMP response element binding protein at Ser129 (pS129-CREB) was increased with an increased nuclear co-localization of pY126-GSK-3ß and pS129-CREB. Simultaneous inhibition of GSK-3ß by hippocampal infusion of SB216763 (SB) attenuated TM-induced UPR and spatial memory impairment with restoration of pS129-CREB and synaptic plasticity. We concluded that UPR induces AD-like spatial memory deficits with mechanisms involving GSK-3ß/pS129-CREB pathway.


Subject(s)
Brain/pathology , Endoplasmic Reticulum Stress/physiology , Glycogen Synthase Kinase 3/metabolism , Spatial Memory/physiology , Activating Transcription Factor 6/metabolism , Alzheimer Disease/pathology , Animals , Brain/drug effects , Cyclic AMP Response Element-Binding Protein/metabolism , Disease Models, Animal , Endoplasmic Reticulum Stress/drug effects , Male , Membrane Proteins/metabolism , Phosphorylation/drug effects , Protein Serine-Threonine Kinases/metabolism , Rats, Sprague-Dawley , Serine/metabolism , Spatial Memory/drug effects , Tunicamycin/toxicity , Tyrosine/metabolism , Unfolded Protein Response/drug effects , eIF-2 Kinase/metabolism
8.
Int J Mol Sci ; 17(7)2016 Jul 21.
Article in English | MEDLINE | ID: mdl-27455236

ABSTRACT

As current efforts have limited effects on the clinical outcome of intracerebral hemorrhage (ICH), the mechanisms including microglia/macrophages that involved inflammation need further investigation. Here, 0.4 units of collagenase VII were injected into the left caudate putamen (CPu) to duplicate ICH rat models. In the brains of ICH rats, microglia/macrophages, the nearest cells to the hemorrhagic center, were observed as ameboid and Prussian-blue positive. Furthermore, the ameboid microglia/macrophages were differentiation (CD) 68 and interleukin-1ß (IL-1ß) positive, and neither CD206 nor chitinase3-like 3 (Ym1) positive, suggesting their strong abilities of phagocytosis and secretion of IL-1ß. According to the distance to the hemorrhagic center, we selected four areas-I, II, III, and IV-to analyze the morphology of microglia/macrophages. The processes decreased successively from region I to region IV. Microglia/macrophages in region IV had no processes. The processes in region I were radially distributed, however, they showed obvious directivity towards the hemorrhagic center in regions II and III. Region III had the largest density of compactly arrayed microglia/macrophages. All these in vivo results present the high morphologic plasticity of microglia/macrophages and their functions in the pathogenesis of ICHs.


Subject(s)
Cerebral Hemorrhage/physiopathology , Macrophages/pathology , Microglia/pathology , Neuronal Plasticity/physiology , Animals , Behavior, Animal , Cerebral Hemorrhage/complications , Fluorescent Antibody Technique , Immunohistochemistry , Magnetic Resonance Imaging , Male , Rats , Rats, Sprague-Dawley
9.
Mol Neurobiol ; 53(2): 983-994, 2016 Mar.
Article in English | MEDLINE | ID: mdl-25575678

ABSTRACT

Endoplasmic reticulum (ER) stress has been indicated in the early stage of Alzheimer's disease (AD), in which tau hyperphosphorylation is one major pathological alteration. The elevation of binding immunoglobulin protein (Bip), an important ER chaperon, was reported in AD brain. It is important to study the roles of ER-related chaperons in tau hyperphosphorylation. In this research, increased Bip was found in the brains of the AD model mice (Tg2576) compared to the age-matched control mice. Meanwhile, deficiency of SIL1, an important co-chaperon of Bip, was observed in brains of Tg2576 mice and in ER stress both in vivo and in vitro. Then, we transfected Bip-EGFP plasmid into HEK293 cells stably expressing the longest human tau (HEK293/tau) or N2a cells and found that increased Bip induced tau hyperphosphorylation via activating glycogen synthase kinase-3ß (GSK-3ß), an important tau kinase, and increased the association with tau and GSK-3ß. When we overexpressed SIL1 in Bip-transfected HEK293/tau cells and thapsigargin-treated HEK293/tau cells, significantly reduced tau hyperphosphorylation and GSK-3ß activation were observed. These results suggested the important roles of ER-related chaperons, Bip and SIL1, in AD-like tau hyperphosphorylation.


Subject(s)
Endoplasmic Reticulum Stress , Guanine Nucleotide Exchange Factors/metabolism , Heat-Shock Proteins/metabolism , tau Proteins/metabolism , Animals , Brain/drug effects , Brain/metabolism , Brain/pathology , Endoplasmic Reticulum Chaperone BiP , Endoplasmic Reticulum Stress/drug effects , Enzyme Activation/drug effects , Glycogen Synthase Kinase 3/metabolism , Glycogen Synthase Kinase 3 beta , HEK293 Cells , Humans , Indoles/pharmacology , Maleimides/pharmacology , Mice, Inbred C57BL , Mice, Transgenic , Models, Biological , Phosphorylation/drug effects , Rats, Sprague-Dawley , Thapsigargin/pharmacology
10.
J Alzheimers Dis ; 41(4): 1149-63, 2014.
Article in English | MEDLINE | ID: mdl-24787918

ABSTRACT

Region-specific neurodegeneration was reported in brains of Alzheimer's disease (AD), but the mechanism is not fully understood. Here, we studied the expression of some AD-associated proteins in temporal cortex, frontal cortex, cerebellum, and hippocampus of 4-month-old male Sprague-Dawley rats. Levels of the phosphorylated tau at Thr231, Ser396, and Ser202/Thr205, phosphorylated amyloid-ß protein precursor (AßPP) and amyloid-ß, synapse-associated proteins glutamate receptors 2, N-methyl-D-aspartic receptors 1 (NR1), NR2A, NR2B, and postsynaptic density protein 95 were much lower in cerebellum, while the levels of total tau, phosphorylated tau at Thr205, Ser214, Ser262, and Ser198/199/202 epitopes, and total AßPP were similar in the four brain regions. As endoplasmic reticulum (ER) stress was reported in the early stage of AD, we injected tunicamycin, an ER stress inducer, into the lateral ventricular of rats and 48 hours later found in the other three brain regions but not cerebellum, increasing of binding immunoglobulin protein with the increased phosphorylation of pancreatic ER kinase, inositol-requiring enzyme 1, and activating transcription factor 6. Simultaneously, levels of phosphorylated tau at all of the above sites were significantly increased with the activation of glycogen synthase kinase-3ß in temporal cortex, frontal cortex, and/or hippocampus, but not cerebellum. The synapse-associated proteins, GluR2, PSD95, and synapsin1, were found decreased in the hippocampus after tunicamycin exposure. These data together may partially explain why the AD-like neuropathology, such as formation of neurofibrillary tangles, was rarely detected in cerebellum.


Subject(s)
Amyloid beta-Protein Precursor/metabolism , Brain/metabolism , Endoplasmic Reticulum Stress/physiology , Receptors, Glutamate/metabolism , Synapses/metabolism , tau Proteins/metabolism , Analysis of Variance , Animals , Brain/drug effects , Disks Large Homolog 4 Protein , Endoplasmic Reticulum Stress/drug effects , Enzyme-Linked Immunosorbent Assay , Intracellular Signaling Peptides and Proteins/metabolism , Male , Membrane Proteins/metabolism , Neurofibrillary Tangles/metabolism , Neurofibrillary Tangles/pathology , Phosphorylation/drug effects , Rats , Rats, Sprague-Dawley , Synapses/drug effects , Synapsins/metabolism , Tunicamycin/pharmacology
11.
Int J Mol Sci ; 14(7): 14575-93, 2013 Jul 12.
Article in English | MEDLINE | ID: mdl-23857055

ABSTRACT

Alzheimer's disease (AD), an age-related neurodegenerative disorder with progressive cognition deficit, is characterized by extracellular senile plaques (SP) of aggregated ß-amyloid (Aß) and intracellular neurofibrillary tangles, mainly containing the hyperphosphorylated microtubule-associated protein tau. Multiple factors contribute to the etiology of AD in terms of initiation and progression. Melatonin is an endogenously produced hormone in the brain and decreases during aging and in patients with AD. Data from clinical trials indicate that melatonin supplementation improves sleep, ameliorates sundowning and slows down the progression of cognitive impairment in AD patients. Melatonin efficiently protects neuronal cells from Aß-mediated toxicity via antioxidant and anti-amyloid properties. It not only inhibits Aß generation, but also arrests the formation of amyloid fibrils by a structure-dependent interaction with Aß. Our studies have demonstrated that melatonin efficiently attenuates Alzheimer-like tau hyperphosphorylation. Although the exact mechanism is still not fully understood, a direct regulatory influence of melatonin on the activities of protein kinases and protein phosphatases is proposed. Additionally, melatonin also plays a role in protecting the cholinergic system and in anti-inflammation. The aim of this review is to stimulate interest in melatonin as a potentially useful agent in the prevention and treatment of AD.


Subject(s)
Alzheimer Disease/metabolism , Melatonin/metabolism , Alzheimer Disease/pathology , Amyloid beta-Peptides/metabolism , Humans , Phosphorylation , tau Proteins/metabolism
12.
J Air Waste Manag Assoc ; 61(11): 1166-73, 2011 Nov.
Article in English | MEDLINE | ID: mdl-22168100

ABSTRACT

Direct observation of the mixing state of aerosol particles in a coastal urban city is critical to understand atmospheric processing and hygroscopic growth in humid air. Morphology, composition, and mixing state of individual aerosol particles from Macao, located south of the Pearl River Delta (PRD) and 100 km west of Hong Kong, were investigated using scanning electron microscopy (SEM) and transmission electron microscopy coupled with energy-dispersive X-ray spectrometry (TEM/EDX). SEM images show that soot and roughly spherical particles are prevalent in the samples. Based on the compositions of individual aerosol particles, aerosol particles with roughly spherical shape are classified into coarse Na-rich and fine S-rich particles. TEM/EDX indicates that each Na-rich particle consists of a Na-S core and NaNO3 shell. Even in the absence of heavy pollution, the marine sea salt particles were completely depleted in chloride, and Na-related sulfates and nitrates were enriched in Macao air. The reason could be that SO2 from the polluted PRD and ships in the South China Sea and NO2 from vehicles in the city sped up the chlorine depletion in sea salt through heterogeneous reactions. Fresh soot particles from vehicular emissions mainly occur near curbside. However, there are many aged soot particles in the sampling site surrounded by main roads 200 to 400 m away, suggesting that the fresh soot likely underwent a quick aging. Overall, secondary nitrates and sulfates internally mixed with soot and sea salt particles can totally change their surface hygroscopicity in coastal cities.


Subject(s)
Air Pollutants/chemistry , Environmental Monitoring/methods , Sodium Chloride/chemistry , Soot/chemistry , Sulfates/chemistry , Macau , Microscopy, Electron , Particulate Matter/chemistry
13.
J Environ Sci (China) ; 22(4): 561-9, 2010.
Article in English | MEDLINE | ID: mdl-20617733

ABSTRACT

Aerosol samples were collected in summer in Macao, a coastal city of the Pearl River Delta Region in China. Morphology, size, elemental composition, and mixing state of individual aerosol particles were determined by scanning electron microscopy coupled energy dispersive X-ray (SEM/EDX) and transmission electron microscopy (TEM). Based on the morphologies of 5711 aerosol particles, they consist of soot (32%), mineral (17%), secondary (22%), and unknown fine particles (29%). The sizes of these particles were mostly distributed between 0.1 and 0.4 microm. Compositions of 202 mineral particles were obtained by SEM/EDX. Mineral particles were mainly classified into three types: Si-rich, Ca-rich, and Na-rich. The compositions of typical mineral particles can indicate their sources in sampling location. For example, mineral particles, collected along the main street, were associated with trace amounts of heavy metals, such as Zn, Ti, Mn, Ba, Pb, and As. TEM observations indicate that most Na-rich particles were aged sea salt particles (e.g., Na2SO4 and NaNO3) which formed through heterogeneous chemical reactions between sea salt and acidic gases. Additionally, aging time of soot was short in Macao due to high humidity, high temperature, and high levels of sunlight in Macao. Most of soot and fine mineral dust particles were internally mixed with secondary particles.


Subject(s)
Air Pollutants/chemistry , Particulate Matter/chemistry , Aerosols , Air Movements , China , Cities , Environmental Monitoring
14.
Chin Med J (Engl) ; 123(2): 184-7, 2010 Jan 20.
Article in English | MEDLINE | ID: mdl-20137367

ABSTRACT

BACKGROUND: An increasing incidence of disease caused by nontuberculous mycobacteria (NTM) is being reported. The purpose of this study was to determine the isolation rates of NTM from various clinical specimens, and their antimicrobial susceptibility patterns, over a 4-year period in Shanghai. METHODS: All NTM isolated between 2005 and 2008 at Shanghai Pulmonary Hospital, a key laboratory of mycobacteria tuberculosis in Shanghai, China, were identified with conventional biochemical tests and 16S rRNA gene sequencing. Antimicrobial susceptibility for all NTM was determined using the BACTEC MGIT 960 system. RESULTS: A total of 21,221 specimens were cultured, of which 4868 (22.94%) grew acid fast bacilli (AFB), and 248 (5.09%) of the AFB were NTM. The prevalence rate of NTM was determined as 4.26%, 4.70%, 4.96% and 6.38% among mycobacteria culture positive samples in years 2005, 2006, 2007 and 2008 respectively. These data indicated that the prevalence rate has continuously increased. Sixteen different species of NTM were identified, the most commonly encountered NTM in Shanghai were M. chelonae (26.7%), followed by M. fortuitum (15.4%), M. kansasii (14.2%), M. avium-intracellulare complex (13.1%) and M. terrae (6.9%). The rare species identified were M. marinum, M. gastri, M. triviale, M. ulcerans, M. smegmatis, M. phlci, M. gordonae, M. szulgai, M. simiae, M. scrofulaceum and M. xenopi. The five most commonly identified NTM species showed high drug resistance to general anti-tuberculosis drugs, particularly, M. chelonae and M. fortuitum appear to be multi-drug resistance. CONCLUSIONS: The prevalence of NTM in Shanghai showed a tendency to increase over the course of the study. The five most commonly isolated NTM species showed high drug resistance to first line anti-tuberculosis drugs.


Subject(s)
Mycobacterium Infections/epidemiology , Mycobacterium Infections/microbiology , Mycobacterium/drug effects , Mycobacterium/physiology , Antitubercular Agents/pharmacology , China/epidemiology , Drug Resistance, Bacterial , Mycobacterium chelonae/drug effects , Mycobacterium chelonae/physiology , Mycobacterium fortuitum/drug effects , Mycobacterium fortuitum/physiology , Mycobacterium kansasii/drug effects , Mycobacterium kansasii/physiology , Mycobacterium marinum/drug effects , Mycobacterium marinum/physiology , Mycobacterium xenopi/drug effects , Mycobacterium xenopi/physiology , Nontuberculous Mycobacteria/drug effects , Nontuberculous Mycobacteria/physiology , Prevalence
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