Publications by authors named "Madison E Stellfox"

Article Synopsis
  • Enterococci are part of the gut microbiota but can cause serious infections, especially in immunocompromised patients, with increased antibiotic resistance, particularly to vancomycin.
  • Whole-genome sequencing revealed that a patient with recurrent severe bloodstream infections had been colonized by closely related strains for years, leading to the emergence of resistant isolates.
  • The combination of phage therapy and antibiotics led to significant clinical improvement and reduced VRE levels, although an antibody response against the phages contributed to treatment failure later on, illustrating both the potential and challenges of phage therapy for resistant infections.
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Article Synopsis
  • The study investigated the genomic diversity and antibiotic susceptibilities of Enterococcus faecalis from patients with infective endocarditis (IE).
  • The researchers collected 60 E. faecalis isolates and used whole-genome sequencing and pharmacokinetic models to analyze their antibiotic resistance, notably to ampicillin and ceftriaxone.
  • Results indicated that a significant portion of isolates (35%) belonged to two specific lineages (ST6 and ST179) associated with increased resistance, especially in ST6, highlighting the need for alternative antibiotic combinations for effective treatment.
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Insertion sequences (IS) are simple transposons implicated in the genome evolution of diverse pathogenic bacterial species. Enterococci have emerged as important human intestinal pathogens with newly adapted virulence potential and antibiotic resistance. These genetic features arose in tandem with large-scale genome evolution mediated by mobile elements.

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Background: There is increased interest in bacteriophage (phage) therapy to treat infections caused by antibiotic-resistant bacteria. A lung transplant recipient with cystic fibrosis and Burkholderia multivorans infection was treated with inhaled phage therapy for 7 days before she died.

Methods: Phages were given via nebulization through the mechanical ventilation circuit.

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Enterococci are gram-positive, gastrointestinal (GI) tract commensal bacteria that have recently evolved into multidrug-resistant nosocomial pathogens. Enterococci are intrinsically hardy, meaning that they can thrive in challenging environments and outlast other commensal bacteria. Further adaptations enable enterococci to dominate the GI tracts of hospitalized patients, and this domination precedes invasive infection and facilitates transmission to other patients.

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We report the emergence of imipenem-relebactam nonsusceptible Pseudomonas aeruginosa in 5 patients treated for nosocomial pneumonia for 10-28 days. Genome sequence analysis identified treatment-emergent mutations in MexAB-OprM and/or MexEF-OprN efflux operons that arose independently in each patient across distinct P. aeruginosa sequence types.

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The Mis18 complex specifies the site of new CENP-A nucleosome assembly by recruiting the CENP-A-specific assembly factor HJURP (Holliday junction recognition protein). The human Mis18 complex consists of Mis18α, Mis18β, and Mis18 binding protein 1 (Mis18BP1/hsKNL2). Although Mis18α and Mis18β are highly homologous proteins, we find that their conserved YIPPEE domains mediate distinct interactions that are essential to link new CENP-A deposition to existing centromeres.

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Centromeres are specialized chromatin domains specified by the centromere-specific CENP-A nucleosome. The stable inheritance of vertebrate centromeres is an epigenetic process requiring deposition of new CENP-A nucleosomes by HJURP. We show HJURP is recruited to centromeres through a direct interaction between the HJURP centromere targeting domain and the Mis18α-β C-terminal coiled-coil domains.

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The centromere is the chromosomal region that directs kinetochore assembly during mitosis in order to facilitate the faithful segregation of sister chromatids. The location of the human centromere is epigenetically specified. The presence of nucleosomes that contain the histone H3 variant, CENP-A, are thought to be the epigenetic mark that indicates active centromeres.

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Centromeres form the site of chromosome attachment to microtubules during mitosis. Identity of these loci is maintained epigenetically by nucleosomes containing the histone H3 variant CENP-A. Propagation of CENP-A chromatin is uncoupled from DNA replication initiating only during mitotic exit.

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Centromeres of higher eukaryotes are epigenetically marked by the centromere-specific CENP-A nucleosome. New CENP-A recruitment requires the CENP-A histone chaperone HJURP. In this paper, we show that a LacI (Lac repressor) fusion of HJURP drove the stable recruitment of CENP-A to a LacO (Lac operon) array at a noncentromeric locus.

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