Clinical Infectious Diseases,
Journal Year:
2023,
Volume and Issue:
77(Supplement_1), P. S97 - S103
Published: July 1, 2023
Abstract
Background
The
spread
of
extended-spectrum
cephalosporin-resistant
Enterobacterales
(ESCrE)
and
carbapenem-resistant
(CRE)
represents
a
significant
global
public
health
threat.
We
identified
putative
risk
factors
for
ESCrE
CRE
colonization
among
patients
in
1
urban
3
rural
hospitals
Kenya.
Methods
During
January
2019
March
2020
cross-sectional
study,
stool
samples
were
collected
from
randomized
inpatients
tested
CRE.
Vitek2
instrument
was
used
isolate
confirmation
antibiotic
susceptibility
testing,
least
absolute
shrinkage
selection
operator
(LASSO)
regression
models
to
identify
while
varying
use
measures.
Results
Most
(76%)
the
840
enrolled
participants
received
≥1
14
days
preceding
their
enrollment,
primarily
ceftriaxone
(46%),
metronidazole
(28%),
or
benzylpenicillin-gentamycin
(23%).
For
LASSO
that
included
administration,
odds
higher
hospitalized
≥3
(odds
ratio,
2.32
[95%
confidence
interval,
1.6–3.37];
P
<
.001),
intubated
(1.73
[1.03–2.91];
=
.009),
persons
living
with
human
immunodeficiency
virus
(1.70
[1.03–2.8];
.029).
receiving
2.23
1.14–4.38];
.025)
every
additional
day
(1.08
[1.03–1.13];
.002).
Conclusions
While
strongly
associated
duration
use,
increased
exposure
hospital
setting
invasive
medical
devices,
which
may
reflect
nosocomial
transmission.
These
data
suggest
several
areas
where
can
intervene
prevent
patients,
both
through
robust
infection
prevention
control
practices
stewardship
programs.
Microbiology Spectrum,
Journal Year:
2022,
Volume and Issue:
10(2)
Published: March 7, 2022
The
role
of
the
intestinal
microbiota
in
coronavirus
disease
2019
(COVID-19)
is
being
elucidated.
Here,
we
analyzed
temporal
changes
composition
and
correlation
between
inflammation
biomarkers/cytokines
hospitalized
COVID-19
patients.
We
obtained
stool
specimens,
blood
samples,
patient
records
from
22
patients
performed
16S
rRNA
metagenomic
analysis
samples
over
course
onset
compared
to
40
healthy
individual
samples.
gut
plasma
proinflammatory
cytokine
levels.
Immediately
after
admission,
differences
were
observed
subjects,
mainly
including
enrichment
classes
Bacilli
Coriobacteriia
decrease
abundance
class
Clostridia.
bacterial
profile
continued
change
throughout
hospitalization,
with
a
short-chain
fatty
acid-producing
bacteria
Faecalibacterium
an
increase
facultatively
anaerobic
Escherichia-Shigella.
A
consistent
Eggerthella
belonging
was
observed.
Clostridia
inversely
correlated
interferon-γ
level
that
phylum
Actinobacteria,
which
enriched
COVID-19,
positively
gp130/sIL-6Rb
Dysbiosis
even
21
days
onset.
intestines
tended
be
aerobic
environment
Because
correlates
levels
cytokines,
this
finding
emphasizes
need
understand
how
pathology
related
specific
IMPORTANCE
There
growing
evidence
commensal
gastrointestinal
respiratory
tracts
regulates
local
systemic
(gut-lung
axis).
primarily
disease,
but
involvement
pathogenesis
remains
unclear.
changed
time
during
These
may
induce
increased
permeability,
called
leaky
gut,
allowing
toxins
enter
circulatory
system
further
aggravate
inflammatory
response.
Since
highlights
relates
environment,
Arteriosclerosis Thrombosis and Vascular Biology,
Journal Year:
2022,
Volume and Issue:
43(2), P. 175 - 191
Published: Dec. 1, 2022
HIV
infection
has
transitioned
from
an
acute,
fatal
disease
to
a
chronic
one
managed
by
antiretroviral
therapy.
Thus,
the
aging
population
of
people
living
with
(PLWH)
continues
expand.
results
in
dysregulated
immune
system,
wherein
CD4
Microorganisms,
Journal Year:
2023,
Volume and Issue:
11(7), P. 1849 - 1849
Published: July 21, 2023
The
gut
microbiome
plays
a
critical
role
in
maintaining
overall
health
and
immune
function.
However,
dysbiosis,
an
imbalance
composition,
can
have
profound
effects
on
various
aspects
of
human
health,
including
susceptibility
to
viral
infections.
Despite
numerous
studies
investigating
the
influence
infections
microbiome,
impact
dysbiosis
infection
pathogenesis
remains
relatively
understudied.
clinical
variability
observed
SARS-CoV-2
seasonal
influenza
infections,
presence
natural
HIV
suppressors,
suggests
that
host-intrinsic
factors,
may
contribute
pathogenesis.
has
been
shown
host
system
by
regulating
intestinal
homeostasis
through
interactions
with
cells.
This
review
aims
enhance
our
understanding
how
perturb
mucosal
cells,
affecting
response
Specifically,
we
focus
exploring
between
gamma
delta
(γδ)
T
cells
microbes
context
inflammatory
examine
highlighting
disease
outcomes.
Furthermore,
discuss
emerging
evidence
potential
future
directions
for
modulation
therapy
Frontiers in Immunology,
Journal Year:
2023,
Volume and Issue:
14
Published: Feb. 23, 2023
Mucosal
associated
invariant
T
(MAIT)
cells
are
innate-like
lymphocytes,
strikingly
enriched
at
mucosal
surfaces
and
characterized
by
a
semi-invariant
αβ
cell
receptor
(TCR)
recognizing
microbial
derived
intermediates
of
riboflavin
synthesis
presented
the
MHC-Ib
molecule
MR1.
At
barrier
sites
MAIT
occupy
prime
position
for
interaction
with
commensal
microorganisms,
comprising
microbiota.
The
microbiota
is
rich
source
antigens
required
in
early
life
to
promote
intra-thymic
development
sustain
life-long
population
tissue
resident
cells.
A
symbiotic
relationship
thought
be
maintained
health
whereby
microbes
maturation
homeostasis,
turn
can
engage
TCR-dependent
"tissue
repair"
program
presence
organisms
conducive
sustaining
function
integrity
community.
activation
induced
MR1-TCR
dependent
manner
or
through
independent
mechanisms
BMC Microbiology,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: Jan. 3, 2024
Abstract
Background
People
living
with
HIV
(PLWH)
chronic
inflammation
may
have
an
increasing
risk
for
coronavirus
disease
2019
(COVID-19)
severity;
however,
the
impact
of
their
gut
microbiota
on
COVID-19
is
not
fully
elucidated.
Here,
we
analyzed
temporal
changes
in
composition
hospitalized
severe
acute
respiratory
syndrome
2
(SARS-CoV-2)-infected
PLWH
(PLWH-CoV)
and
correlation
severity.
Result
The
16S
rRNA
analysis
results
using
stool
samples
(along
timeline
from
onset)
12
PLWH-CoV,
whose
median
CD4
+
T
cell
count
was
671
cells/µl,
were
compared
to
those
19
healthy
people
25
PLWH.
Bacterial
diversity
PLWH-CoV
significantly
different
that
SARS-CoV-2
non-infected
PLWH,
but
a
significant
difference
observed
classification
according
Immediately
after
onset,
remarkable
changing
decrease
some
short-chain
fatty
acid-producing
bacteria
increase
colitis-related
pathobiont.
In
second
week
relative
amounts
specific
distinguished
between
One
month
dysbiosis
persisted,
number
Enterobacteriaceae,
mainly
Escherichia-Shigella
,
which
potentially
pathogenic,
increased
enriched
patients
who
developed
post-acute
sequelae
(PASC).
Conclusion
associated
infection
this
study
indicated
persistent
SCFA-producing
intestinal
environment
opportunistic
pathogens
enteritis.
This
report
demonstrates
tends
show
delayed
improvement
even
recovery,
highlights
importance
as
potential
factor
severity
PASC
Viruses,
Journal Year:
2022,
Volume and Issue:
14(5), P. 950 - 950
Published: May 1, 2022
Viral
infections
are
influenced
by
various
microorganisms
in
the
environment
surrounding
target
tissue,
and
correlation
between
type
balance
of
commensal
microbiota
is
key
to
establishment
infection
pathogenicity.
Some
known
resist
or
promote
viral
infection,
while
others
involved
It
also
becoming
evident
that
profile
under
normal
conditions
influences
progression
diseases.
Thus,
understand
pathogenesis
underlying
infections,
it
important
elucidate
interactions
among
viruses,
tissues,
environment,
including
microbiota,
which
should
have
different
relationships
with
each
virus.
In
this
review,
we
outline
role
infections.
Particularly,
focus
on
gaining
an
in-depth
understanding
correlations
gut
virome,
discussing
impact
changes
(dysbiosis)
pathological
Frontiers in Immunology,
Journal Year:
2023,
Volume and Issue:
14
Published: April 21, 2023
The
intestinal
barrier
has
the
daunting
task
of
allowing
nutrient
absorption
while
limiting
entry
microbial
products
into
systemic
circulation.
HIV
infection
disrupts
and
increases
permeability,
leading
to
product
translocation.
Convergent
evidence
shown
that
gut
damage
an
enhanced
level
translocation
contribute
immune
activation,
risk
non-AIDS
comorbidity,
mortality
in
people
living
with
(PLWH).
Gut
biopsy
procedures
are
invasive,
not
appropriate
or
feasible
large
populations,
even
though
they
gold
standard
for
investigation.
Thus,
validated
biomarkers
measure
degree
needed
PLWH.
Hematological
represent
objective
indication
specific
medical
conditions
and/or
their
severity,
should
be
able
measured
accurately
reproducibly
via
easily
available
standardized
blood
tests.
Several
plasma
damage,
i.e.,
fatty
acid-binding
protein
(I-FABP),
zonulin,
regenerating
islet-derived
protein-3α
(REG3α),
translocation,
such
as
lipopolysaccharide
(LPS)
(1,3)-β-D-Glucan
(BDG)
have
been
used
markers
developing
comorbidities
cross
sectional
analyses
clinical
trials,
including
those
aiming
at
repair
damage.
In
this
review,
we
critically
discuss
value
different
estimation
permeability
levels,
paving
way
towards
diagnostic
therapeutic
strategies
epithelial
improve
overall
disease
outcomes
Microorganisms,
Journal Year:
2023,
Volume and Issue:
11(4), P. 951 - 951
Published: April 6, 2023
Antiretroviral
therapies
(ART)
are
strongly
associated
with
weight
gain
and
metabolic
syndrome
(MetS)
development
in
HIV-infected
patients.
Few
studies
have
evaluated
the
association
between
gut
microbiota
integrase
strand
transfer
inhibitor
(INSTI)-based
protease
(PI)-based
regimens
patients
MetS.
To
assess
this,
fecal
samples
were
obtained
from
treated
different
(16
PI
+
MetS
or
30
INSTI
MetS)
18
healthy
controls
(HCs).
The
microbial
composition
was
characterized
using
16S
rRNA
amplicon
sequencing.
INSTI-based
PI-based
a
significant
decrease
α-diversity
compared
to
HCs.
group
showed
lowest
both
regimens.
A
increase
abundance
of
short-chain
fatty
acid
(SCFA)-producing
genera
(Roseburia,
Dorea,
Ruminococcus
torques,
Coprococcus)
observed
group,
while
Prevotella,
Fusobacterium,
Succinivibrio
significantly
increased
group.
Moreover,
Proteobacteria/Firmicutes
ratio
overrepresented,
functional
pathways
related
biosynthesis
LPS
components
receiving
INSTIs
more
pronounced
dysbiosis
orchestrated
by
decreased
bacterial
richness
diversity,
an
almost
complete
absence
SCFA-producing
bacteria
alterations
pathways.
These
findings
not
been
previously
observed.
Frontiers in Microbiology,
Journal Year:
2023,
Volume and Issue:
14
Published: Aug. 7, 2023
Combination
antiretroviral
therapy
has
demonstrated
proved
effectiveness
in
suppressing
viral
replication
and
significantly
recovering
CD4
+
T
cell
count
HIV
type-1
(HIV-1)-infected
patients,
contributing
to
a
dramatic
reduction
AIDS
morbidity
mortality.
However,
the
factors
affecting
immune
reconstitution
are
extremely
complex.
Demographic
factors,
co-infection,
baseline
level,
abnormal
activation,
cytokine
dysregulation
may
all
affect
reconstitution.
According
report,
10–40%
of
HIV-1-infected
patients
fail
restore
normalization
function.
They
referred
as
immunological
non-responders
(INRs)
who
achieve
complete
have
higher
mortality
rate
risk
developing
other
non-AIDS
diseases
compared
with
those
Heretofore,
mechanisms
underlying
incomplete
remain
elusive,
INRs
not
effectively
treated
or
mitigated.
This
review
discusses
recent
progress
responsible
for
summarizes
corresponding
therapeutic
strategies
according
different
improve
individual
therapy.