基于叠氮溴化丙锭结合高通量测序技术分析口腔综合治疗台水路 系统中活菌多样性的研究
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南京医科大学附属口腔医院

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Analysis on viable bacterial diversity in dental unit waterlines based on Propidium monoazid in conjunction with High-throughput sequencing
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    摘要:

    目的:利用叠氮溴化丙锭(Propidium monoazid,PMA)前处理方法结合高通量测序技术检测口腔综合治疗台水路系统(Dental unit waterlines,DUWLs)中活菌微生物群落,以综合评估不同科室DUWLs中的污染情况及探究活菌群落构成的多样性。方法:选择南京医科大学附属口腔医院33台口腔综合治疗台,在医院开诊前收集三用枪水样,PMA前处理水样后提取活菌总DNA,经细菌通用引物PCR扩增后构建宏基因组文库,用于高通量测序和生物信息学分析。结果:当样本使用1μL PMA(最终浓度20μM)预处理10分钟,后暴露于卤素光照射5分钟,为最适合检测DUWLs样品中活菌的量;经高通量测序显示DUWLs中活菌微生物群落呈多样性,并具有潜在的细菌致病序列。科室间具有统计学差异的菌门为蓝藻菌门(Cyanobacteria)、放线菌门(Actinobacteria)、衣原体门(Chlamydiae)、Aerophobetes、绿弯菌门(Chloroflexi)、Bacteria_d_norank_k__unclassified、TM6(P<0.05);属水平上军团菌属(Legionella)、Methyloversatilis、Obscuribacterales__ norank差异有统计学意义(P<0.05)。结论:DUWLs中的潜在致病微生物的存在对牙科医务工作者和患者都具有潜在感染风险,我们的研究结果强调了我国被忽视的DUWLs细菌群落的多样性;我们的发现有助于更好地了解与牙科就诊相关的潜在感染风险,并提出了更好地管理口腔综合治疗台中微生物质量的重要性,有必要对DUWLs进行定期水质控制。

    Abstract:

    Objective: In order to evaluate the microbial contamination of different departments and explore the diversity of living bacterial community, the method of Propidium monoazid pretreatment combined with high-throughput sequencing technology was used to detect the living microbial community in the DUWLs (Dental unit waterlines) . Methods: A total of thirty-three dental chair units were selected from the Affiliated Hospital of Stomatology, Nanjing Medical University. Before patients arrived,Water samples were collected from each DCU using a three-in-one air/water syringe .After PMA pretreatment, the total DNA of living bacteria was extracted. After PCR amplification with bacterial universal primers, the macro genomic library was constructed for high-throughput sequencing and bioinformatics analysis.Results: In our study, results showed that when samples were pretreated with 1μL of PMA (final concebtraton:20μM) for 10 min and subsequently exposed to light irradiation for 5 min were optimal for detecting viable bacterial in samples of DUWLs. Results yielded that the output water of DUWLs was associatied with a high bacterial diversity and identified potential bacterial pathogenic sequence. The statistically different phyla between the two groups were Cyanobacteria, Actinobacteria, Chlamydiae, Aerophobetes, Chloroflexi, Bacteria_d_norank_k__unclassified, TM6 (P<0.05),The statistically different genera between the two groups were Legionella, Methyloversatilis, Obscuribacterales__ norank (P<0.05).Conclusions: The occurrence of potentially pathogenic microorganisms in these DUWLs demonstrated a potential infectious risk for both dental health care personnel and patients. Our study highlighted an ignored diversity of the DUWLs bacterial community in our country .Our findings also contribute a better appreciation of the potential infection risk associated with dental care and suggest the importance of better managing microbial quality in DUW. It is necessary to proceed to regular water quality control of DUWLs.

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  • 收稿日期:2020-04-01
  • 最后修改日期:2020-12-08
  • 录用日期:2021-06-21
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