首页|应用rDNA序列分型实现胶红酵母分子流行病学本地化调查

应用rDNA序列分型实现胶红酵母分子流行病学本地化调查

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目的 为满足监测单位实时调查胶红酵母分子流行病学,筛选高效、快速、经济的分子分型方法,以实现胶红酵母临床分离株的分子流行病学本地化监测.方法 收集中国医院侵袭性真菌病监测网(CHIF-NET)2010—2019年19所医院引发侵袭性感染的胶红酵母临床分离株73株,以及纳入21株环境分离株,基于DNA序列特征,筛选可本地化应用的胶红酵母分子流行病学监测方法.结果 结合rDNA上ITS序列和D1/D2序列共鉴定出12个rDNA序列型,59.6%(56/94)的菌株为rDNA序列2型,其中流行簇菌株占比92.9%(52/56);73个临床分离株共鉴定出49个微卫星型别,分辨力为0.986,流行簇菌株分属30个微卫星型别.结论 应用rDNA 序列分型可实现胶红酵母流行簇菌株的本地化甄别.当监测到rDNA序列2型胶红酵母临床株时,提示流行株在医院环境中持续存在.
Localization investigation of molecular epidemiology of Rhodotorula mucilaginosa using rDNA sequence typing
Objective To meet the real-time molecular epidemiological investigation of Rhodotorula mucilaginosa by moni-toring units,screening efficient,rapid,and economical molecular typing methods to realize localized molecular epidemiologi-cal monitoring of clinical strains of R.mucilaginosa.Method Seventy-three clinical strains of R.mucilaginosa causing in-vasive infections were collected from 19 hospitals of China Hospital Invasive Fungal Surveillance Net (CHIF-NET) program from 2010 to 2019,as well as 21 strains isolated from environment were included.Based on different sequence characteristics on the genome,a localized molecular epidemiological surveillance method for R.mucilaginosa was screened.Result Twelve rDNA sequence types were identified based on sequences of ITS region and D1/D2 domain in rDNA.59.6% (56/94) of strains were rDNA sequence type 2,of which 92.9% (52/56) belonged to epidemic cluster strains.In total,49 different microsatellite types were identified for 73 clinical strains with 0.986 discriminatory power.The strains in the epi-demic cluster belonged to 30 microsatellite types.Conclusion The application of rDNA sequence typing can achieve localized identification of the epidemic cluster strains of R.mucilaginosa.When clinical strains of R.mucilaginosa are identified as rDNA sequence type 2,it indicates that the epidemic strains exist in the hospital environment.

Rhodotorula mucilaginosamolecular epidemiologylocalizationITSD1/D2

朱万骥、唐朝贵、林宁、郭建、崔兰英、肖玉玲、徐慧、严岩、鲁怀伟、李宁、冀旭峰、徐英春、黄晶晶

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南京医科大学附属淮安第一医院胃肠外科,淮安 223300

南京医科大学附属淮安第一医院医学检验科,淮安 223300

上海市东方医院南院检验科,上海 200120

哈尔滨医科大学附属第一医院检验科,哈尔滨 150081

四川大学华西医院检验科,成都 610041

郑州大学第一附属医院检验科,郑州 450052

北京大学第一医院检验科,北京 100034

中国科学技术大学附属第一医院(安徽省立医院),合肥 230001

福州大学附属省立医院检验科,福州 350001

吉林大学第一医院检验科,长春 130000

中国医学科学院北京协和医院检验科,北京 100730

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胶红酵母 分子流行病学 本地化 ITS D1/D2

2024

中国真菌学杂志
上海长征医院

中国真菌学杂志

CSTPCD
影响因子:0.557
ISSN:1673-3827
年,卷(期):2024.19(6)