Key words: Serratia marcescens, Pili, Urine, Agglutioation, Urinary tract infection, Respiratory infection.
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1 Key words: Serratia marcescens, Pili, Urine, Agglutioation, Urinary tract infection, Respiratory infection.
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3 27 昭 和56年1月20日 1 Agglutination bacteria * Strains isolsted urinary tract ** Strains with Fig. 1 The agglutination S. marcescens in human. several in human from patients with infections. isolated from respiratory び 尿 路 感 染 者,非 Genus suputum patients infections. 尿 路 感 染 者)よ り尿 を 採 取 し, 凝 集 陽 性 株 陰 性 株 に つ いて 凝 集 性 の変 化 を調 べ た Left: Agglutination positive (US5) Right: Agglutination negative (US3) が,凝 集 陽 性 株 は,す し,陰 性 株 は,す べ て の 尿 で 陽 性反 応 を示 は,ヒ トの 尿 で あ る 限 り こ の 反 応 は,極 べ て 陰 性 で あ つ た.こ の こ と め て再 現 性 の 高 い もの で あ る こ とを示 して い る 2. ヒ ト以 外 の 動 物 尿 で の 凝 集 性 ヒ ト以 外 で の 動 物 尿 で の 反 応 を 知 る た め に ヤ ギ,モ ル モ ッ ト,ラ ッ ト,ネ 尿 を 用 い て 調 べ た.ヒ 尿 で は,全 コ,イ ヌ,ウ サギの トで の 凝 集 株 も ヒ ト以 外 の 例 ヒ ト尿 で み ら れ る よ う な 凝 集 現 象 は 観 察 さ れ な か つ た. 3. 培 養 法 と 尿 凝 集 性 Fig. 2 Light US5 micrograph bacterial S. marcescens stained aggligate with Serratia methy- lenhlue. marcescensの 尿 で の 凝 集 性 は,菌 培 養 法 に よつ て 変 化 す る.静 性 に な る 率 が 高 い. pneumoniae, Pr. mirabilis, の 性 質 を 調 べ た が,い 1).又,Serratia Pr. vulgarisに つ いて ず れ も 陰 性 で あ つ た( marcescensに つ い て は,呼 吸 器 (US)と 路感染分離株 呼 吸 器 感 染 分 離 株(SS)の 各 株 を静 置 培 養 と振 盪 培 養 の 後 に 凝 集 反 応 を 見 た も の で あ る. 両 条 件 で 凝 集 す る 株 は3株,静 凝 集 す る 株 は12株,両 た が( 9株 で あ つ た. 中 で の凝 集 性 は 尿 路 感 染 分離 株 に 特 異 的 な 反 応 で は な く,呼 路感染分離株 に も 陰 性 株 が 見 出 さ れ た.一 の違 い に よる凝 集 性 の 有 無 を 調 べ る た め,多 方,尿 4. 吸器感染分離株 に も陽 性 株 が 多 く見 ら れ,又,尿 数 の ヒ ト(健 康 者,及 置 培 養 菌 の 方 が陽 2は,尿 疾 患 患 者 の 痰 よ り分 離 さ れ た 菌 株 に つ い て も調 べ 1),尿 の 条 件 で 共 に 凝 集 しな い 株 は 凝 集 陽 性株 と陰 性 株 の形 態 US 置培養条件のみで 1,陰 2の グ ル ー プ 中 よ り 凝 集 陽 性 株 と して 性 株 と し てUS3を 選 び,そ つ け 法 を 用 い 電 顕 で 観 察 し た(Fig.3, れ ぞ れ影 4).US 1
4 28 感染症学雑誌 2 Culture S. marcescens conditions and in human the agglutinability 3 Proportion S. the marcescens 第55巻 piliated cells cultured in 第1号 in the different conditions. * US indicated and SS from the isolated from sputum. * S meant stationary culture and A aerated culture. で は,そ の 表 面 に 多 数 の 線 毛 が 見 られ た が,US3 で は,こ の よ うな 構 造 は 見 ら れ な か つ た.次 いで 線 毛 の 人 き さ を ネ ガ テ ィ ブ染 色 法 を 用 い て 計 測 し た.US 1の 線 毛 は,幅30A,長 さ 平 均0.4μm, 最 も 長 い も の は,0.51μmで あ つ た. 培 養 条 件 に よ り凝 集 性 が 変 わ る こ と と 線 毛 の 発 Fig. 3 Elctron micrograph shadowed preparation USI. 生 の 関 連 を 調 べ る た め, 2に 示 した 株 の う ち,い くつ か の 静 置,振 せ,そ れ ぞれ につ い て 電 顕 下 で 線 毛 を 有 す る 菌 を 数 え た( 3).両 盪両培養条件にて増殖 さ 条 件Fで い ず れ の 条 件 下 で も85 100%は る.静 80%以 置 培 養 で の み 凝 集 す る 株 は,静 上線 毛 を 持 つ て い る が,振 以 下 に 減 少 して い た.又,両 株 は,両 5.血 条 件 に て10%以 す る例 が 多 い6).尿 集 を 人,及 条 件 下 に て凝 集 陰 性 下で あ つ た 血 球 を 凝 集 す る能 力 を 有 凝 集 株 の 有す る線 毛 の 血球 凝 び 羊 の 赤 血 球 を 用 い て 調 べ た が,い れ の 血 球 も凝 集 しな か つ た.少 つ の 血 球 に 対 し て は,こ 4 tion Electron micrograph US3. shadowed prepara- 置培 養では 盪 培 養 で は10% 球 凝 集 性 と尿 凝 集 性 の 関 係 線 毛 を 有 す る菌 は,赤 Fig. 凝 集 す る株 は, 線 毛 を持 つ て い い と 言 え る.一 の2 の線 毛 は凝 集 性 を示 さ な 方,E.coliの5株 球 を 凝 集 した が,こ な く と も,こ ず は,ヒ ト赤 血 れ らの株 は 全 例 尿 中 で は 凝 集
5 4 The influences various treatments on the agglutinability S. marcescens in human.
6 4) Onderdonk, A. B., Moon, N. E., Kasper, D. L. and Bartlett, J. G.: Adherence bacteroides fragilis in vivo. Infect. Immun., 19: , ) Svanborg-Eden, C. and Svennerholm, A. M.: Secretory immunoglobulin A and G antibodies prevent adhesion Escherichia coli to human urinary tract epitherial cells. Infect. Immun., 29: , ) Svanborg-Eden, C. and Hansson, H. A.: Escherichia coli pili as possible mediators attachment to human urinary tract epitherial cells. Infect. Immun., 21: , ) Fader, R. C., Avots-Avotins, A. E. and Davis, C. P.: Evidence for pili-mediated adherence Klebsiella pneumoniae to rat bladder epithelial cells in vitro. Infect. Immun., 25: , ) Punsalang, A. P. & Sawyer, W. D.: Role pili in the virulence Neisseria gonorrhoeae. Infect. Immun., 8: , ) Silverblatt, F. J.: A possible role for pili in the pathogenesis pyelonephritis. J. Exp. Med., 140: , ) Brinton, C. C.: The structure, function, synthesis and genetic control bacterial pili and a molecular model for DNA and DNA transport in gram negative bacteria. Trans. N.Y. Acad. Sci., 27: , ) Parson, C. L., Greenspan, C., Moore, S. W. & Mulholland, S. G.: Role surface mucin in primary antibacterial deffense bladder. 1) Yu, V. L.: Serratia Marcescens. Historical Urology, 9: 48-52, perspective and clinical review. New Eng. J. 12) Shrom, S. H., Parson, C. L. & Mulholland, Med., 300: , S. G.: Role uroepithelial surface mucoprotein in intrinsic bladder defense. Urology, 9: , 1977.
7 Pili-mediated Agglutination Serratia marcescens in Human Urine Hisaaki OHSHIMA Department Pediatrics, School Medicine, Fukuoka University, Fukuoka Kazunobu AMAKO Department Microbiology, School Medicine, Fukuoka University, Fukuoka Most s S. marcescens isolated from clinical materials formed large aggligates in human. This phenomenon was specifically observed on S. marcescens but not on the other gram-negative bacilli such as E. coli, K. pneumoniae, P. aeruginosa, P. maltophilia, P. vulgaris and P. mirabilis. Among 24 s S. marcescens isolated 15 s showed agglutination in human. Nine s were nonagglutinating. Electron microscopic observation these s revealed that the agglutinating s had numerous pili on their surface but none pili were observed on nonagglutinating s. The diameter the pili was 30 A. It showed more flexible prile than that the haemagglutinating E. coli. The role the pili in urinary tract infection is still remained to be elucidated.
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