Publications by authors named "Zhexiao Ma"

Unlabelled: Carbapenem-resistant (CRKP) and (CREC) are frequently detected in clinical settings, restricting the use of carbapenems. Therefore, there is an urgent need for new antimicrobial strategies to address infections caused by CRKP and CREC. This study investigated the antibacterial, anti-biofilm, and anti-inflammatory effects of the cationic antimicrobial peptide Hs02, along with its potential antimicrobial mechanisms against CRKP and CREC.

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Bacteriophages (phages), viruses capable of infecting and lysing bacteria, are a promising alternative for treating infections from hypervirulent, antibiotic-resistant pathogens like Klebsiella pneumoniae, though narrow host range and phage resistance remain challenges. In this study, the hypervirulent K. pneumoniae NTUH-K2044 was used to purify phage ΦK2044, while two ΦK2044-resistant strains were used to purify two further phages: ΦKR1, and ΦKR8 from hospital sewage.

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Article Synopsis
  • Carbapenem-resistant Enterobacteriaceae (CREC) are becoming increasingly common globally, mainly due to antibiotic misuse and the spread of drug-resistant plasmids, with CREC being a significant pathogen.
  • A new strain, DC8855, was isolated from a patient and identified as a novel sequence type (ST12531) with unique properties, including resistance linked to a specific plasmid.
  • The study found that DC8855 exhibited greater motility and virulence compared to other CREC strains, highlighting the need for ongoing monitoring of such multidrug-resistant and pathogenic strains.
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The hypervirulent (hvKp) with K1 and K2 capsular types causes liver abscess, pneumonia, sepsis, and invasive infections with high lethality. The presence of capsular polysaccharide (CPS) resists phagocytic engulfment and contributes to excessive inflammatory responses. Bacteriophage depolymerases can specifically target bacterial CPS, neutralizing its defense.

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Article Synopsis
  • The study aimed to analyze the characteristics of tigecycline-resistant Acinetobacter baumannii (TRAB) isolates from a Chinese hospital over five years, assessing their clonal dynamics and resistance mechanisms.
  • Researchers screened 64 TRAB isolates using whole-genome sequencing (WGS) and various analyses, finding that 95% were multidrug-resistant (MDR) and classified into three major genetic clusters, with the KL7 cluster emerging as dominant in 2019.
  • Key mechanisms of resistance included genetic mutations affecting efflux pump gene expression, with novel mutations identified that increase tigecycline resistance, emphasizing the need for ongoing monitoring of these strains in clinical environments.*
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is a potential pathogen that has not been studied comprehensively. The emergence of multidrug-resistant (MDR) , specifically strains resistant to tigecycline and carbapenem, presents a significant challenge to clinical treatment. This investigation aimed to characterize MDR strain FK8966, co-carrying , , and by plasmids.

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With the widespread misuse of disinfectants, the clinical susceptibility of () to chlorhexidine (CHX) has gradually diminished, posing significant challenges to clinical disinfection and infection control. employs overexpression of efflux pumps and the formation of thick biofilms to evade the lethal effects of CHX. Plumbagin (PLU) is a natural plant extract that enhances membrane permeability and reduces proton motive force.

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Highly encapsulated hypervirulent (hvKp) causes severe infections. Bacteriophage therapy, an antibiotic alternative, effectively treats bacterial infections. Phage φFK1979 encoding polysaccharide depolymerases can target and disarm the capsule of hvKp FK1979, showing promise against FK1979 infection.

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The complex (ECC) is a group of nosocomial pathogens that pose a challenge in clinical treatment due to its intrinsic resistance and the ability to rapidly acquire resistance. Colistin was reconsidered as a last-resort antibiotic for combating multidrug-resistant ECC. However, the persistent emergence of colistin-resistant (COL-R) pathogens impedes its clinical efficacy, and novel treatment options are urgently needed.

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Article Synopsis
  • The study investigates a new transposon, Tn7533, which carries the tet(X2) gene linked to tigecycline resistance in Acinetobacter pittii BM4623 from a clinical case.
  • Researchers used various methods, including gene knockout and whole genome sequencing, to analyze the gene's function and the genetic makeup of Tn7533.
  • Findings suggest that the tet(X2) gene contributes to clinical resistance against tigecycline, highlighting the need for ongoing surveillance due to the potential spread of resistance in Acinetobacter species.*
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