Journal Article
- Diagnosis and molecular characteristics of human infections caused by Anaplasma phagocytophilum in South Korea
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Seung Hun Lee , Sungdo Park , Yeong Seon Lee , Hae Kyung Lee , Seon Do Hwang
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J. Microbiol. 2018;56(11):847-853. Published online October 24, 2018
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DOI: https://doi.org/10.1007/s12275-018-8385-8
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Abstract
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Human granulocytic anaplasmosis (HGA) is a tick borne infection
caused by Anaplasma phagocytophilum. HGA cases
in South Korea have been identified since the first report in
2014. In this study, we investigated the serological response
in 594 clinical samples of patients with acute febrile illness
and molecular characteristics of A. phagocytophilum clinical
isolates obtained from HGA patients. In serological test for
A. phagocytophilum, 7.91% (47/594 cases) were positive for
IgG and Ig M and 13 of 47 cases showed seroconversion. In
the detection rate of the 16S rRNA, msp2(p44), and ankA,
genes were showed 3.68% (14/380 cases) for A. phagocytophilum-
specific 16S rRNA gene. Phylogenetic analysis of three
clinical isolates demonstrated high sequence similarity (98.58–
100%) with A. phagocytophilum 16S rRNA sequences identified
from public databases. Analysis of the msp2(p44) gene
showed highly variable similarity rates (7.24–98.85%) even
within isolated countries and host ranges. These results provide
clues into the bacterial characterization of A. phagocytophilum
originating from Korean patients, providing useful
guidance for treatment and improving clinical outcomes.
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Citations
Citations to this article as recorded by

- Human granulocytotropic anaplasmosis—A systematic review and analysis of the literature
Sophie Schudel, Larissa Gygax, Christian Kositz, Esther Kuenzli, Andreas Neumayr, Ana LTO Nascimento
PLOS Neglected Tropical Diseases.2024; 18(8): e0012313. CrossRef - Molecular and serological detection of Anaplasma spp. in small ruminants in an area of Cerrado Biome in northeastern Brazil
Ellainy Maria Conceição Silva, Ingrid Carolinne Lopes Marques, Victória Valente Califre de Mello, Renan Bressianini do Amaral, Luiz Ricardo Gonçalves, Maria do Socorro Costa Oliveira Braga, Larissa Sarmento dos Santos Ribeiro, Rosangela Zacarias Machado,
Ticks and Tick-borne Diseases.2024; 15(1): 102254. CrossRef - Global status of Anaplasma phagocytophilum infections in human population: A 50-year (1970–2020) meta-analysis
Solomon Ngutor Karshima, Musa Isiyaku Ahmed, Kaltume Mamman Mohammed, Victoria Adamu Pam
Journal of Vector Borne Diseases.2023; 60(3): 265. CrossRef - Human granulocytic anaplasmosis in a Single University Hospital in the Republic of Korea
Da Young Kim, Jun-Won Seo, Na Ra Yun, Choon-Mee Kim, Dong-Min Kim
Scientific Reports.2021;[Epub] CrossRef - Development of a duplex PCR assay for detecting Theileria luwenshuni and Anaplasma phagocytophilum in sheep and goats
Yaqun Yan, Yanyan Cui, Shanshan Zhao, Jichun Jing, Ke Shi, Fuchun Jian, Longxian Zhang, Rongjun Wang, Kunlun Wang, Yongchun Zhou, Changshen Ning
Experimental and Applied Acarology.2021; 85(2-4): 319. CrossRef - The Novel Zoonotic Pathogen, Anaplasma capra, Infects Human Erythrocytes, HL-60, and TF-1 Cells In Vitro
Yongshuai Peng, Chenyang Lu, Yaqun Yan, Jinxing Song, Zhiyang Pei, Pihong Gong, Rongjun Wang, Longxian Zhang, Fuchun Jian, Changshen Ning
Pathogens.2021; 10(5): 600. CrossRef - Parasitic and Vector-Borne Infections in HIV-Positive Patients in Slovakia—Evidence of an Unexpectedly High Occurrence of Anaplasma phagocytophilum
Katarína Šimeková, Ľubomír Soják, Bronislava Víchová, Lenka Balogová, Júlia Jarošová, Daniela Antolová
Pathogens.2021; 10(12): 1557. CrossRef - Are other tick-borne infections overlooked in patients investigated for Lyme neuroborreliosis? A large retrospective study from South-eastern Sweden
Paula Gyllemark, Peter Wilhelmsson, Camilla Elm, Dieuwertje Hoornstra, Joppe W. Hovius, Marcus Johansson, Ivar Tjernberg, Per-Eric Lindgren, Anna J. Henningsson, Johanna Sjöwall
Ticks and Tick-borne Diseases.2021; 12(5): 101759. CrossRef - A Multiplex PCR Detection Assay for the Identification of Clinically Relevant Anaplasma Species in Field Blood Samples
Yongshuai Peng, Shanshan Zhao, Kunlun Wang, Jinxing Song, Yaqun Yan, Yongchun Zhou, Ke Shi, Fuchun Jian, Rongjun Wang, Longxian Zhang, Changshen Ning
Frontiers in Microbiology.2020;[Epub] CrossRef - Human granulocytic anaplasmosis in Kinmen, an offshore island of Taiwan
Kun-Hsien Tsai, Lo-Hsuan Chung, Chia-Hao Chien, Yu-Jung Tung, Hsin-Yi Wei, Tsai-Ying Yen, Pei-Yun Shu, Hsi-Chieh Wang, José Reck
PLOS Neglected Tropical Diseases.2019; 13(9): e0007728. CrossRef - Co-Infection of Scrub Typhus and Human Granulocytic Anaplasmosis in Korea, 2006
Jeong-Han Kim, Chang-Seop Lee, Chisook Moon, Yee Gyung Kwak, Baek-Nam Kim, Eu Suk Kim, Jae Myung Kang, Wan Beom Park, Myoung-don Oh, Sang-Won Park
Journal of Korean Medical Science.2019;[Epub] CrossRef
Reviews
- MINIREVIEW] Importance of differential identification of Mycobacterium tuberculosis strains for understanding differences in their prevalence, treatment efficacy, and vaccine development
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Hansong Chae , Sung Jae Shin
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J. Microbiol. 2018;56(5):300-311. Published online May 2, 2018
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DOI: https://doi.org/10.1007/s12275-018-8041-3
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51
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19
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Abstract
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Tuberculosis (TB), caused by Mycobacterium tuberculosis
(Mtb), remains a serious global health problem in the 21st
century because of its high mortality. Mtb is an extremely
successful human-adapted pathogen that displays a multifactorial
ability to control the host immune response and to
evade killing by drugs, resulting in the breakdown of BCG
vaccine-conferred anti-TB immunity and development of
multidrug-resistant (MDR) and extensively drug-resistant
(XDR) Mtb. Although genetic components of the genomes
of the Mtb complex strains are highly conserved, showing
over 99% similarity to other bacterial genera, recently accumulated
evidence suggests that the genetic diversity of the
Mtb complex strains has implications for treatment outcomes,
development of MDR/XDR Mtb, BCG vaccine efficacy,
transmissibility, and epidemiological outbreaks. Thus, new
insights into the pathophysiological features of the Mtb complex
strains are required for development of novel vaccines
and for control of MDR/XDR Mtb infection, eventually leading
to refinement of treatment regimens and the health care
system. Many studies have focused on the differential identification
of Mtb complex strains belonging to different lineages
because of differences in their virulence and geographical
dominance. In this review, we discuss the impact of
differing genetic characteristics among Mtb complex strains
on vaccine efficacy, treatment outcome, development of MDR/
XDR Mtb strains, and epidemiological outbreaks by focusing
on the best-adapted human Mtb lineages. We further
explore the rationale for differential identification of Mtb
strains for more effective control of TB in clinical and laboratory
settings by scrutinizing current diagnostic methods.
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Citations
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- Assistance of next-generation sequencing for diagnosis of disseminated Bacillus Calmette-Guerin disease with X-SCID in an infant: a case report and literature review
Haiyang Zhang, Yi Liao, Zhensheng Zhu, Hanmin Liu, Deyuan Li, Sisi Wang
Frontiers in Cellular and Infection Microbiology.2024;[Epub] CrossRef - Applications and advances in molecular diagnostics: revolutionizing non-tuberculous mycobacteria species and subspecies identification
Haiyang Zhang, Maoting Tang, Deyuan Li, Min Xu, Yusen Ao, Liangkang Lin
Frontiers in Public Health.2024;[Epub] CrossRef - Distinct contributions of the innate immune receptors TLR2 and RP105 to formation and architecture of structured lung granulomas in mice infected with Mycobacterium tuberculosis
Meg L. Donovan, Helle Bielefeldt‐Ohmann, Rachel F. Rollo, Stephen J. McPherson, Thomas E. Schultz, Giorgia Mori, Jessica C. Kling, Antje Blumenthal
Immunology.2023; 169(1): 13. CrossRef - Host vs. pathogen evolutionary arms race: Effects of exposure history on individual response to a genetically diverse pathogen
Daniel P. Walsh, Brandi L. Felts, E. Frances Cassirer, Thomas E. Besser, Jonathan A. Jenks
Frontiers in Ecology and Evolution.2023;[Epub] CrossRef - Antimycobacterial Activity of Hedeoma drummondii against Mycobacterium tuberculosis and Non-Tuberculous Mycobacteria
Carmen Molina-Torres, Carlos Pedraza-Rodríguez, Lucio Vera-Cabrera, Jorge Ocampo-Candiani, Catalina Rivas-Morales, Ezequiel Viveros-Valdez
Antibiotics.2023; 12(5): 833. CrossRef - Mycobacterium tuberculosis lineage 4 associated with cavitations and treatment failure
Anabel Ordaz-Vázquez, Pedro Torres-González, Leticia Ferreyra-Reyes, Sergio Canizales-Quintero, Guadalupe Delgado-Sánchez, Lourdes García-García, Alfredo Ponce-De-León, José Sifuentes-Osornio, Miriam Bobadilla-Del-Valle
BMC Infectious Diseases.2023;[Epub] CrossRef - Will we ever eradicate animal tuberculosis?
Christian Gortázar, José de la Fuente, Alberto Perelló, Lucas Domínguez
Irish Veterinary Journal.2023;[Epub] CrossRef - Predominance of the Mycobacterium tuberculosis Beijing strain amongst children from a high tuberculosis burden township in South Africa
Junaid Shaik, Manormoney Pillay, Julie Moodley, Prakash Jeena
Tuberculosis.2022; 136: 102250. CrossRef - Dysglycemia is associated with Mycobacterium tuberculosis lineages in tuberculosis patients of North Lima—Peru
Kattya Lopez, María B. Arriaga, Juan G. Aliaga, Nadia N. Barreda, Oswaldo M. Sanabria, Chuan-Chin Huang, Zibiao Zhang, Ruth García-de-la-Guarda, Leonid Lecca, Anna Cristina Calçada Carvalho, Afrânio L. Kritski, Roger I. Calderon, Igor Mokrousov
PLOS ONE.2021; 16(1): e0243184. CrossRef - In vitro Synergism of Six Antituberculosis Agents Against Drug-Resistant Mycobacterium tuberculosis Isolated from Retreatment Tuberculosis Patients
Ruoyan Ying, Xiaochen Huang, Yaxian Gao, Jie Wang, Yidian Liu, Wei Sha, Hua Yang
Infection and Drug Resistance.2021; Volume 14: 3729. CrossRef - Characterisation of secretome-based immune responses of human leukocytes infected with variousMycobacterium tuberculosislineages
Benjawan Kaewseekhao, Sittiruk Roytrakul, Yodying Yingchutrakul, Marut Laohaviroj, Kanin Salao, Kiatichai Faksri
PeerJ.2021; 9: e11565. CrossRef - Different PPD-stimulated cytokine responses from patients infected with genetically distinct Mycobacterium tuberculosis complex lineages
Paulo Ranaivomanana, Marie Sylvianne Rabodoarivelo, Mame Diarra Bousso Ndiaye, Niaina Rakotosamimanana, Voahangy Rasolofo
International Journal of Infectious Diseases.2021; 104: 725. CrossRef - A review of published spoligotype data indicates the diversity of Mycobacterium tuberculosis from India is under-represented in global databases
Husain Poonawala, Narender Kumar, Sharon J. Peacock
Infection, Genetics and Evolution.2020; 78: 104072. CrossRef - Comparing IS6110‐RFLP, PGRS‐RFLP and IS6110‐Mtb1/Mtb2 PCR methods for genotyping ofMycobacterium tuberculosisisolates
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Journal of Applied Microbiology.2020; 129(4): 1062. CrossRef - Molecular Typing of Mycobacterium Tuberculosis Isolated from Iranian Patients Using Highly Abundant Polymorphic GC-Rich-Repetitive Sequence
Bahram Golestani Eimani, Khalil Ansarin, Leila Sahebi, Maryam Seyyedi
Iranian South Medical Journal.2020; 23(2): 87. CrossRef - Comparison of the Three Molecular Diagnostic Assays for Molecular Identification ofMycobacterium tuberculosisand Nontuberculous Mycobacteria Species in Sputum Samples
Jinyoung Bae, Sung-Bae Park, Ji-Hoi Kim, Mi Ran Kang, Kyung Eun Lee, Sunghyun Kim, Hyunwoo Jin
Biomedical Science Letters.2020; 26(3): 170. CrossRef - Immunogenicity and Vaccine Potential of InsB, an ESAT-6-Like Antigen Identified in the Highly Virulent Mycobacterium tuberculosis Beijing K Strain
Woo Sik Kim, Hongmin Kim, Kee Woong Kwon, Sang-Nae Cho, Sung Jae Shin
Frontiers in Microbiology.2019;[Epub] CrossRef - Molecular characterisation of multidrug-resistantMycobacterium tuberculosisisolates from a high-burden tuberculosis state in Brazil
R. S. Salvato, S. Schiefelbein, R. B. Barcellos, B. M. Praetzel, I. S. Anusca, L. S. Esteves, M. L. Halon, G. Unis, C.F. Dias, S. S. Miranda, I. N. de Almeida, L. J. de Assis Figueredo, E. C. Silva, A. L. Kritski, E. R. Dalla Costa, M. L. R. Rossetti
Epidemiology and Infection.2019;[Epub] CrossRef - DNA markers for tuberculosis diagnosis
Kai Ling Chin, Maria E. Sarmiento, Mohd Nor Norazmi, Armando Acosta
Tuberculosis.2018; 113: 139. CrossRef
- REVIEW] The role of laboratory diagnostics in emerging viral infections: the example of the Middle East respiratory syndrome epidemic
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Jasper F. W. Chan , Siddharth Sridhar , Cyril C. Y. Yip , Susanna K. P. Lau , Patrick C. Y. Woo
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J. Microbiol. 2017;55(3):172-182. Published online February 28, 2017
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DOI: https://doi.org/10.1007/s12275-017-7026-y
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45
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Abstract
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Rapidly emerging infectious disease outbreaks place a great
strain on laboratories to develop and implement sensitive
and specific diagnostic tests for patient management and
infection control in a timely manner. Furthermore, laboratories
also play a role in real-time zoonotic, environmental,
and epidemiological investigations to identify the ultimate
source of the epidemic, facilitating measures to eventually
control the outbreak. Each assay modality has unique pros
and cons; therefore, incorporation of a battery of tests using
traditional culture-based, molecular and serological diagnostics
into diagnostic algorithms is often required. As such,
laboratories face challenges in assay development, test evaluation,
and subsequent quality assurance. In this review, we
describe the different testing modalities available for the ongoing
Middle East respiratory syndrome (MERS) epidemic
including cell culture, nucleic acid amplification, antigen detection,
and antibody detection assays. Applications of such
tests in both acute clinical and epidemiological investigation
settings are highlighted. Using the MERS epidemic as an example,
we illustrate the various challenges faced by laboratories
in test development and implementation in the setting
of a rapidly emerging infectious disease. Future directions in
the diagnosis of MERS and other emerging infectious disease
investigations are also highlighted.
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Citations
Citations to this article as recorded by

- Scale-Up of COVID-19 Testing Services in NYC, 2020–2021: Lessons Learned to Maximize Reach, Equity and Timeliness
Lorna E. Thorpe, Sarah Conderino, Stefanie Bendik, Carolyn Berry, Nadia Islam, Rachel Massar, Michelle Chau, Rita Larson, Margaret M. Paul, Chuan Hong, Andrew Fair, Andrea R. Titus, Anna Bershteyn, Andrew Wallach
Journal of Urban Health.2024; 101(5): 913. CrossRef - An individual level infectious disease model in the presence of uncertainty from multiple, imperfect diagnostic tests
Caitlin Ward, Grant D. Brown, Jacob J. Oleson
Biometrics.2023; 79(1): 426. CrossRef - A comparative study of the policy response to COVID-19 in the ASEAN region: A dynamic simulated ARDL approach
Nihal Ahmed, Dilawar Khan, Judit Oláh, József Popp, Stefan Cristian Gherghina
PLOS ONE.2023; 18(1): e0276973. CrossRef - RNA Coronaviruses’ Outbreaks: Recent Progress on the SARS-CoV-2
Pandemic Diagnostic Tests, Vaccination and Therapeutics
Ghadeer A.R.Y. Suaifan, Bayan A. Alkhawaja, Aya A.M. Mohammed
Mini-Reviews in Medicinal Chemistry.2022; 22(4): 617. CrossRef - A computational tool for trend analysis and forecast of the COVID-19 pandemic
Henrique Mohallem Paiva, Rubens Junqueira Magalhães Afonso, Fabiana Mara Scarpelli de Lima Alvarenga Caldeira, Ester de Andrade Velasquez
Applied Soft Computing.2021; 105: 107289. CrossRef - Commercially available rapid diagnostic tests for the detection of high priority pathogens: status and challenges
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Journal of Clinical Laboratory Analysis.2020;[Epub] CrossRef - Current diagnostic tools for coronaviruses–From laboratory diagnosis to POC diagnosis for COVID‐19
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Till Opatz, Joerg Senn‐Bilfinger, Clemens Richert
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BMJ Global Health.2019; 4(Suppl 2): e001105. CrossRef - Development and validation of different indirect ELISAs for MERS-CoV serological testing
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Malwina J. Radwańska, Mateusz Jaskółowski, Elena Davydova, Urszula Derewenda, Tsuyoshi Miyake, Daniel A. Engel, Anthony A. Kossiakoff, Zygmunt S. Derewenda
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Yudong Yin, Richard G. Wunderink
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Yijia Xiong, Nicole R. Ford, Karen A. Hecht, Guritno Roesijadi, Thomas C. Squier
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Research Support, Non-U.S. Gov'ts
- Performance of PCR-reverse blot hybridization assay for detection of rifampicin-resistant Mycobacterium leprae
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Hye-young Wang , Hyunjung Kim , Yeun Kim , Hyeeun Bang , Jong-Pill Kim , Joo Hwan Hwang , Sang-Nae Cho , Tae Ue Kim , Hyeyoung Lee
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J. Microbiol. 2015;53(10):686-693. Published online October 2, 2015
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DOI: https://doi.org/10.1007/s12275-015-5057-9
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50
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Abstract
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Drug resistance in Mycobacterium leprae is a significant problem
in countries where leprosy is endemic. A sensitive, specific,
and high-throughput reverse blot hybridization assay
(REBA) for the detection of genotypic resistance to rifampicin
(RIF) was designed and evaluated. It has been shown that
resistance to RIF in M. leprae involves mutations in the rpoB
gene encoding the β-subunit of the RNA polymerase. The
PCR-REBA simultaneously detects both 6 wild-type regions
and 5 different mutations (507AGC, 513GTG, 516TAT,
531ATG, and 531TTC) including the most prevalent mutations
at positions 507 and 531. Thirty-one clinical isolates
provided by Korea Institute of Hansen’s Disease were analyzed
by PCR-REBA with RIF resistance of rpoB gene. As a
result
, missense mutations at codons 507 AGC and 531ATG
with 2-nucleotide substitutions were found in one sample,
and a missense mutation at codon 516 TAT and ΔWT6 (deletion
of 530-534) was found in another sample. These cases
were confirmed by DNA sequence analysis. This rapid, simple,
and highly sensitive assay provides a practical alternative
to sequencing for genotypic evaluation of RIF resistance
in M. leprae.
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Citations
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- Prediction of Y haplogroup by polymerase chain reaction-reverse blot hybridization assay
Sehee Oh, Jungho Kim, Sunyoung Park, Seoyong Kim, Kyungmyung Lee, Yang-Han Lee, Si-Keun Lim, Hyeyoung Lee
Genes & Genomics.2019; 41(3): 297. CrossRef
- Performance of a real-time PCR assay for the rapid identification of Mycobacterium species
-
Hye-young Wang , Hyunjung Kim , Sunghyun Kim , Do-kyoon Kim , Sang-Nae Cho , Hyeyoung Lee
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J. Microbiol. 2015;53(1):38-46. Published online January 4, 2015
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DOI: https://doi.org/10.1007/s12275-015-4495-8
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44
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18
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Abstract
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Mycobacteria cause a variety of illnesses that differ in severity
and public health implications. The differentiation of
Mycobacterium tuberculosis (MTB) from nontuberculous
mycobacteria (NTM) is of primary importance for infection
control and choice of antimicrobial therapy. The diagnosis
of diseases caused by NTM is difficult because NTM species
are prevalent in the environment and because they have fastidious
properties. In the present study, we evaluated 279
clinical isolates grown in liquid culture provided by The
Catholic University of Korea, St. Vincent’s Hospital using
real-time PCR based on mycobacterial rpoB gene sequences.
The positive rate of real-time PCR assay accurately discriminated
100% (195/195) and 100% (84/84) between MTB and
NTM species. Comparison of isolates identified using the
MolecuTech REBA Myco-ID? and Real Myco-ID? were completely
concordant except for two samples. Two cases that
were identified as mixed infection (M. intracellulare-M. massiliense
and M. avium-M. massiliense co-infection) by PCRREBA
assay were only detected using M. abscessus-specific
probes by Real Myco-ID?. Among a total of 84 cases, the
most frequently identified NTM species were M. intracellulare
(n=38, 45.2%), M. avium (n=18, 23.7%), M. massiliense
(n=10, 13.2%), M. fortuitum (n=5, 6%), M. abscessus
(n=3, 3.9%), M. gordonae (n=3, 3.9%), M. kansasii (n=2,
2.4%), M. mucogenicum (n=2, 2.4%), and M. chelonae (n=
1, 1.2%). Real Myco-ID? is an efficient tool for the rapid detection
of NTM species as well as MTB and sensitive and
specific and comparable to conventional methods.
-
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Ellappan Kalaiarasan, Kalpana Thangavelu, Krishnakumariamma Krishnapriya, Muthaiah Muthuraj, Maria Jose, Noyal Mariya Joseph
Tuberculosis.2020; 125: 101988. CrossRef - Comparison of the Three Molecular Diagnostic Assays for Molecular Identification ofMycobacterium tuberculosisand Nontuberculous Mycobacteria Species in Sputum Samples
Jinyoung Bae, Sung-Bae Park, Ji-Hoi Kim, Mi Ran Kang, Kyung Eun Lee, Sunghyun Kim, Hyunwoo Jin
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Journal of Clinical Microbiology.2019;[Epub] CrossRef - Mycobacterium abscessus Complex Cutaneous Infection
Ruben Porudominsky, Eduardo H. Gotuzzo
Current Tropical Medicine Reports.2018; 5(3): 170. CrossRef - The assessment of host and bacterial proteins in sputum from active pulmonary tuberculosis
Hsin-Chih Lai, Yu-Tze Horng, Pen-Fang Yeh, Jann-Yuan Wang, Chin-Chung Shu, Chia-Chen Lu, Jang-Jih Lu, Jen-Jyh Lee, Po-Chi Soo
Journal of Microbiology.2016; 54(11): 761. CrossRef - Efectos adversos de terapia inmunosupresora en paciente reumatológico: infección por micobacterias no tuberculosas
Jean Sebastian Hurtado Hurtado
Reumatología Clínica.2016; 12(2): 118. CrossRef - Adverse Effects of Immunosuppressive Therapy in Rheumatic Patients: Non-tuberculous Mycobacterial Infection
Jean Sebastian Hurtado Hurtado
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Seong Mi Moon, Su-Young Kim, Myung Jin Chung, Seung Heon Lee, Sung Jae Shin, Won-Jung Koh
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- Characterization of a Novel Antigen of Mycobacterium tuberculosis K Strain and Its Use in Immunodiagnosis of Tuberculosis
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Paul J. Park , Ah Reum Kim , Yangkyo P. Salch , Taeksun Song , Sung Jae Shin , Seung Jung Han , Sang-Nae Cho
-
J. Microbiol. 2014;52(10):871-878. Published online August 27, 2014
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DOI: https://doi.org/10.1007/s12275-014-4235-5
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Abstract
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*For correspondence. (S.J. Han) E-mail: hansjung@yuhs.ac / (S.N. Cho)
E-mail: raycho@yuhs.ac
Paul J. Park, Ah Reum Kim, Yangkyo P. Salch,
Taeksun Song, Sung Jae Shin, Seung Jung Han*,
and Sang-Nae Cho*
Department of Microbiology and Institute for Immunology and
Immunological Diseases, Brain Korea 21 Plus Project for the Medical
Sciences, Yonsei University College of Medicine, Seoul 120-752,
Republic of Korea
(Received Apr 16, 2014 / Revised Jul 14, 2014 / Accepted Jul 16, 2014)
Journal of Microbiology (2014) Vol. 52, No. 10, pp. 871–878
Copyright 2014, The Microbiological Society of Korea
DOI 10.1007/s12275-014-4235-5
Characterization of a Novel Antigen of Mycobacterium tuberculosis K
strain and Its Use in Immunodiagnosis of Tuberculosis
Mycobacterium tuberculosis-specific antigens would be of
great value in developing immunodiagnostic tests for tuberculosis
(TB), but regional differences in molecular types of
the organism may result in antigenic variation, which in turn
affects the outcome of the tests. For example, the Beijing
strains of M. tuberculosis are prevalent in East Asia, and in
particular, the K strain and related strains of the Beijing
family, are most frequently isolated during school outbreaks
of TB in South Korea. From comparison of genome sequences
between M. tuberculosis K strain and the H37Rv strain, a
non-Beijing type, we identified a K strain-specific gene, InsB,
which has substantial homology with the ESAT-6-like proteins.
This study was, therefore, initiated to characterize the
InsB protein for its immunogenicity in mice and to confirm
its expression in TB patients by detecting antibodies to the
protein. The InsB gene was cloned from M. tuberculosis K
strain and expressed in Escherichia coli. The recombinant
InsB protein was used for immunization of mice. All mice
showed strong antibody responses to the InsB protein, and
splenocytes stimulated with InsB showed strong IFN-γ and
IL-17 responses and a weak IL-2 response, all of which have
been implicated in disease expression and used for the immunodiagnosis
of TB. Serum samples from TB patients also
showed significant antibody responses to the InsB protein as
compared to healthy control samples. These results indicate
that the InsB protein is an M. tuberculosis K-strain-specific
antigen that could further improve the current immunodiagnostic
methods
, especially for the South Korean population.
-
Citations
Citations to this article as recorded by

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BMC Infectious Diseases.2022;[Epub] CrossRef - Gradient association between pulmonary tuberculosis and diabetes mellitus among households with a tuberculosis case: a contact tracing-based study
Shengqiong Guo, Shiguang Lei, Jinlan Li, Ling Li, Huijuan Chen, Virasakdi Chongsuvivatwong
Scientific Reports.2022;[Epub] CrossRef - Diagnostic Potential of a PPE Protein Derived fromMycobacterium tuberculosisBeijing/K Strain
Ahreum Kim, Kwang Joo Park, Young Sun Kim, Sang-Nae Cho, Hazel M Dockrell, Yun-Gyoung Hur
Yonsei Medical Journal.2020; 61(9): 789. CrossRef - Immunogenicity and Vaccine Potential of InsB, an ESAT-6-Like Antigen Identified in the Highly Virulent Mycobacterium tuberculosis Beijing K Strain
Woo Sik Kim, Hongmin Kim, Kee Woong Kwon, Sang-Nae Cho, Sung Jae Shin
Frontiers in Microbiology.2019;[Epub] CrossRef - Protective Vaccine Efficacy of the Complete Form of PPE39 Protein from Mycobacterium tuberculosis Beijing/K Strain in Mice
Ahreum Kim, Yun-Gyoung Hur, Sunwha Gu, Sang-Nae Cho, Helene F. Rosenberg
Clinical and Vaccine Immunology.2017;[Epub] CrossRef - Host immune responses to antigens derived from a predominant strain of Mycobacterium tuberculosis
Yun-Gyoung Hur, Wou Young Chung, Ahreum Kim, Young Sun Kim, Hyon-Suk Kim, Sun-Hee Jang, Yeun Kim, Hyeyoung Lee, Kwang Joo Park, Sang-Nae Cho
Journal of Infection.2016; 73(1): 54. CrossRef - Purification and characterization of a novel glycoprotein from Streptomyces sp. ZX01
Guoqiang Zhang, Lirong Han, Guifeng Zhang, Xing Zhang, Juntao Feng
International Journal of Biological Macromolecules.2015; 78: 195. CrossRef
- Development and Evaluation of Multiplex Real-time RT-PCR Assays for Seasonal, Pandemic A/H1pdm09 and Avian A/H5 Influenza Viruses Detection
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Jang-Hoon Choi , Mi-Seon Kim , Joo-Yeon Lee , Nam-Joo Lee , Donghyok Kwon , Min Gu Kang , Chun Kang
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J. Microbiol. 2013;51(2):252-257. Published online April 27, 2013
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DOI: https://doi.org/10.1007/s12275-013-2452-y
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29
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Abstract
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Since the pandemic influenza A (H1N1) 2009 ((H1N1)pdm09) virus spread all over the world, the (H1N1)pdm09 virus has been circulating with seasonal influenza viruses. We developed rapid and sensitive one-step multiplex real-time RTPCR assays (rRT-PCR) for simultaneous detection of influenza viruses currently circulating in humans, and the avian A/H5 virus. The detection limit of each assay was 4.8 to 1 copies per reaction and no cross-reactivity with other major respiratory pathogens was found. Analytical positive predictive value (PPV), negative predictive value (NPV) sensitivity
and specificity were 100%, 94.1%, 93.7% and 100%, respectively. Clinical evaluation revealed that 1,976 (16.5%) of 11,963 throat swabs from patients with respiratory symptoms were confirmed as 1,651 (83.6%) A/H1pdm09, 308 (15.6%) A/H3 and 17 (0.8%) B virus during the 2010-2011 influenza season. Collectively, the multiplex rRT-PCR assays described here provide a practical tool for reliable implementation
of influenza surveillance and diagnosis.
- PCR-Based Detection of Mycoplasma Species
-
Hyeran Sung , Seung Hye Kang , Yoon jin Bae , Jin Tae Hong , Youn Bok Chung , Chong-Kil Lee , Sukgil Song
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J. Microbiol. 2006;44(1):42-49.
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DOI: https://doi.org/2338 [pii]
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Abstract
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In this study, we describe our newly-developed sensitive two-stage PCR procedure for the detection
of 13 common mycoplasmal contaminants (M. arthritidis, M. bovis, M. fermentans, M. genitalium,
M. hominis, M. hyorhinis, M. neurolyticum, M. orale, M. pirum, M. pneumoniae, M. pulmonis,
M. salivarium, U. urealyticum). For primary amplification, the DNA regions encompassing the
16S and 23S rRNA genes of 13 species were targeted using general mycoplasma primers. The primary
PCR products were then subjected to secondary nested PCR, using two different primer
pair sets, designed via the multiple alignment of nucleotide sequences obtained from the 13 mycoplasmal
species. The nested PCR, which generated DNA fragments of 165-353 bp, was found to
be able to detect 1-2 copies of the target DNA, and evidenced no cross-reactivity with the genomic
DNA of related microorganisms or of human cell lines, thereby confirming the sensitivity and specificity
of the primers used. The identification of contaminated species was achieved via the performance
of restriction fragment length polymorphism (RFLP) coupled with Sau3AI digestion.
The results obtained in this study furnish evidence suggesting that the employed assay system
constitutes an effective tool for the disagnosis of mycoplasmal contamination in cell culture
systems.
Review
- Shigellosis
-
Swapan Kumar Niyogi
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J. Microbiol. 2005;43(2):133-143.
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DOI: https://doi.org/2172 [pii]
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Abstract
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Shigellosis is a global human health problem. Four species of Shigella i.e. S. dysenteriae, S. flexneri, S. boydii and S. sonnei are able to cause the disease. These species are subdivided into serotypes on the basis of O-specific polysaccharide of the LPS. Shigella dysenteriae type 1 produces severe disease and may be associated with life-threatening complications. The symptoms of shigellosis include diarrhoea and/or dysentery with frequent mucoid bloody stools, abdominal cramps and tenesmus. Shigella spp. cause dysentery by invading the colonic mucosa. Shigella bacteria multiply within colonic epithelial cells, cause cell death and spread laterally to infect and kill adjacent epithelial cells, causing mucosal ulceration, inflammation and bleeding. Transmission usually occurs via contaminated food and water or through person-to-person contact. Laboratory diagnosis is made by culturing the stool samples using selective/differential agar media. Shigella spp. are highly fragile organism and considerable care must be exercised in collecting faecal specimens, transporting them to the laboratories and in using appropriate media for isolation. Antimicrobial agents are the mainstay of therapy of all cases of shigellosis. Due to the global emergence of drug resistance, the choice of antimicrobial agents for treating shigellosis is limited. Although single dose of norfloxacin and ciprofloxacin has been shown to be effective, they are currently less effective against S. dysenteriae type 1 infection. Newer quinolones, cephalosporin derivatives, and azithromycin are the drug of choice. However, fluoroquinolone-resistant S. dysenteriae type 1 infection have been reported. Currently, no vaccines against Shigella infection exist. Both live and subunit parenteral vaccine candidates are under development. Because immunity to Shigella is serotype-specific, the priority is to develop vaccine against S. dysenteriae type 1 and S. flexneri type 2a.
Shigella species are important pathogens responsible for diarrhoeal diseases and dysentery occurring all over the world. The morbidity and mortality due to shigellosis are especially high among children in developing countries. A recent review of literature (Kotloff et al.,1999) concluded that, of the estimated 165 million cases of Shigella diarrhoea that occur annually, 99% occur in developing countries, and in developing countries 69% of episodes occur in children under five years of age. Moreover, of the ca.1.1 million deaths attributed to Shigella infections in developing countries, 60% of deaths occur in the under-five age group. Travellers from developed to developing regions and soldiers serving under field conditions are also at an increased risk to develop shigellosis.
Journal Article
- Performance of the Immunoglobulin G Avidity and Enzyme Immunoassay IgG/IgM Screening Tests for Differentiation of the Clinical Spectrum of Toxoplasmosis
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Mehmet Tanyuksel , Cakir Guney , Engin Araz , M.Ali Saracli , Levent Doganci
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J. Microbiol. 2004;42(3):211-215.
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DOI: https://doi.org/2087 [pii]
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Abstract
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Toxoplasmosis has been well known as an important human infection to consider especially in pregnant women. Although many serologic methods are available, the diagnosis of toxoplasmosis can be extremely difficult. The presence of increased levels of Toxoplasma-specific IgG antibodies indicates an infection, but it does not differentiate between a recent and past infection. The purpose of our study was to compare the performance of the ELISA T. gondii IgG/IgM test, a widely used enzyme-linked immunosorbent assay, to the ELISA IgG avidity method. One hundred and four serum samples (from 38 males and 66 females) were tested and evaluated from symptomatic patients (chorioretinitis, lymphadenopathy), and from women in their first trimester of pregnancy who were suspected of having toxoplasmosis. The high IgG avidity and ELISA IgG antibody levels were in agreement for 51 of the specimens (49.0%). Thirty-eight discrepant (borderline) results from the IgG avidity method were positive for IgM (3 specimens) and IgG (37 specimens). Interestingly, out of the eight serum samples that were positive for both IgG and IgM antibodies, two samples were low IgG avidity, and three samples were borderline. There was no statistically significant relation observed between the results of the IgG avidity method and the ELISA IgG test, and the IgG avidity method and ELISA IgM test (c^2=1.987; p=0.370 and c^2=2.152; p=0.341, respectively). The IgG avidity method was considered easy to perform and an acceptable approach for the differentiation of discrepant results (recent/chronic) and for the current detection of T. gondii antibodies. We concluded that the determination of IgG avidity is a helpful tool for the diagnosis of the ocular form of toxoplasmosis and it is a safe method for screening this disease in the first trimester of pregnancy.
- The Value of Submitting Multiple Sputum Specimens for Accurate Diagnosis of Pulmonary Tuberculosis
-
Ozgul Kisa , Ali Albay , Orhan Baylan , Levent Doganci
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J. Microbiol. 2002;40(4):301-304.
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Abstract
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Is a multiple number of sputum specimens necessary for the diagnosis of pulmonary tuberculosis? To answer this question, 6844 respiratory specimens obtained from previously untreated patients suspected of having pulmonary tuberculosis between 1998 and 2001 were evaluated retrospectively. All of the specimens were evaluated by acid fast bacilli smear and BACTEC 460 TB culture system. A total of 785 (11%) specimens from 353 patients were positive for Mycobacterium tuberculosis complex. For 76% (270/353) of these patients the organism was detected from sputum specimens collected sequentially for daily basis. Mycobacterium tuberculosis was isolated in the first, second and third samples of the majority (98%, 195/199) of patients who had three or more sputum samples sent to the laboratory. Our results indicate that, we could carry out Mycobacterium tuberculosis isolation in the first, second and third sputum samples of the overwhelming majority of the patients and the diagnostic value of four or more sputum specimens submitted to the laboratory was very low (2%). We recommend that, for definitive and cost-effective diagnosis of pulmonary tuberculosis at least three sequential sputum specimens be collected for all patients suspected pulmonary tuberculosis.
- Laboratory Diagnosis of Invasive Candidiasis
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Arjuna N.B. Ellepola , Christine J. Morrison
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J. Microbiol. 2005;43(1):65-84.
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Abstract
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Invasive candidiasis is associated with high morbidity and mortality. Clinical diagnosis is complicated by a lack of specific clinical signs and symptoms of disease. Laboratory diagnosis is also complex because circulating antibodies to Candida species may occur in normal individuals as the result of commensal colonization of mucosal surfaces thereby reducing the usefulness of antibody detection for the diagnosis of this disease. In addition, Candida species antigens are often rapidly cleared from the circulation so that antigen detection tests often lack the desired level of sensitivity. Microbiological confirmation is difficult because blood cultures can be negative in up to 50% of autopsy-proven cases of deep-seated candidiasis or may only become positive late in the infection. Positive cultures from urine or mucosal surfaces do not necessarily indicate invasive disease although can occur during systemic infection. Furthermore, differences in the virulence and in the susceptibility of the various Candida species to antifungal drugs make identification to the species level important for clinical management. Newer molecular biological tests have generated interest but are not yet standardized or readily available in most clinical laboratory settings nor have they been validated in large clinical trials. Laboratory surveillance of at-risk patients could result in earlier initiation of antifungal therapy if sensitive and specific diagnostic tests, which are also cost effective, become available. This review will compare diagnostic tests currently in use as well as those under development by describing their assets and limitations for the diagnosis of invasive candidiasis.
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