PERFIS GENOTÍPICOS DE VIRULÊNCIA RELACIONADOS A INVASIVIDADE DAS CEPAS DE NEISSERIA GONORRHOEAE EM PACIENTES DO HOSPITAL DAS CLÍNICAS DA FACULDADE DE MEDICINA DA UNIVERSIDADE DE SÃO PAULO Article Swipe
José Victor Bortolotto Bampi
,
Igor C. Borges
,
Ana Paula Moreira Barboza
,
Saidy Vásconez Noguera
,
Marina Farrel Côrtes
,
Éster Cerdeira Sabino
,
Sílvia Figueiredo Costa
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1016/j.bjid.2023.103214
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1016/j.bjid.2023.103214
Introdução: As infecções causadas por Neisseria gonorrhoeae (Ng) ainda representam um desafio no enfrentamento das infecções sexualmente transmissíveis (ISTs) no mundo. Dentro do espectro de doenças causadas pela Ng, a doença gonocócica invasiva (DGI) representa a apresentação mais grave da infecção. O objetivo do presente estudo foi avaliar fatores genéticos bacterianos associados a ocorrência de DGI. Metodologia: Nesta coorte retrospectiva, 25 amostras de Ng obtidas de pacientes do Hospital das Clínicas da FMUSP foram submetidas a sequenciamento completo do genoma. Dados clínicos foram obtidos dos prontuários médicos. O sequenciamento foi realizado utilizando as plataformas Ion Torrent ou MiSeq Illumina. As sequências genéticas encontradas foram analisadas utilizando as ferramentas MLSTfinder 2.0, ResFinder 4.0, Comprehensive Antibiotic Resistance Database Card, Virulence Factor Database e Basic Local Alignment Search Tool. Variáveis categóricas foram comparadas pelo teste exato de Fisher ou qui-quadrado, quando apropriado. Resultados: A caracterização da origem do material de isolamento das cepas de Ng evidenciou que 28% eram anogenitais, 28% articulares, 32% oftálmicas e 12% de hemoculturas. Logo, 40% (n = 10) dos casos foram classificados como DGI por conta do isolamento bacteriano de sítios não estéreis. Não houve diferença entre os dados clínicos dos pacientes com ou sem DGI. Na avaliação filogenética, houve agrupamento de cepas de DGI em um cluster diferente das cepas não DGI. Também identificamos que dois elementos genéticos móveis foram mais frequentemente encontrados em amostras DGI comparado a amostras não DGI, os plasmídeos pEP5289 (80% vs. 13%, p = 0,002) e pJD4 (50% vs. 7%, p = 0,023). Conclusão: Identificamos a presença de dois elementos genéticos móveis presentes no genoma da Ng possivelmente associados a invasividade da doença causada por este agente. Esse achado reforça a hipótese que fatores genéticos relacionados ao patógeno podem influenciar a ocorrência de DGI.
Related Topics
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PERFIS GENOTÍPICOS DE VIRULÊNCIA RELACIONADOS A INVASIVIDADE DAS CEPAS DE NEISSERIA GONORRHOEAE EM PACIENTES DO HOSPITAL DAS CLÍNICAS DA FACULDADE DE MEDICINA DA UNIVERSIDADE DE SÃO PAULOWork title
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2023-10-01Full publication date if available
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José Victor Bortolotto Bampi, Igor C. Borges, Ana Paula Moreira Barboza, Saidy Vásconez Noguera, Marina Farrel Côrtes, Éster Cerdeira Sabino, Sílvia Figueiredo CostaList of authors in order
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goldOpen access status per OpenAlex
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Neisseria gonorrhoeae, Biology, Medicine, Molecular biology, MicrobiologyTop concepts (fields/topics) attached by OpenAlex
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| primary_location.raw_source_name | The Brazilian Journal of Infectious Diseases |
| primary_location.landing_page_url | https://doi.org/10.1016/j.bjid.2023.103214 |
| publication_date | 2023-10-01 |
| publication_year | 2023 |
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