Streptococcus anginosus: A new pathogen of superficial gastritis, atrophic gastritis and gastric cancer.

A wealth of research indicates that superficial gastritis (SG) and atrophic gastritis (AG) are precursors to gastric cancer (GC). While Helicobacter pylori (H. pylori) has long been recognized as a key player in GC development, recent findings by Fu et al. have identified Streptococcus anginosus (S. anginosus) as an emerging pathogen that can trigger SG, AG and GC. S. anginosus, a gram-positive coccus, leverages its surface protein T. pallidum membrane protein C (TMPC) to engage with the annexin A2 (ANXA2) receptor of gastric epithelial cells, facilitating its colonization and invasion in the gastric mucosa. This leads to an upregulation of proinflammatory chemokines Ccl20 and Ccl8, causing prolonged effects on gastric barrier function and microbiota homeostasis, leading to SG. Moreover, these bacteria activate the mitogen-activated protein kinase (MAPK) signaling pathway, which is associated with the development of AG and GC. Importantly, inhibiting TMPC or knocking down ANXA2 can reduce S. anginosus colonization and invasion, lowering the chances of SG, AG, and GC. This paper highlights the molecular mechanisms of S. anginosus in SG, AG and GC, emphasizing the importance of a multi-pathogen strategy in gastric disease management and the need for further investigation into the role of S. anginosus in GC progression.

Ultrasound Ultrafast Power Doppler Imaging with High Signal-to-Noise Ratio by Temporal Multiply-and-Sum (TMAS) Autocorrelation.

Coherent plane wave compounding (CPWC) reconstructs transmit focusing by coherently summing several low-resolution plane-wave (PW) images from different transmit angles to improve its image resolution and quality. The high frame rate of CPWC imaging enables a much larger number of Doppler ensembles such that the Doppler estimation of blood flow becomes more reliable. Due to the unfocused PW transmission, however, one major limitation of the Doppler estimation in CPWC imaging is the relatively low signal-to-noise ratio (SNR). Conventionally, the Doppler power is estimated by a zero-lag autocorrelation which reduces the noise variance, but not the noise level. A higher-lag autocorrelation method such as the first-lag (R(1)) power Doppler image has been developed to take advantage of the signal coherence in the temporal direction for suppressing uncorrelated random noises. In this paper, we propose a novel Temporal Multiply-and-Sum (TMAS) power Doppler detection method to further improve the noise suppression of the higher-lag method by modulating the signal coherence among the temporal correlation pairs in the higher-lag autocorrelation with a tunable pt value. Unlike the adaptive beamforming methods which demand for either receive-channel-domain or transmit-domain processing to exploit the spatial coherence of the blood flow signal, the proposed TMAS power Doppler can share the routine beamforming architecture with CPWC imaging. The simulated results show that when it is compared to the original R(1) counterpart, the TMAS power Doppler image with the pt value of 2.5 significantly improves the SNR by 8 dB for the cross-view flow velocity within the Nyquist rate. The TMAS power Doppler, however, suffers from the signal decorrelation of the blood flow, and thus, it relies on not only the pt value and the flow velocity, but also the flow direction relative to the geometry of acoustic beam. The experimental results in the flow phantom and in vivo dataset also agree with the simulations.

SdiA Enhanced the Drug Resistance of Cronobacter sakazakii and Suppressed Its Motility, Adhesion and Biofilm Formation.

Cronobacter sakazakii is a common foodborne pathogen, and the mortality rate of its infection is as high as 40-80%. SdiA acts as a quorum sensing regulator in many foodborne pathogens, but its role in C. sakazakii remains unclear. Here, we further determined the effect of the sdiA gene in C. sakazakii pathogenicity. The SdiA gene in C. sakazakii was knocked out by gene editing technology, and the biological characteristics of the ΔsdiA mutant of C. sakazakii were studied, followed by transcriptome analysis to elucidate its effects. The results suggested that SdiA gene enhanced the drug resistance of C. sakazakii but diminished its motility, adhesion and biofilm formation ability and had no effect on its growth. Transcriptome analysis showed that the ΔsdiA upregulated the expression levels of D-galactose operon genes (including dgoR, dgoK, dgoA, dgoD and dgoT) and flagella-related genes (FliA and FliC) in C. sakazakii and downregulated the expression levels of related genes in the type VI secretion system (VasK gene was downregulated by 1.53-fold) and ABC transport system (downregulated by 1.5-fold), indicating that SdiA gene was related to the physiological metabolism of C. sakazakii. The results were useful for clarifying the pathogenic mechanism of C. sakazakii and provide a theoretical basis for controlling bacterial infection.