Publications by authors named "Shu-Ying Yu"

Article Synopsis
  • Candida auris is a multidrug-resistant fungal pathogen causing outbreaks in China, and its resistance mechanisms are not fully understood, especially in strains developed in live hosts.
  • The study analyzed 16 strains from two patients using whole-genome sequencing, revealing all belonged to the South Asian lineage with distinct mutations linked to antifungal resistance, particularly in the ERG11 and TAC1b genes.
  • The findings indicate a potential transmission of C. auris and highlight the need for further research into the genetic mutations and resistance mechanisms to improve monitoring and treatment strategies.
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  • This study investigates the characteristics and azole resistance mechanisms of Candida parapsilosis isolates in China.
  • Out of 2318 isolates tested, 2.4% were resistant to fluconazole, especially prevalent among ICU patients, highlighting significant genetic clustering and transmission.
  • Key mutations were identified, including Erg11Y132F, which contributes to resistance, along with others that play a role in increasing resistance levels and cross-resistance to different azoles.
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  • Type II complex is linked to both invasive and non-invasive infections in humans, with 11 strains identified from samples collected in China using advanced laboratory techniques.
  • Whole genome sequencing was performed to analyze genotypes, revealing high minimum inhibitory concentrations (MICs) to amphotericin B and one isolate showing extreme resistance to 5-flucytosine.
  • These findings suggest that the strains primarily pose a risk to patients with weakened immune systems, and the resistance to key antifungal treatments could complicate clinical management.
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  • A study collected 111 fungal isolates, including 103 Penicillium and 8 Talaromyces, from clinical sources in a Beijing medical center between 2016-2017, confirming identification through genetic sequencing.
  • Findings revealed that Penicillium oxalicum was the most common species among Penicillium isolates, while Talaromyces funiculosus was dominant among Talaromyces isolates; both groups exhibited significant growth at 37°C.
  • Antifungal tests showed that azoles and amphotericin B were effective against T. marneffei, whereas echinocandins had the lowest minimum effective concentrations (MEC) for most species, highlighting the need for further understanding of
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Matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) has been accepted as a rapid, accurate, and less labor-intensive method in the identification of microorganisms in clinical laboratories. However, there is limited data on systematic evaluation of its effectiveness in the identification of phylogenetically closely-related yeast species. In this study, we evaluated two commercially available MALDI-TOF systems, Autof MS 1000 and Vitek MS, for the identification of yeasts within closely-related species complexes.

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  • Invasive aspergillosis (IA) is linked to high mortality, with a study on six fatal cases in China highlighting risk factors like immunosuppression, prior antifungal treatment, and ICU admission.
  • Significant phenotypic differences were noted among isolates, including slower growth and antifungal resistance; molecular techniques, including sequencing of specific genetic loci, were essential for accurate species identification.
  • The emerging fungal pathogen is becoming more common in China, emphasizing the need for awareness among clinicians and labs regarding its potential to cause severe illness.
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Objective: Invasive candidiasis (IC), a life-threatening fungal infection prevalent among hospitalized patients, has highly variable regional epidemiology. We conducted a multicenter surveillance study to investigate recent trends in species distribution and antifungal susceptibility patterns among IC-associated spp. in Beijing, China, from 2016 to 2017.

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is an important species causing invasive candidiasis (IC) in China. The present survey was a national multicenter study of the molecular epidemiology and antifungal susceptibility profiles of . Non-duplicate isolates were collected from 10 hospitals across China in the CHIF-NET program 2016-2017.

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Clostridium difficile infection (CDI) is the leading cause of antibiotic-associated diarrhoea worldwide. In order to gain a better understanding about the molecular epidemiology of C. difficile in Beijing, China, molecular typing, antimicrobial susceptibility testing and drug resistance gene sequencing were performed on 174 strains of C.

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The objective of this study was to systematically evaluate the activity of cefoselis and other comparators against common bacterial pathogens collected from 18 hospitals across China. Minimum inhibitory concentrations (MICs) were determined by the broth microdilution method following Clinical and Laboratory Standards Institute (CLSI) guidelines. Cefoselis showed poor activity against extended-spectrum β-lactamase (ESBL)-producing , , and , with susceptibility rates of < 10% each, while the susceptibility rates of this antibiotic against non-ESBL-producing strains of these organisms were 100%, 94.

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Background: Candidemia is the most common, serious fungal infection and Candida antifungal resistance is a challenge. We report recent surveillance of candidemia in China.

Methods: The study encompassed 77 Chinese hospitals over 3 years.

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Article Synopsis
  • The study analyzed yeast isolates from patients with invasive fungal infections at a hospital in China, contributing to a national surveillance program.
  • A total of 434 isolates were identified, with the most common pathogens being C. albicans and C. glabrata, along with varying resistance rates to antifungal medications.
  • Findings highlighted crucial data on antifungal susceptibility and the emergence of resistance, particularly in newborns, aiding in the development of effective treatment protocols.
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  • Understanding the evolution of macrolide resistance in M. catarrhalis is crucial to prevent its spread, and the effectiveness of typing methods (MLST, PFGE, WGST) in analyzing this organism was examined.
  • PFGE and WGST showed high agreement and consistency in identifying clones, while MLST was less effective for distinguishing between different clones.
  • The study identified macrolide-resistant strains within previously susceptible clonal complexes and highlighted the evolutionary link between these strains, their virulence potential, and specific genetic markers.
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We studied the species distribution and antifungal susceptibilities of isolates causing refractory or recurrent oropharyngeal candidiasis (OPC) in a multicenter study in China (2013-2016). Species identification was performed using the Bruker Biotyper (Bruker Daltonics, Germany) matrix-assisted laser desorption/ionization time of flight mass spectrometry system supplemented by internal transcribed spacer sequencing as required. Antifungal susceptibilities were determined by the Clinical and Laboratory Standards Institute document (CLSI) M27-A3 broth microdilution methodology.

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A total of 133 clinical isolates were collected in the National China Hospital Invasive Fungal Surveillance Net (CHIF-NET) program in 2009 to 2016. Accurate identification was performed by sequencing of the intergenic spacer 1 (IGS1) region. Among these isolates, (108 isolates [81.

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Background: is a rare fungal species that has not been described in human invasive infections.

Patients And Methods: In this study, we investigated two isolates from patients with invasive infections in two hospitals in China, as part of the China Hospital Invasive Fungal Surveillance Net (CHIF-NET) program. Both patients were under immunocompromised conditions.

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Clostridium difficile is the leading cause of health care-associated infections. Previous studies suggest that C. difficile MLST clade 4 strains with higher drug resistance rates constitute the major clone spreading in China.

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Data on the epidemiology of invasive candidiasis (IC) and the antifungal susceptibility of isolates in China are still limited. Here we report on surveillance for IC from the China Hospital Invasive Fungal Surveillance Net (CHIF-NET) study. Sixty-five tertiary hospitals collected 8,829 isolates from 1 August 2009 to 31 July 2014.

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Among 158 bloodstream isolates collected from numerous centers in China, a resistance to fluconazole was seen in 8.9%. Three isolates (1.

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Article Synopsis
  • Clostridium difficile infection (CDI) is a major health concern, prompting a study to assess the effectiveness of fidaxomicin against C. difficile strains from a university hospital in China.
  • A total of 101 C. difficile isolates were analyzed for toxin genes and their resistance to multiple antibiotics, with fidaxomicin showing strong antimicrobial activity.
  • Findings indicated high susceptibility of the isolates to fidaxomicin along with low MIC values for other antibiotics, while a significant resistance to moxifloxacin was noted, particularly in specific toxin-producing strains.
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We studied the molecular epidemiology and mechanism of azole resistance of 164 C. guilliermondii isolates from a nationwide multi-center surveillance program. The isolates were identified by ITS gene sequencing, and the in vitro susceptibility to fluconazole and voriconazole was determined by broth microdilution method.

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and are two emerging cryptic species within the complex. Thirteen of these isolates from 10 hospitals in China were studied for their species identification and antifungal susceptibilities. Phenotypic and molecular [rDNA ITS sequencing, D1/D2 sequencing and ITS sequencer-based capillary gel electrophoresis (SCGE)] and matrix-assisted laser desorption ionization-time of flight (MALDI-TOF) MS identification methods were compared for their performance in species identification.

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With molecular sequencing as a gold standard, the Vitek MS, Bruker Biotyper MS, and Vitek-2 Compact systems correctly identified 92.7%, 97.0%, and 15.

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Highly active antiretroviral therapy (HAART) can effectively suppress the replication of human immunodeficiency virus-1 (HIV-1) and block disease progression. However, chronic HIV-1 infection remains incurable due to the persistence of a viral reservoir, including the transcriptionally silent provirus in CD4(+) memory T cells and the sanctuary sites that are inaccessible to drugs. Reactivation and the subsequent elimination of latent virus through virus-specific cytotoxic effects or host immune responses are critical strategies for combating the disease.

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Objective: To evaluate the effect of water channel aquaporin 4 (AQP4) on bleomycin-induced lung fibrosis in mice.

Methods: In wild type and AQP4 gene knockout (AQP4-/-) mice, lung fibrosis was induced by injection of bleomycin (3 mg/kg) into the trachea and saline injection was used as a control. At d3, 7, 14, 28 after bleomycin-treatment, mice were randomly sacrificed in batch and the lung coefficient was determined.

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