STUDIES of NEISSERIA MUSCULI TYPE IV PILUS and CAPSULE USING the NATURAL MOUSE MODEL of COLONIZATION and PERSISTENCE by Man Cheo

Total Page:16

File Type:pdf, Size:1020Kb

STUDIES of NEISSERIA MUSCULI TYPE IV PILUS and CAPSULE USING the NATURAL MOUSE MODEL of COLONIZATION and PERSISTENCE by Man Cheo Studies of Neisseria musculi Type IV Pilus and Capsule Using the Natural Mouse Model of Colonization and Persistence Item Type text; Electronic Dissertation Authors Ma, Man Cheong Publisher The University of Arizona. Rights Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author. Download date 27/09/2021 11:29:10 Link to Item http://hdl.handle.net/10150/634345 STUDIES OF NEISSERIA MUSCULI TYPE IV PILUS AND CAPSULE USING THE NATURAL MOUSE MODEL OF COLONIZATION AND PERSISTENCE by Man Cheong Ma Copyright © Man Cheong Ma 2019 A Dissertation Submitted to the Faculty of the DEPARTMENT OF IMMUNOBIOLOGY In Partial Fulfillment of the Requirements For the Degree of DOCTOR OF PHILOSOPHY In the Graduate College THE UNIVERSITY OF ARIZONA 2019 2 3 Table of Contents List of Figures ................................................................................................................................6 List of Tables ..................................................................................................................................7 Abstract ...........................................................................................................................................8 Chapter 1- Introduction ...................................................................................................................... 10 Chapter 1.1 ............................................................................................................................................. 11 Concepts of microbe-host interactions ............................................................................................ 11 Microbial pathogenesis .......................................................................................................... 11 Mutualism, Commensalism, and Parasitism ......................................................................... 13 Chapter 1.2 ............................................................................................................................................. 15 Effects of microbiota on human physiology and gut and immune system development .......... 15 The gastrointestinal tract microbiota ..................................................................................... 16 The upper respiratory tract microbiota .................................................................................. 19 The vaginal microbiota .......................................................................................................... 20 The male genital tract microbiota .......................................................................................... 21 The gut microbiota is essential for maintaining gut physiology ............................................ 22 The gut microbiota directs the development of the gut and systemic immune system ....... 23 The microbiota protects against pathogen colonization ....................................................... 24 Disturbances in the microbiota lead to outgrowth of pathogens and increase the risk of non- infectious diseases ................................................................................................................ 29 Chapter 1.3. ............................................................................................................................................ 31 The genus Neisseria .......................................................................................................................... 31 Human Commensal Neisseria .............................................................................................. 32 Animal commensal Neisseria ................................................................................................ 35 Human pathogenic Neisseria ................................................................................................ 36 Neisseria meningitidis and Neisseria gonorrhoeae .............................................................. 36 Pathogenesis of Neisseria gonorrhoeae and Neisseria meningitidis on mucosal epithelial surfaces ................................................................................................................................. 38 Host interaction factors common to human/animal commensal and pathogenic Neisseria 42 The damage response curve of Neisseria spp. .................................................................... 44 Chapter 1.4 ............................................................................................................................................. 46 Neisserial Tfp and capsule and their cognate host components ................................................. 46 The Neisseria Type IV pilus .................................................................................................. 46 The PilT motor ....................................................................................................................... 48 The Neisseria Polysaccharide Capsule ................................................................................ 50 4 Capsular genes organization and regulation ........................................................................ 51 Chapter 1.5. ............................................................................................................................................ 56 Models for studying Neisseria-host interactions ............................................................................ 56 Models of gonococcal infection ............................................................................................. 56 Models of meningococcal infection ....................................................................................... 58 Developing a natural animal model for studying Neisseria asymptomatic colonization ...... 60 Chapter 2 - Manuscript 1 .................................................................................................................... 63 A mouse model for Neisseria colonization.......................................................................................... 63 Abstract ............................................................................................................................................... 64 Introduction ......................................................................................................................................... 65 Results ................................................................................................................................................. 67 N. musculi colonizes the oral cavity and gut of mice in a mouse strain specific manner. ... 67 N. musculi colonizes the entire gastrointestinal tract of mice. .............................................. 70 Innate immunity determines susceptibility to N. musculi colonization. ................................. 71 N. musculi colonization requires the Type IV pilus. .............................................................. 72 N. musculi encodes host interaction factors and vaccine candidates of human-dwelling Neisseria. ............................................................................................................................... 75 N. musculi expresses a polysaccharide capsule. ................................................................. 78 Discussion ........................................................................................................................................... 80 Supplemental Figures and Tables ................................................................................................... 83 Materials and Methods ...................................................................................................................... 86 Acknowledgments .............................................................................................................................. 93 Chapter 3 ................................................................................................................................................ 94 Type IV Pilus retraction is required for colonization and persistence of commensal Neisseria in vivo ........................................................................................................................................................... 94 Abstract ............................................................................................................................................... 95 Introduction ......................................................................................................................................... 96 Results ................................................................................................................................................. 98 N. musculi DNA uptake requires Tfp retraction. ................................................................... 98 N. musculi colonization requires Tfp retraction. .................................................................... 99 Discussion ......................................................................................................................................... 103 Materials and Methods .................................................................................................................... 106
Recommended publications
  • July 26, 2017 Bruker Daltonik Gmbh Mr. David Cromwick Director Of
    DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service __________________________________________________________________________________________________________________________ Food and Drug Administration 10903 New Hampshire Avenue Document Control Center – WO66-G609 Silver Spring, MD 20993-0002 July 26, 2017 Bruker Daltonik GmbH Mr. David Cromwick Director of Quality 40 Manning Rd Billerica, MA 01821 US Re: K163536 Trade/Device Name: MALDI Biotyper CA (MBT-CA) System, MBT smart CA System Regulation Number: 21 CFR 866.3361 Regulation Name: Mass spectrometer system for clinical use for the identification of microorganisms Regulatory Class: II Product Code: PEX Dated: December 16, 2016 Received: December 16, 2016 Dear Mr. Cromwick: We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading. If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls.
    [Show full text]
  • Proctitis Associated with Neisseria Cinerea Misidentified As Neisseria Gonorrhoeae in a Child JOHN H
    JOURNAL OF CLINICAL MICROBIOLOGY, Apr. 1985, p. 575-577 Vol. 21, No. 4 0095-1137/85/040575-03$02.00/0 Copyright C 1985, American Society for Microbiology Proctitis Associated with Neisseria cinerea Misidentified as Neisseria gonorrhoeae in a Child JOHN H. DOSSETT,' PETER C. APPELBAUM,2* JOAN S. KNAPP,3 AND PATRICIA A. TOTTEN3 Departments ofPediatrics (Infectious Diseases)' and Pathology (Clinical Microbiology),2 Hershey Medical Center, Hershey, Pennsylvania 17033, and Neisseria Reference Laboratory and Department of Medicine, University of Washington, Seattle, Washington 981953 Received 21 September 1984/Accepted 13 December 1984 An 8-year-old boy developed proctitis. Rectal swabs yielded a Neisseria sp. that was repeatedly identified by API (Analytab Products, Plainview, N.Y.), Minitek (BBL Microbiology Systems, Cockeysville, Md.), and Bactec (Johnston Laboratories, Towson, Md.) methods as Neisseria gonorrhoeae. Subsequent testing in a reference laboratory yielded an identification of Neisseria cinerea. It is suggested that identification of a Neisseria sp. isolated from genital or rectal sites in a child be confirmed by additional serological, growth, and antibiotic susceptibility tests and, if necessary, by a reference laboratory. The implications of such misidenti- fications are discussed. Gonococcal proctitis in children is usually considered to rectal scrubs. The child and his parents underwent extensive be sexually transmitted, just as it is in adults. Moreover, questioning in an effort to identify a source of infection. No gonorrhea in young boys is generally the result of homosex- clues were found. Both parents had negative examinations ual contact with an adult male. We herein report the case of and negative cultures. The patient's condition gradually a child with prolonged proctitis and perianal inflammation improved, and by 20 July his rectum and perirectum ap- from whom Neisseria sp.
    [Show full text]
  • Neisseria Infection of Rhesus Macaques As a Model to Study Colonization, Transmission, Persistence, and Horizontal Gene Transfer
    Neisseria infection of rhesus macaques as a model to study colonization, transmission, persistence, and horizontal gene transfer Nathan J. Weyanda,b,1, Anne M. Wertheimerc,d,e, Theodore R. Hobbsf,g, Jennifer L. Siskoa,b, Nyiawung A. Takua,b, Lindsay D. Gregstona,b, Susan Claryh, Dustin L. Higashia,b, Nicolas Biaisi,2, Lewis M. Browni,j, Shannon L. Planerg,k, Alfred W. Legasseg,k, Michael K. Axthelmg,k,l, Scott W. Wongg,h,l, and Magdalene Soa,b aBIO5 Institute and bDepartment of Immunobiology, University of Arizona, Tucson, AZ 85721; cArizona Center on Aging, dDepartment of Medicine and eDivision of Geriatrics General Internal and Palliative Medicine, University of Arizona, Tucson, AZ, 85719; fDivision of Animal Resources, kDivision of Pathobiology and Immunology, gOregon National Primate Research Center, and lVaccine and Gene Therapy Institute, Oregon Health and Science University, Beaverton, OR 97006; hDepartment of Molecular Microbiology and Immunology, L220, Oregon Health and Science University, Portland, OR 97239; and iDepartment of Biological Sciences and jQuantitative Proteomics Center, Columbia University, New York, NY 10027 Edited by Rino Rappuoli, Novartis Vaccines and Diagnostics, Siena, Italy, and approved January 10, 2013 (received for review October 9, 2012) The strict tropism of many pathogens for man hampers the de- may be possible to develop a model for studying Neisseria–host velopment of animal models that recapitulate important microbe– interactions in which there are no host-restriction barriers to host interactions. We developed a rhesus macaque model for study- overcome. ing Neisseria–host interactions using Neisseria species indigenous to The rhesus macaque (RM) has ∼93% DNA sequence identity the animal.
    [Show full text]
  • Forensic Microbiology Reveals That Neisseria Animaloris Infections In
    www.nature.com/scientificreports OPEN Forensic microbiology reveals that Neisseria animaloris infections in harbour porpoises follow traumatic Received: 14 February 2019 Accepted: 20 September 2019 injuries by grey seals Published: xx xx xxxx Geofrey Foster 1, Adrian M. Whatmore2, Mark P. Dagleish3, Henry Malnick4, Maarten J. Gilbert5, Lineke Begeman6, Shaheed K. Macgregor7, Nicholas J. Davison1, Hendrik Jan Roest8, Paul Jepson7, Fiona Howie9, Jakub Muchowski2, Andrew C. Brownlow1, Jaap A. Wagenaar5,8, Marja J. L. Kik10, Rob Deaville7, Mariel T. I. ten Doeschate1, Jason Barley1,11, Laura Hunter1 & Lonneke L. IJsseldijk 10 Neisseria animaloris is considered to be a commensal of the canine and feline oral cavities. It is able to cause systemic infections in animals as well as humans, usually after a biting trauma has occurred. We recovered N. animaloris from chronically infamed bite wounds on pectoral fns and tailstocks, from lungs and other internal organs of eight harbour porpoises. Gross and histopathological evidence suggest that fatal disseminated N. animaloris infections had occurred due to traumatic injury from grey seals. We therefore conclude that these porpoises survived a grey seal predatory attack, with the bite lesions representing the subsequent portal of entry for bacteria to infect the animals causing abscesses in multiple tissues, and eventually death. We demonstrate that forensic microbiology provides a useful tool for linking a perpetrator to its victim. Moreover, N. animaloris should be added to the list of potential zoonotic bacteria following interactions with seals, as the fnding of systemic transfer to the lungs and other tissues of the harbour porpoises may suggest a potential to do likewise in humans.
    [Show full text]
  • Pocket Guide to Clinical Microbiology
    4TH EDITION Pocket Guide to Clinical Microbiology Christopher D. Doern 4TH EDITION POCKET GUIDE TO Clinical Microbiology 4TH EDITION POCKET GUIDE TO Clinical Microbiology Christopher D. Doern, PhD, D(ABMM) Assistant Professor, Pathology Director of Clinical Microbiology Virginia Commonwealth University Health System Medical College of Virginia Campus Washington, DC Copyright © 2018 Amer i can Society for Microbiology. All rights re served. No part of this publi ca tion may be re pro duced or trans mit ted in whole or in part or re used in any form or by any means, elec tronic or me chan i cal, in clud ing pho to copy ing and re cord ing, or by any in for ma tion stor age and re trieval sys tem, with out per mis sion in writ ing from the pub lish er. Disclaimer: To the best of the pub lish er’s knowl edge, this pub li ca tion pro­ vi des in for ma tion con cern ing the sub ject mat ter cov ered that is ac cu rate as of the date of pub li ca tion. The pub lisher is not pro vid ing le gal, med i cal, or other pro fes sional ser vices. Any ref er ence herein to any spe cific com mer cial prod ucts, pro ce dures, or ser vices by trade name, trade mark, man u fac turer, or oth er wise does not con sti tute or im ply en dorse ment, rec om men da tion, or fa vored sta tus by the Ameri can Society for Microbiology (ASM).
    [Show full text]
  • A New Symbiotic Lineage Related to Neisseria and Snodgrassella Arises from the Dynamic and Diverse Microbiomes in Sucking Lice
    bioRxiv preprint doi: https://doi.org/10.1101/867275; this version posted December 6, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-NC-ND 4.0 International license. A new symbiotic lineage related to Neisseria and Snodgrassella arises from the dynamic and diverse microbiomes in sucking lice Jana Říhová1, Giampiero Batani1, Sonia M. Rodríguez-Ruano1, Jana Martinů1,2, Eva Nováková1,2 and Václav Hypša1,2 1 Department of Parasitology, Faculty of Science, University of South Bohemia, České Budějovice, Czech Republic 2 Institute of Parasitology, Biology Centre, ASCR, v.v.i., České Budějovice, Czech Republic Author for correspondence: Václav Hypša, Department of Parasitology, University of South Bohemia, České Budějovice, Czech Republic, +42 387 776 276, [email protected] Abstract Phylogenetic diversity of symbiotic bacteria in sucking lice suggests that lice have experienced a complex history of symbiont acquisition, loss, and replacement during their evolution. By combining metagenomics and amplicon screening across several populations of two louse genera (Polyplax and Hoplopleura) we describe a novel louse symbiont lineage related to Neisseria and Snodgrassella, and show its' independent origin within dynamic lice microbiomes. While the genomes of these symbionts are highly similar in both lice genera, their respective distributions and status within lice microbiomes indicate that they have different functions and history. In Hoplopleura acanthopus, the Neisseria-related bacterium is a dominant obligate symbiont universally present across several host’s populations, and seems to be replacing a presumably older and more degenerated obligate symbiont.
    [Show full text]
  • Oral Microbiome in HIV-Associated Periodontitis
    Oral microbiome in HIV-associated periodontitis. Marc Noguera-Julian, IrsiCaixa AIDS Research Institute Yolanda Guillén, IrsiCaixa AIDS Research Institute Jessica Peterson, Emory University David Reznik, Emory University Erica V. Harris, Emory University Sandeep J. Joseph, Emory University Javier Rivera, IrsiCaixa AIDS Research Institute Sunil Kannanganat, Emory University Rama Amara, Emory University Minhly Nguyen, Emory University Only first 10 authors above; see publication for full author list. Journal Title: Medicine Volume: Volume 96, Number 12 Publisher: Wolters Kluwer Health | 2017-03, Pages e5821-e5821 Type of Work: Article | Final Publisher PDF Publisher DOI: 10.1097/MD.0000000000005821 Permanent URL: https://pid.emory.edu/ark:/25593/s0xtw Final published version: http://dx.doi.org/10.1097/MD.0000000000005821 Copyright information: © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/). Accessed September 29, 2021 5:15 AM EDT ® Observational Study Medicine OPEN Oral microbiome in HIV-associated periodontitis ∗ Marc Noguera-Julian, PhDa,b,c, , Yolanda Guillén, PhDa,b, Jessica Peterson, BsCd, David Reznik, DDSd,e, Erica V. Harris, BsCf, Sandeep J. Joseph, PhDd, Javier Rivera, MsCa,c, Sunil Kannanganat, PhDd,g, Rama Amara, PhDd,g, Minh Ly Nguyen, MDd, Simon Mutembo, MDh, Roger Paredes, MD, PhDa,b,c,i, ∗ Timothy D. Read, PhDd, Vincent C. Marconi, MDd,g, Abstract HIV-associated periodontal diseases (PD) could serve as a source of chronic inflammation. Here, we sought to characterize the oral microbial signatures of HIV+ and HIV– individuals at different levels of PD severity.
    [Show full text]
  • Bacterial Diversity and Functional Analysis of Severe Early Childhood
    www.nature.com/scientificreports OPEN Bacterial diversity and functional analysis of severe early childhood caries and recurrence in India Balakrishnan Kalpana1,3, Puniethaa Prabhu3, Ashaq Hussain Bhat3, Arunsaikiran Senthilkumar3, Raj Pranap Arun1, Sharath Asokan4, Sachin S. Gunthe2 & Rama S. Verma1,5* Dental caries is the most prevalent oral disease afecting nearly 70% of children in India and elsewhere. Micro-ecological niche based acidifcation due to dysbiosis in oral microbiome are crucial for caries onset and progression. Here we report the tooth bacteriome diversity compared in Indian children with caries free (CF), severe early childhood caries (SC) and recurrent caries (RC). High quality V3–V4 amplicon sequencing revealed that SC exhibited high bacterial diversity with unique combination and interrelationship. Gracillibacteria_GN02 and TM7 were unique in CF and SC respectively, while Bacteroidetes, Fusobacteria were signifcantly high in RC. Interestingly, we found Streptococcus oralis subsp. tigurinus clade 071 in all groups with signifcant abundance in SC and RC. Positive correlation between low and high abundant bacteria as well as with TCS, PTS and ABC transporters were seen from co-occurrence network analysis. This could lead to persistence of SC niche resulting in RC. Comparative in vitro assessment of bioflm formation showed that the standard culture of S. oralis and its phylogenetically similar clinical isolates showed profound bioflm formation and augmented the growth and enhanced bioflm formation in S. mutans in both dual and multispecies cultures. Interaction among more than 700 species of microbiota under diferent micro-ecological niches of the human oral cavity1,2 acts as a primary defense against various pathogens. Tis has been observed to play a signifcant role in child’s oral and general health.
    [Show full text]
  • Applications of Genomics to Slow the Spread of Multidrug‐Resistant
    Ann. N.Y. Acad. Sci. ISSN 0077-8923 ANNALS OF THE NEW YORK ACADEMY OF SCIENCES Special Issue: Antimicrobial Therapeutics Reviews REVIEW Applications of genomics to slow the spread of multidrug-resistant Neisseria gonorrhoeae Tatum D. Mortimer 1 and Yonatan H. Grad 1,2 1Department of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts. 2Division of Infectious Diseases, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts Address for correspondence: Yonatan H. Grad, Department of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, 665 Huntington Ave., Building 1, Room 715, Boston, MA 02115. [email protected] Infections with Neisseria gonorrhoeae, a sexually transmitted pathogen that causes urethritis, cervicitis, and more severe complications, are increasing. Gonorrhea is typically treated with antibiotics; however, N. gonorrhoeae has rapidly acquired resistance to many antibiotic classes, and lineages with reduced susceptibility to the currently recommended therapies are emerging worldwide. In this review, we discuss the contributions of whole genome sequencing (WGS) to our understanding of resistant N. gonorrhoeae. Genomics has illuminated the evolutionary origins and population structure of N. gonorrhoeae and the magnitude of horizontal gene transfer within and between Neisseria species. WGS can be used to predict the susceptibility of N. gonorrhoeae based on known resistance determinants, track the spread of these determinants throughout the N. gonorrhoeae population, and identify novel loci contributing to resistance. WGS has also allowed more detailed epidemiological analysis of transmission of N. gonorrhoeae between individuals and populations than previously used typing methods. Ongoing N.
    [Show full text]
  • ( 12 ) United States Patent
    US009956282B2 (12 ) United States Patent ( 10 ) Patent No. : US 9 ,956 , 282 B2 Cook et al. (45 ) Date of Patent: May 1 , 2018 ( 54 ) BACTERIAL COMPOSITIONS AND (58 ) Field of Classification Search METHODS OF USE THEREOF FOR None TREATMENT OF IMMUNE SYSTEM See application file for complete search history . DISORDERS ( 56 ) References Cited (71 ) Applicant : Seres Therapeutics , Inc. , Cambridge , U . S . PATENT DOCUMENTS MA (US ) 3 ,009 , 864 A 11 / 1961 Gordon - Aldterton et al . 3 , 228 , 838 A 1 / 1966 Rinfret (72 ) Inventors : David N . Cook , Brooklyn , NY (US ) ; 3 ,608 ,030 A 11/ 1971 Grant David Arthur Berry , Brookline, MA 4 ,077 , 227 A 3 / 1978 Larson 4 ,205 , 132 A 5 / 1980 Sandine (US ) ; Geoffrey von Maltzahn , Boston , 4 ,655 , 047 A 4 / 1987 Temple MA (US ) ; Matthew R . Henn , 4 ,689 ,226 A 8 / 1987 Nurmi Somerville , MA (US ) ; Han Zhang , 4 ,839 , 281 A 6 / 1989 Gorbach et al. Oakton , VA (US ); Brian Goodman , 5 , 196 , 205 A 3 / 1993 Borody 5 , 425 , 951 A 6 / 1995 Goodrich Boston , MA (US ) 5 ,436 , 002 A 7 / 1995 Payne 5 ,443 , 826 A 8 / 1995 Borody ( 73 ) Assignee : Seres Therapeutics , Inc. , Cambridge , 5 ,599 ,795 A 2 / 1997 McCann 5 . 648 , 206 A 7 / 1997 Goodrich MA (US ) 5 , 951 , 977 A 9 / 1999 Nisbet et al. 5 , 965 , 128 A 10 / 1999 Doyle et al. ( * ) Notice : Subject to any disclaimer , the term of this 6 ,589 , 771 B1 7 /2003 Marshall patent is extended or adjusted under 35 6 , 645 , 530 B1 . 11 /2003 Borody U .
    [Show full text]
  • Isolation of Neisseria Sicca from Genital Tract
    Al-Dorri (2020): Isolation of N sicca from genital tract Dec, 2020 Vol. 23 Issue 24 Isolation of Neisseria sicca from genital tract Alaa Zanzal Ra'ad Al-Dorri1* 1. Department of Medical Microbiology, Tikrit University/ College of Medicine (TUCOM), Iraq. *Corresponding author:[email protected] (Al-Dorri) Abstract In the last few decades some researchers has focused on N. meningitidis and N. gonorrhoeae in attempts to understand the pathogenesis of the diseases produced by these organisms. Although little attention has been paid to the other neisseria species since they are considered harmless organisms of little clinical importance although they can cause infections. In this paper, pathological features and the clinical of high vaginal and cervical infections caused by Neisseria sicca are described, which are normal inhabitants of the human respiratory tract as in oropharynx and can act as opportunistic pathogens when present in other sites such as female genital tract. We note they usually infect married women at a young age group who were multipara and active sexual women. N.sicca was resistant to most antibiotics that were used while the doxycycline was the most effective antibiotic against N.sicca. Keywords: Neisseria sicca,genital tract infection, pharyngeal carriage, colonization, antimicrobial resistance How to cite this article: Al-Dorri AZR (2020): Isolation of Neisseria sicca from genital tract, Ann Trop Med & Public Health; 23(S24): SP232417. DOI:http://doi.org/10.36295/ASRO.2020.232417 Introduction: Neisseria is considered as a genus of b-Proteobacteria, which are absolute symbionts in human mucosal surfaces. 8 species of Neisseria have been reported and they normally colonize the mucosal surfaces of humans [1, 2].
    [Show full text]
  • 2020 European Guideline for the Diagnosis and Treatment of Gonorrhoea in Adults (Unemo M, Et Al
    Guidelines International Journal of STD & AIDS 0(0) 1–17 2020 European guideline for the diagnosis ! The Author(s) 2020 Article reuse guidelines: and treatment of gonorrhoea in adults sagepub.com/journals-permissions DOI: 10.1177/0956462420949126 journals.sagepub.com/home/std M Unemo1 , JDC Ross2, AB Serwin3, M Gomberg4, M Cusini5 and JS Jensen6 Abstract Gonorrhoea is a major public health concern globally. Increasing incidence and sporadic ceftriaxone-resistant cases, including treatment failures, are growing concerns. The 2020 European gonorrhoea guideline provides up-to-date evidence-based guidance regarding the diagnosis and treatment of gonorrhoea. The updates and recommendations emphasize significantly increasing gonorrhoea incidence; broad indications for increased testing with validated and quality-assured nucleic acid amplification tests and culture; dual antimicrobial therapy including high-dose ceftriaxone and azithromycin (ceftriaxone 1 g plus azithromycin 2 g) OR ceftriaxone 1 g monotherapy (ONLY in well-controlled settings, see guideline for details) for uncomplicated gonorrhoea when the antimicrobial susceptibility is unknown; recommendation of test of cure (TOC) in all gonorrhoea cases to ensure eradication of infection and identify resistance; and enhanced surveillance of treatment failures when recommended treatment regimens have been used. Improvements in access to appropriate testing, test performance, diagnostics, antimicrobial susceptibility surveillance and treatment, and follow-up of gonorrhoea patients are essential in controlling gonorrhoea and to mitigate the emergence and/or spread of ceftriaxone resistance and multidrug-resistant and extensively drug-resistant gonorrhoea. For detailed back- ground, evidence base and discussions, see the background review for the present 2020 European guideline for the diagnosis and treatment of gonorrhoea in adults (Unemo M, et al.
    [Show full text]