中国人兽共患病学报2024,Vol.40Issue(1) :46-55.DOI:10.3969/j.issn.1002-2694.2024.00.007

黔南州和贵阳市幽门螺杆菌临床菌株的耐药性、基因多样性及其与疾病的关系

Drug resistance and genetic diversity of clinical strains of Helicobacter pylori in the Qiannan Prefecture and Guiyang City,and their relationships with diseases

张远远 潘科 糜孟衡 管玉祝 陆秋丹 郑娟 张晋 王天姝 刘琦 陈峥宏
中国人兽共患病学报2024,Vol.40Issue(1) :46-55.DOI:10.3969/j.issn.1002-2694.2024.00.007

黔南州和贵阳市幽门螺杆菌临床菌株的耐药性、基因多样性及其与疾病的关系

Drug resistance and genetic diversity of clinical strains of Helicobacter pylori in the Qiannan Prefecture and Guiyang City,and their relationships with diseases

张远远 1潘科 2糜孟衡 3管玉祝 3陆秋丹 3郑娟 2张晋 2王天姝 2刘琦 4陈峥宏3
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作者信息

  • 1. 贵州医科大学附属医院消化内科,贵阳 550004;贵州医科大学基础医学院微生物教研室/贵州省普通高校病原生物学特色重点实验室,贵阳 561113;黔南州人民医院,黔南 558000
  • 2. 黔南州人民医院,黔南 558000
  • 3. 贵州医科大学基础医学院微生物教研室/贵州省普通高校病原生物学特色重点实验室,贵阳 561113
  • 4. 贵州医科大学附属医院消化内科,贵阳 550004
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摘要

目的 了解贵州省贵阳市和黔南州少数民族地区幽门螺杆菌的耐药性、基因多样性及其与临床疾病的关系.方法 通过内窥镜采集样本分离培养幽门螺杆菌,测定耐药性和基因型特征,比较不同地区、疾病类型的差异,分析幽门螺杆菌结构特点及黔南州幽门螺杆菌不同菌型混合感染情况.结果 两地区cagA可变区EPYIA分型构成比差异有统计学意义(P=0.012),vac A基因型构成比差异有统计学意义(P=0.000);MLST方法得到两地区幽门螺杆菌菌株94.6%(53/56)新的序列型.黔南州幽门螺杆菌不同菌型菌株混合感染率为44.4%,不同临床疾病的幽门螺杆菌不同菌型混合感染构成比差异无统计学意义(P=0.349).结论 黔南州和贵阳市两地区幽门螺杆菌cagA可变区EPIYA分型和vacA基因型构成比存在差异.

Abstract

To understand Helicobacter pylori's drug resistance,genetic diversity,and relationship with clinical diseases in the Guiyang and Qiannan minority areas of Guizhou Province,we collected samples through endoscopy,and isolated and cul-tured H.pylori.The drug resistance and genotype characteristics were determined.The differences in different regions and dis-ease types were compared,and the structural characteristics of H.pylori and mixed infections with different strains of H.py-lori in Qiannan Prefecture were analyzed.A difference in the composition ratio of EPYIA typing in the cagA variable region was observed between the two areas(P=0.012),and the composition ratio of the vacA genotype differed(P=0.000).A total of 94.6%(53/56)new sequences of H.pylori strains from two regions were obtained by MLST.The rate of infection by H.pylori mixed with different strains was 44.4%in Qiannan Pre-fecture,and no significant difference was observed in the com-position of H.pylori mixed infections among patients with dif-ferent clinical diseases(P=0.349).Differences in EPI YA typ-ing and the vacA genotype composition ratio in the cagA varia-ble region of H.pylori were observed between the Qiannan Prefecture and Guiyang City.

关键词

幽门螺杆菌/黔南州/贵阳市/基因多态性/混合感染

Key words

Helicobacter pylori/Qiannan Prefecture/Guiy-ang City/gene polymorphism/mixed infections

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基金项目

国家自然科学基金(81860353)

贵州省自然科学基金(19NSP022[2020]1Y341)

贵州省科技计划项目(ZK[2022]368)

贵州省教育厅滚动支持省属高校科研平台团队项目([2022]019)

出版年

2024
中国人兽共患病学报
中国微生物学会

中国人兽共患病学报

CSTPCDCSCD北大核心
影响因子:0.814
ISSN:1002-2694
参考文献量35
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