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Kurihara MNL, Santos INM, Eisen AKA, Caleiro GS, de Araújo J, de Sales RO, Pignatari AC, Salles MJ. Phenotypic and Genotypic Characterization of Cutibacterium acnes Isolated from Shoulder Surgery Reveals Insights into Genetic Diversity. Microorganisms 2023; 11:2594. [PMID: 37894252 PMCID: PMC10609031 DOI: 10.3390/microorganisms11102594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 10/11/2023] [Accepted: 10/18/2023] [Indexed: 10/29/2023] Open
Abstract
Specific virulence factors that likely influence C. acnes invasion into deep tissues remain to be elucidated. Herein, we describe the frequency of C. acnes identification in deep tissue specimens of patients undergoing clean shoulder surgery and assess its phenotypic and genetic traits associated with virulence and antibiotic resistance patterns, compared with isolates from the skin of healthy volunteers. Multiple deep tissue specimens from the bone fragments, tendons, and bursa of 84 otherwise healthy patients undergoing primary clean-open and arthroscopic shoulder surgeries were aseptically collected. The overall yield of tissue sample cultures was 21.5% (55/255), with 11.8% (30/255) identified as C. acnes in 27.3% (23/84) of patients. Antibiotic resistance rates were low, with most strains expressing susceptibility to first-line antibiotics, while a few were resistant to penicillin and rifampicin. Phylotypes IB (73.3%) and II (23.3%) were predominant in deep tissue samples. Genomic analysis demonstrated differences in the pangenome of the isolates from the same clade. Even though strains displayed a range of pathogenic markers, such as biofilm formation, patients did not evolve to infection during the 1-year follow-up. This suggests that the presence of polyclonal C. acnes in multiple deep tissue samples does not necessarily indicate infection.
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Affiliation(s)
- Mariana Neri Lucas Kurihara
- Laboratório Especial de Microbiologia Clínica (LEMC), Departamento de Medicina, Escola Paulista de Medicina (EPM), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo 04025-010, Brazil; (M.N.L.K.); (I.N.M.S.); (A.C.P.)
| | - Ingrid Nayara Marcelino Santos
- Laboratório Especial de Microbiologia Clínica (LEMC), Departamento de Medicina, Escola Paulista de Medicina (EPM), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo 04025-010, Brazil; (M.N.L.K.); (I.N.M.S.); (A.C.P.)
| | - Ana Karolina Antunes Eisen
- Emerging Viruses Research Laboratory, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo 05508-000, Brazil; (A.K.A.E.); (G.S.C.); (J.d.A.)
| | - Giovana Santos Caleiro
- Emerging Viruses Research Laboratory, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo 05508-000, Brazil; (A.K.A.E.); (G.S.C.); (J.d.A.)
| | - Jansen de Araújo
- Emerging Viruses Research Laboratory, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo 05508-000, Brazil; (A.K.A.E.); (G.S.C.); (J.d.A.)
| | - Romário Oliveira de Sales
- Albert Einstein Research and Education Institute, Hospital Israelita Albert Einstein, Sao Paulo 05652-900, Brazil;
| | - Antônio Carlos Pignatari
- Laboratório Especial de Microbiologia Clínica (LEMC), Departamento de Medicina, Escola Paulista de Medicina (EPM), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo 04025-010, Brazil; (M.N.L.K.); (I.N.M.S.); (A.C.P.)
| | - Mauro José Salles
- Laboratório Especial de Microbiologia Clínica (LEMC), Departamento de Medicina, Escola Paulista de Medicina (EPM), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo 04025-010, Brazil; (M.N.L.K.); (I.N.M.S.); (A.C.P.)
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Serbanescu MA, Apple CG, Fernandez-Moure JS. Role of Resident Microbial Communities in Biofilm-Related Implant Infections: Recent Insights and Implications. Surg Infect (Larchmt) 2023; 24:258-264. [PMID: 37010966 PMCID: PMC11074437 DOI: 10.1089/sur.2023.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2023] Open
Abstract
The use of medical implants continues to grow as the population ages. Biofilm-related implant infection is the leading cause of medical implant failure and remains difficult to diagnose and treat. Recent technologies have enhanced our understanding of the composition and complex functions of microbiota occupying various body site niches. In this review, we leverage data from molecular sequencing technologies to explore how silent changes in microbial communities from various sites can influence the development of biofilm-related infections. Specifically, we address biofilm formation and recent insights of the organisms involved in biofilm-related implant infections; how composition of microbiomes from skin, nasopharyngeal, and nearby tissue can impact biofilm-formation, and infection; the role of the gut microbiome in implant-related biofilm formation; and therapeutic strategies to mitigate implant colonization.
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Affiliation(s)
- Mara A. Serbanescu
- Department of Anesthesia, Acute Care Surgery, and Surgical Critical Care, Department of Surgery, Duke University Medical Center, Duke University School of Medicine, Durham, North Carolina, USA
| | - Camille G. Apple
- Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Department of Surgery, Duke University Medical Center, Duke University School of Medicine, Durham, North Carolina, USA
| | - Joseph S. Fernandez-Moure
- Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Department of Surgery, Duke University Medical Center, Duke University School of Medicine, Durham, North Carolina, USA
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Boguś MI, Wrońska AK, Kaczmarek A, Drozdowski M, Laskowski Z, Myczka A, Cybulska A, Gołębiowski M, Chwir-Gołębiowska A, Siecińska L, Mokijewska E. A comprehensive analysis of chemical and biological pollutants (natural and anthropogenic origin) of soil and dandelion (Taraxacum officinale) samples. PLoS One 2023; 18:e0280810. [PMID: 36662824 PMCID: PMC9858760 DOI: 10.1371/journal.pone.0280810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 01/08/2023] [Indexed: 01/21/2023] Open
Abstract
A range of analytical methods (GC-MS, LC-MS, voltammetry, microbiological and microscopic techniques, PCR) was used to assay a range of potential chemical and biological contaminants in soil and dandelion samples. The results provide the first comprehensive safety analysis of dandelion as a herbal product. Samples were collected from three different sites in Poland where the local population collects dandelion plants for their own consumption: Rudenka (a mountain meadow in the European Ecological Network of Natura 2000 protection area, free of agrotechnical treatments for over 30 years), Warszawa 1 (dense single-family housing with heavy traffic), and Warszawa 2 (recreation area with heavy traffic near a coal-fired heat and power plant). The assays of heavy metals and other chemical pollutants (PAHs, PCBs, dioxins, pesticides, mycotoxins) confirm that all collected soil and dandelion samples were chemically pure; however, 95 species of pathogenic bacteria were detected, including "carnivorous" Vibrio vulnificus, zoonotic Pasteurella pneumotropica, Pasteurella canis, Staphylococcus pseudintermedius, Staphylococcus lentus and Francisella tularensis as well as 14 species of pathogenic fungi and one protozoan parasite (Giardia intestinalis). The discovery of septicemia agents V. vulnificus, Fusobacterium mortiferum and Rahnella aquatilis in the soil surrounding dandelion roots and in the flowers, G. intestinalis in dandelion leaves and roots samples, all collected in Warsaw, is highly disturbing. This finding underlines the need for increased caution when collecting dandelion in densely populated areas with a large population of pets. Thorough washing of the harvested plants is necessary before using them for consumption, especially in the case of making salads from fresh dandelion leaves, which is becoming increasingly popular among people leading healthy and an environmentally friendly lifestyle.
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Affiliation(s)
- Mieczysława Irena Boguś
- Museum and Institute of Zoology, Polish Academy of Sciences, Warszawa, Poland
- Witold Stefański Institute of Parasitology, Polish Academy of Sciences, Warszawa, Poland
- BIOMIBO, Warszawa, Poland
| | - Anna Katarzyna Wrońska
- Museum and Institute of Zoology, Polish Academy of Sciences, Warszawa, Poland
- Witold Stefański Institute of Parasitology, Polish Academy of Sciences, Warszawa, Poland
| | - Agata Kaczmarek
- Museum and Institute of Zoology, Polish Academy of Sciences, Warszawa, Poland
- Witold Stefański Institute of Parasitology, Polish Academy of Sciences, Warszawa, Poland
| | - Mikołaj Drozdowski
- Museum and Institute of Zoology, Polish Academy of Sciences, Warszawa, Poland
- Witold Stefański Institute of Parasitology, Polish Academy of Sciences, Warszawa, Poland
| | - Zdzisław Laskowski
- Witold Stefański Institute of Parasitology, Polish Academy of Sciences, Warszawa, Poland
| | - Anna Myczka
- Witold Stefański Institute of Parasitology, Polish Academy of Sciences, Warszawa, Poland
| | - Aleksandra Cybulska
- Witold Stefański Institute of Parasitology, Polish Academy of Sciences, Warszawa, Poland
| | - Marek Gołębiowski
- Department of Environmental Analysis, Laboratory of Analysis of Natural Compounds, Faculty of Chemistry, University of Gdańsk, Gdańsk, Poland
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