Vol 94, No 1 (2017)

Aim. To study the spectrum and level of short-chained fatty acids (SCFA) in supernatant of bifidobacteria under different microecological conditions of the colon biotope in human. Materials and methods. Metabolites of 88 bifidobacteria strains isolated from patients when examined for dysbiosis of the colon were investigated. Definition of concentration of SCFA was performed on acidified supernatant samples by a separation method on chromatograph GC-2010 Plus, Shimadzu (Japan). Results. Monobasic acids were found in metabolites of 50 -100% study cultures of bifidobacteria where the spectrum and level of carboxylic acids in supernatants varied depending on microecological condition of the origin of the discharge. In severe damages of microsym-biocenosis in metabolites of Bifidobacterium spp., summarized concentrations of SCFA, structural index, levels of aceitic and propionic acids were decreased. Strain-specific differences in a metabolic profile of bifidoflora in a composition of individual consortiums were determined. Data obtained indicate the variation of functional (metabolic) activity of dominant strains in different microecological conditions of the human colon. Conclusion. Uniquieness of metabolome of every other strain due to their strain specifity determines their functional activity, but a metabolic profile of bifidoflora can serve as the most important criterion for the selection of effective probiotic drugs for treatment and prevention of dysbioisis in the colon.

Aim. Determine features of epidemic process (EP) of Sonnei dysentery in Khabarovsk Region in 2012 - 2014 due to atypical causative agent. Materials and methods. Detailed characteristics of 161 cultures of Shigella sonnei isolated from 81 patients from epidemic focus in children boarding school in Bikin as well as from 22 patients from sporadic and group foci of dysentery in Khabarovsk (biochemical type, colicin-genotype, spectrum of drug resistance) is given. Molecular-biologic subtyping was carried out for 11 strains by Pulsed Field Gel Electrophoresis method (PFGE). Results. Materials of observation of a prolonged foci of Sonnei dysentery with contact-domestic transmission route of the infection in children boarding house for disabled (October 2012 - September 2014) are presented. The diseases are etiologically connected with atypical mannitol-negative types of shigella isolated for the first time in 40 years of observation in Khabarovsk region. Epidemic process of shigellosis was supported by prolonged carriership of the causative agent in patients and special contingent of the nursing home. Shigella cultures isolated in the focus belonged to the same colicin-genotype and 2 distinct drug resistance clones, but a single genotype established by PFGE method. Conclusion. Results of the studies give evidence on the importance of determination of traditional phenotypic and contemporary genotypic variants of shigella and the necessity of search for arguments, additional methodic approaches for establishing similarities and differences of shigella isolates from within the same outbreak of the diseases as well as for comparison of strains circulating in different territories.

Aim. Determination of the degree of phylogenetic relationship of Yersinia pestis strains isolated from the territories of natural foci of plague from the Caucasus using VNTR-typing by 25 loci (MLVA25). Materials and methods. 26 strains of Y. pestis from Russian natural foci of the Caucasus were used in the study. 25 loci of tandem repeats in Y. pestis genome by Le Fleche scheme were used for execution of multi-locus VNTR-analysis. Deciphering of nucleotide sequences was carried out in automatic sequencer ABI 3130 Genetic Analyser. Analysis of confinement of clusters to certain territories, objects and time of isolation of strains was carried out using Arc GIS 10.1 program. Results. Groups of MLVA25-types of various levels of discrimination were formed: clusters, groups and subgroups. Clusters were formed by strains of various taxonomic membership: main and subspecies of Y. pestis. Subgroups reflect membership of strains in certain foci, and MLVA25-types - the degree of genetic relationship. Conclusion. Genetic «portraits» of plague causative agents obtained using MLVA25-types circulating in various natural-focal territories allow to solve problems ofboth theoretical and practical character: from interpretation of microevolution processes to the search of the source of infection and ways of its spread during possible epidemic complications.

Aim. Retrospective analysis of biological and molecular-genetic properties of strains - causative agents of cholera - isolated in the period of epidemics in Ukraine in 1994 - 2011. Materials and methods. Phenotypic and molecular-genetic properties of 5 strains of cholera vibrios, biovar El Tor isolated from cholera patients and 4 strains from the environmental samples were studied using traditional bacteriological and genetic methods. Detection of DNA for toxigenicity genes and genes characteristic for El Tor and classic biovar were carried out by PCR method using reagent kits «AmpliSens- Vibrio cholerae FRT» and «.Vibrio cholerae ctxB-rstR-rstC genes, REF» (an experimental test system). Sequencing of genomes of 4 strains of causative agents of cholera was carried out in genetic analyzer Ion Torrent Personal Genome Machine. Results. Strains of cholera vibrios identified in Ukraine in 1994 and 2011 such as a typical toxigenic biovar El Tor (V cholerae 01, El Tor, Ogawa, Hly-, ctxA+, tcpA+) contain genes of the classic cholera vibrio in their genome and are genetically altered (hybrid) variants of cholera vibrio biovar El Tor producing enterotoxin CT1 and having increased virulence, that was clinically manifested in predominance of severe forms of cholera in Mariupol of Donetsk region in 2011. Genome sequences of the 4 studied strains were deposited into the international database DDBJ/EMBL/GenBank. Conclusion. The studied isolates were established to belong to a clade of strains associated with cholera outbreaks in Haiti and Asian continent, from where genetically altered strains of cholera vibrios biovar El Tor were introduced to Haiti in 2010, based on results of comparison of genomic sequences of the studied strains with genomes of V. cholera strains from the international database GenBank.

Aim. Study plasmid characteristics of S. enteritidis strains in patients and features of epidemiology of the infection in regions with incomplete supply of population with local poultry production. Materials and methods. Plasmid analysis of microbe strains isolated from 382 patients and 8 samples of products was carried out, and significance of plasmid types in population morbidity was evaluated. Identification of salmonella was carried out by conventional methods, plasmid specter - by Kado C.I. and Liu S.T. (1981) method. Results. 98.4% of strains contained virulence plasmid p38, and 80.1% of strains also had small plasmids. Sakhalin strains were divided into 16 plasmid types (D=0.794), and strains from Jewish AO - 10 (D=0.834). Uniformity of strains in patients during infection outbreaks and in transmission factors was detected. Conclusion. Features of salmonellosis in the studied subjects of Russian Federation are determined by higher risk of import of products containing salmonella. Monitoring based on plasmid analysis is an effective base for epidemiologic control.

Aim. Study the possibility of inclusion of complex immunoglobulin preparation (CIP) possessing specific activity against pertussis exotoxins into complex therapy of pertussis infection in young children. Materials and methods. 2 groups of children with pertussis younger than 3 years were examined. The main group (50 individuals) received CIP per os - 1 dose 1 - 2 times per day for 5 days, comparison group (34 children) received only basic therapy. Evaluation of clinical effectiveness of CIP was carried out, the content of anti-pertussis class G antibodies and total IgE in patients were studied. Results. A good clinical effectiveness of the preparation was shown, as well as immune modulating activity against humoral immune response to pertussis infection. Conclusion. The detected positive effect of CIP on pertussis course in children has indicated a principally novel use of this per oral drug form.

Difference in terminology accepted in our and foreign countries for designating disease of post-vaccination period is shown. Analysis of the existing regulating documents in Russian Federation regarding registration of adverse events in post-vaccination period and system of registration accepted in many countries of the world and recommended by WHO is presented. In Russian Federation in accordance with the documents of the Federal Service of Surveillance for Protection of Consumers Rights and Human Welfare only certain conditions (post-vaccinal complications) are subject to registration. In accordance with WHO recommendations all adverse events taking place 1 month after the vaccination must be registered. Summarization of these data allows to detect interconnection between these conditions and vaccination or prove the lack thereof.

In a review of the features of the bacterial cells are Corynebacterium structure: characterized by an upper layer, highly organized cell wall, cytoplasmic membrane, cytoplasm, nucleoid. Described in detail the structure of the upper layer containing pili (fimbriae), microcapsule surface proteins - PS-2, DIP1281, 67-72r protein (hemagglutinin), porins, sialidase (neuraminidase). These components are the ability to initiate a serial of Corynebacterium work with the host cell, followed by colonization. It submitted a detailed description of the structure and functions of cell wall structures - cord factor, which is a second barrier permeability; arabinogalactan, peptidoglycan, lipomannan and lipoarabinomannan. The structure and function of the cytoplasmic membrane as the main diffusion barrier cell cytoplasm and the genome of Corynebacterium. Presented different molecular genetic methods for the identification and differentiation of closely related species of Corynebacterium.