Vol 86, No 6 (2009)

MONO- AND ASSOCIATED MICROFLORA DURING WOUND INFECTION IN PATIENTS WITH BURNS

Menshikov D.D., Godkov M.A., Chernenkaya T.V., KiselevskayaBabinina I.V., Semenova A.V., Menshikova E.D., Kurilin B.L.

Abstract

Aim. To study etiologic role of microorganisms during wound infection and elucidation of their populations interaction in patients with burns. Materials and methods. 2137 patients with wound infection treated in burn center were studied. 3179 samples of wound exudates and 6501 strains of microorganisms were studied. Assessment of microorganism’s etiologic role was carried out using results of calculation of various statistic indexes, including indexes of ecological similarities of microorganisms in the wound (indexes of contamination, prevalence or persistence, incidence). Ecological similarity of wounds’ microflora was determined by calculation of the coefficient Kj. Results. It was established that Staphylococcus aureus is the most common cause of monoand mixed wound infections. It was determined that Kj value for common agents points to antagonism or associative interaction. During particular time periods of the study values of Kj significantly differed and depended from species. Specifically, for Pseudomonas aeruginosa the values of Kj were equal or exceeded 30% during several years. It was the first time when correlation between persistence and ecological similarity indexes was studied in agents of wound infections. Conclusion. In order to reveal factors influencing on microbial etiology of mixed wound infections it is reasonable to consider the nature of interspecies interactions of causative agents.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):3-7
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DYNAMICS OF CHANGES IN PATHOGENIC CHARACTERISTICS OF BORDETELLA PERTUSSIS STRAINS

Mertsalova N.U., Borisova O.Y., Shinkarev A.S., Britsina M.V., Ozeretskovskaya M.N., Mazurova I.K., Aleshkin V.A., Gadua N.T., Zakharova N.S.

Abstract

Aim. To study pathogenic characteristics of B.pertussis strains isolated from patients during different periods of pertussis infection epidemic process. Materials and methods. Strains of B.pertussis isolated in Moscow during 1967 — 1971, 1980 — 1985, and 2001 — 2005 were studied. Nutrient media: Bordet-Gengou blood agar, casein-charcoal agar. Animals: mice – F1 hybrids (CBA x C57BL6). Pathogenic characteristics of strains were studied by assessment of virulence (LD50), leukocytosisstimulating (LS units) and histamine-sensitizing (HSD50) activities of cultures. Genotyping was performed using standard equipment and reagents for DNA isolation, amplification, sequencing and detection of results. Results. On the sample of 164 strains, pathogenic and genotypic characteristics of B.pertussis populations circulated during 1967 — 1971, 1980 — 1985, and 2001 — 2005. Majority of B.pertussis strains isolated in 1967 — 1971 and strains circulated during current phase of epidemic process were virulent (80.75% and 81.8% respectively) and had significant leukocytosis-stimulating and histamine-sensitizing activity, whereas strains isolated from patients with pertussis in 1980 — 1985 characterized by lower virulence and toxicity. Genotyping showed strains carrying «non-vaccine» allele ptxA1, which emerged in the middle of 1970s, totally displaced strains with «vaccine» alleles ptxA2 and ptxA4. Conclusion. Adaptive changes of B.pertussis driven by increased vaccination coverage involve both ptxA gene and pathogenic characteristics of infectious agent in the range of genotypically homogenous population with domination of strains, which have high levels of virulence and toxicity.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):7-11
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INFLUENCE OF IMMUNODEPRESS0RS ON POPULATION LEVEL AND ADHESIVE CHARACTERISTICS OF OPPORTUNISTIC BACTERIA IN LARGE BOWEL OF WHITE MICE

Shitov L.N., Romanov V.A.

Abstract

Aim. To assess the effects of cyclophosphamide (CP), methotrexate (MT), and prednisolone (PS) on the levels of staphylococci, enterococci, Escherichia coli (EC) and lactose-negative enterobacteria (LNEB) in feces of white mice as well as to determine adhesive properties of isolated microorganisms. Materials and methods. Drugs were administered intragastrically during 6 weeks; CP in dose 35.4 mg/kg daily; MT — 2.5 mg/kg over week; PS — 2.5 mg/kg daily; sterile distilled water was administered to controls. Microflora was assessed by common methods; adhesion of microorganisms to group 0(I) human erythrocytes was determined. Results. Administration of prednisolone leads to increase of isolation rate of staphylococci, CP increased levels of LNEB and EC with suppressed enzymatic activity (P<0.05). MT decreased isolation rate of typical EC (P<0.05). MT also decreased degree of adhesion of EC and LNEB, whereas PS enhanced adhesiveness of LNEB, and CP decreased adhesion of staphylococci (P<0.05). Statistically significant correlation between number and adhesiveness of enterobacteria was established (r=0.73, P<0.01). Conclusion. Immunodepressors from different groups have non-similar effects on quantitative characteristics of microflora and adhesiveness of isolated opportunistic microorganisms.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):12-16
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ANALYSIS OF PREVALENCE AND VARIABILITY OF LEGIONELLA PNEUMOPHILA AND LEGIONELLA SPP. STRAINS ON THE BASIS OF STUDY OF ALLELIC PROFILES

Voronina O.L., Kunda M.S., Bitkina V.V., Karpova T.I., Romanenko V.V., Durasova A.L., Tartakovsky I.S.

Abstract

Aim. To analyze prevalence and variability of Legionella strains isolated in town Verkhnaya Pyshma located in Sverdlovsk region during prophylactic surveillance of potentially dangerous water objects in 2007 — 2008. Materials and methods. Sequencing of mip gene was conducted for identification of species of Legionella . Multi-locus sequence typing was used for describing of allelic profiles of Legionella pneumophila strains. Results. Five firstly identified on Russian territory strains of Legionella species were deposited in institute’s collection. Sixty-three strains of L.pneumophila belonging to 28 sequence types were characterized. Relation between strains isolated in industrial building and from water supply system was demonstrated. Conclusion. Observations made on the basis of study of L.pneumophila strains isolated from cooling stacks of industrial plants confirmed potential danger of these objects as a source of dissemination of Legionella infection.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):17-21
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ORGANIZATION OF ANTIEPIDEMIC SERVICES FOR POPULATION DURING EMERGENCY SITUATION

Onischenko G.G., Kulichenko A.N., Grizhebovsky G.M.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):22-27
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EMERGENCIES, WHICH WORSE EPIDEMIOLOGICAL SITUATION

Maletskaya O.V., Kulichenko A.N., Beyer A.P., Grizhebovsky G.M., Taran T.V., Taran A.V., Ismailova G.K.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):27-32
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MAIN WAYS OF ANTIEPIDEMIC ACTIVITY IN AREA OF ACCIDENT

Kulichenko A.N., Maletskaya O.V., Eremenko E.I., Buravtseva N.P., Beyer A.P., Taran A.V., Grizhebovsky G.M.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):32-36
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PROVISION OF EPIDEMIOLOGICAL SAFETY OF POPULATION IN THE SOUTH OF RUSSIA DURING EMERGENCY SITUATIONS

Grizhebovsky G.M., Mezentsev V.M., Eremenko E.I., Lyamkin G.I., Buravtseva N.P., Kulichenko A.N.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):36-40
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STATE OF IMMUNOPROPHYLAXIS OF INFECTIOUS DISEASES IN REPUBLIC OF SOUTH OSSETIA

Efremenko D.V., Evchenko Y.M., Tikhenko N.I., Kulichenko A.N.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):40-42
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REALIZATION OF ACTION PLAN ON SANITARY AND ANTI-EPIDEMIC SERVICES FOR POPULATION OF THE REPUBLIC OF SOUTH OSSETIA DURING EMERGENCY SITUATION

Butaev T.M., Gadzieva G.K., Merkulova N.A., Otaraeva N.I., Tsarikaeva M.S.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):43-44
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PROVISION OF SANITARY-EPIDEMIOLOGICAL WELFARE IN SITES OF TEMPORARY LIVING OF REFUGEES ON THE TERRITORY OF NORTH OSSETIA-ALANIA REPUBLIC DURING AND AFTER MILITARY CONFLICT

Butaev T.M., Gadzieva G.K., Merkulova N.A., Otaraeva N.I., Tsarikaeva M.S.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):45-47
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PREVENTIVE AND ANTI-EPIDEMIC MEASURES AGAINST ACUTE INTESTINAL INFECTIONS IN THE REPUBLIC OF SOUTH OSSETIA DURING LIQUIDATION OF HUMANITARIAN CATASTROPHE CONSEQUENCES

Onischenko G.G., Kulichenko A.N., Evchenko Y.M., Tikhenko N.I., Grizebovsky G.M., Beyer A.P., Agapitov D.S., Kochieva M.M., Kabulova B.A.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):47-51
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EPIDEMIC SITUATION ON KONGO-CRIMEAN HEMORRHAGIC FEVER IN SOUTH FEDERAL DISTRICT OF RUSSIA

Maletskaya O.V., Beyer A.P., Agapitov D.S., Kharchenko T.V., Taran A.V., Taran T.V., Ismailova G.K., Chumakova I.V., Vasilenko N.F., Kulichenko A.N., Pakskina N.D., Skudareva O.N., Yatsmenko E.V.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):51-54
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MEASURES FOR RABIES CONTROL IN REPUBLIC OF SOUTH OSSETIA DURING EMERGENCY SITUATI

Taran A.V., Kochieva M.M., Evchenko Y.M., Kulichenko A.N.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):54-57
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CHARACTERISTICS OF DYSENTERY-CAUSING STRAINS ISOLATED FROM PATIENTS AND CARRIERS IN REPUBLIC OF SOUTH OSSETIA DURING PERIOD OF HUMANITARIAN DISASTER

Savelyev V.N., Babenyshev B.V., Zaitsev A.A., Efremenko D.V., Solodovnikov B.V., Kulichenko A.N.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):57-59
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LABORATORY SUPPORT OF PREVENTIVE AND ANTIEPIDEMIC MEASURES CONDUCTED BY SPECIALIZED ANTIEPIDEMIC TEAM DURING EMERGENCY SITUATION

Savelyev V.N., Kulichenko A.N., Babenyshev B.V., Zaitsev A.A., Efremenko D.V., Galutva G.K., Solodovnikov B.V., Taran A.V., Evchenko Y.M., Agapitov D.M., Levchenko B.I., Tikhenko N.I., Grigoryev M.P.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):60-62
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DERATIZATION AS A СOMPONENT PART OF SANITARY-EPIDEMIOLOGICAL SERVICES FOR POPULATION DURING EMERGENCY SITUATIONS

Grigoryev M.P., Levchenko B.I., Kochieva M.M., Kacharov E.D., Evchenko Y.M., Tikhenko N.I., Shkarlet G.P., Kulichenko A.N.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):62-64
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RESTORATION AND CONTROL OF CENTRALIZED AND NON-CENTRALIZED WATER SUPPLY IN TSKHINVAL CITY AFTER MILITARY CONFLICT

Kulichenko A.N., Agapitov D.S., Maletskaya O.V., Galutva G.K., Babenyshev B.V., Savelyev V.N., Taran A.V., Zaytsev A.A., Solodovnikov B.V., Efremenko D.V.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):65-68
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RESTORATION OF ACTIVITY OF SOUTH OSSETIA COMMITTEE ON SURVEILLANCE FOR PROTECTION OF CONSUMERS RIGHTS AND HUMAN WELFARE AFTER MILITARY CONFLICT

Onischenko G.G., Kulichenko A.N., Butaev T.M., Kochieva M.V.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):68-70
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ASSESSMENT OF CONSISTENCY OF TECHNOLOGICAL PROCESS USING CONTROL CARDS ON THE EXAMPLE OF ANALYSIS OF INFORMATION ON IMMUNOGENIC ACTIVITY OF PERTUSSIS COMPONENT OF DTP VACCINE

Alekseeva I.A., Chuprinina R.P., Davydov D.S.

Abstract

Aim. To assess the consistency of technological process of manufacture of DTP vaccine’s pertussis component on the basis of its immunogenicity using Shewhart’s cards. Materials and methods. Published data of domestic plants belonging to public corporation Mechnikov «Biomed» and Ufa branch of scientific-production organization «Immunopreparat» ingressed in «Microgen» enterprise were used. Immunogenicity of DTP vaccine pertussis component was studied. Results. It was revealed that technological process of manufacturing of DTP vaccine’s pertussis component on production plants was not always in statistically controlled state. Conclusion. Obtained data showed that it is reasonable for quality control departments of manufacturing plants to use Shewhart’s cards and methods of statistical management of technological processes for assessment of state of the latter.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):70-75
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ANTIGENIC COMPOSITION AND SEROLOGIC CHARACTERISTICS OF DOMESTIC ACELLULAR PERTUSSIS VACCINE

Zaitsev E.M., Poddubikov A.V., Britsina M.V., Mertsalova N.U., Bazhanova I.G., Ozeretskovskaya M.N., Nazirov M.R., Mazurova I.K., Petrova M.S., Popova O.P., Zakharova N.S.

Abstract

Aim. To assess antigenic composition consistency and serological characteristics of domestic acellular pertussis vaccine. Materials and methods. Amount of pertussis toxin, filamentous hemagglutinin, agglutinogens types 1, 2, and 3 in experimental batches of vaccine was measured by enzyme immunoassay. Levels of antibodies to aforementioned antigens as well as to lipopolysaccharide in serum samples obtained from patients with pertussis and healthy vaccinated children were measured by the same method. The amount of lypopolysaccharide was determined by LAL test. Results. Studied batches of vaccine were standard on amount of all protein antigens as well as lipopolysaccharide. Spectrum of antibodies to vaccine components in serum samples from patients with pertussis and healthy vaccinated children included antibodies to individual antigens: pertussis toxin, filamentous hemagglutinin, lipopolysaccharide, agglutinogens types 1, 2, and 3. Conclusion. Developed technology for manufacturing acellular pertussis vaccine allows to consistently produce preparations with standard amount of all components. Vaccine components interact with antibodies to wide spectrum of B.pertussis antigens.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):76-79
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IMMUNITY TO DIPHTHERIA IN POPULATION OF ROSTOV-ON-DON CITY AND ROSTOV REGION IN RECENT YEARS

Kharseeva G.G., Kvasov A.R., Alutina E.L., Mitrofanova T.V., Moskalenko E.P., Nikonova N.T.

Abstract

Aim. To study the magnitute of antitoxic immunity against diphtheria in different age groups of Rostov-on-Don city and Rostov region population. Materials and methods. Antitoxic immunity against diphtheria was studied in children 3 — 15 years old (661 persons) and adults 16 — 59 y.o. (893 persons), which were tested during 2003 — 2007 using direct hemagglutination assay manufactured by Mechnikov Scientific Production Association «Biomed» (Moscow). Results. Proportion of children 3 — 15 y.o. seropositive to diphtheria was 98.6±0.5%. Children aged 3 years and 4 — 6 years were identified as a risk group for diphtheria as they had highest proportions of non-immune persons. Proportion of immune to diphtheria in adults was 94.4±0.8%. Maximal level of protection was observed in persons aged 16 — 17 and 18 — 19 years, in which the proportion of seropositive persons was 99.1 — 100%. Persons ≥50 years old formed group of risk because persons with low or moderate titers of antitoxin were identified in this age group mostly. Conclusion. Obtained results provide evidence on enough high level of protection of Rostov-on-Don city and Rostov region population against diphtheria. Group of increased risk comprised of persons aged 3 — 6 years and >50 years.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):80-83
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EFFECT OF RECOMBINANT HEAT-SHOCK PROTEIN (rHSP70) OF MYCOBACTERIUM TUBERCULOSIS ON IMMUNOGENICITY OF HAEMOPHILUS INFLUENZAE TYPE b CAPSULAR POLYSACCHARIDE

Shevchik Y.S., Novikova O.V., Akhmatova N.K., Kurbatova E.A., Sveshnikov P.G., Yastrebova N.E., Vaneeva N.P.

Abstract

Aim. To study effect of recombinant heat-shock protein (rHSP70) of Mycobacterium tuberculosis on immunogenicity of Haemophilus influenzae type b capsular polysaccharide (CPSHib). Materials and methods. Capsular polysaccharide was obtained by precipitation with cetavlon, antibody titers and Toll-like receptors (TLRs) were detected by enzyme immunoassay and flow cytometry respectively. Results. rHSP70 modified immune response to chemically conjugated and unconjugated CPSHib. rHSP70 enhanced expression of TLRs 2, 4, 9 on mice splenocytes; encreased levels of CD3 +, CD8 +, NK, CD3/NK (NKT) lymphocytes. Levels of CD4 +, CD25 + (markers of early activation of T-helpers) as well as MHC class II molecules were increased that could be appraised as a shift from T-independent to T-dependent immune response. Difference in antibody titers after 2or 3-dose immunization of mice with 5 mcg/dose of CPSHib in mixture or conjugated with rHSP70 was not revealed. Level of antibodies to rHSP70 in serum samples of mice immunized with CPSHib conjugated with rHSP70 was 6.55 — 8.4 times higher compared to unimmunized animals. Antibodies, which have common antigenic epitopes to human organs and tissues, were not detected. Conclusion. rHSP70 modifies immune response to CPSHib.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):83-89
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ENGINEERING OF ATTENUATED BORDETELLA PERTUSSIS BACTERIA PRODUCING IMMUNOGENIC NON-TOXIC FORM OF PERTUSSIS TOXIN

Sinyashina L.N., Nechaeva E.V., Amelina I.P., Karataev G.I.

Abstract

Aim. To engineer attenuated Bordetella pertussis strain producing non-toxic immunogenic derivative of pertussis toxin (toxoid KT). Materials and methods. Cloning, site-directed mutagenesis, allelic exchange as well as methods for determination of immunobiological characteristics of toxoid KT were used. Results. Attenuated B.pertussis strains 5 and 35 containing mutant operon ptx and gene of resistance to canamycin were engineered. Recombinant bacteria retained marker of resistance to canamycin as well as structure of mutant operon during cultivation on growth media and long-term survival in lung of laboratory mice. Immunobiologic characteristics of attenuated B.pertussis were studied. Conclusion. Intranasal immunization of laboratory animals with live attenuated B.pertussis 5 and 35 provides protection from infection with virulent B.pertussis strain, which is comparable with efficacy of standard whole-cell vaccine.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):89-94
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NEW METHOD FOR MEASUREMENT OF SIZE AND CONCENTRATION OF LYPOSOMES

Contarov N.A., Lotte V.D., Kontarova E.O., Balaev N.V., Yuminova N.V., Zverev V.V.

Abstract

Aim. To develop new method of determination of size and concentration of lyposomes based on measurement of opacity in dispersed media. Materials and methods. Dispersions of lyposomes from dipalmitoylposphatidylcholine were the object of the study. Opacity spectrum of lyposome suspension was measured with Zenyth 200st spectrophotometer. Mean values of diameter of lyposomes determined by opacity spectrum were compared with the same values measured by electron microscopy (JEM 100-CX, JEOL, Japan) with magnification 58,000 — 100,000. Refraction index was measured with refractometer RPL-3 (Russia). Results. Sizes of lyposomes measured by the new method and by electron microscopy did not differ significantly. Determination of sizes and concentration of lyposomes by the new method did not depend from effect of secondary multiple scattering of light. Conclusion. Obtained data allowed to conclude that developed method could be used in practice. Advantages of the new method are usage of common spectrophotometers and photoelectrocolorimeters for deriving of liposomes suspension opacity curve as well as its high validity, which are confirmed by data obtained with electron microscopy.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):95-98
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EFFECT OF ENTEROBACTER CLOACAE THERMOLABILE ENTEROTOXIN ON IMMUNE SYSTEM OF MICE

Akhtarieva A.A., Dolgushin I.I., Gabidullin Z.G., Gabidullin Y.Z., Kamalova A.A., Akhmadeev R.M.

Abstract

Aim. To study the effect of Enterobacter cloacae thermolabile enterotoxin (LT-enterotoxin) on different arms of immune system of mice. Materials and methods. Proprietary clinical strain E.cloacae 258 was used and intraperitoneal inoculation of outbred white mice with LT-enterotoxin-producing E.cloacae comprised experimental model. Phagocytic and lysosomal activity of peritoneal macrophages as well as level of APC to sheep erythrocytes were measured, spontaneous and induced NBT tests were also performed. Results. Pleiotropic immunotoxic effect of LT-enterotoxin of studied bacteria was established, which characterized by suppres- sion of antigen-presenting and antigen-processing functions of macrophages, stimulation of mitotic activity of lymphocytes, decrease of activity of hexose monophosphate shunt enzymes in peritoneal macrophages as well as abnormalities in formation of specific B-lymphocytes. Conclusion. Obtained data allowed to reveal separate steps in pathogenesis of infectious process caused by LT-enterotoxinproducing bacteria from Enterobacter genus.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):98-104
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ROLE OF CHOLERA TOXIN-INDUCED APOPTOSIS IN ALTERATION OF MACROPHAGES IN MICE

Ivanova I.A., Vasilyeva G.I., Mishankin B.N., Kiseleva A.K., Doroshenko E.P., Bespalova I.A., Shimanyuk N.Y.

Abstract

Aim. To study the role of active programmed cell death induced by Vibrio cholerae antigens in alteration of peritoneal macrophages of experimental animals. Materials and methods. Apoptosis was assessed by cytofluorometric analysis with propidium iodide using cytofluorometer «Coulter» as well as on characteristic morphological changes of cells in stained histological preparations. Results. Performed experiments carried out by both methods provide evidence that V.cholerae and its antigens (cholera toxin, neuraminidase, chitinase, and lypopolysaccharide) cause apoptosis of mice peritoneal macrophages, which leads to their alteration. Conclusion. Our results demonstrate that programmed cell death of phagocytes is one of the causes of cytotoxic effect of V.cholerae and its antigens. Performed experiments show the role of apoptosis of macrophages in formation of postimmunization immunosuppression after vaccination against cholera.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):104-106
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MICROBIAL FACTOR AND TOLL-LIKE RECEPTORS IN PATHOGENESIS OF ATHEROSCLEROSIS

Bondarenko V.M., Likhoded V.G.

Abstract

Lypopolysaccharides of gram-negative bacteria can interact with TLR4 with subsequent formation of atheromas. Mutational deletion of TLR4 decreases risk of development of atherosclerosis. Other bacterial ligands, in particular, peptidoglycan as well as endogenous ligands reacting with TLRs and emerging in microorganism under the action of stress factors can contribute to induction of atherosclerosis. It has been concluded, that reactions initiated by interaction of TLRs with exogenous and endogenous ligands lie in the basis of atherosclerosis pathogenesis.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):107-112
pages 107-112 views

EPIDEMIOLOGICAL SURVEILLANCE AND POLICY OF SPECIFIC PROPHYLAXIS OF INVASIVE PNEUMOCOCCAL INFECTIONS IN RUSSIA

Ryapis L.A., Briko N.I.

Abstract

Literature data on contemporary state of specific prophylaxis of invasive pneumococcal infections in Russia and abroad are summarized in the review. Main advantages and disadvantages of existing polysaccharide and conjugated vaccines are discussed. Main routes for epidemiologic surveillance for invasive pneumococcal infections which will promote improvement of analytic, diagnostic and management activities of specialists from Federal Service on Surveillance for Protection of Consumers Rights and Human Welfare are proposed. Recommendations on assessment of invasive pneumococcal disease burden as well as on policy of its prevention are provided.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):112-118
pages 112-118 views

MIKhAIL PETROVICh ChUMAKOV (K 100-LETIYu SO DNYa ROZhDENIYa)

Drozdov S.G., Mikhaylov M.I.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):119-122
pages 119-122 views

V.P. Sergie v, N.N. Filato v. Infektsionnye bolezni na rubezhe vekov: osoznanie biologicheskoy ugrozy. M., Nauka, 2006, 572 s

Shkarin V.V., Blagonravova A.S., Vorob'eva O.N.
Journal of microbiology, epidemiology and immunobiology. 2009;86(6):122-125
pages 122-125 views

CODERZhANIE

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Journal of microbiology, epidemiology and immunobiology. 2009;86(6):126-128
pages 126-128 views


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