Publications by authors named "Jay Vornhagen"

Interpreting the phenotypes of alleles in genomes is complex. Whilst all strains are expected to carry a chromosomal copy conferring resistance to ampicillin, they may also carry mutations in chromosomal alleles or additional plasmid-borne alleles that have extended-spectrum β-lactamase (ESBL) activity and/or β-lactamase inhibitor (BLI) resistance activity. In addition, the role of individual mutations/a changes is not completely documented or understood.

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The primary risk factor for infection with members of the species complex is prior gut colonization, and infection is often caused by the colonizing strain. Despite the importance of the gut as a reservoir for infectious , little is known about the association between the gut microbiome and infection. To explore this relationship, we undertook a case-control study comparing the gut community structure of -colonized intensive care and hematology/oncology patients.

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is an opportunistic pathogen and an important cause of pneumonia, bacteremia, and urinary tract infection. infections are historically associated with diabetes mellitus. There is a fundamental gap in our understanding of how diabetes mellitus, specifically type 2 diabetes, influences pathogenesis.

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  • * It employs machine learning to analyze the gut community structure, revealing differences between infected and non-infected patients, with relative abundance of particular bacteria being the most significant factor.
  • * The findings suggest that integrating gut microbiome data with bacterial genetics and clinical information can enhance predictions about infections in colonized patients, highlighting potential for early intervention strategies.
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Healthcare-acquired infections are a leading cause of disease in patients that are hospitalized or in long-term-care facilities. Klebsiella pneumoniae (Kp) is a leading cause of bacteremia, pneumonia, and urinary tract infections in these settings. Previous studies have established that the operon, a genetic locus that confers tellurite oxide (KTeO) resistance, is associated with infection in colonized patients.

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  • The study investigates how certain genes in Klebsiella pneumoniae are linked to the transition from gut colonization to infection, highlighting the genetic differences between strains.
  • Researchers compared cases of infection (N=85) with asymptomatic carriers (N=160) to find 37 genes associated with infection risk, many related to stress and antibiotic resistance rather than traditional virulence factors.
  • Five of these genes were further validated in a separate group, suggesting their role in understanding infection progression in patients carrying Klebsiella bacteria.
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Klebsiella pneumoniae is a leading cause of Gram-negative bacteremia, which is a major source of morbidity and mortality worldwide. Gram-negative bacteremia requires three major steps: primary site infection, dissemination to the blood, and bloodstream survival. Because K.

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Postdoctoral training enables research independence and professional readiness. National reports have emphasized professional development as a critical component of this training period. In response, many institutions are establishing transferable skills training workshops for postdocs; however, the lack of structured programs and an absence of methods to assess outcomes beyond participant satisfaction surveys are critical gaps in postdoctoral training.

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  • Klebsiella is a common intestinal bacterium found in hospitalized patients and is a major contributor to health care-associated infections, with a notable risk for those who are colonized.* -
  • A study tracked 1,978 patients who were colonized by Klebsiella for 90 days, revealing a 4.3% infection rate, with a mean infection onset of about 21 days; most infections originated from the same strain that colonized the patients.* -
  • Factors such as overall health, depression, and low albumin levels at swab collection were linked to an increased risk of infection, suggesting that monitoring colonized patients could help prevent illness.*
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  • - Klebsiella pneumoniae (Kp) is a major cause of healthcare-related infections, leading to increased patient illness and healthcare costs, particularly linked to gut colonization where the infecting strain often originates.
  • - A study identified a specific tellurite-resistance (ter) operon that seems to have a crucial but not fully understood role in Kp infections, separate from other virulence factors and antibiotic resistance genes.
  • - Research using mouse models demonstrated that the ter operon boosts Kp's survival in the gut but is not essential during severe infections; its effect is influenced by the gut microbiota, particularly those that produce short-chain fatty acids.
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  • Hypervirulent K. pneumoniae (hvKp) is a type of bacteria that can cause serious infections in healthy individuals, characterized by high capsule production and a specific feature known as hypermucoviscosity (hmv).
  • Research showed that understanding how capsule production (CPS) and hmv function separately is complicated because they are often seen together and rely on overlapping cellular processes.
  • A study analyzed over 3,700 genetic mutants of hvKp, identifying key genes that affect either CPS or hmv, revealing that while hmv needs CPS, both traits can influence pathogenesis distinctly and may depend on specific nutrients for virulence.
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  • - Invasive bacterial infections, like those caused by Group B streptococci (GBS), significantly raise risks for negative pregnancy outcomes such as preterm birth and stillbirth due to their ability to infect the maternal-fetal area.
  • - A research study using a nonhuman primate model revealed that GBS expressing the enzyme hyaluronidase (HylB) led to consistent bacterial invasion into the amniotic cavity, fetal infection, and preterm labor.
  • - The findings suggest that HylB allows GBS to evade immune responses and cause preterm labor by increasing certain inflammatory markers, highlighting the need for better strategies to prevent these issues during pregnancy.
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Although certain microbial lipids are toxins, the structural features important for cytotoxicity remain unknown. Increased functional understanding is essential for developing therapeutics against toxic microbial lipids. Group B Streptococci (GBS) are bacteria associated with preterm births, stillbirths, and severe infections in neonates and adults.

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Klebsiella pneumoniae (Kp), one of the most common causes of healthcare-associated infections, increases patient morbidity, mortality, and hospitalization costs. Kp must acquire nutrients from the host for successful infection; however, the host is able to prevent bacterial nutrient acquisition through multiple systems. This includes the innate immune protein lipocalin 2 (Lcn2), which prevents Kp iron acquisition.

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Thirteen percent of pregnancies result in preterm birth or stillbirth, accounting for fifteen million preterm births and three and a half million deaths annually. A significant cause of these adverse pregnancy outcomes is in utero infection by vaginal microorganisms. To establish an in utero infection, vaginal microbes enter the uterus by ascending infection; however, the mechanisms by which this occurs are unknown.

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  • Preterm birth is a significant cause of neonatal death and is often triggered by infections that ascend from the lower genital tract, affecting the placenta and fetus.
  • The study investigates the cervical mucus plug (CMP) from healthy pregnancies to identify its antimicrobial properties against group B streptococcus (GBS), a bacteria linked to preterm birth.
  • Although the antimicrobial peptides found in CMPs are not concentrated enough to kill GBS directly, they can activate leukocytes, enhancing the body's ability to kill bacteria, which suggests the CMP plays a role in preventing infections that could lead to preterm birth.
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Zika virus (ZIKV) is a flavivirus with teratogenic effects on fetal brain, but the spectrum of ZIKV-induced brain injury is unknown, particularly when ultrasound imaging is normal. In a pregnant pigtail macaque (Macaca nemestrina) model of ZIKV infection, we demonstrate that ZIKV-induced injury to fetal brain is substantial, even in the absence of microcephaly, and may be challenging to detect in a clinical setting. A common and subtle injury pattern was identified, including (i) periventricular T2-hyperintense foci and loss of fetal noncortical brain volume, (ii) injury to the ependymal epithelium with underlying gliosis and (iii) loss of late fetal neuronal progenitor cells in the subventricular zone (temporal cortex) and subgranular zone (dentate gyrus, hippocampus) with dysmorphic granule neuron patterning.

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Group B streptococci (GBS) are encapsulated, β-hemolytic bacteria that are a common cause of infections in human newborns and certain adults. Two factors important for GBS virulence are the sialic acid capsular polysaccharide that promotes immune evasion and the hemolytic pigment that induces host cell cytotoxcity. These virulence factors are often oppositely regulated by the CovR/CovS two-component system.

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Group B streptococci (GBS) are Gram-positive bacteria that are a leading cause of neonatal infections. Most invasive isolates are β-hemolytic, and hemolytic activity is critical for GBS virulence. Although nonhemolytic GBS strains are occasionally isolated, they are often thought to be virulence attenuated.

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Infection of the amniotic cavity remains a major cause of preterm birth, stillbirth, fetal injury and early onset, fulminant infections in newborns. Currently, there are no effective therapies to prevent in utero infection and consequent co-morbidities. This is in part due to the lack of feasible and appropriate animal models to understand mechanisms that lead to infections.

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Group B streptococcus (GBS) or Streptococcus agalactiae is a β-hemolytic, Gram-positive bacterium that is a leading cause of neonatal infections. GBS commonly colonizes the lower gastrointestinal and genital tracts and, during pregnancy, neonates are at risk of infection. Although intrapartum antibiotic prophylaxis during labor and delivery has decreased the incidence of early-onset neonatal infection, these measures do not prevent ascending infection that can occur earlier in pregnancy leading to preterm births, stillbirths, or late-onset neonatal infections.

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Preterm birth is a leading cause of neonatal morbidity and mortality. Although microbial invasion of the amniotic cavity (MIAC) is associated with the majority of early preterm births, the temporal events that occur during MIAC and preterm labor are not known. Group B Streptococci (GBS) are β-hemolytic, gram-positive bacteria, which commonly colonize the vagina but have been recovered from the amniotic fluid in preterm birth cases.

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  • Scientists studied how the Zika virus affected a baby monkey's brain when its mom was infected.
  • The baby developed brain damage in specific areas within 10 days after the infection.
  • This study helps researchers better understand Zika's effects on the brain, which can help find better treatments.
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Unlabelled: Preterm birth increases the risk of adverse birth outcomes and is the leading cause of neonatal mortality. A significant cause of preterm birth is in utero infection with vaginal microorganisms. These vaginal microorganisms are often recovered from the amniotic fluid of preterm birth cases.

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Group B Streptococci (GBS) are ß-hemolytic, gram-positive bacteria that are typically associated with infections in human newborns or immunocompromised adults. However, mutation in the two-component regulator CovR/S relieves repression of hemolysin, potentially increasing virulence of GBS. We report the isolation of hyperhemolytic/hyperpigmented GBS strain from an adolescent patient who presented to the University of Washington clinic with symptoms of sore throat.

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