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استخدام التقنيات الحيوية لانتاج نباتات مقاومة للحشرات

Author name: زينب مزهر نعمة العجيلي
General topic: Biology
Specific topic: Microbiology
Degree: Higher Diploma
University: University of Baghdad
University location: Baghdad
Key words:
  • الاحياء المجهرية

Genetic Alterations Of Hodgkine S Lymphoma

Author name: Hayder Isam Taha
General topic: Biology
Specific topic: Microbiology
Degree: Higher Diploma
University: University of Baghdad
University location: Baghdad
Key words:
  • Genetics

Investigation Of Vaca Genotypes Of Helicobcter Pylori From Samples In Karbala Governorate

Author name: Abo Almaali . Hassan Mahmoud Mousa
General topic: Biology
Specific topic: Microbiology
Degree: Doctorate
University: University of Baghdad
University location: Baghdad
Key words:
  • Genetics

Moalecular Detection Of Mutations In Brca1 , Brca2 , K Ras And Pik3Ca Genes In Iraqi Breast Cancer Patients And Their Families

Author name: shatha saadi jumaah
General topic: Biology
Specific topic: Microbiology
Degree: Doctorate
University: University of Baghdad
University location: Baghdad
Key words:
  • genetics - breast - cancer

مرض الالتهاب المعدة والامعاء المتعدد العوامل في الاطفال الرضع == Infantile Gastroenteritis Multifactorial Disease

Author name: هدى صاحب عبد المحمد الروازق
Supervisor name: محمد عبد الاخوة حسن الفحام
General topic: Medicine
Specific topic: Microbiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: Total no. of patient (100) stool samples were collected, during the period from February to the end of May of 2008, for children under two years old suffering from non-bloody and bloody diarrhea at (Children Welfare Teaching Hospital) in Baghdad.
The study evaluates the relationship between etiological agent of diarrhea and sex, age group, type of feeding, presence of blood in stool of the patients. All samples were examined microscopically to identify parasitic agent and serological test for Rotavirus to identify viral infection, also biochemical and serological tested for specimen's culture on different culture media and antibiotic sensitivity test.
Results show from 100 cases 64] represents the etiological agent of diarrhea and the most common of this agent was Rotavirus represent (37.5 %), respectively then Entamoeba histolytica (21.9 %), other agents were include Proteus (12.5 %), Enteropathogenic E.coli (10.9 %), Citrobacter braakii (7.8 %), Salmonella typhi (6.3 %), and Giardia lamblia (3.1 %). The remaining 36 isolates represent of unknown etiological agent for another's pathogen.
The prevalence ratio of infection in male (75.0 %) was more than in female (25.0 %), in the first year of age especially in the age group (0-6) months (42.2 %). children depending on artificial feeding represent about (57.8 %) higher natural and mixed feeding, the bloody diarrhea associated with Entamoeba histolytica (57.1 %) in contrast to some etiological agent of non-bloody diarrhea.
Eleven types of antibiotics were used for sensitivity test show all serotype of Enteropathogenic E.coli and Salmonella typhi are sensitive to Imipenem and Ciprofloxacin. The predominant serotypes of Enteropathogenic E.coli which represent serotype O111 and serotype O125 these strains show resistance to Cefotaxime (CTX), Trimethoprim-sulfamethaxazole (SXT), Ampicillin (AM), Metronidazole (MET), Cefoperazone (CEP), Cefixime (CFM), also the serotype O111 resistance to Gentamicin (CN) represent (45.0 %), while the most resistance of Salmonella was to Amikacin (100.0 %).
This may reflect the fact that the increased resistance in older children and adult may be associated with the development of immunity or the loss of receptors for some specific adhesion.
In Iraq Rotavirus infection is estimated to account for (10-29 %) in early childhood, While in neighboring countries the rate ranges between (19-46 %). The study show infected males more than female and the highest diarrheal infection was caused by Rotavirus, the Imipenem and Ciprofloxacin antibiotic was the most effective one against pathogenic strains of Enteropathogenic E.coli and Salmonella typhi while all isolates were resistant to Trimethoprim-Sulfamethaxazole, Ampicillin, Metronidazole.
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تقييم فعالية البكتيريوفاج ضد بكتيريا Proteus mirabilis ذات المقاومة المتعددة للمضادات الحيوية والمعزولة من حالات سريرية مختلفة == Evaluation of bacteriophage effect against multidrug-resistant Proteus mirabilis isolated from different clinical samples

Author name: محمد عبد الكاظم حسين
Supervisor name: رنا مجاهد عبد الله الشويخ
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: Arabic
University location: Baghdad
First pages:
Abstract: اظهرت نتائج دراسة تغير pH ودرجات الحرارة على العاثيات البكتيرية قابلية العاثيات على قتل البكتيريا ضمن مدى pH (7-9) وبكفاءة عالية في حين كانت العاثيات قادرة على قتل البكتيريا ضمن درجات الحرارة (25-55) ºم.
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Role of Proteus mirabilis metalloprotease in degradation of different animal proteins and cloning of responsible gene in E .coli BL21

Author name: بهاء عبد الله لفتة الربيعي
Supervisor name: Shatha Selman Hassan
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:

معالجة الملوثات النفطية بعزلات محلية لبكتريا Pseudomonas aeruginosa المنتجة للمستحلبات الحياتية == Treatment of petroleum pollutants by local isolates of Pseudomonas aeruginosa producing bioemulsifiers

Author name: ناظم حسن حيدر جمعة
Supervisor name: صبحي جواد حمزة | محمد نافع العزاوي
General topic: Biology
Specific topic: Microbiology
Degree: Doctorate
University: University of Baghdad
Language: Arabic
University location: Baghdad
First pages:

Leptin Level in Obese Type 2 Diabetic Patients Treated with Metformin and / or without Insulin Therapy

Author name: يقين حميد الموسوي
Supervisor name: Sabah N. Alwachi | Isam N. Salman
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:

عزل وتجنيس فايروس مرض نيوكاسل محليا من قطعان الدواجن المصابة طبيعيا في شمال العراق == ISOLATION AND GENOTYPING OF LOCAL NEWCASTLE DISEASE VIRUS ISOLATED FROM NATURALLY INFECTED CHICKENS IN NORTHERN IRA

Author name: احمد ابراهيم احمد
Supervisor name: شوني ميخائيل اوديشو | رباح نجاح جبار
General topic: Veterinary Medicine
Specific topic: Microbiology
Degree: Doctorate
Language: English
University location: Baghdad
First pages:
Abstract: Newcastle disease (ND) has been concerned as one of the most important devastating diseases of poultry because of its wide range host of birds and worldwide distribution with severe economic losses in domestic poultry, due to the severe nature of the disease, ND is included as a list A disease.
Iraq has been endemic for Newcastle disease virus (NDV) with natural infection causing significant losses in the poultry industry since 1968 by the NDV/AG68 strain (AF001108) from infected chickens at Abu Graib in Iraq.
Currently, NDV genotype VII are most frequently associated with outbreaks of ND in the Middle East and Asia which have showed higher mortality in vaccinated poultry. The main objective of this study was to determine the biological and molecular characterization of the pathogenicity and genotyping followed by phylogenetic analysis. To evaluating the degree of genetic diversity of local isolated NDV strains and estimating the relationships to that NDV presence in the neighboring region, as well as preparation of inactivated vaccine against NDV from local strains was determine.
At the beginning, this study was carried out to isolate Newcastle disease virus (NDV) in naturally infected chickens of poultry farms in the north of Iraq. The study initiated diagnosis of 46 farms out of 96 broiler farms exhibited Newcastle disease (ND) (26 in Erbil, 14 in Sulaymanhia and 6 in Duhok) based on clinical signs corresponding with (8-15%) mortality and gross lesions of scarified chickens. The rapid test for detection NDV antigen from infected chickens for tracheal swab indicated that 32 farm samples were positive out of 46 initiative diagnosed farms.
Based on intiative diagnosis the identification of local isolates of NDV samples was pooled lung with trachea, spleen, cecal tonsil and intestine, were pooled in nine samples, then tissue homogenates were made from all samples in sterile Phosphate Buffered Saline (PBS) containing antibiotics, after centrifugation of tissue homogenates the supernatant fluids were assessed to real time reverse transcriptase- Polymerase Chain Reaction (RRT-PCR) assay. The results indicated that six
homogenate samples were positive for NDV and negative for Avian Influenza Virus.
After that, the remain supernatant fluids were used for virus isolation in embryonated chicken eggs then harvested allantoic fluids were used for employed for the hemagglutination activity. Six samples were showed positive results. Furthermore, virus identification was also performed by using conventional diagnostic methods such as Hemagglutination(HA) of red blood cells followed by Hemagglutination Inhibition (HI) test applying the prepared hyper immune serum(HIS) against NDV antigens to identify the NDV. The serological results demonstrated that six samples of NDV were positive, as well as the (rt-PCR) assay was performed for allantoic fluid to insure the presence of NDV using specific primers and probes to amplify specific region in the M gene of the viruses. The results revealed that six isolates were positive for NDV.
In addition, the pathogenicity of the six isolates was performed according to standard methods including Mean death times (MDT), Intra-cerebral pathogenicity index (ICPI) and Intra-venous pathogenicity index(IVPI), which revealed that six isolates were compatible to mesogenic (1/6) and velogenic (5/6) types.
At the second step, the molecular characterization of six isolates were investigated in Borehingher laboratory (Germany). The RT-PCR successfully amplified a 436 bp DNA fragment covering a part of the matrix (M) gene, fusion (F) gene (lentogenic) and fusion (F) gene (subgenotype VIIi) from all six isolates (NDV). The result was indicated that 5/6 were positive for velogenic NDV strain of genotype VIIi and 1/6 were negative. The nucleotide sequences of F gene were also determined, where the portion of the F2 gene of five isolates compared with that of other NDV strains retrieved from GenBank. Phylogenetic analysis showed that the isolates NDV belong to genotypes VIIi.
However, in local laboratory the result of FAST one-step quantitative Polymerase Chain Reaction (qPCR) successfully amplified a 525 bp fragment covering a part of the fusion (F1) gene and 515 bp fragment covering a part of the fusion (F2) gene from all six isolates. The nucleotide sequences of the PCR product of E1, S1 and S2
were found in F1 gene, while E1, E2, S1, S2, and D2 found in F2 gene out of six NDV isolates. Those results were compared with other NDV strains which retrieved from GenBank. Phylogenetic analysis showed that the Iraqi isolates are belonging to genotypes VII.
Finally, Inactivated vaccine was prepared locally using Velogenic NDV genotype VIIi isolate as a seed virus ELD50/0.1ml109 then compared with a commercial inactivated vaccine in an experimental study. This study was conducted by purchasing 120 broiler chicks and divided into three equal groups. Group 1 as unvaccinated control group , G2 for commercial vaccine and G3 for local vaccine), G2 and G3 were injected s/c with inactivated vaccine at 3 days old followed by a booster dose with LaSota live vaccine eye drop. Indirect ELISA technique was used to measure of antibody titer at ages 7, 17 and 27 days old (pre-challenge), the result showed at 7 days-old were (4251±1078) for all groups, and at 17 days-old were (906±33, 844±153 and 1145±219) for G1, G2 and G3 respectively. There were significant differences (p
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استخلاص و تنقية الالجنيت من عزلات بكتريا Pseudomonas aeruginosa ودراسة دوره في الامراضية == Extraction and purification of alginate from Pseudomonas aeruginosa isolates and study its role in pathogenesis

Author name: لؤلؤه سعد زكي
Supervisor name: رشید محجوب المصلح
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:

تاثير البروتين الرابط للGlucan (Glucan Binding Protein) في تكوين الغشاء الحيوي لبكتريا Streptococcus mutans وتعيين المثبطات الكيميائية له

Author name: شيماء فؤاد رشيد الخزرجي
Supervisor name: مي طالب فليح
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:

تاثير مستخلصات نبات عين البزون Catharanthus roseus في البكتريا المرضية المعزولة من الالتهابات الجلدية داخل وخارج الجسم الحي == In vitro and in vivo effect of Catharanthus roseus plant extracts on pathogenic bacteria isolated from skin infections

Author name: عهود عبد الستارعبد الجبار المخزومي
Supervisor name: عبد اللطيف محمد جواد | هند حسين عبيد
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:

دراسة التنميط الجيني وبعض عوامل الضراوة لبكتيريا Pseudomonas aeruginos == Study of Genotyping and Some Virulence Factors of Pseudomonas aeruginosa

Author name: عباس فالح مهدي الارناؤوطي
Supervisor name: رنا مجاهد عبد الله الشيخ
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:

المستوى المصلي وتعدد الشكل الوراثي لل IL - 10 ، IL - 2 ، IFN - في عينة للاطفال العراقيين المخمجين بالليشمانيا الاحشائية == Serum level and gene polymorphism of IFN - ?, IL - 2, IL - 10 and IL - 12 in a sample of Iraqi children with Visceral Leishmaniasis

Author name: زهراء عبد الرحیم احمد عبد لله
Supervisor name: اخلاص مشرف عیدان | علي حسین ادحیة
General topic: Biology
Specific topic: Microbiology
Degree: Doctorate
Language: English
University location: Baghdad
First pages:
Abstract: Visceral leishmaniasis (VL) is a severe chronic systemic zoonotic disease caused by the protozoan Leishmania donovani or L. infantum, in which cytokines play an important role in its pathogenesis. These cytokines are under genetic controls, and their gene polymorphisms have been suggested to exert a functional role in regulating cytokine gene expression. Therefore, the present study determined IFN - γ, IL - 2, IL - 10 and IL - 12 serum levels and gene polymorphisms of 11 cytokine and cytokine receptor genes (IL1A, IL1B, IL2, IL4, IL4R, IL6, IL10, IL12B, TNF, IFNG and TGFB1) in VL patients by ELISA assay and sequence specific primer - PCR method. Gene polymorphism impact on IFN - γ, IL - 2, IL - 10 and IL - 12 serum levels was also evaluated.Forty - four Iraqi Arabs VL patients (age range : 4 months to 12 years) were enrolled in the study. They were referred to hospitals in two Iraqi governorates (Baghdad and Wasit) during the period March 2013 - February 2014. A control sample of 40 apparently healthy individuals was also included and matched patients for age and ethnicity.Most of the ascertained VL cases were in winter and spring with frequencies of 43.2 and 50.3%, respectively. The results also revealed that the age group 1 - 3 years accounted for more than 50% of cases (54.5%) and the infection was more prevalent in male (65.9%) than females (34.1%).A significant increased serum level of IL - 2 (14.72 ± 1.14 vs.4.43 ± 0.49 pg/ml), IL - 10 (40.02 ± 1.26 vs.18.60 ± 1.82 pg/ml), IFN - γ (29.06 ± 1.05 vs. 12.83 ± 1.38 pg/ml) was recorded in VL patients compared to controls. While, IL - 12 serum level showed a non - significant increased level in patients (5.33 ± 3.26 vs.2.17 ± 0.36 pg/ml). Cytokine gene polymorphism analysis revealed that neither genotypes nor alleles of IL1B - 511, IL4R+1902, IL12B - 1188, IFNG+874, TGFB1+896, TNF - 308, IL2 - 330, IL2+166, IL4 - 590, IL4 - 33, IL6nt565/ - 597, IL6 - 174, IL10 - 1082, IL10 - 819 and IL10 - 592 genes showed a significant variation between VL patients and controls. In contrast, a positive association between IL - 1β+3962 CC genotype an C allele and IL4 - 1098 G allele and VL was observed (susceptible genotypes and alleles), while a negative association (protective genotypes and alleles) was recorded for IL1A - 889 TT genotype, IL1B+3962 T allele and IL4 - 1098 TT genotype and T allele. To determine the impact of cytokine genotypes on cytokines serum level, VL patients and controls were distributed according to their serum level in the three genotypes of each cytokine. It was found that TG genotype of IL2 - 330 was observed with the highest IL - 2 level (16.56 ± 1.69 pg/ml) compared to other genotypes. The GT genotype of IL2+166 also showed the highest level of IL - 2 (17.47 ± 2.34 pg/ml) compared to GG (13.53 ± 1.38pg/ml) or TT (15.77 ± 3.88 pg/ml) genotypes in patients. The IL10 - 1082 GG genotype showed the highest level of IL - 10 in patients (45.73 ±3.15 pg/ml) compared to AA (38.02 ± 1.48 pg/ml) genotype. For IL10 - 819 genotypes, they recorded approximated means in patients and no significant difference between them was observed. At the third position of IL10 gene (IL10 - 592), neither patients nor controls demonstrated a significant difference between the means of IL - 10 in their genotypes. At IL12 - 1188, CC genotype showed a significant increase level of IL - 12 (26.16 ±19.76 pg/ml) compared to CA and AA genotype(1.35 ± 0.35 pg/ml and 1.48 ± 0.23 pg/ml respectively) in patients. Finally, neither VL patients nor controls demonstrated a significant difference between the means of IFN - γ in the genotypes of IFNG+874. In conclusion, the role of cytokines in pathogenesis of VL wasascertained, but such role can be better understood in the ground of cytokine gene polymorphisms, which may also have susceptibility or protective effects.

دراسة مقارنة لفعالية لقاح التيفوئيد من عترة محلية وقياسية مع اللقاح التجاري == Comparative Study of the Typhoid Vaccine Effectiveness from Local and Standard Strain With Commercial Vaccine

Author name: وفاء بيد الله حميدي الركابي
Supervisor name: منى تركي موسى الموسوي
General topic: Biology
Specific topic: Microbiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: حمى التيفوئيد, تسسبب بواسطة بكتريا السالمونيلا تايفي (S. Typhi) Salmonella enterica subspecies enterica serovar Typhi, وينتقل معويا في الانسان حصرا بمدى من التهاب معوي متوسط الى امراض جهازية شديدة وينتشر عن طريق البراز - الفم من خلال تلوث الماء والطعام. هدفت الدراسة الحالية الى تحضير ثلاثة انواع من اللقاحات ضد حمى التيفوئيد من عترة محلية لبكتريا S. Typhi تضمنت لقاح متعدد السكريد Polysaccharide ومتعدد السكريد الشحمي Lipopolysaccharide وخلية كاملة مقتولة Whole cell killed. اجريت هذه الدراسة للفترة من شهر نيسان 2014 وحتى شهر حزيران 2015, تم الحصول على العترة المحلية S. Typhi من المركز الوطني للبحوث والرقابة الدوائية / وزارة الصحة العراقية. شخصت S. Typhi (العترة المحلية) بطرق التشخيص التقليدية كالفحص المجهري والفحوصات البايوكيميائية ونظام التشخيص APi20 وVitek - 2 والفحوصات المصلية, اكدت جميعها هوية البكتريا التي تنتمي الى Salmonella Typhi. تم الحصول على جودة جيدة وفعالية في اللقاحات المحضرة محليا من الناحية البيولوجية والكيميائية والفيزيائية والمناعية مقارنة مع اللقاح التجاري المستورد ، على الرغم من ان لقاحي WCK وLPS رفعا درجة حرارة الجسم في مجموعتي خنازير غينيا الملقحة بهما مقارنة مع المجموعتين المحصنة بلقاحي PSالمحلي والتجاري . ان نتيجة الاختبار الكيميائي (لمتبقيات الفينول والفورمالين) باستخدام تقنيتي Hight - Performance Liquid Chromatography (HPLC) و(Gas Chromatography (GC، قيمة الاس الهيدروجيني PH ومحتوى البروتين امن بالمقارنة مع بروتوكول منظمة الصحة العالمية للقاح التيفوئيد. ايضا في الفحوصات الفيزيائية كان حجم جزيئات لقاح PS المحلي اقل من المستورد، ان صغر حجم جزيئات اللقاح دعم الاستجابة المناعية. في الاختبار المناعي بواسطة تقنية Enzyme Linked Immunsorbent Assay ((ELISA, اظهرت جميع اللقاحات اختلافات معنوية (P<0.05) في مصل خنازير غينيا المعاملة بين الجرعتين الاولى والمعززة مقارنة مع مجموعة السيطرة. كان لقاحي PS التجاري والمحلي ذا اهمية معنوية في التفاعلات المناعية reactogenicity اقل من لقاحي LPS وWCK ، ولكن كل منهم اظهر حماية (70 ، 80 ، 80 و90) ٪ على التوالي ضد جرثومة S. Typhi الضارية. اللقاحات المحلية قد تكون قادرة على تعزيز مناعة التكيفية adaptive immunity من خلال تسجيلها اختلاف معنوي (P<0.05) في حساب مجموع الكريات البيض بين الجرعتين الاولى والمعززة مقارنة مع مجموعتي اللقاح التجاري والسيطرة. واوصت الدراسة تطوير انتاج عراقي للقاح تيفوئيد PS من هذه العترة الضارية. | Typhoid fever, which is caused by Salmonella enterica subspecies enterica serovar Typhi (S. Typhi) is an exclusively human enterically transmitted, range from mild gastroenteritis to severe systemic disease and spread by the fecal - oral route via contaminated food and water. In current study aimed to production three types of vaccines against typhoid fever from local strain S. Typhi, include polysaccharides (PS), Lipopolysaccharide (LPS) and Whole Cell Killed (WCK) vaccine. This study was carried out during the period from April 2014 until June 2015. The local strain of S. Typhi was obtained from The National Center of Drugs Control and Research (NCDCR) / Iraqi Ministry of Health. Identification of S. Typhi (local strain) by traditional methods of diagnosis as microscopic examination and biochemical tests as Api20 system diagnosis, Vitek - 2 and serological test .All confirmed the identity of the bacteria belonging to S. Typhi. Good quality and efficacy was obtained in the locally produced vaccines from the biological, chemical, physical and Immunological compared with the imported commercial vaccine, although WCK and LPS elevated body temperature in a vaccinated guinea pigs groups with them compared with local PS and Commercial Vaccinated groups. That a result of chemical test (phenol and formalin residuals) by High - Performance Liquid Chromatography (HPLC) and Gas Chromatography (GC), PH value and protein content were safety side comparative with WHO protocol typhoid vaccine. Also in physical test, the particles size of local PS vaccine was less than Com. V., the smaller of particles size of vaccine supports the immune response. In Immunological test by Enzyme Linked Immunsorbent Assay ELISA was showed that the titration of all vaccines and have significantly differences (P<0.05) in the sera of treated guinea pigs between first and booster dose compared with control,. The Commercial and local Vi PS. vaccines were significantly less reactogenicity than LPS and WCK vaccines, but all of them provided (70, 80, 80 and 90) % protection respectively against virulent S. Typhi organism. The prepared vaccines may be able to enhance the adaptive immunity through its recorded significant different (P<0.05) in the total leukocytes count between first and booster dose compared with the Commercial Vaccine and control groups. The study recommends to developing production of Iraqi Vi Polysaccharide. Typhoid vaccine from this local virulent strain of S. Typhi.

دراسة بعض المعالم المناعية لدى مرضى داء الصدفية في بعض مستشفيات مدينة بغداد == Study of Some Immunological Aspects in Patients with Psoriasis in some Baghdad City Hospitals

Author name: هند يوسف خلف
Supervisor name: طالب عبد الله حسين
General topic: Biology
Specific topic: Microbiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: داء الصدفية من الامراض الجلدية الشائعة يتميز بظهور طبقات من الخلايا القرنية المغطاة بقشور سطحية بيضاء اللون ذات بريق فضي كلون الصدفة وتتكون فيه رقع محمرة مع قشور فضية سميكة على الجلد نتيجة انقسام الخلايا المولدة للبشرة بصورة سريعة جدا وهو من الامراض المزمنة غير المعدية ولا تعرف اسباب المرض بصورة محددة ولكن يظهر ان للعوامل المناعية دورا مهما في حدوث المرض ومنها الدور المحتمل للخلل المناعي الذي تم اقتراحه في مرض الصدفية ولاختبار هذه الفرضية اجري فحص المصول لجميع المشاركين لتحري عن حركيات خلوية معينة (IL - 2,TNF - α,IL - 10) والكلوبيولين المناعي ( (IgE وعاملي المتمم ((C3,C4 والعد الكلي والتفريقي لكريات الدم البيضاء (total and diffrentialWBC).شملت الدراسة 55 مريض ( ذكر وانثى ) من مدينة بغداد خلال فترة تشرين ا لثاني 2013 الى نيسان 2014 وتتراوح اعمارهم ما بين (6 - 70 ) سنة وكان 30 منهم غير معالجين و25 معالجين بعلاج بايلوجي ومجاميع سيطرة باجناس وفئات عمرية مماثلة لاغراض المقارنة مكونة من 25 فردا اصحاء ظاهريا.تم فصل المصل قياس تركيز الحركيات الخلوية (IL - 2,TNF - α, IL - 10) والمستوى الكلي للمضاد المناعي (IgE) في مصل الدم المشاركين باستعمال تقنية الامتزاز المناعي مرتبط بالانزيم ELISA)) وعوامل المتمم ((C3,C4 بطريقة الانتشار المناعي الشعاع المنفرد (SRID) وتم قياس العد الكلي والتفريقي لكريات الدم البيض (total and diffrentialWBC).بوساطة جهاز روبي.توصلت الدراسة للنتائج الاتية : 1 - اظهرت النتائج ان متوسط العمر في مرضى الصدفية هو (34.7) سنة وان الفئة العمرية (40 (30 - سنة هي اكثر عرضة للاصابة.2 - اظهر معدل المستوى المصلي للبين البيضاض IL - 10 فروقا معنوية عند مستوى (P<0.05) ما بين مرضى غير المعالجين 17.71 بيكو غرام/ مل ومجموعة السيطرة 1.701 بيكو غرام/ مل. 3 - اظهر معدل المستوى المصلي لعامل التنخر الورمي - الفا فروقا معنوية عند مستوى P<0.05)) ما بين مرضى غير المعالجين 18.6 بيكو غرام/ مل ومجموعة المرضى المعالجين ومجموعة السيطرة13.57 12.85, بيكو غرام/ مل على التوالي .4 - لم تظهر اي فروق معنوية في مع مستوى البين البيضاض IL - 2 عند مستوى P>0.05)) ما بين مرضى غير المعالجين 43.90 بيكو غرام/ مل والاصحاء 43.2 بيكو غرام/ مل.5 - لوحظ وجود ارتفاع معنوي في تركيز المستوى المصلي لبروتين المتمم C3 عند مستوى (P<0.05) في المرضى غير المعالجين138.61 ملغرام/ مل مقارنة بمجموعة السيطرة 37. 123ملغرام / مل . ولقد اظهر بروتين المتمم C4 تركيزا مشابها في مستوياته لكل من العدد الكلي للمرضى ولم يظهر اي فرقا معنويا عند المقارنة مع قيم السيطرة المناظرة لها.6 - اظهرت الدراسة فروقا معنوية في معدل المستوى المصلي للكلوبيولين المناعي IgE الكلي عند مستوى P>0.05)) ,عند المقارنة ما بين مرضى غير المعالجين ومجموعة السيطرة 48.77 ) و29.78 ) وحدة دولية / مل على التوالي .7 - ظهرت زيادة معنوية في معدل كريات الدم البيض ((9.02 % ومعدل الخلايا الوحيدة ((6.71 % والخلايا اللمفية ((27.25 % في المرضى المعالجين بالعلاج البايلوجي مقارنة مع المرضى غير المعالجين والاصحاء.8 - لم تظهر اي فروق معنوية في معدل كريات الدم العدلة والخلايا الحمضة والخلايا الوحيدة بين المرضى غير المعالجين والمعالجين والاصحاء9 - ظهر تاثير الجنس في كلا من العد الكلي لكريات الدم البيضاء والخلايا العدلة والبين الابيضاض 10 حيث وجود فروق زيادة معنويه في الاناث عند مقارنتها مع الذكور.10 - وجود ارتباط ايجابي ومعنوي بين المستوى المصلي للبين ابيضاض IL - 10 وعامل التنخر الورمي - الفا اذ بلغ معامل الارتباط (*r =0.19). | Psoriasis is a chronic skin disease characterized clinical features. It is characterized by sharply demarcated dull - red plaques, covered by thick whitish slivery scales due to the excessive abnormal proliferation of the germenative cells of the epidermis and its immuomediated disease. The disease affect both sexes and genetic of the disease between families. The appearance of psoriasis lesions can be provoked by an external and internal factors.A potential role of the immune dysfunction has been suggested in psoriasis to test this hypothesis, certain cytokines ( IL - 2, IL10,TNF - α), immunoglobulins (IgE),complement components C3 and C4 were investigated in serum ,the total and differential WBC of all participants.The study includes : 55 patients (males and females)from Baghdad City during November 2013 to April 2014 with age range between (6 - 60) years; 30 of them were untreated and 25 were treated with biological treatment (Infliximab) with confirmed diagnosis of psoriasis using standard assessment age and gender matched 25 confirmed healthy control .The serum was separated and cytokines , total immunoglobulinE (IgE) were detected using an enzyme linked immunosorbent assay (ELISA) .The complement factor C3 and C4 were detected using a single radial immunodiffusion (SRID) method and the total and differential WBC was measured by a ruby devise .The study has reached the following results : 1. The age average in patients with psoriasis was (34.7) years and age group (31 - 40) years are more susceptible to affected.2. The study showed that the differences of the serum level of IL - 10 was significant (P<0.05) between untreated psoriasis patients 17.71pg/ml and healthy control 11.70 pg/ml. 3. The study furthermore, has showed the differences of the serum level of TNF - α was significant (P<0.05) between untreated psoriasis patients 18.63pg/ml and both groups treated psoriasis patients and healthy control groups (12.85, 13.57 ,respectively).4. The Research hasn't showed significant differences (P<0.05) serum level of IL - 2 between untreated psoriasis patients 43.90 pg/ml and healthy control43.2 l pg/ml. 5. The results observed a significant increase (P<0.05) in the concentration of serum level of complement component C3 in untreated patients 138.61 mg/dl compared to the control group 37.123 mg/dl .The complement component C4 concentration showed a similar level in each of the total number of patients ,did not show any significant difference when compared with the values of the corresponding control.6. The results have showed , as well , that the rate of serum level for total immunoglobulin IgE significant differences (P<0.05) when comparing between patients 48.7 IU/ml and control group 29.78 IU/ml.7. The Study has Showed significant increase in white blood cells rate 9.02% ,monocyte 6.71% and lymphocytes 27.25% in patients treated with biological treatment (Infliximab) compared with both untreated patients and healthy controls.8. It hasn't showed the significant differences in neutrophil cells and eosinophil ,basophile between healthy controls and both untreated and treated patients .9. There was significant increase in levels of neutrophil ,WBC, IL - 10 in females as compare with males.10. Correlation positive and significant between serum level of IL - 10 and the TNF - α as the correlation coefficient (r = 0.19*).

دراسة مظهرية وجزيئية للفطريات الجلدية Dermatophytes في محافـظة السليمانية من العراق وتاثـيرالبكـتريا Lactobacillus species كمعزز حيوي == Phenotypic and Molecular Study of Dermatophytes in Sulaimania Province of Iraq and the Effect of Lactobacillus spp. as Probiotics

Author name: هناء كريم مايخان محمد
Supervisor name: خالد عبد الرزاق حبيب | شوان كمال رشید
General topic: Biology
Specific topic: Microbiology
Degree: Doctorate
Language: English
University location: Baghdad
First pages:
Abstract: تضمنت الدراسة الحالية جمع 220 عينة من المرضى المصابين بالفطريات الجلديــــــة dermatophytes (63 ذكور و157 اناث) والذين تم تشخيصهم من قبل الكادر الطبي المتخصص في وحدة الامراض الجلدية في مستشفى كلار العام في قضاء كلار التابع لمحافظة السليمانية فی العراق خلال الفترة من منتصف تشرین الثاني 2014 ولغایة حزیران 2015. وقد شملت العینات الجلد المصاب، تقلیم الاظافر واجزاء من الشعر المصاب حيث وضعت العينات في قناني معقمة محكمة الغلق ونقلت الى مختبر الابحاث التابع لقسم علوم الحياة في كلية التربية/ جامعة كرميان تمهیدا لاجراء الفحوصات المختبریة اللازمة لتشخيص الفطريات الجلدية وقد تم التوصل الى النتائج التالية : من مجموع 220 عينة خضعت للفحص المجهري المباشر بواسطة 10% هيدروكسيد البوتاسيوم KOH ، 200 عينة ( 90.9% ) كانت موجبة لفحص هيدروكسيد البوتاسيوم في حين اظهرت نتائج الزرع المختبري نسبة اصابة كان مقدارها 80 عينة موجبة (36.4%). وبالاعتماد على موقع الاصابة بالجسم احتلت سعفة الجسم Tinea corporis اعلی نسبة اصابة بواقع 31% تلتها سعفة القدم Tinea pedis ، سعفة الاظافر، سعفة اليد، سعفة الفخذ ، سعفة الراس وسعفة اللحية حيث تكررت بواقع 26.5% ، 22.5% ، 8.5% ، 6% ، 5% و0.5% على التوالي. كشف الزرع المختبري عن نمو 80 عزلة من الفطريات الجلدية والتي تعود الى ثلاثة اجناس Trichophyton، Microsporum وEpidermophyton و13 نوع وكان الفطرTrichophyton rubrum هو الاكثر انتشارا وبنسبة 35% من بين الفطريات الجلدية التي تم عزلها وقد عزل النويع Trichophyton rubrum var.raubitschekii لاول مرة في العراق حيث تم عزله من سعفة الفخذ Tinea cruris. الفطر T.mentagrophytes سجل نسبة اصابة 17.5% من الفطريات الجلدية المعزولة تلاه الفطــر M.canis بنسبة 10% وT.tonsurans بنسبة 7.5% . اما الفطريات الجلدية الاخرى والتي شملت T. soudanese; T.interdigitale; T. terrestre فقد تكررت بنسبة 5% ، بينما T.concentricum; T. schoenleinii; T.verucosum; MicrosporumM. audouinii; M.gypsium وE.floccosum فقد تكررت وبواقع 2.5% لكل منها. اوضحت نتائج هضم الجين ITSالواقع في rDNA والتي تم مضاعفتها باستخدام تقنيةPCR عن التعدد الشكلي لطول للجين مابين الانواع المختلفة للفطريات الجلدية المعزولة. حيث اظهرت نتائج هضم الجين ITS لثمانين عزلة من الفطريات الجلدية والتي تعود الى 13 نوع عدد من الحزم المختلفة باستثناء الفطر M.auouiniiوالذي يفتقد الى موقع القطع الذي يعمل عليه انزيم القطع BstN1. ساعدت الدراسة الحالية على رسم العلاقة التطورية ما بين الانواع المختلفة للفطريات الجلدية المعزولة من خلال فحص التسلسل او التتابع الجينـــــــــي Gene sequencing للجين ITS,5.8S,ITS2، وقد حللت نتائج باستخدام برنامج تسلسل قاعدة البيانات Robust Phylogenetic Analysis program لرسم شجرة التقارب الجيني مابين الانواع الفطرية. تم الحصول على 12 سلالة لبكتريا Lactobacillus تعود لتسعة انواع وهيLactobacillus pentosus; Lactobacillus plantarum 1; Lactobacillus plantarum 2; Lactobacillus brevis 1; Lactobacillus brevis 3; Lactobacillus acidophilus; Lactobacillus collinoides A,B ; Lactobacillus fermentum; Lactobacillus helveticous ; Lactobacillus paracasei وLactobacillus salivarious . اظهرت دراسة الفعالية التثبيطية لانواع وسلالات بكتریا Lactobacillus على الفطرالاكثر تكراراTrichophyton rubrum باستخدام الراشح البكتيري ان النوع L.collinoides A هو الاقوى تاثيرا حيث وصل قطر منطقة التثبيط الى 14mmقبل اضافة الكليسرول ، غير ان النتائج التي تم الحصول عليها بعد اضافة الكليسرول اظهرت فرق كبير في فعالية البكتريا حيث وصل قطر منطقة التثبيط باستخدام النوع ذاته الى 33mm اما قيم MIC وMFC باستخدام طريقة التخفيف فقد بلغت 62.5) و(125 µL\ml على التوالي. اقوى الانواع البكتيرية التي اظهرت فعالية تضادية ضد الفطرT.rubrum باستخدام الخلايا الكاملة شملت L. brevis 3; L. pentosus; L. acidophilus; L.plantarum والتي سببت تثبيط كامل لنمو الفطر كما ان قيم MIC وMFC باستخدام الخلایا الكاملة فقد بلـــــــغت (15.6 و31.3) µL\ml للانواع الـــتالية L. brevis 3; L. pentosus وL.collinoidis A على التوالي ، اما الانواع البكتيرية الطبيعية التي تم الحصول عليها من المهبل وهي L.plantarum 1 وL.acidophilus فقد اظهرت القيم التالية 31.3) وµL\ml (62.5 من MIC وMFC على التوالي. اظهرت نتائج التشخيص باستعمال جهازكروماتوغرافيا السائل عالي الكفاءة HPLC لقیاس تركیز احد مضادات الفطريات وهو Phenylacetic acid (PLA) في الراشح البكتيري لجميع السلالات البكتيرية والتي عددها 12 وتعود لتسعة انواع لبكتريا Lactobacillus بالاضافة الى الكبسولة العلاجية المستخدمة كسيطرة موجبة ان النوع L.plantarum 1 انتج اعلى تركيز من PLA الذي بلغ 19.6 ppmوالذي فاق تركيزه في السيطرة الموجبة البالغ 17.9ppm تلاه L.brevis 3 ثم L.acidophilus حيث بلغ تركيز PLA 17.2ppm و16.4 ppm على التوالي. | Two hundred and Twenty patients (157 females and 63 males) were examined and suspected to be infected with dermatophytes under the supervision of specialized physicians at the Dermatology unit of the General Hospital in Sulaimania Province\Iraq during the period from the middle of November 2014 to June 2015. Specimens were collected from patients included hair fragments, skin scraping and nail clipping which transferred to the research laboratory of Biology Department at College of Education\ University of Garmian, where they immediately examined. Out of 220 clinical specimens were subjected to the direct microscopic examination using 10% KOH, 200(90.9%) specimens were showed positive KOH test, while the laboratory culturing obtained 80(36.4%) positive cultures of dermatophytes. According to the infected sites of the body, tinea corporis was the most common type (31%) followed by tinea pedis, tinea unguium, tinea manuum, tinea cruris, tinea capitis and tinea barbae which were recorded 26.5%, 22.5%, 8.5%, 6%, 5% and 0.5% respectively. Based on the conventional laboratory methods, 80 clinical isolates of dermatophytes showed positive culture which belonging to three genera Trichophyton, Microsporum and Epidermophyton and 13 species, Trichophyton rubrum was the most common species (35%) and Trichophyton.rubrum var.raubitschekii was isolated from tinea cruris for the first time in Iraq. Trichophyton mentagrophytes constitute 17.5% from the isolated dermatophytes followed by Microsporum canis (10%) and Trichophyton tonsurans (7.5%). Other species Trichophyton soudanese; Trichophyton interdigitale; Trichophyton terrestre represented 5% of dermatophytes while Trichophyton concentricum; Trichophyton schoenleinii; Trichophyton verucosum; Microsporum audouinii; Microsporum gypseum and Epidermophyton floccosum constitute only 2.5% of dermatophyte species.The results of PCR - RFLP showed the polymorphism of the Internal Transcript Spacer (ITS) region of the rDNA gene for different species of isolated dermatophytes. The results of the digested ITS PCR products of 80 clinical isolates belonging to 13 species revealed a number of recognition patterns with the exception of Microsporum audouinii which lacked restriction site of the used endonuclease restriction enzyme BstN1. The current study helped to drawing the phylogenetic relationship between the isolated dermatophytes by sequencing of the ITS1, 5.8S, and ITS2 gene. The ITS database sequences introduced Robust Phylogenetic Analysis program to draw the phylogenetic tree between dermatophyte species. Twelve strains belonging to nine species of Lactobacillus were identified as Lactobacillus pentosus; Lactobacillus plantarum 1; Lactobacillus plantarum 2; Lactobacillus acidophilus 1; two strains of Lactobacillus collinoides (identified as A and B); Lactobacillus fermentum 1; Lactobacillus helviticous, Lactobacillus brevis 1; Lactobacillus brevis 3; Lactobacillus paracasi and Lactobacillus salivarious. The study of antagonistic effect of Lactobacilli species and strains against the most frequent species of dermatophytres Trichophyton rubrum using the cell free supernatant (CFS) showed that L. collinoides A recorded the highest inhibition zone reached to 14 mm before addition of glycerol and increased to 33 mm after supplying glycerol into the MRS growth culture for the same species. The results of MIC and MFC values of the CFS were demonstrated by microdilution assay reached to (62.5 and 125) µL\ml respectively.The strongest species of Lactobacillus showed antifungal activity against T.rubrum by using entire cells included L. brevis 3; L. pentosus; L. acidophilus and L. plantarum were completely inhibited the fungal growth and the results of MIC and MFC of the bacterial entire cells reached to the values (15.6 and 31.3) µL\ml respectively for L. brevis 3; L. pentosus and L. collinoides A, in addition to the positive control while vaginal microbiota L. plantarum 1 and L. acidophilus exhibited (31. and 62.5) µL\ml respectively. The results of High Performance Liquid Chromotography (HPLC) analysis of antifungal compound, Phenylacetic acid (PLA) in the fermented CFS of 12 strains belonging to 9 species of Lactobacillus in addition to the probiotic capsule showed that the highest value of PLA was produced by L. plantarum 1(19.6 ppm) which is higher than the positive control (17.9 ppm) followed by L. brevis 3 and L. acidophilus reaching concentration of PLA 17.2 and 16.4 ppm respectively

تعدد الاشكال الوراثية للحركيات الخلوية ?،4، 6، 10 و12وخطر الاصابة بداء الذئب الاحمراري لدى المريضات العراقيات == Cytokine Genetic Polymorphism of IL - 2, IL - 4, IL - 6, IL - 10, and IL - 12 and Risk of Systemic Lupus Erythematosus among Iraqi female Patients

Author name: هبة شاكر احمد
Supervisor name: طالب عبد الله حسين | علي حسين ادحيه
General topic: Biology
Specific topic: Microbiology
Degree: Doctorate
Language: English
University location: Baghdad
First pages:
Abstract: داء الذئب الاحمراري هو احد امراض المناعة الذاتية ولم يتم معرفة المسببات جيدا على وجه الدقة، ولكن تم اقتراح الاستعداد الوراثي والعوامل البيئية، فضلا عن العوامل الهرمونية لما لها من دور مؤثر في امراضية داء الذئب الاحمراري. حددت هذه الدراسة العلاقة الوظيفية بين مستوى مصل خمسة من السايتوكينات (IL - 2، IL - 4 وIL - 6، IL - 10 وIL - 12) وتعدد الاشكال الخلوية النيوكليوتيدية المنفردة بها؛ تعدد الاشكال في 11 موقع (IL2 - 330، IL2 + 160، IL4 - 1098، IL4 - 590، IL4 - 330، IL6 - 174، IL6 + 565، IL10 - 1082، IL10 - 819، IL10 - 592 وIL12B - 1188) في عينة من 45 من النساء العراقيات العربيات المصابات بداء الذئب الاحمراري من اللواتي يراجعن العيادة الاستشارية/ قسم امراض الروماتيزم في مستشفى بغداد التعليمي خلال الفترة من حزيران ولغاية تشرين الاول 2013. فضلا عن، شملت الدراسة 43 من النساء الاصحاء كمجموعة سيطرة. وتم الحصول على النتائج التالية : كان هنالك انخفاض كبير في المكونات المتممة C3 وC4 (P ≤ 0.001) لدى مرضى داء الذئب الاحمراري (0.57 ± 0.04 و0.06 ± 0.01 غم/ لتر على التوالي) مقارنة مع مجموعة السيطرة (1.12 ± 0.04 و0.22 ± 0.01، غم/ لتر، على التوالي). وكان معظم المرضى ايجابيين للمضاد النووي والاجسام المضادة لشريط الحامض النووي منقوص الاوكسجين المزدوج المضاد (91.1 و88.9٪ على التوالي)، في حين كانت هنالك نسبة 9.3٪ فقط من مجموعة السيطرة الايجابيين لهذه الاجسام المضادة وكان هذا الفرق كبير (P ≤ 0.001) في كلتا الحالتين. واظهرت عمليات تقييم مستويات السايتوكينات في المصل ان IL - 2 ينخفض انخفاض معنوي كبير(P ≤ 0.001) لدى مرضى داء الذئب الاحمراري مقارنة بمجموعة السيطرة (25.6 ± 1.2 مقابل 35.1 ± 2.1 بيكوغرام/ مل)، وكان هنالك انخفاض في الانترلوكين - 4 ايضا لدى المرضى ( 17.9 ± 2.7 مقابل 22.2 ± 1.9 بيكوغرام / مل)، ولكن هذا الانخفاض لم يكن معنويا (P > 0.05). مقابل16.7 ± 1.0 بيكوغرام/ مل) 26.0 ± 4.3) وعلى العكس فان الانترلوكين - 6 والانترلوكين - 10 36.4 ± 1.8) مقابل 29.5 ± 0.8 بيكوغرام/ مل)، والانترلوكين - 12 24.4 ± 2.3) مقابل 19.2 ± 0.9 بيكوغرام/ مل) اظهرت زيادة كبيرة لدى مرضى داء الذئب الاحمراري.تم تشخيص 11 من السايتوكينات المتعددة الاشكال الخلوية المنفردة واظهر فقط الموقع 590 في الانترلوكين - 4 والموقع 188 في الانترلوكين - 12 اختلافات كبيرة بين المرضى ومجموعة السيطرة. وقد لوحظ ان هناك زيادة معنوية في تردد الطراز الجيني TTفي الموقع 590 للانترلوكين - 4 (66.6 مقابل 41.9٪، ونسبة الخطا النسبي = 2.78؛ P = 0.03) والتي تم ملاحظتها في المرضى. في المقابل، انخفض تردد الاليل C بشكل ملحوظ لدى المرضى (24.4 مقابل 41.9٪، PF = 0.23؛ P = 0.02) والاليل T (P = 0.02 75.6 مقابل 58.1٪، ونسبة الخطا النسبي = 2.23). وبالنسبة للموقع B - 1188في الانترلوكين - 12، اظهر الطراز الوراثي CC زيادة معنوية في التردد لدى المرضى مقارنة مع مجموعة السيطرة (73.4 مقابل 46.5٪، ونسبة الخطا النسبي في = 3.16؛ P = 0.016)، ولوحظت زيادة مماثلة في التردد في الاليل C (80.0 مقابل 62.8٪ ؛ RR = 2.37؛ P = 0.013). وعلى العكس، فان الطراز الوراثي AC (13.3 مقابل 32.6٪، PF = 0.22؛ P = 0.042) والليل A (20.0 vs.37.2٪، PF = 0.22؛ P = 0.013) انخفضت تردداتها بشكل ملحوظ لدى المرضى. وجرى تقييم اثر تشخيص الطراز الوراثي للاشكال الخلوية المتعددة المنفردة للسايتوكينات على مستوى المصل لكل من الانترلوكين - 2، الانترلوكين - 4 والانترلوكين - 6 ، الانترلوكين - 10 والانترلوكين - 12 لدى مرضى داء الذئب الاحمراري ومجموعة السيطرة. وتم الحصول على ملاحظات مختلفة، وارتبطت بعض الانماط الجينية مع زيادة مستوى السايتوكينات، في حين ارتبطت الاخرى مع انخفاض المستوى. في كلتا الحالتين لوحظت اختلافات بين مرضى داء الذئب الاحمراري ومجموعة السيطرة. | Systemic lupus erythematosus (SLE) is an autoimmune disease and its precise etiology is not well - defined, but genetic predisposition and environmental factors, as well as hormonal factors have been suggested to play important roles in SLE pathogenesis. The present study determined the functional correlation between serum level of five cytokines (IL - 2, IL - 4, IL - 6, IL - 10 and IL - 12) and their single nucleotide polymorphisms; SNPs at 11 positions (IL2 - 330, IL2+160, IL4 - 1098, IL4 - 590, IL4 - 330, IL6 - 174, IL6+565, IL10 - 1082, IL10 - 819, IL10 - 592 and IL12B - 1188) in a sample of 45 Iraqi Arab female SLE patients, who were referred to the Consultant Clinic at the Department of Rheumatology, Baghdad Teaching Hospital during the period June - October 2013. In addition, 43 apparently healthy women were further included in the study as a control group. The following results were obtained : Complement components C3 and C4 were significantly (P ≤ 0.001) decreased in SLE patients (0.57 ± 0.04 and 0.06 ± 0.01 g/L, respectively) compared to controls (1.12 ± 0.04 and 0.22 ± 0.01, g/L, respectively).Most of the patients were positive for anti - nuclear and anti - double strand DNA antibodies (91.1 and 88.9%, respectively), while only 9.3% of controls were positive for these autoantibodies. Such difference was significant (P ≤ 0.001) in both cases.Assessments of cytokine serum levels revealed that IL - 2 showed a significant (P ≤ 0.001) decreased level in SLE patients compared to controls (25.6 ± 1.2 vs. 35.1 ± 2.1 pg/ml), and IL - 4 was also decreased in patients (17.9 ± 2.7 vs. 22.2 ± 1.9 pg/ml), but the difference was not significant (P > 0.05). In contrast, IL - 6 (26.0 ± 4.3 vs. 16.7 ± 1.0 pg/ml), IL - 10 (36.4 ± 1.8 vs. 29.5 ± 0.8 pg/ml) and IL - 12 (24.4 ± 2.3 vs. 19.2 ± 0.9 pg/ml) were significantly increased in SLE patients.Out of the 11 investigated cytokine SNPs, only IL4 - 590 and IL12B - 1188 showed significant variations between patients and controls. A significant increased frequency of IL4 - 590 TT genotype (66.6 vs. 41.9%; Odd’s ratio = 2.78; P = 0.03) and T allele (75.6 vs. 58.1%; Odd’s ratio = 2.23; P = 0.02) was observed in patients. In contrast, C allele frequency was significantly decreased in patients (24.4 vs. 41.9%; PF = 0.23; P = 0.02). For IL12B - 1188, CC genotype showed a significant increased frequency in patients compared to controls (73.4 vs. 46.5%; Odd’s ratio = 3.16; P = 0.016), and a similar increased frequency was observed in C allele (80.0 vs. 62.8%; RR = 2.37; P = 0.013). In contrast, AC genotype (13.3 vs. 32.6%; PF = 0.22; P = 0.042) and A allele (20.0 vs.37.2%; PF = 0.22; P = 0.013) frequencies were significantly decreased in patients.The impact of investigated cytokine SNP genotypes on serum level of IL - 2, IL - 4, IL - 6, IL - 10 and IL - 12 was also assessed in SLE patients and controls. Different observations were made and some genotypes were associated with increased level of cytokines, while others were presented with a decreased level. In both cases differences between SLE patients and controls were observed.

التعرف على بكتريا العنقوديات الذهبية المقاومة للميثيسيلين من العينات السريرية باستخدام تفاعل البلمرة المتسلسل والتحري عن حساسيتها للسفتارولاين ولمضادات حيوية اخرى == Identification of Methicillin Resistance Staphylococcus aureus (MRSA) from Clinical Samples Using PCR Techinque and Detection of Its Susceptibility to Ceftaroline and other Antibiotics

Author name: نور ماجد عبد الله الدليمي
Supervisor name: امنة نصيف جاسم | عباس عبد المعيد مصطفى
General topic: Biology
Specific topic: Microbiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: ﺷﻤﻠﺖ ﻫﺬﻩ ﺍﻟﺪﺭﺍﺳﺔ جمع ( ٢٢۰ ) عينة من Hospitalized Patients في مستشفى بغداد التعليمي في مدينة الطب (العراق/ بغداد)، خلال الفترة من شهر تشرين الثاني /٢۰۱٣ الى شهرنيسان/ ٢۰١٤. تضمنت العينات )۷۰) مسحة من الحروق ، (٥٦) عينة دم،(٥٤) مسحة من الاذن، (٤۰) عينة ادرار. ﺍﻅﻬﺮﺕ ﺍﻟﺩﺭﺍﺳﺔ ﺍﻥ۱۰۸) ٤۹٫۰٣٪ (من العزلات تعود الى جنس Staphylococcus aureus حيث اعطت نتيجة موجبة لفحص الانزيم المخثر للبلازما (Coagulase - Positive Staphylococci) COPS،في حين اعطت ۱۱٢ )٥۰٫۹٪(من العزلات نتيجة سالبة لفحص الانزيم المخثر للبلازماCoagulase - Negative Staphylococci )CONS .من بين ۱۰۸ عزلة بكتيرية من COPS شخصت۸٥ )۷۸٫۷٪( عزلة بكتيرية على انها بكتريا العنقوديات الذهبية المقاومة للميثسيلين MRSA ) ( methicillin resistance Staphylococcus aureus طبقا لاختبار الحساسية للمضادات الحياتية وجهاز الفايتكvitek system،بينما شخصت ٢٣ )٢۱٫۹٪( عزلة بكتيرية على انها بكتريا العنقوديات الذهبية الحساسة للميثسيلين methicillin sensitive Staphylococcus aureus) MSSA . تم تحديد اختبار الحساسية لعزلات المكورات العنقودية لعشرة من مضادات الحياة باستخدام طريقة الانتشار بالاقراص،وكانت نسبة مقاومة بكتريا المكورات العنقودية للمضادات كالاتي : جنتامايسين ٦۰ )٥٥٫٥٦٪( ,ارثرومايسين ۷۰)٦٤٫۸١٪(،كلندامايسين ۸١)۷٥٪( ,سيفوكستين ۸۹)۸٢٫٤١٪( ,كلورامفينيكول وبنسيلين جي ۹۰)۸٣٫٣٣٪( ,اوكزاسلين ۸٦)۷۹٫٦٣٪(،فانكومايسين ٢٤ )٢٢٫٢٢٪(،واخيرا الميثسيلين ۸٥)۷۸٫۷۰٪(.ﻭﻟﻘﺪ اﻅﻬﺮﺕ ﺍﻟﻨﺘﺎﺋﺞ ﺍﻟﺘﻲ ﺗﻢ ﺍﻟﺤﺼﻮﻝ ﻋﻠﻴﻬﺎ ﻣﻦ ﺍﺧﺘﺒﺎﺭ ﺍﻟﺤﺴﺎﺳﻴﺔ ﻟﻠﻤﻀﺎﺩﺍﺕ ﺍﻟﺤﻴﻮﻳﺔ انها ﻛﺎﻧﺖ ﻣﻘﺎﻭﻣﺔ ﻟﻠﻌﺪﻳﺪ ﻣﻦ ﺍﻟﻤﻀﺎﺩﺍﺕ ﺍﻟﺤﻴﻮﻳﺔ ﺍﻷﺧﺮﻯ ﺑﺎﻹﺿﺎﻓﺔ اﻟﻰ للميثسيلين. نتائج جهاز الفايتك كانت متقاربة مع نتائج اختبار الحساسية للمضادات الحياتية لنفس المضادات التي استخدمت في كلا الاختبارين ،ماعدا نتيجة مضاد الفانكومايسين حيث كان الفرق بالنتيجة كبير ،كانت نسبة الحساسية للمضاد بواسطة الانتشار بالاقراص ٢٤ )٢٢٫٢٢٪(، بينما بواسطة جهاز الفايتك كانت النتيجة )۸٫٣٣٪(.السبب وراء الاختلاف بالنتيجة قد يعزى الى ظروف الاختبار ونوعية التقنية المستخدمة. اعلى نسبة من المكورات العنقودية الذهبية المقاومة للميثسيلين عزلت من عينات الجروح ،حيث بلغت هذه النسبة (۹٣٫۸۷٪)،في حين اقل نسبة من هذه االبكتريا عزلت من عينات الادرار ،حيث بلغت النسبة (٥۰٪). اجري تشخيص تاكيدي للعزلات باستخدام تقنية تفاعل سلسلة البلمرة لمعرفة عائديتها الى نفس النوع من البكتريا عن طريق تضخيم جينmecA ،واظهرت ۸٥ عزلة بكتيرية نتيجة موجبة تفيد باحتوائها على هذا الجين. في الدراسة الحالية، مضاد السفتارولاين هو المضاد المثالي للعلاج، بسبب فعاليته القاتلة ضد بكتريا العنقوديات الذهبية المقاومة للميثسيلين .حيث اختبرت فعاليتة وتاثيره عللى ۸٥ عزلة من البكتريا المقاومة للميثسيلين،كل العزلات التي اختبرت كانت حساسة لهذا المضاد.تم تحديد اختبار التركيز المثبط الادنى MIC لعزلات المكورات العنقودية الذهبية لمضاد السفتارولاين,۸١( ۹٥٫٢۹٪) عزلة كانت قيمة ال MIC لها ۰٫٥مايكروغرام/مل ، ٣ (٣٫٥٢٪) ثلاث عزلات كانت قيمة ال MIC لها (۰٫٢٥مايكروغرام/مل) , و۱(۱٫۱۷٪) عزلة واحدة كانت قيمة ال MIC لها (۰٫١٢ مايكروغرام/مل) . اظهرت النتائج ان قيم تركيز المثبط الادنى للمضاد قد تراوحت بين (۰٫٥ - ۰٫١٢ مايكروغرام/مل). | Two hundred and twenty clinical samples were collected from hospitalized patients in Baghdad Teaching Hospitals in Medical City (Baghdad /Iraq), during the period From November/ 2013 to April /2014. The samples included : (70) burn swab, (56) blood, (54) ear swab, and (40) urine sample. It was found that (49.03%) of the 108 isolates, which belong to Staphylococcus aureus, were diagnosed as coagulase - positive staphylococci (COPS); while 112 (50.9%) of clinical samples were coagulase negative (CONS). From the collected clinical samples that gave positive result in coagulase (108) there 85(78.7%) of it was (MRSA) methicillin resistance S. aureus according to sensitivity test and vitek 2 system. The rest were (MSSA) methicillin susceptible S. aureus 23(21.9%). The pattern of antibiotic susceptibility of S. aureus isolates included 10 antibotics (Gentamycin, Erythromycin Clindamycin, Cefoxitin, Chloramphenicol, Penicillin G, Oxacillin, Vancomycin, Tetracycline, and Methicillin), which determined using disc diffusion method. There were a variable resistance percentage for the rest of antibiotics : Gentamycin 60 (55.56%), Erythromycin 70(64.81%), Clindamycin 81 (75.00%), Cefoxitin 89 (82.41%), Chloramphenicol and Penicillin G, 90 (83.33%), Oxacillin 86 (79.63%), Vancomycin 24 (22.22%), and Methicillin 85 (78.70%) . The results obtained from antimicrobial sensitivity test showed that MRSA isolates were resistant to many other antimicrobial agents in addition to the Methicillin (Multi - drug Resistant). The results of vitak - 2 were closely with those obtained from sensitivity test for all antibiotics that used in both tests, except vancomycin; the percentage of vancomycin in disk diffusion was 24 (22.22%), while the percentage in vitek system was 9 (8.33%).The reason behind the difference in results is attributed to the conditions of tests used and type of techniques. The highest percentage of MRSA isolate was from burn samples; it was 93.87%, while the lower percentage of MRSA isolate was from urine samples (50%). A confirmatory test was carried out for the selected isolates using PCR technique for further characterization up to the species level by the amplification of mecA gene (Staphylococcus aureus specific gene) and all the isolates are found to be positive for the presence of mecA gene. In the present study, ceftaroline is a drug of choice, because of its bactericidal activity against Methicillin - resistant S. aureus .The effectiveness of the ceftaroline antibiotic is being tested on 85 isolates of Methicillin - resistant S. aureus (MRSA); all isolates were sensitive to ceftaroline. The pattern of minimum inhibitory concentration of MRSA isolates to ceftaroline, was determined using MIC method. For 81 (95.29%) MRSA isolates the MIC (0.5 µg/ml), 3 (3.52%) MRSA isolates the MIC (0.25 µg/ml), and 1(1.17%) MRSA isolate the MIC (0.12 µg/ml). The results revealed that MIC range from (0.5 µg/ml - 0.12 µg/ml) respectively.

التاثيراث ضد المايكروبية والالتهابية للبكتروسينات المنتجة والمنقاة من بكتريا Staphylococcus aureus وPseudomonas aeruginosaالمعزولة معه العيناث سريرية == Antimicrobial and inflammatory effects of bacteriocins produced and purified from multidrug resistance Staphylococcus aureus and Pseudomonas aeruginosa isolated from clinical samples

Author name: ميس عماد احمد
Supervisor name: منى تركي موسى الموسوي
General topic: Biology
Specific topic: Microbiology
Degree: Doctorate
University: University of Baghdad
Language: English
University location: Baghdad
First pages:
Abstract: One hundred fifty clinical samples (burns, wounds, urine, nasal and ear swabs) were collected from patients of Al - Yarmouk Hospital and Teaching Baghdad Hospital during the period from November / 2015 to January / 2016.Multi drug resistant strains are serious problems in public health worldwide. So, the continueous development of new classes of antimicrobial agents has become of increasing importance for medicine. Therefore was aimed to produce of Crude and purified bacteriocins from antibiotic resistant bacteria (G - ve MRSA and G+ve P. aeruginosa) isolated from clinical samples and determine the optimization conditions for production of bacteriocin and their purification and characterization. In addition to characterize their inhibitory activity in - vitro and in - vivo .Cultural and morphological characteristice examination ,biochemical tests were conducted and confirmed the diagnosis by API20E and Staph API and antibiotics sensitivity test confirmed by Vitek - 2 system.The results showed 102(68%) isolates of S.aureus, all of which were Methicillin Resistace S.aureus (MRSA), constituted 50% from the ratio in the burns and wounds samples, while the lowest 13(12.7%) isolates were from ear samples. Highly significant differences (P˂0.01) recorded in both isolates among clinical samples. The isolates showed multi - resistant to Methicillin, Penicillin G , Cefoxitin, Erythromycin, Oxacillin, Chloramphenicol and Tetracyclin, while sensitive to vancomycin.Also 77(51.3%) isolates were P.aeruginosa, 62(80.5%) from which were multi - resistant to antibiotics that constituted more than half (59.8% and 51.6%) from the ratio in burn and wound samples respectively, while the lowest 8(12.9%) isolates were from ear samples too. Highly significant differences (P˂0.01) recorded in both isolates among clinical samples. There were about completely resist to Cefoxitin 75(97.40 %) and also show a higher resist to Ceftazidime, Tetracycline and Cefepime, While less resistance to Azithromycin.Vitek 2 system gave confirmation of positive results for MRSA and resistant P.aeruginosa and as a selected organism with a probability 98 - 99%."II "The MRSA isolate S12 and P.aeruginosa isolate (P26) were chosen among five bacterial isolates as a good producer for crude MRSAcin and MAR - pyocin according to their widest inhibition zone .Five methods were used to detect of MRSAcin and MAR - pyocin production by (well diffusion assay WDA , flip - streak , spot on the lawn , Cup disc and paper disc method) against indicator pathogens (G+ve , G - ve bacteria and yeast) which included, Staphylococcus aureus, Escherichia coli and Candida albicans .Well diffusion assay was the best method for identify of bacteriocin production and antibacterial activity against indicator pathogens.The crude and purified MRSAcin and MAR - pyocin recorded non - significant differences in activity whether as alone or synergistic against pathogenic bacteria (G - ve and G+ve) and yeast compared with higher sensitive antibiotics.The optimum conditions for bacteriocins production were in trypticase soya broth and brain heart infusion broth supplemented with )Carbon ,nitrogen, Salts, surfactants and Vitamins) with pH 7, at temperature 37°C for 48 hrs. and inoculum size of 2% from bacterial culture 6×108 cell/ml."Purification of bacteriocin was made by two steps method including extraction by ammonium sulphate 70% followed by ion - exchange chromatography DEAE - cellulose that the specific activity for these fractions was 1.375and1.000 (AU/mg) with 6 and 5 purification folds and 78 and 29 % yield and gel filtration chromatography on using Sephadex G - 50 column. The resulted fractions were 1.646 and 1.160 (AU/mg) protein with 8 and 6 purification folds and 38 and 28% yield respectively."Physical characteristics were also studied and the results showed that the molecular weight of MRSAcin and MAR - pyocin was )15and 35) KDa respectively by Sodium Dodecyl Sulfate - polyacrylamide gel electrophoresis (SDS - PAGE). Purified bacteriocins were stable at wide range of pH values 1 - 8, and remained active (50%) at pH 9 .The whole activity was lost at the pH value 10 and thermostabile at 100°C for 30 min.A strong stability of bacteriocins were recorded against organic solvents 10% and surfactants (0.5% EDTA), mineral salts 0.5% of each (CuSo4 and FeSo4), (10%) proteolytic enzymes lipase recorded significantly different (P≤0.05) compared with other enzyme (trypsin, pepsin and papain) which show complete inactivation of antibacterial activity.Also crud bacteriocins are still active for at least 3 months of freezing storage, while in purified after 2 months of freezing storage. Showed that the minimum inhibition zone against E. coli was 62.5 μg/ml for both MRSAcin and R - pyocin in vitro. The effect of MRSAcin and MAR - pyocin on the cell permeability was studied and the results showed that the absorbance at 260nm increased, indicating that DNA leaked from cells due to the cell lysis.Experimental infection induced by therapeutic effectiveness of the bacteriocin invivo skin injury bacteria MRSA and resistance P. aeruginosa which was marked at the beginning of her appearance inflammation of skin, swelling and redness of the affected area with the appearance of festering spots and abscesses in the surface layer of the skin and with the progress of the abscess spotted Purple happens .The antibacterial action of synergistic affected of (MRSAcin and MAR - pyocin) extracts .The results confirmed that the treated invivo skin injury bacteria MRSA and resistance P. aeruginosa was damaged . MRSAcin , MAR - pyocin and synergistic were giving good healing process with limited tissue damage in vivo (mice) against superficial skin infection by MRSA and resistance P. aeruginosa isolates at 1,2,3 day after infection.

دراسة الاسهال المصاحب للمضادات الحيوية والتهاب القولون والمتسبب بجرثومة Clostridium difficile واستخدام خميرة Saccharomyces boulardii كمعزز حيوي في الوقاية والعلاج == Study of Antibiotic - Associated Diarrhea and Colitis caused by Clostridium difficile , and using Saccharomyces boulardii as a probiotic for the prevention and treatment

Author name: لمى يوسف مهدي
Supervisor name: منى تركي موسى الموسوي | سعد صباح فخري
General topic: Biology
Specific topic: Microbiology
Degree: Doctorate
University: University of Baghdad
Language: English
University location: Baghdad
First pages:
Abstract: شملت الدراسة 525 عينة براز لمرضى عراقيين مصابين بالاسهال والتهاب القولون المصاحبين للمضادات الحيوية من الراقدين في مستشفيات بغداد الذين كانوا تحت العلاج بالمضادات الحيوية واسعة الطيف ، فضلا عن اصحاء ظاهريا من اطفال(بعمر شهر فاقل الى 15 سنة) وبالغين(بعمر 16 سنة الى 61 سنة فاكثر) ، خلال الفترة من الاول من حزيران 2013 حتى نهاية ابريل 2014 . استبعدت 95 عينة اظهرت نتيجة موجبة للطفيليات والفطريات تجنبا لحدوث تداخلات في نتائج الدراسة . تم التحري عن بكتريا المطثية العسيرة Clostridium difficile (C.difficile)وذلك بعزلها وتشخيصها باستخدام وسط انتقائي، واجريت اختبارات مجهرية وكيموحيوية باستخدام نظامAPI 20 A system , كما فحصت حساسية العزلات للمضادات الحيوية. والكشف عن وجود السموم (ا وب( باستخدام تقنيةELISA وكشف جيناتهماtcdA وtcdB باستخدام تقنية PCR .واظهرت النتائج عزل وتشخيص75 (%17.44) عزلة من C.difficile من مجموع 430 عينة ، شملت 51 (21.3٪) عزلة من مجموع 240 عينة اطفال مرضى و12(15٪( عزلة من مجموع 80 عينة اطفال اصحاء ظاهريا ، اما من البالغين المرضى والاصحاء ظاهريا فكانت 11(15.7٪( عزلة من مجموع 70 و1(52.٪) عزلة من مجموع 40 على التوالي. اظهرت العزلات مقاومة عالية لكل من المضادات الحيوية ,Colistin, Nalidixic acid, Cefotaxime, gentamycin Clindamycin ciprofloxacin, Erythromycin, وAmpicillin ، وحساسية عالية لكل من Vancomycin وMetronidazol (100و 96(% على التوالي، مع حساسية جيدة للـ chloramphenicol.واظهرت جميع العينات الموجبة وجود سموم ( ا وب( باستخدام تقنية ELISA ، كما اظهرت جميع العزلات الموجبة احتواءها الجينات tcdA وtcdB باستخدام تقنية PCR .هدفت الدراسة ايضا استخدام خميرة Saccharomyces boulardii كمعزز حيوي خارج وداخل الجسم الحي للوقاية والعلاج من الاسهال والتـهاب القولون المصاحب للمضادات الحيوية والمستحث تجريبيا في فئران اصيبت بـC.difficile ، ومقارنة هذا التاثير مع التاثير العلاجي بالمضادات الحيوية. واظهرت النتائج كفاءة المعزز الحيوي في تثبيط نمو البكتريا خارج الجسم الحي والتقليل من التاثيرات النسيجية المرضية المصاحبة للاصابة بـ C.difficile من خلال الية التثبيط التنافسي داخل الجسم الحي .يستنتج من هذه الدراسة ان لخميرة S.boulardii تاثيرا ايجابيا لمنع وعلاج الاصابة بـ C.difficile من خلال احداث التوازن الميكروبي وتقليل او منع التاثيرات النسيجية المرضية الضارة للقولون ، وان هذا التاثير يكون احسن واكثر ايجابية في حالة الاستخدام المبكر والمستمر لهذه الخميرة , كما اثبتت الدراسة سلامة استخدام الخميرة كمعزز حيوي ، ومما تقدم اعلاه نوصي باستخدامها للوقاية والعلاج من الاسهال والتهاب القولون المصاحب للمضادات الحيوية . | A total of 525 stool samples were collected from patients with clinical symptoms of diarrhea and colitis with a history of antibiotics treatment from some hospitals in Baghdad .An apparently healthy children (one month to less than 15 years old) and adults (16 to 61 years and older) were involved in this study. Then investigation were carried out from June 2013 to April 2014. Ninety five samples were excluded from this study science they were contaminated by parasite and fungi . Clostridium difficile (C.difficile) were isolated and identified using selective media ,light microscope and biochemical tests using API 20 A system. All isolates were subjected to antibiotics resistance test. The presence of toxins : A and B were detected using ELISA technique ;while tcdA and tcdB genes were confirmed using PCR technique. The results showed isolate and diagnose 75 (17.44%) isolate of C.difficile out of 430 samples, including 51 (21.25%) isolate of a total 240 sample of children patients and 12 (15%) isolate of a total 80 sample of apparently healthy children, either from adult patients and apparently healthy were 11 (15.7%) isolate of a total 70 and 1 (2.5%) isolate of a total 40 respectively. Isolates showed high resistance for antibiotics : Colistin, Nalidixic acid, Cefotaxime, gentamycin Clindamycin ,ciprofloxacin, Erythromycin, and Ampicillin, and high sensitivity for Vancomycin and Metronidazol(100and 96)% respectively, with a good sensitivity to chloramphenicol . All the C.difficile positive samples showed presence of toxins (A and B) using ELISA technique, also all the positive isolates showed contain tcdA and tcdB genes by using PCR technique .The study also aimed to use the yeast Saccharomyces boulardii as probiotic in - vitro and in - vivo for the prevention and treatment of diarrhea and colitis associated with antibiotics and experimentally induced in mice that infected by C.difficile, and compared this effect with the therapeutic effect with antibiotics. The results showed efficiency of probiotic in the inhibition of bacterial growth in - vitro and reduce the pathological effects associated with C.difficile infection through competitive inhibition mechanism in - vivo.This study conclude that the S.boulardii have positive influence to prevent and treat C.difficile infection through the creation of microbial balance and reduce or prevent histopathological effects that harmful to the colon, and that this effect is better and more positive in the case of early and continued use of yeast. Besides that, this study proved the safety of S.boulardii as a probiotic and for all above it is recommended to be used for prevention and treatment of Antibiotic associated diarrhea and Colitis .

انتشار ودراسة التضاد لبكتريا المكورات العنقودية الذهبية المعزولة من فتحتي المنخرمن طلاب المدارس في محافظة ميسان == Prevalence and Study the Antagonism of Staphylococcus aureus Isolated from Nares of School Children s in Maysan Governorate

Author name: فاطمة يوسف موسى المحمداوي
Supervisor name: امال عباس محمد الفخري
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:
Abstract: الدراسة الحالية تضمنت جمع 500 مسحة جمعت من انوف طلاب المدارس الابتدائية في محافظة ميسان للفترة ( من تشرين الاول لسنة 2014 الى ايار لسنة2015 للفئة للعمرية 6 - س11 سنة ) للتحري عن حاملي المكورات العنقودية الذهبية اخذت العينات من 8 مدارس ابتدائية (4 مدارس من المناطق الريفية و4 مدارس من المناطق الحضرية). شملت العينات الماخوذة 230 عينة من الذكور و270 عينة من الاناث . وكذلك تم التحري عن البكتريا والاعفان التي قد تكون موجودة في الانف والتي قد تقلل من نسبة تواجد بكتريا المكورات العنقودية الذهبية في الانف. وقد استخدمت الطرق المختبرية القياسية في تشخيص هذه البكتريا وتم التاكيد باستخدام نظام API 20 .Vitick 2Compact system, وقد اظهرت النتائج ان 140 (28%) عزلة من العينات المدروسة ( 5841.43%)) عزلة اناث و82 ) (58.57عزلة ذكور) هي من النوع المكورات العنقودية الذهبية الموجبة لانزيم التجلط Coagulase Positive Staphylococcus aureus (CoPS).ولمعرفة ما اذا كانت الظروف المعيشية(الريف والمدينة) تؤثر على معدل حمل S.aureus في مناطق الريف والمدينة في محافظة ميسان تم استخدام اختبار مربع كاي حيث عكست نتائج التحليل ان هناك فروق معنوية جدا وصلت الى X2 = 34.747 تحت احتمالية (P ≤ 0.01) بين حاملين ال S.aureus ضمن مناطق الريف والمدينة مما يعكس ان الظروف المعيشة مرتبطة بنسبة حمل هذه البكتريا.كما كانت نسبة الانواع البكترية الموجبة لصبغة غرام الاخرى هي : Staphylococcus epidermidis 226 (45.2 %) Streptococcus spp 176 (35%), Staphylococcus saprophyticus 9(1.8), Aerococcus viridians 4 (0.8)% , Staphylococcus haemolyticus 2(0.4). هذا وقد خضعت العينات الموجبة لانزيم التجلط الى اختبار الحساسية الدوائية بواسطة طريقة الانتشار بالاقراص وقد استعمل 18مضاد حيوي حسب المعاييرالمختبرية العالمية لعام 2012 حيث كانت نتائج الحساسية الدوائية كالاتي : (Methicillin(100%),Cefoxitin(95%),PenicillinG(94.28%),Amoxyllcin(63.5%), Cefixime (61.42%),Oxacillin(57.85%),Tetracycline(34.28%), Erythromycin(30%),Azithromycin (28.57%),Ciprofloxacin (17.85%) .Clarthromycin (12.17%), Tobramycin (9.28%) , Doxycyclin (7.10%), Vancomycin (5%), Amikacin (2.85%) ,Gentamicin (1.42%), Clindamycin (1.42 %), Levoflaxacin (0.0%), وقد اظهرت النتائج ان المضاد الحيوي Levoflaxacin هوالمضاد الاكثر فعالية بين المضادات المستخدمة فقد وصلت حساسية جميع العزلات الى( 100 %) بينما اظهرت العزلات البكتيرية مقاومة عالية لمضادات Beta - lactams . اجري الاختبارالتركيز المثبط الادنى Minimum Inhibitory Concentration (MIC) للعينات المعزولة بواسطة نظام الVitek 2 . بينت النتائج ان 8 ( 5.7%) عزلة هي من النوع الكورارات العنقودية الذهبية المقاومة للمثسلين Methicillin resist Staphylococcus aureus MRSA) ) حيث قاومت التركيز 0.5mg للمضادالحيوي Oxacillin . بالاظافة الى ذلك دلت نتائج فحص الحساسية بواسطة الفايتك احتواء هذه العينات المقاومة على البروتين المرتبط بالنسلين المحور 2 PBP واحتوائها على جين ال mecA . تناولت الدراسة ايضا عزل الاعفان الموجودة في الانف حيث تم دراسة 50مسحة وتم الحصول على الانواع الفطرية التالية ( Pencillium Spp, A niger. . A. terrus , Cladosporium Spp, Alternia Spp)) .كما وتم دراسة الفعل الثبيطي لرواشح هذه الاعفان على بكترياS. aureus اوضحت النتائج ان عفن ال Alternaria له القابيلة على تثبيط نمو بكتريا الS. aureus حيث بلغ معدل قطر التثبيط ( 24.67) ملم على التوالي , بالاظافة الى ذلك درس التاثير الثبيطي للبكتريا المتواجدة كنبيت طبيعي في الانف على بكتريا S.aureus حيث اختيرت بكتريا المكورات العنقودية البشرويةS.epidermidis حيث استخدمت طريقة الانتشار بواسطة الحفر well diffusion method لمعرفة تاثير الخلية البكتريا الكاملة وكراشح لهذه البكتريا ضد S.aureus لوحظ ان بكتريا S. epidermdis لم تبدي اي تاثير تثبيطي اتجاه الS.aureus سواء كخلية بكترية كاملة او كراشح لهذه البكتريا. بينما الكشف عن تثبيط تكوين الغشاء الحيوي لبكتريا S.aureus بواسطة epidermdis . S بواسطة استخدام جهاز Spectrophotometer اظهرت النتائج ان الامتصاصية بطول موجي 630 نانومتر فقد لوحظ انخفاض الامتصاصية من 0,022 لعالق بكتريا ال S.aureus مع سكر الكلوكوز بتركيز %0,25 المحضون لمدة 73 ساعة بدرجةحرارة 37 سيليزية الى 0,009 عند اظافة البكتريا المضادة S. epidermdis لعالق ال S aureus مع الكلوكو | The current study includes comprises 500 Nasal swab collected from the primary school students in the Maysan Governanat to investigate Staphylococcus aureus carriers for the period from (October to May 2014 - 2015 in the age group 6 - 11 years).The samples were taken from eight primary schools (4 schools from rural areas and 4 schools in urban areas),The samples taken include 230 sample from males and 270 sample from females, also to investigate for bacteria and fungi that may be present in the nose, which may reduce the percentage of the presence of the bacteria Staphylococcus aureus in the nose. The standard laboratory methods were used in the diagnosis of these bacteria and confirmed diagnosis using the API 20 system and the Viteck - 2 Compact System. The results showed that 140 (28%) isolates of the studied samples (58 isolated from females and 82 isolated from males) were Coagulase Positive Staphylococci(CoPS).To know whether that the living conditions (live in rural and urban districts) effect the rate of S. aureus carriers statistical analyses using chi square test for carriers in urban and rural districts revealed highly significant difference X2=34.747 (P≤0.01)which indicated that the living conditions and the rate of carriers are related.The proportion another gram positive bacteria were Staphylococcus epidermidis226(45.2%),Streptococcus spp176(35%),Staphylococcus saprophyticus 9(1.8%) Aerococcus viridians 4(0.8%) and Staphylococcus haemolyticus2(0.4).CoPS isolated were submitted to sensitivity test by kirpy - Bauer Disk diffusion method according to CLSI, 2012,18antibiotic has been used and the resistance rates ethicillin(100%),Cefoxitin(95%),PenicillinG(94.28%)Amoxycllin(63.5%),Cefixime(61.42%),Oxacillin(57.85%),Tetracycline(34.28),Erythromycin(30%),Azithromycin(28.57%),Ciprofloxacin(17.85%)Tobramycin (9.28%),Doxycyclin(7.10%),Vancomycin(5%)Amikacin(2.85%),Gentamicin 1.42%, Clindamycin (1.42 %), and Levoflaxacin (0.0%).The results showed that the antibiotic Levoflaxacin was the most effective antibiotic among them all isolates were a sensitive and reached to (100%) while most the isolates showed high resistance to Beta - lactame antibiotics. The minimum inhibitory concentration (MIC) was used by Vitek 2 system showed that 8 isolates of (5.7%) samples were Methecillin Resistant Staphylococcus aureus (MRSA)were they resisted to the minimum inhibitory concentration 0.5 for the antibiotic Oxacillin as well as the results of the examination sensitivity shown by Vitek 2 - System.These resistance isolates associated contain pencillin binding protein 2 PBP and contain the mecA gene.The study also included the isolation of Fungi from the nose, were the study showed 50 swabs got the following types (Pencillium spp, Aspergillus . niger, Aspergillus . terrus, Cladosporium spp, Alternaria spp).The inhibitory effect of the filtrates of these Fungi against S. aureus was studied, were results showed that the mold Alternaria spp only has the ability to inhibit the growth of S. aureus where average of inhibition zone reach to(24.67) mm in addition the present study include the control of S.aureus by the other bacteria which considered normal flora in the nose, Staphylococcus epidermidis selected for this purpose.Well diffusion method was used as Whole bacteria and filtrate for this purpose and results show that there are no inhibitory effect of S.epidermidis on S.aureus by this method. While biofilm formation of S.aureus was inhibited by S. epidermidis by detected using Spectrophotometer (360nm) results of the absorbency was decrease from 0.022 for suspension of S.aureus with glucose 0.25% incubated for 73 hour at 37 °C to 0.009 for suspension of antagonistic bacteria S. epidermidis added to the suspension of S. aureus and glucose 0.25% under the same condition and this indicate that the biofilm was inhibited by S.epidermidis

دراسة الميكروبية والتداخل البكتيري للفطريات المصاحبة لالتهابات الانف والاذن لمرضى السكري وابيضاض الدم == Microbial Study and Bacterial Interaction with Mycosis Associated with Nose and Ear Inflammatory of Diabetes and Leukemia Patients

Author name: علیاء فخري خلف البیاتي
Supervisor name: امال عباس محمد الفخري
General topic: Biology
Specific topic: Microbiology
Degree: Master
Language: Arabic
University location: Baghdad
First pages:
Abstract: One hundred and ten clinical samples were collected from hospitalized patients in hematology - oncology department in Baghdad Teaching Hospital and Al - Kindy Teaching Hospital, during the period from November 2014 to June 2015.The samples included 48 female and 62 male patients who are suffering from diabetes mellitus (DM) and leukemia. The ages of patients ranged between 13 - 82 years. The swab samples taken from the nose and ear of patients were (67 with diabetes mellitus and 43 with leukemia). The results of fungal culturing revealed that 50 samples of DM patients (74.63%) and 31 samples of leukemia (72.09%) were diagnosed as positive ones.From the collected clinical samples that gave positive results; it was found that Candida spp. was the most common fungi isolated from ear swabs (50%) followed by Aspergillus spp. (42.86%) and Penicillum spp. (7.14%).The results of fungal (molds) species isolated from the nose of DM patients revealed highly significant differences between fungal rates, Aspergillus spp. were isolated with highest levels (48.15%), followed by Penicillum spp. (37.04%); however, Rhizopus spp. was isolated with low levels (14.81%). On the other hand, it was found that Candida spp. and Rhodotorula spp. were the most yeasts isolated from the nose of DM patients. They were isolated with rates as (45.83%) and (41.67%) respectively. Nevertheless, the genus Cryptococcus spp. was isolated with low levels (12.50%). The results also revealed that males were more susceptible to fungal infection compared to females. Moreover, it was found that the fungal are more prevalent in ages over fifty and ages between thirty one and fifty years compared with younger ages between ten and thirty years old. From the collected clinical samples of leukemia patients, highly significant differences were found between the rates of fungal infection. The level of Aspergillus spp. was (90.91%) and Rhizopus spp. (9.09%), while the levels of yeasts were (88.24%) and (11.76%) for Cryptococcus spp. and Candida spp. respectively.The frequent species of Aspergillus identified included A. niger (37.78%), followed by A. flavus (35.56%), A. fumigatus (17.77%) and A. terreus with lowest levels (8.89%). The results also revealed that males are more susceptible to fungal infection compared to females. Moreover, it was found that the fungi are more prevalent in ages 31 - 50, followed by younger ages (10 - 30) compared to old ages, over fifty years old.All fungal isolates were identified according to macroscopic and microscopic characteristics in addition to biochemical tests for yeast identification. Vitek 2 system is another confirmatory test which was carried out for further characterization for the yeast species. The results of Vitek 2 system revealed that Candida spp. were isolated with the highest level (41.67%), followed by Cryptococcus spp. (37.5%) however, Rhodotorula spp. was isolated with a low level (20.83%). A confirmatory test for the selected isolates of A. fumigatus using polymerase chain reaction (PCR) analysis technique was also conducted. This test has been done by using primers specific for hemolysin gene (aspHS). The results of the molecular method were closely related to those obtained from cultural methods with exception of one isolate which was positive by PCR method nevertheless, it was negative by culture method. The results of PCR analysis technique, revealed that 6 isolates out of total 8 (75%) were positive for the presence of aspHS gene compared to culture methods which showed 5 isolates out of total 8 (62.5%) had the ability to induce hemolysis when grown on blood agar .The inhibitory effect of Bacillus subtilis against Aspergillus spp. was also conducted, the results indicated that B. subtilis isolate has antimicrobial activity against Aspergillus spp; the diameter of inhibition fungal growth were 39.3 ± 01.5, 48.6 ± 02.2, 40.5 ± 02.8 and 43.5 ± 01.7 mm for A. fumigates, A. flavus, A. niger and A. terreus respectively compared with the diameter of controls which were 80.0 ± 05.3, 78.0 ± 03.9, 43.5 ± 01.7 and 72. ± 02.6 mm respectively. The radial inhibition growth of Aspergillus spp. treated with B. subtilis were 51%, 38%, 47% and 44% for A. fumigatus, A. flavus, A. niger and A. terreus respectively compared with treatment of control.

تلازم بعض مجاميع الدم البشرية واضدادها مع مرض الذبحة الصدرية غير المستقرة

Author name: علي مرتضى حسن
Supervisor name: خضر حسن علي الجوراني
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: Arabic
University location: Baghdad
First pages:
Abstract: تمت دراسة 150 انموذجا لمرضى الذبحة الصدرية Unstable angina و100 انموذج للاصحاء ظاهريا والمضاهين الجنس والاعمار مع المرضى , واهتمت الدراسة في ايجاد ترددات مجاميع الدم ABO وLewis ومجموعة الدم MNS , فقد سجلت النتائج ان تردد المجموعة B كان 33.3% في المرضى, و29% في الاصحاء, وكان التحليل الاحصائي معنوي ((P< 0.05, اما تردد المجموعة A فلم يعط فرقا بين المرضى والاصحاء, في حين قل تردد المجموعة O في المرضى عنه في الاصحاء, فقد بلغ في المرضى24.7% , و31% في الاصحاء وكان التحليل الاحصائي معنوي ((P< 0.05, في حين كان تردد مجموعة الدم AB في المرضى 12.0 % وفي الاصحاء بلغ 10% ايضا كان التحليل الاحصائي معنوي ((P< 0.05 .لقد برز دور المجموعة (Le (a‾ b‾ في القابلية للمرض Susceptibility , وقد سجل هذا النمط ترددا بلغ 30.7% في المرضى و18% في الاصحاء, وكان التحليل الاحصائي مشيرا الى معنوية هذا الفرق (P< 0.05), اما المجموعة Le(a+ b - ) فقد سجلت ترددا بلغ في المرضى 15.5% وفي الاصحاء 26% والمجموعة Le(a - b+) كان ترددها 55% في المرضى و18% في الاصحاء وكانت نتائج التحليل الاحصائي معنوية ((P< 0.05.ان مجموعة الدم MNS اعطت مؤشرا الى دورها في المرض وخصوصا دور المجموعة NN اذ بلغ ترددها 19.2% للمرضى مقارنة بتردد 11% للاصحاء وكانت نتائج التحليل الاحصائي معنوية ((P< 0.05.وقد درست الاستجابة المناعية للانماط الدموية التي تحت الدراسة وبينت النتائج ان هنالك ارتباطا بين بعض المجاميع وعيارية الاضداد الضادة لكريات دم البقر في مصول المرضى مقارنة بالاصحاء.كان النمطان A وB اكثر الانماط اظهارا للعياريات فقد بلغت 43.6 ± 46.6 و61.9 ± 148.9 للمرضى على التوالي مقارنة بعياريات بلغت 5.6± 5.4 و15.3 ±25.7 للاصحاء وكانت هذه الفروقات ذات اهمية معنوية ((P< 0.05.اقترن ارتفاع عيارية الاضداد الضادة لكريات دم البقر بالمجموعة Le(a - b - ) فقد بلغت العيارية في المرضى 59.5± 67.2 و6.2 ± 5.8 في الاصحاء P<0.01) ). اما عيارية النمط Le(a+ b - ) فقد بلغت 57.6 ± 75.9 في المرضى و7.7± 7.7 في الاصحاء (P< 0.01) في حين كانت العيارية للنمط Le(a - b+) 43.7 ± 117.9 للمرضى, و108.3 ± 559.7 للاصحاء.درس دور مورث الافراز وعلاقته بالاستجابة المناعية فقد سجل المرضى الفارزين عيارية 72.6 ± 77.02 مقارنة بغير الفارزين المسجلين لعيارية بلغت 54.3 ± 63.5 (P< 0.01) في حين كان الاصحاء الفارزين ذوي عياريه 6.0 ± 7.02 مقارنة بغير الفارزين اذ بلغت 6.4 ±5.3 (P< 0.01) .اما العيارية المرتفعة للنمط NN والبالغة 38.4 ± 47.02 فقد اختلفت عن مثيلتها في الاصحاء 8.7 ± 9.4 (P<0.01).كانت الانماط AB وB اكثر خطورة نسبية للمرض, فقد بلغت خطورتها النسبية 1.2 و1.1 على التوالي .وقد نوقشت النتائج في ضوء المعلومات العلمية المتوافرة للموضوع. | A total of 150 unstable angina patients and 100 age and gender comparable healthy controls were investigated. The study dealt with finding the frequency distribution of ABO, Lewis and MNS blood groups .The findings indicated that there was an increase in the frequency of B blood groups (patients 33.3% versus 29% in control, P<0.05). On the other hand however, A gave no significant difference in the patients compared to control. O blood group frequency gave a decreased frequency in patients compared to controls,(24.7% in patients vs. 31% in healthy controls , P<0.05).A noticeable increase in the frequency of Le(a - b - ) was seen in patients (30.7% in patients vs. 18% in controls, P<0.05), However, Le(a - b+) demonstrated a relatively decreased frequency in patients compared to controls, While Le(a+b - ) showed no differences in frequency.In MNS blood groups, NN frequency gave a statistically significant difference ,with a frequency of 19.2% in patients vs 11% in healthy controls.The immunological status in patients and controls was studied, based on a newly developed quantitative criterion (Anti - bovine antibody titers among patients and controls). It was seen that A and B blood groups were among the ones that gave an increased anti - bovine antibody titers giving a mean titers of (43.6 ± 46.6 and 61.9 ± 148.9) in patients vs. (5.6 ± 5.4 and 15.3 ± 25.7) in healthy controls respectively.The increased anti - bovine antibody titers were associated with Le(a - b - ) blood group, That was (59.5 ± 67.2) in patients vs. (6.2 ± 5.8) in healthy control, (P< 0.01).On the other hand however, anti - bovine antibody titers in Le(a+b - ) was (57.6 ± 75.9) in patients vs. (7.7 ± 7.7) in healthy controls, (P< 0,01), While Le(a - b+) gave an opposite titer of (43.7 ± 117.9) in patients vs (108.3 ± 559.7) in healthy control,(P<0.01).The role of secretory gene in the anti - bovine antibody titers distribution was studied among patients . Secretors gave a mean titer of (72.6 ± 77.02) compared to (54.3 ± 63.5) in non secretors.The healthy secretors gave a mean titer of (6.0 ± 7.02) compared to a mean titer of (6.4 ± 5.3) in healthy controls, (P <0.01).NN blood groups gave an anti - bovine antibody mean titer of (38.4 ± 47.02)in patients in respect to a mean titer of (8.7 ± 9.4)in healthy controls, (P <0.01).A relatively high risk was demonstrated among some blood groups.The novel results were discussed based on gathered available immunological data in the subject of atherosclerosis and unstable angina .
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