RESUMEN
AIM: Study the frequency of detection of mycoplasma and ureaplasma in clinical material from urolithiasis patients. MATERIALS AND METHODS: Clinical material samples (blood sera, urine, uroliths) from 31 urolithiasis patients were obtained during operations of urolith-removal. Cultural method, LAR and PCR were used in the study. RESULTS: The study of clinical material from 31 patients by PCR has shown, that in 25 individuals. (80.6%) DNA of mycoplasma and ureaplasma was detected, and mycoplasma DNA was more frequently detected in uroliths and less--in-blood sera. Mycoplasma hominis DNA was detected in clinical material of a significantly largerninmber of patients. 23 cultures were isolated from 8 patients by a cultural method, that were identified by PCR as M. hominis. All the isolates have grown as "mini colonies". Even after multiple passages in agar medium, reversion of "mini-colonies" into colonies with a classic morphology was not obtained. CONCLUSION: A high frequency of detection of mycoplasma and ureaplasma in clinical material of patients with urolithiasis was established. The isolated M. hominis cultures have only grown as "mini-colonies". The phenomenon discovered could give evidence on high variability of mycoplasma and a possibility of existence of previously unknown form of their persistence in human organism.
Asunto(s)
ADN Bacteriano/sangre , Infecciones por Mycoplasma , Mycoplasma hominis , Urolitiasis , Femenino , Humanos , Masculino , Infecciones por Mycoplasma/sangre , Infecciones por Mycoplasma/microbiología , Mycoplasma hominis/crecimiento & desarrollo , Mycoplasma hominis/aislamiento & purificación , Ureaplasma/crecimiento & desarrollo , Ureaplasma/aislamiento & purificación , Infecciones por Ureaplasma/sangre , Infecciones por Ureaplasma/microbiología , Urolitiasis/sangre , Urolitiasis/microbiologíaRESUMEN
The clinical material obtained surgically in patients with kidney stone disease (KSD) was tested for content of the stone microflora using PCR and standard microbiological methods. It was demonstrated that about 50% of stones in patients with KSD were infected with various infection agents as observed using standard microbiological and molecular genetic methods. The percentage of detection of the Mycoplasma hominis using cultural method is lower than the percentage detected using PCR, which is due to difficult isolation and cultivation, as well as DNA fragments of mycoplasma observed after antibiotic therapy. Studies based on modern microscopy methods showed that microorganisms on the surface of the kidney stone formed multispecies biofilms.
Asunto(s)
Cálculos Renales/microbiología , Antibacterianos/uso terapéutico , Técnicas Bacteriológicas , Biopelículas/efectos de los fármacos , Humanos , Cálculos Renales/cirugía , Consorcios Microbianos/fisiología , Microscopía Electrónica , Mycoplasma hominis/genética , Mycoplasma hominis/aislamiento & purificación , Mycoplasma hominis/fisiología , Reacción en Cadena de la Polimerasa , Ureaplasma/genética , Ureaplasma/aislamiento & purificación , Ureaplasma/fisiologíaRESUMEN
AIM: Study bacterial biofilms in native material (renal calculus) by electron microscopy method and developmeit of biofilm model by isolates in vitro on sterile calculi of various chemical composition. MATERIALS AND METHODS: Bacterial spectra of microflora of renal calculus lavages were studied, isolated pure cultures were identified up to species. Comparisons of urine microflora obtained before operation in patients with urolithiasis with microflora of removed renal calculi were carried out. RESULTS: Urease activity and genes coding pathogenicity factors were detected, and the ability to form biofilms by isolates was studied. Model of formation of biofilms in vitro on sterile renal calculi was developed and candidate agents reducing the biofilm forming ability were tested. CONCLUSION: Uropathogenic microorganisms infecting renal calculi and forming biofilms on them not only support chronic infection by increased resistance to therapy but also facilitate novel lithogenesis.