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Gut Pathogens Jul 2022Obesity is a worldwide health problem and a significant risk factor for diabetes and cardiovascular diseases. Gut microbiota (GM) plays an essential role in obesity, and...
BACKGROUND
Obesity is a worldwide health problem and a significant risk factor for diabetes and cardiovascular diseases. Gut microbiota (GM) plays an essential role in obesity, and prebiotics such as polyphenols could be one way to improve microbial dysbiosis-induced obesity.
OBJECTIVE
This study was designed to assess the effectiveness of grape seed and skin extract (GSSE), and/or orlistat on obese rats fed with high fat diet by targeting GM modulations. The impact of treatments was also studied in non-obese rats.
MATERIAL AND METHODS
Rats were rendered obese or kept with a standard diet for three months. Then they were treated either with GSSE or orlistat or with the combined treatment (GSOR) during three months and then sacrificed. Adipose tissues, blood and faeces were collected and analyzed.
RESULTS
In obese rats and to a lesser extent in non-obese rats, treatments decreased the weight of various adipose tissues and the serum levels of cholesterol, LDL, triglycerides, lipase, and CRP and increased HDL and adiponectin. GSOR treatment was even more efficient that orlistat. Obese rats had less GM diversity than non-obese rats and orlistat reduced it even more. However, diversity was restored with GSSE and GSOR treatments. Potential pathogenic Streptococcus alactolyticus/gallolyticus species were greatly increased in obese rats and drastically reduced with the treatments, as wells as other potential pathobionts.
CONCLUSIONS
GSSE exerts beneficial effects in obese rats and restores, at least partially, the observed dysbiosis. GSOR induced the highest beneficial effect. Moreover, the various treatments could also enhance physiological and GM modifications in non obese rats.
PubMed: 35794638
DOI: 10.1186/s13099-022-00505-0 -
Journal of Hazardous Materials Sep 2022Anaerobic digestion (AD) is widely used to treat livestock manure that harbors diverse pollutants (resistance genes (ARGs), metal/biocide resistance genes (MBRGs),...
Substrate complexity affects the prevalence and interconnections of antibiotic, metal and biocide resistance genes, integron-integrase genes, human pathogens and virulence factors in anaerobic digestion.
Anaerobic digestion (AD) is widely used to treat livestock manure that harbors diverse pollutants (resistance genes (ARGs), metal/biocide resistance genes (MBRGs), integron-integrase genes, human pathogens and pathogen virulence factors (VFs)). However, the interplays of these pollutants and the effects of substrate complexity on pollutants in AD are elusive. This study investigated the dynamics of these pollutants and bacterial communities during AD of swine manure, by metatranscriptomic sequencing and amplicon sequencing of 16 S rRNA and 16 S rRNA gene. The pollutant profiles and bacterial communities differed across AD processes, nevertheless with consistent dominance of ARGs of multi-drugs, tetracycline, aminoglycoside and rifamycin, MBRGs of multi-biocides, multi-metals, copper and arsenic, the integron-integrase gene intI1, potential pathogens of Escherichia coli, Streptococcus gallolyticus and Clostridium perfringens, VFs involved in pathogen adherence, and bacterial phyla of Firmicutes, Bacteroidetes and Proteobacteria. Reduced substrate complexity (replacing a part of swine manure, a complex substrate, with a simple substrate, apple waste or fructose) decreased the prevalence and stochastic turnover of ARGs and MBRGs. Network analyses revealed decreased interplays among pollutants under reduced substrate complexity. Our findings provide a mechanical understanding of diverse pollutants dynamics during AD, and reveal the importance of substrate complexity in controlling prevalence and interplays of pollutants.
Topics: Anaerobiosis; Animals; Anti-Bacterial Agents; Bacteria; Disinfectants; Drug Resistance, Microbial; Environmental Pollutants; Genes, Bacterial; Humans; Integrases; Integrons; Manure; Prevalence; Swine; Virulence Factors
PubMed: 35777143
DOI: 10.1016/j.jhazmat.2022.129441 -
Infectious Diseases (London, England) Oct 2022complex (SBSEC) comprise several species and subspecies and is a common cause of infective endocarditis (IE). subsp. () accounts for a majority of SBSEC IE, but the...
BACKGROUND
complex (SBSEC) comprise several species and subspecies and is a common cause of infective endocarditis (IE). subsp. () accounts for a majority of SBSEC IE, but the risk of IE for other subspecies is largely unknown. We aimed to investigate the clinical presentation of bacteraemia, and proportion of patients with IE in bacteraemia with the most common subspecies.
METHODS
A retrospective cohort study of SBSEC-bacteraemia identified in clinical laboratory databases, in Skåne Region, Sweden, 2003-2018. Bacteraemia with subsp. () and subsp. () were included. Subspecies was identified by whole genome sequencing. Medical charts were reviewed according to a predetermined protocol, IE was defined by the criteria from European Society of Cardiology.
RESULTS
In total, 210 episodes of SBSEC-bacteraemia were included. Definite IE was identified in 28/210 (13%) episodes. Of these, 7/28 (25%) were prosthetic valve-IE, 1/28 (4%) related to a cardiovascular implantable electronic device and 10/28 (36%) required heart valve surgery. The proportions of IE among different subspecies were: 17/52 (33%), 5/31 (16%) 4/83 (5%) and 2/44 (5%) ( < 0.001). and were more often associated with intra-abdominal- and polymicrobial infection.
CONCLUSION
The proportion of IE in SBSEC-bacteraemia varies substantially depending on subspecies. Echocardiography should always be considered in bacteraemia with and , and can sometimes be omitted in bacteraemia with and .
Topics: Bacteremia; Endocarditis; Endocarditis, Bacterial; Humans; Retrospective Studies; Streptococcal Infections; Streptococcus; Streptococcus bovis
PubMed: 35730935
DOI: 10.1080/23744235.2022.2089730 -
European Journal of Case Reports in... 2022Cholecystogastric fistulas are a rare but life-threatening complication of cholelithiasis. This medical condition has been explained in detail in several cases in the...
UNLABELLED
Cholecystogastric fistulas are a rare but life-threatening complication of cholelithiasis. This medical condition has been explained in detail in several cases in the medical literature. However, there is still conflicting debate on how well to effectively manage patients with such a complex medical condition. We present a 70-year-old Caucasian female with complaints of intermittent dull non-radiating abdominal pain. Her pain started abruptly after breakfast. Patient took some acetaminophen which alleviated her symptom. Several days later, pains return but at this time it was associated with constipation. Patient's primary care physician (PCP) suspected peptic ulcer disease, which was quickly ruled out following negative result of breath test. The PCP advised patient to visit the emergency department for further investigations to rule out/in possible gallstone ileus causing intestinal obstruction, or Bouveret's syndrome.
LEARNING POINTS
Native triple-valve endocarditis is extremely rare, especially in the absence of predisposing conditions. has been associated with endocarditis as well colonic and hepatobiliary pathology, so gastrointestinal endoscopy is important as bacteraemia frequently precedes gastrointestinal symptoms, allowing prompt diagnosis.In multivalvular involvement, early surgery is often required, and timely recognition and treatment before complications develop may be decisive for prognosis.
PubMed: 35520360
DOI: 10.12890/2022_003345 -
European Journal of Case Reports in... 2022Infective endocarditis is a condition associated with high morbidity and mortality, usually with univalvular involvement. We describe the case of a 76-year-old woman...
UNLABELLED
Infective endocarditis is a condition associated with high morbidity and mortality, usually with univalvular involvement. We describe the case of a 76-year-old woman with triple-valve endocarditis due to , complicated by perivalvular suppurative lesions, acute heart failure and acute kidney injury. Unfortunately, the patient died despite antibiotic therapy and emergent surgery. This case highlights uncommon triple-valve involvement in the absence of risk factors, posing a diagnostic and therapeutic challenge.
LEARNING POINTS
Native triple-valve endocarditis is extremely rare, especially in the absence of predisposing conditions. has been associated with endocarditis as well colonic and hepatobiliary pathology, so gastrointestinal endoscopy is important as bacteraemia frequently precedes gastrointestinal symptoms, allowing prompt diagnosis.In multivalvular involvement, early surgery is often required, and timely recognition and treatment before complications develop may be decisive for prognosis.
PubMed: 35520359
DOI: 10.12890/2022_003350 -
Neuro Endocrinology Letters Jun 2022Since the second half of the 20th century, an association between the occurrence of Clostridium septicum and Streptococcus gallolyticus infections in patients with...
INTRODUCTION
Since the second half of the 20th century, an association between the occurrence of Clostridium septicum and Streptococcus gallolyticus infections in patients with colorectal cancer has been described in specialist literature. Infections are manifested by bacteremia, septic embolism, cellulitis, myonecrosis, and gas gangrene of the limbs.
MATERIAL AND METHODS
The authors present a case of a rare association between lower limb gangrene caused by the septic embolization of a Clostridium septicum infection and malignancy of colon ascendens in a polymorbid patient. Gangrene of the lower limb led to septic shock requiring acute amputation treatment. After managing the acute condition, the patient was operated on for a malignant colon tumour.
DISCUSSION
The process of carcinogenesis often takes years and is almost asymptomatic. The occurrence of S. bovis/S. equinus (SBSEC) and C. septicum bacteremia, respectively, is relatively rare, but their presence is often associated with the occurrence of malignancy, most often of the lower gastrointestinal tract. This paraneoplastic symptom may be the first manifestation of a malignant disease. The effect of exotoxins can lead to sepsis or even septic shock with a mortality of 48-56%.
CONCLUSION
Clostridium septicum and Streptococcus gallolyticus infections are rare in clinical practice. However, their presence can be a first paraneoplastic symptom, and therefore the doctor should look for a possible oncological disease when they are detected. The main diagnostic methods include colonoscopy and imaging, especially CT scan.
Topics: Bacteremia; Clostridium Infections; Clostridium septicum; Colonic Neoplasms; Exotoxins; Gangrene; Humans; Sepsis; Shock, Septic
PubMed: 35490422
DOI: No ID Found -
Enfermedades Infecciosas Y... 2022
Topics: Arthritis, Infectious; Bacterial Proteins; Humans; Prosthesis-Related Infections; Streptococcal Infections; Streptococcus gallolyticus subspecies gallolyticus
PubMed: 35484061
DOI: 10.1016/j.eimce.2022.03.008 -
Journal of Clinical Medicine Apr 2022The role of colorectal neoplasms (CRN) as a common potential source of recurrent subsp. (SGG) and (EF) endocarditis remains unstudied. We aimed to investigate what...
OBJECTIVES
The role of colorectal neoplasms (CRN) as a common potential source of recurrent subsp. (SGG) and (EF) endocarditis remains unstudied. We aimed to investigate what proportion of episodes of recurrent endocarditis are caused by a succession of SGG and EF, or vice versa, and to assess the role of a colonic source in such recurrent episodes.
METHODS
we conducted a retrospective analysis of two prospective endocarditis cohorts (1979-2019) from two Spanish hospitals, providing descriptive analyses of the major features of the endocarditis episodes, colonoscopy findings, and histologic results.
RESULTS
among 1552 IE episodes, 204 (13.1%) were caused by EF and 197 (12.7%) by SGG, respectively. There were 155 episodes (10%) of recurrent IE, 20 of which (12.9%) were due to a succession of SGG/EF IE in 10 patients (the first episode caused by SGG in eight cases, and by EF in two cases). The median follow-up was 86 (interquartile range 34-156) months. In 8/10 initial episodes, the causative microorganism was SGG, and all patients were diagnosed with CRN either during the initial episode or during follow-up. During the second episode of IE or follow-up, colonoscopies revealed CRN in six patients.
CONCLUSIONS
There seems to be an association between SGG and EF in recurrent endocarditis that warrants further investigation. Our findings reinforce the need for systematically performing colonoscopy in the event of endocarditis caused by both microorganisms.
PubMed: 35456274
DOI: 10.3390/jcm11082181 -
Frontiers in Cellular and Infection... 2022subspecies () is an opportunistic pathogen causing invasive infections in the elderly often associated with colon neoplasia. The prevalence of in the stools of...
PURPOSE
subspecies () is an opportunistic pathogen causing invasive infections in the elderly often associated with colon neoplasia. The prevalence of in the stools of patients with normal colonoscopy (control) was compared with patients with colorectal adenomas (CRA) or with carcinomas (CRC) from stages I to IV. The presence of the s island encoding colibactin as well as other CRC-associated bacteria such as toxicogenic , , and was also investigated.
PATIENTS AND METHODS
Fecal samples collected in France between 2011 and 2016 from patients with normal colonoscopy ( = 25), adenoma ( = 23), or colorectal cancer at different stages ( = 81) were tested by PCR for the presence of , , , , and the island. Relative quantification of , , and in stools was performed by qPCR.
RESULTS
prevalence was significantly increased in the CRC group. Our results also revealed i) a strong and significant increase of toxinogenic in patients with early-stage adenoma and of island at late-stage CRC and ii) increased levels of and in the stools of CRC patients. Furthermore, the simultaneous detection of these five bacterial markers was only found in CRC patients.
CONCLUSIONS
Our results indicate that the prevalence or relative levels of CRC-associated bacteria vary during CRC development. Among them, (+) was singled out as the sole pathobiont detected at the early adenoma stage.
Topics: Aged; Bacteria; Bacterial Infections; Bacteroides fragilis; Carcinoma; Humans; Streptococcus gallolyticus
PubMed: 35360109
DOI: 10.3389/fcimb.2022.794391 -
World Journal of Gastrointestinal... Feb 2022Various studies have shown the interplay between the intestinal microbiome, environmental factors, and genetic changes in colorectal cancer (CRC) development. In this... (Review)
Review
Various studies have shown the interplay between the intestinal microbiome, environmental factors, and genetic changes in colorectal cancer (CRC) development. In this review, we highlight the various gut and oral microbiota associated with CRC and colorectal adenomas, and their proposed molecular mechanisms in relation to the processes of "the hallmarks of cancer", and differences in microbial diversity and abundance between race/ethnicity. Patients with CRC showed increased levels of enterotoxigenic () and . Higher levels of have been found in African American (AA) compared to Caucasian American (CA) patients. Pro-inflammatory bacteria such as and species were significantly higher in AAs. Also, AA patients have been shown to have decreased microbial diversity compared to CA patients. Some studies have shown that using microbiome profiles in conjunction with certain risk factors such as age, race and body mass index may help predict healthy colon one with adenomas or carcinomas. Periodontitis is one of the most common bacterial infections in humans and is more prevalent in Non-Hispanic-Blacks as compared to Non-Hispanic Whites. This condition causes increased systemic inflammation, immune dysregulation, gut microbiota dysbiosis and thereby possibly influencing colorectal carcinogenesis. Periodontal-associated bacteria such as , and have been found in CRC tissues and in feces of CRC patients. Therefore, a deeper understanding of the association between oral and gastrointestinal bacterial profile, in addition to identifying prevalent bacteria in patients with CRC and the differences observed in ethnicity/race, may play a pivotal role in predicting incidence, prognosis, and lead to the development of new treatments.
PubMed: 35317317
DOI: 10.4251/wjgo.v14.i2.375