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請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/34800
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dc.contributor.advisor王錦堂
dc.contributor.authorYi-Ping Chuangen
dc.contributor.author莊依萍zh_TW
dc.date.accessioned2021-06-13T06:34:51Z-
dc.date.available2006-02-08
dc.date.copyright2006-02-08
dc.date.issued2005
dc.date.submitted2006-01-18
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/34800-
dc.description.abstract克雷伯氏肺炎桿菌是革蘭氏陰性的桿菌,隸屬於腸內菌科,為一重要的伺機性感染的病原菌。近20年來,一種新型的侵襲性克雷伯氏肺炎桿菌感染逐漸躍升為一個全球性的新興重要社區感染症。最常見的臨床表現為原發性肝膿瘍合併菌血症及轉移性眼內炎或腦膜炎。菌株觀察發現高黏性型態和上述克雷伯氏肺炎桿菌的侵襲性感染有關;因此利用跳躍基因所建構的突變株庫找到一個與高黏性型態有關的基因,magA(mucoviscosity-associated gene A); magA突變菌株失去對健康人的血清及嗜中性白血球的抗性,並失去致病力。合併比較莢膜血清型的統計發現,從帶有原發性肝膿瘍病人身上分離而得的42株臨床菌株中,35株為K1;而從不帶有原發性肝膿瘍病人身上分離而得的32株臨床菌株中,只有1株為K1(35/42 vs. 1/32, p<0.001)。此36株K1的菌株經由聚合酶鏈反應分析,皆帶有magA;其餘38株非K1的菌株則不帶有magA(36/36 vs. 0/38,p<0.0001)。序列分析magA的上下游區域,顯示magA位在莢膜生合成基因組中(galF至ugd共20 ORFs:open-reading frames);其中,包含magA的9個ORFs(共10 kb)與MGH78578(K52)、Chedid(K2)的相對區域序列歧異度很大。針對NTUH-K2044此段區域其中4個基因作插入性突變,發現突變株失去了與抗K1血清凝集的反應,但若進行異位互補,則抗K1的凝集反應可以回復;此外,包含magA的11 kb區域(wzx至rfbP)以異位互補的方式送進5株非K1的克雷伯氏肺炎桿菌菌株可將其中2株的莢膜血清型轉為K1陽性。同時利用聚合酶鏈反應分析,認為此段11 kb區域中,wzx-gmd及wcaI都是莢膜血清型K1獨有的部份。因此我們認為magA位在25 kb的莢膜生合成基因組上,其中wzx至wcaI(包括magA)為莢膜血清型K1的基因決定區域,並與克雷伯氏肺炎桿菌造成原發性肝膿瘍有高度相關。zh_TW
dc.description.abstractKlebsiella pneumoniae is a Gram-negative bacillus belonging to Enterobacteriace, which is a opportunistic pathogen. However, a new type of tissue-invasive K. pneumoniae infection has emerged over the past two decades. The common clinical symptoms represents primary liver abscess complicated with (or without) septic meningitis and endophthalmitis. Mucoviscosity of K. pneumoniae strains was hypothesized to be correlated with tissue-invasive infection by clinical manifestation. We constructed mutant library of NTUH-K2044 using transposon mutagenesis and screened for mucoviscosity-deficient mutants. A magA (mucoviscosity-associated gene A) gene was thus identified. magA mutant strain was susceptible to non-immune human serum as well as neutrophil phagocytosis and became avirulent. Analysis of magA and serotype revealed that thirty-five of 42 strains from patients with primary liver abscess were magA positive while only 1 of 32 non- primary liver abscess strains positive. All 36 magA-positive strains were serotype K1 and the 38 magA-negative strains were not (36/36 vs. 0/38, p<0.0001). Sequencing of magA-flanking region revealed a putative capsular polysaccharide synthesis (cps) region; this region was 25kb in length and contained 20 ORFs. Of them, there were 9 ORFs (10 kb) which were co-transcribed as part of an operon and different from both MGH78578 and Chedid strains. Mutation of 4 genes in this region turned the mutant strains into anti-K1 sero-negative. Trans-complementations restored K1 phenotype. The magA-flanking regions, wzx to rfbP, successively converted 2 of 5 non-K1 K. pneumoniae strains into K1 sero-positive by trans-complementation. Thus we concluded that the operon containing magA is responsible for capsular serotype K1 in K. pneumoniae. Several loci in the operon are unique determinants for K1 strains. These results may further help to the early detection and tracing the origin of this emerging infectious disease.en
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dc.description.tableofcontents中文摘要……………………………………………………………………. 1
英文摘要……………………………………………………………………. 2
第一章 緒論……………………………………………………………… 3
第二章 材料及方法………………………………………………………8
1. 細菌菌株及質體………………………………………………………..8
2. 拉絲測試………………………………………………………………..8
3. 建立克雷伯氏肺炎桿菌突變株庫…………………………………….8
4. 萃取克雷伯氏肺炎桿菌基因體DNA…………………………………9
5. 南方轉漬法……………………………………………………………..9
6. 萃取克雷伯氏肺炎桿菌total RNA…………………………………11
7. 反轉錄聚合酶鏈反應……………………………………………….12
8. 異位互補……………………………………………………………..14
9. 建立克雷伯氏肺炎桿菌突變株………………………………………14
10. 血清抗性試驗………………………………………………….…15
11. 補體沉積試驗…………………………………………………..…15
12. 吞噬作用試驗…………………………………………………..….16
13. 觀察脂多醣的O抗原模式…………………………………………17
14. 莢膜血清分型………………………………………………………18
第三章 結果…………………………………………………………………20
1. 建立克雷伯氏肺炎桿菌突變株庫…………………………………..20
2. 突變株多樣性測試………………………………………………….20
3. 突變株序列分析…………………………………………………….20
4. magA對先天免疫反應的影響………………………………………22
5. 經由生物資訊的方式了解MagA的生物功能……………………23
6. magA上下游序列分析………………………………………………25
7. magA與莢膜血清型的關係…………………………………………27
8. 莢膜血清型K1的基因決定區……………………………………..28
9. 莢膜生合成基因組轉錄單位的分析……………………………….29
第四章 總結與討論…………………………………………………………30
表目錄
表一 研究中使用的細菌菌株及載體……………………………………..36
表二 實驗中使用到的引子………………………………………………..37
表三 NTUH-K2044之莢膜生合成基因組中基因排列與功能分析…….38
表四 組織侵襲性與非組織侵襲性克雷伯氏肺炎桿菌菌株之莢膜血清型magA基因之分布…………………………………………………….39
圖目錄
圖一 建構克雷伯氏肺炎桿菌突變株示意圖……………………………....40
圖二 喪失黏性型態的克雷伯氏肺炎桿菌突變株在EMB培養基上與野生型NTUH-K2044的外觀比較……………………………………...…..41
圖三 萃取脂多醣觀察菌株間O抗原存在與否…………………………..42
圖四 比較Chedid、NTUH-K2044及MGH78578之莢膜生合成基因組序列……………………………………………………………………..43
圖五 利用對向免疫擴散法觀察各突變株莢膜血清型K1表現的情形…44
圖六 利用聚合酶鏈反應偵測wzx至rfbp中六個基因片段在K1與非K1克雷伯氏肺炎桿菌菌株中的分布…………………………………..45
圖七 利用對向免疫擴散法觀察wzx-rfbP及magA對非K1臨床菌株莢膜血清型的影響…………………………………………………………46
圖八 莢膜生合成基因組之轉錄單位的分析……………………………...47
第五章 參考文獻…………………………………………………………….48
第六章 附錄…………………………………………………………………55
圖A 利用南方墨點法分析突變株岐異度的結果…………………………55
圖 B magA基因對先天免疫反應的影響………………………………56
圖C 比較各菌株抵抗吞噬作用的能力……………………………………57
圖D MagA的功能性生物資訊學分析………………………………….58
圖 E 克雷伯氏肺炎桿菌莢膜血清型K1、K2、K5、K20、K54及K57之結構示意圖……………………………………………………………59
dc.language.isozh-TW
dc.subject莢膜zh_TW
dc.subject克雷伯氏肺炎桿菌zh_TW
dc.subject組織侵襲性zh_TW
dc.subjectKlebsiella pneumoniaeen
dc.subjecttissue-invasiveen
dc.subjectmucoiden
dc.subjectmagAen
dc.subjectK1en
dc.subjectcapsuleen
dc.title組織侵襲性克雷伯氏肺炎桿菌中莢膜血清型K1的基因決定區zh_TW
dc.titleThe cps Region Responsible for Capsular Serotype K1 in Klebsiella pneumoniae Causing Human Primary Pyogenic Liver Abscessen
dc.typeThesis
dc.date.schoolyear94-1
dc.description.degree博士
dc.contributor.oralexamcommittee何漣漪,伍安怡,鄧述諄,楊偉勳
dc.subject.keyword克雷伯氏肺炎桿菌,莢膜,組織侵襲性,zh_TW
dc.subject.keywordKlebsiella pneumoniae,capsule,K1,magA,mucoid,tissue-invasive,en
dc.relation.page59
dc.rights.note有償授權
dc.date.accepted2006-01-18
dc.contributor.author-college醫學院zh_TW
dc.contributor.author-dept微生物學研究所zh_TW
顯示於系所單位:微生物學科所

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