Publications by authors named "Yanlei Xu"

Background: Daptomycin non-susceptible (DNS) strains pose a serious clinical threat, yet their characteristics remain poorly understood.

Methods: DNS derivatives were generated by exposing strains to subinhibitory concentrations of daptomycin. Competition experiment and growth kinetics experiment were used to observe the growth of bacteria.

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Plasmid conjugation is a central mechanism driving the dissemination of antibiotic resistance in Klebsiella pneumoniae. However, the conjugative operon requires specific stimuli for activation. Identifying signals and elucidating the underlying mechanisms is crucial in combating plasmid spread.

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Background: Staphylococcus aureus, a commensal bacterium, colonizes the skin and mucous membranes of approximately 30% of the human population. Apart from conventional resistance mechanisms, one of the pathogenic features of S. aureus is its ability to survive in a biofilm state on both biotic and abiotic surfaces.

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  • The study discusses the emergence of KPC-2-NDM-hv-CRKP, a concerning strain of bacteria resistant to many antibiotics and associated with severe disease in elderly patients.
  • Two specific strains, FK3122 and FK3127, were isolated, showing significant multidrug resistance and high pathogenic potential.
  • Whole-genome analysis revealed multiple resistance elements and virulence plasmids, highlighting the urgent need for surveillance and new treatment options due to their easy transmission and limited therapeutic solutions.
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  • A new compound called YH7 was developed, showing strong antimicrobial effects against both methicillin-resistant (MRSA) and methicillin-susceptible (MSSA) staphylococci, with a minimum inhibitory concentration (MIC) of 16 µg/mL.
  • YH7 effectively inhibits biofilm formation and bacterial adherence, as evidenced by lab tests, and it also demonstrated a reduction in bacterial colonization in mouse nasal tissue.
  • The compound works by disrupting the synthesis of a key component necessary for biofilms, proving to be biocompatible and unlikely to cause drug resistance, making it a promising candidate for treating persistent biofilm-related infections.
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  • Staphylococcus epidermidis can form biofilms, which contribute to its ability to cause infections, and mupirocin, a common antimicrobial, can actually stimulate this biofilm formation.
  • The study found that mupirocin increases the release of extracellular DNA by promoting autolysis, but does not affect the production of polysaccharide intercellular adhesin (PIA).
  • Gene analysis showed that the autolysin gene AtlE is essential for the biofilm-enhancing effect of mupirocin, indicating that inhibiting this gene could potentially reduce the negative impacts of biofilm-associated infections.
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ST22 MRSA (methicillin-resistant ) strains are only sporadically reported in China. Through the phylogenetic reconstruction of 30 ST22 strains from China and 480 ST22 strains from global sources, we found that the global ST22 strains can be divided into three clades (I, II, and III). The China ST22 strains were found primarily in clade II (IIb and IIc) and also in clade III, indicating that the China ST22-MRSA clones have different origins.

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Staphylococcus aureus is an important human pathogen and brings about many community-acquired, hospital-acquired, and biofilm-associated infections worldwide. It tends to form biofilms, triggering the release of toxins and initiating resistance mechanisms. As a result of the development of S.

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Methicillin-resistant Staphylococcus aureus (MRSA) sequence type 45 (ST45) was rarely found in China. This study was conducted to trace the transmission and evolution of emerging MRSA ST45 strains in mainland China and explore its virulence. A total of 27 ST45 isolates were included for whole-genome sequencing and genetic characteristic analysis.

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Previous studies have shown that the increased prevalent ST764 clone in China, Japan, and other Asian areas. However, the knowledge of the genetic features and virulence characteristics of methicillin-resistant (MRSA) ST764 in China is still limited. In this study, we identified 52 ST764-SCC type II isolates collected from five cities in China between 2014 and 2021.

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Mupirocin, a topical antimicrobial agent, is an important component in the eradication of methicillin-resistant Staphylococcus aureus (MRSA) colonization. The molecular characteristics of 46 mupirocin-resistant MRSA (MR-MRSA) clinical isolates were analyzed by multilocus sequence typing (MLST), staphylococcal cassette chromosome element (SCC) typing, typing, and analysis of virulence genes. All 26 MRSA isolates with low-level mupirocin resistance possessed a V588F mutation in .

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Almost all the formation of hypervirulent and carbapenem-resistant Klebsiella pneumoniae follow two major patterns: KL1/KL2 hvKP strains acquire carbapenem-resistance plasmids (CR-hvKP), and carbapenem-resistant Klebsiella pneumoniae (CRKP) strains obtain virulence plasmids (hv-CRKP). These two patterns may pose different phenotypes. In this study, three typical resistance and hypervirulent K.

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Objective: To explore the clinical and genetic characteristics of three children with KBG syndrome.

Methods: Clinical data of the three children from two families who have presented at the First Affiliated Hospital of Zhengzhou University between October 2019 and September 2020 and their family members were collected. Trio-whole exome sequencing (trio-WES) and Sanger sequencing were carried out.

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Multi-drug resistant infection is still a serious threat to global health. Therefore, there is an urgent need to develop new antibacterial agents based on virulence factor therapy to overcome drug resistance. Previously, we synthesized SYG-180-2-2 (CHNOSe), an effective small molecule compound against biofilm.

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Introduction: Whether lung ultrasound (LUS) can be used for pathogenic diagnosis remains controversial. This study was conducted to clarify whether ultrasound has diagnostic value for etiology.

Methods: A total of 135 neonatal pneumonia patients with an identified pathogen were enrolled from the newborn intensive care units of 10 tertiary hospitals in China.

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Carbapenem-resistant Enterobacterales (CRE) infection is highly endemic in China; Klebsiella pneumoniae carbapenemase (KPC) 2-producing CRE is the most common, whereas KPC-3-producing CRE is rare. We report an outbreak of KPC-3-producing Enterobacterales infection in China. During August 2020-June 2021, 25 bla-positive Enterobacteriale isolates were detected from 24 patients in China.

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The rapid emergence of carbapenem-resistant Klebsiella pneumoniae (CRKP) and the comparatively limited development of new antibiotics pose a major threat to public health. Aminoglycosides are important options that can lower the mortality rate effectively in combination therapy with β-lactam agents. However, in this study, we observed two multidrug-resistant (MDR) K.

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The resistance of methicillin-resistant (MRSA) has augmented due to the abuse of antibiotics, bringing about difficulties in the treatment of infection especially with the formation of biofilm. Thus, it is essential to develop antimicrobials. Here we synthesized a novel small-molecule compound, which we termed SYG-180-2-2 (CHNOSe), that had antibiofilm activity.

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The aim of this study was to investigate the genomic epidemiology of MRSA in China to identify predominant lineages and their associated genomic and phenotypic characteristics. In this study, we conducted whole-genome sequencing on 565 MRSA isolates from 7 provinces and municipalities of China between 2014 and 2020. MRSA isolates were subjected to MLST, typing, SCC typing, analysis of virulence determinants and antimicrobial susceptibility testing.

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The rise and global dissemination of extensively drug-resistant (XDR) bacteria are often related to plasmid-borne mobile antimicrobial resistance genes. Notably, isolates having multiple plasmids are often highly resistant to almost all the antibiotics available. In this study, we characterized an extensively drug-resistant 1678, which exhibited high-level resistance to almost all the available antibiotics.

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Methicillin-resistant (MRSA) ST8 strains have spread worldwide, causing outbreaks in various regions. However, this clone has only been sporadically reported in China. Consequently, detailed information regarding the phylogeny and potential virulence of ST8 strains in China remains unknown.

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Introduction: Vancomycin, teicoplanin, linezolid and daptomycin are four major antibacterials used for methicillin-resistant (MRSA) infection treatment. However, with the increasing failure of clinical MRSA anti-infective treatment, it is urgent to investigate the status of MRSA sensitivity to these four drugs.

Methods: In the present study, 407 non-duplicated MRSA isolates from 6 provinces in China were collected from January 2018 to August 2020.

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The significant increase in resistance of methicillin-resistant (MRSA) to fusidic acid (FA) is a worrying public concern. However, the data on the prevalence of FA-resistant MRSA isolates in China is still limited. This study aims to investigate the prevalence of FA resistance and resistance determinants among MRSA isolates from six tertiary hospitals in different regions of China between 2016 and 2020.

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Introduction: In recent years, multidrug-resistant methicillin-resistant has become increasingly prevalent, which raised a huge challenge to antibiotic treatment of infectious diseases. The anti-virulence strategy targeting virulent factors is a promising novel therapy for infection. The virulence mechanism of was needed to explore deeply to develop more targets and improve the effectiveness of anti-virulence strategies.

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