CN108719204A - A kind of drug resistance Acinetobacter bauamnnii infects method for building up and its application of Caenorhabditis elegans medicaments sifting model - Google Patents

A kind of drug resistance Acinetobacter bauamnnii infects method for building up and its application of Caenorhabditis elegans medicaments sifting model Download PDF

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CN108719204A
CN108719204A CN201710576315.4A CN201710576315A CN108719204A CN 108719204 A CN108719204 A CN 108719204A CN 201710576315 A CN201710576315 A CN 201710576315A CN 108719204 A CN108719204 A CN 108719204A
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drug
acinetobacter bauamnnii
drug resistance
caenorhabditis elegans
infection
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徐阿晶
蒋兴浩
张健
黄晓会
卜书红
陈其琪
费爱华
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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    • AHUMAN NECESSITIES
    • A01AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
    • A01KANIMAL HUSBANDRY; AVICULTURE; APICULTURE; PISCICULTURE; FISHING; REARING OR BREEDING ANIMALS, NOT OTHERWISE PROVIDED FOR; NEW BREEDS OF ANIMALS
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Abstract

The present invention provides a kind of method for building up of drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model, includes the following steps:Step 1:Isolate general drug resistance Acinetobacter bauamnnii;Step 2:Worm's ovum is detached from pregnancy adult, larva is transferred to continued growth in the incubator on E.coli lawns, after eluting polypide, polypide is transferred on the lawn of general drug resistance Acinetobacter bauamnnii by hatching, cultivates 8h~infected for 24 hours in the incubator;Step 3:Polypide is washed down, is placed it on the culture plate containing 5-FU, is incubated overnight, synchronized Caenorhabditis elegans is obtained, medicaments sifting model, which is established, to be completed.It is experimental subjects that the present invention, which selects nematode, carries out the drug sensitive experiment of general drug resistant Acinetobacter bauamnnii in vivo, and result is compared to each other with drug sensitivity testing in vitro result, has clinical reference value, can make up the omission in traditional In vitro chemo-drug sensitive test screening.

Description

A kind of drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model is built Cube method and its application
Technical field
The present invention relates to a kind of drug resistance Acinetobacter bauamnnii infect Caenorhabditis elegans medicaments sifting model method for building up, It is obtained the invention further relates to the method for building up of drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model is used The application of medicaments sifting model.
Background technology
Infectious diseases is always one of the major public health problem in China, due to widely applying wide spectrum antibiosis for a long time Element so that many pathogens produce antibiotic surprising drug resistance.Nosocomial infection is in rising trend in recent years, in some institutes Infection is in intractable, and is multidrug resistant, seriously threatens the health and lives safety of patient.Acinetobacter bauamnnii has become respectively One of most common gram negative bacilli in the infection of large hospital inpatient, in recent years the recall rate of Bao Man not levers it is continuous on It rises, prodigious difficulty is caused to the treatment of infection.The resistant rate of drug resistance Acinetobacter bauamnnii has the tendency that constantly increasing, and often There is multidrug resistance and general drug resistance phenomenon.For general drug resistant Difficult infection, clinician often rule of thumb carries out antibacterial Combination therapies or escalated dose achieve the purpose that control drug-fast bacteria infection.However in empirical treatment, Bao Man is motionless Lapsing to for bacillus infection patient is different, the state of an illness of some patients, which can be eased, even cures, and some patients occur It is dead.Therefore, it is quickly timely to screen drug and formation for the optimal treatment of specific drug resistant Acinetobacter bauamnnii infection Anti-infective therapeutic schemes, this is to ensure that patient has the Critical policies of more preferable prognosis.Therefore needle can quickly be screened by providing one kind It is the powerful guarantee of this strategy to the model of property drug.
Invention content
The purpose of the present invention is to provide a kind of drug resistance Acinetobacter bauamnniis to infect Caenorhabditis elegans medicaments sifting model Method for building up and its application, with achieve the purpose that quickly screen for drug resistance Acinetobacter bauamnnii drug.
Present invention employs following technical solutions:
A kind of method for building up of drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model, feature exist In including the following steps:
Step 1:Isolate general drug resistance Acinetobacter bauamnnii;
Step 2:Caenorhabditis elegans infects drug resistance Acinetobacter bauamnnii:From pregnancy adult detach worm's ovum, incubated overnight, L1 phase larvas are obtained, larva is transferred on the E.coli lawns of NGM culture mediums continued growth 48h in the incubator, obtains L4 Polypide is transferred to the general drug resistance Bao of plain agar tablet by young adult respectively after eluting polypide and cleaning time with M9 buffer solutions On the lawn of graceful acinetobacter calcoaceticus, 8h~infected for 24 hours is cultivated in the incubator, is transferred to after infection in M9 buffer solutions and continues to train It supports, observes and records daily death condition;
Step 3:Nematode infections synchronize:The good tablet of nematode growth is collected, is washed down polypide with M9 buffer solutions, from The heart takes supernatant, and washing places it on the culture plate containing 5-FU, is incubated overnight, obtains synchronized Caenorhabditis elegans, Medicaments sifting model, which is established, to be completed.
Preferably, the foundation side of the drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model of the present invention Method, it is characterised in that:In step 3, centrifugal condition 20S takes supernatant, is repeated 3 times.
Preferably, the foundation side of the drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model of the present invention Method can also have the feature that:By percentage to the quality, M9 buffer solutions include:Peptone 2%, beef extract 4%.
Preferably, the foundation side of the drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model of the present invention Method can also have the feature that:In step 2, infection time is 16 hours.
Preferably, the foundation side of the drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model of the present invention Method can also have the feature that:In step 2, nematode becomes linear type, touches reactionless be judged to without movement, with platinum wire It is dead.
The present invention also provides a kind of drug resistance Acinetobacter bauamnniis established using the above method to infect Caenorhabditis elegans mould Application of the type in drug screening.
Preferably, application of the invention, includes the following steps:
Step 1:Negative control is set;
Step 2:Positive control is set;
Step 3:Establish the concentration gradient of each drug;
Step 4:Drug resistance Acinetobacter bauamnnii is added into the drug of each concentration gradient and infects Caenorhabditis elegans model, To the nematodal accounting of survival after culture, nematode survival quantity is at most optimum medicine, and nematode is deposited in each drug The optimum concentration of the most a concentration of drug of quantity living.
Preferably, the application of the present invention, can also have the feature that:The negative control is M9 buffer solutions, institute Stating positive control is:The nematode of Acinetobacter bauamnnii but non-administration is infected.
Preferably, the application of the present invention, can also have the feature that:In step 3, drug concentration gradient difference For 1000 μ gml-1, 500 μ gml-1, 250 μ gml-1, 125 μ gml-1, 62.5 μ gml-1, 31.25 μ gml-1, 15.625μg·ml-1, 7.8125 μ gml-1
Preferably, the application of the present invention, can also have the feature that:Wherein, it is resistance to that 10-30 items are added in each concentration Medicine Acinetobacter bauamnnii infects Caenorhabditis elegans model.
Advantageous effect of the invention
It is experimental subjects that the present invention, which selects nematode, carries out the drug sensitive experiment of general drug resistant Acinetobacter bauamnnii in vivo, knot Fruit is compared to each other with drug sensitivity testing in vitro result, has clinical reference value, can make up traditional In vitro chemo-drug sensitive test screening In omission.This will largely improve disease prognosis, reduce the death rate and hospital stays, Economy type medicine during being hospitalized Resource reduces medical treatment cost.
Description of the drawings
Fig. 1 is nematode state diagram in 96 orifice plates under microscope;
Specific implementation mode
Illustrate the specific implementation mode of the present invention below.
1. materials and methods
The identification and collection of 1.1 bacterial strains:It is clinically separated out from the humoral specimen of drug-fast bacteria infection patient for being included in research General drug resistance Acinetobacter bauamnnii carries out the discriminating of strain by Multiplex PCR and colloidal gold method, uses direct Sequencing when necessary Method carries out precise Identification to bacterial strain.Culture is collected to bacterial strain to preserve.N2 Wild-type C. elegans (C.elegans, Bristolstrain N2) and E.coli OP50 given by Genetics and Developmental Biology Institute of the Chinese Academy of Sciences.
1.2 drug sensitivity testing in vitro:Patient's drug sensitivity testing in vitro uses paper disk method and dilution method, the use of drug is conventional Bao Graceful acinetobacter calcoaceticus drug sensitivity testing in vitro scheme.
The preparation of 1.3 instruments, reagent, culture medium
Reagent:NGM culture mediums, M9 buffer solutions, agar powder, peptone, Sodium azide (Sigma companies), agents useful for same are logical It crosses commercial sources and buys or further use conventional reagent and prepare to obtain.The use of drug is susceptibility examination outside specific pathogen thalline It tests routine and uses drug and other drug candidates, be formulated as a concentration of 1mg/mL, 100 μ g/ according to drug requirement respectively ML, 50 μ g/mL set refrigerator and save backup with a diameter of 0.45 μm of membrane filtration after the completion of preparing.
Nematode growth media (NGM), for maintaining nematode.The preparation of nematode culture medium:Total volume 1L:3g NaCl, 17g agar, 2.5g peptone, 1ml cholesterol (5mg/ml is dissolved in 95% ethyl alcohol), 975ml H2O, high pressure sterilization, Then the following solution for passing through high pressure steam sterilization is added:1ml 1M CaCl2, 1ml 1M MgSO4, 25ml 1M dipotassium hydrogen phosphates MgSO is being added in order to avoid precipitation in pH 64Mixing is wanted when with dipotassium hydrogen phosphate.
The preparation of M9 buffer solutions:The M9 buffer solutions of 1000ml contain 15.12 gNa2HPO4·12H2O, 5gNaCl, 3g KH2PO4, 0.25gMgSO4·7H2O。
1.5 antibacterials store the preparation of liquid:The use of drug is that specific pathogen bacterium drug sensitivity testing in vitro routinely uses drug, And other drug candidates.
1.6 Caenorhabditis elegans bacterium infection methods:Worm's ovum is detached from pregnancy adult, incubated overnight obtains L1 phase larvas, Larva is transferred on the E.coli lawns of NGM culture mediums the continued growth 48h in 25 DEG C of incubators, obtains L4 youth adult, After eluting polypide with M9 buffer solutions and cleaning 3~4 times repeatedly, polypide is transferred to the general drug resistance Bao Man of plain agar tablet respectively On acinetobacter calcoaceticus lawn, culture 8h~24 hour are infected in 25 DEG C of incubators, and the M9 that 96 orifice plates are transferred to after infection is slow (buffer solution peptone content is 2%, beef extract content is 4%) continues to cultivate in fliud flushing, observes and records daily dead feelings Condition.Nematode become linear type, without movement, touched with platinum wire and reactionless be judged to death.
1.7 nematode infections synchronize:The good tablet of nematode growth is collected, is washed down polypide with M9 buffer solutions, centrifuges, takes Supernatant, washing, places it on the culture plate containing 5-FU (5-FU), is incubated overnight, obtain synchronized nematode.From Heart condition will influence to collect the synchronization degree of nematode, centrifuge 20s, take supernatant, be repeated 3 times.
The statistical disposition of 1.8 clinical datas:This project statistics carries out statistical using 5.01 softwares of GraphPad Prism Analysis.Survival analysis is mainly carried out using Kaplan-Meier methods, log-rank methods of inspection data between group carry out significant difference Analysis, P < 0.01 have significant difference.
Drug sensitive test in 1.9 bodies:Drug sensitive test in nematode culture body is carried out in 96 orifice plates, and medicine 20 is added per hole μ l, each drug multiple holes 4, including negative control and positive control.After the synchronization of M9 wash buffers is added in per hole Nematode solution makes every hole nematode 20 or so.96 orifice plates are completed, nematode is counted, count living nematodes every 12h later, count 7 It.
2. experimental result
2.1 synchronize and infect the determination of scheme
Acinetobacter bauamnnii is not the conventional food of nematode, some researches show that nematode can distinguish the smell of different bacterium to It avoids its harmful food and food refusal, therefore is different from nematode conventional food, the bacterium after drug sensitivity testing in vitro culture is directly by line Worm is added thereto, and can avoid infectious bacteria to avoid nematode in this way is gathered in white space, and infection purpose is not achieved.In selected infection On the basis of bacterium condition, infectious effect of the different infection times to nematode is demonstrated, is nematode infections Acinetobacter bauamnnii respectively 8,12,16,24h.Continue to cultivate with M9 buffer solutions after washing, observes the time-to-live of nematode, and the journey of comparison nematode infections Degree, combined treatment process select most suitable gradient of infection to infect 16h optimums overnight for nematode, have both reached certain infection, The time for working and observing there are treatment again.
The determination of 2.2 optimum drug concentrations:It is screened with 96 orifice plates, the 1st is classified as negative control, 8 hole of each column, injection 100 μ l of M9 buffer solutions;2nd~11 is classified as medicine sample, often arranges 8 holes, and 100 μ l of M9 buffer solutions are first added per hole, then exist 100 μ l of mother liquid medicine are added toward the 1st hole, drawing 100 μ l from the 1st hole after mixing is added to the 2nd hole, repeats the above steps, from the 100 μ l are drawn when 8 hole to discard, it is respectively 1000,500,250,125,62.5,31.25,15.625 to obtain drug concentration in this way, 7.8125μg·ml-1Serial solution;12nd is classified as positive control, each drug do two it is parallel.Positive control refers to infection The nematode of Acinetobacter bauamnnii but non-administration.By in the metainfective polypide adding hole of Acinetobacter bauamnnii, per hole 10-30 items. It sets in 25 DEG C of incubators and cultivates 5 days, incubator relative humidity is between 80%~85%.Just each medicine in two plates is sifted out after 5 days The most nematode concentration of object survival are optimum drug concentration.As a result it see the table below 1.
The optimal treatment concentration for the caenorhabditis elegan that 1 different pharmaceutical of table infects Acinetobacter bauamnnii
Drug Concentration (μ gml-1) Drug Concentration (μ gml-1)
Piperacillin 250 Cefotaxime 125
Cefotaxime 250 Cefoperazone 250
Ampicillin and sulbactam 125 Amikacin 62.5
Imipenem 125 Lavo-ofloxacin 125
Ceftriaxone 250 Ciprofloxacin 62.5
Cefepime 125 Minocycline 31.25
Meropenem 125 Amphotericin B 62.5
The result of 2.3 different antibiosis extract for treating infection drug-fast bacteria nematodes
According to the above operating procedure, nematode amount of survival is recorded, and draw its survival curve.Internal drug sensitive experiment screening As a result such as the following table 2.As figure shows, Meropenem, Imipenem, ampicillin and sulbactam, Minocycline In The Treatment effect is preferable, In addition lavo-ofloxacin, Ciprofloxacin, amikacin, amphotericin B also have different degrees of therapeutic effect.Table 2 is drug pair The therapeutic effect of the caenorhabditis elegan of Acinetobacter bauamnnii infection.
Table 2:The survival rate of each drug different time points
2.3 with the comparison of drug sensitivity testing in vitro
It is general drug-fast bacteria that screening, which obtains 3 plants of Acinetobacter bauamnniis,.Experiment in vitro such as the following table 1.Drug sensitive experiment in comparison body As a result, it can be seen that Imipenem and the antibiotic of Meropenem carbon blueness enzyme alkenes still have more apparent effect, with external susceptibility As a result there is gap;It is also sensitive, therefore external in vivo that Tetracyclines minocycline, which also has therapeutic effect, experiment in vitro minocycline, Drug sensitive test result is consistent, separately has Sulbactam compound formulation inside and outside experimental result also slightly different, Vitro Experimental Results only have An example is quick in being, and cylinder therapeutic effect is obvious.The drug resistance situation to all kinds of antibacterials and show by Acinetobacter bauamnnii Survival condition after beautiful nematode infections, carry out correlation analysis the results show that Acinetobacter bauamnnii to all kinds of antibacterials Drug resistance situation is with the metainfective survival condition of caenorhabditis elegan without notable positive correlation (P > 0.05, as a result do not show).
The In vitro chemo-drug sensitive test result of the not homophyletic drug resistance Acinetobacter bauamnnii of table 3
The external drug sensitivity tests of this research are also shown, and have general drug resistant trend between the different strains of Acinetobacter bauamnnii, It is shown in Table 3.However, to drugs such as lefofloxacin, minocyclines, the drug sensitivity testing in vitro susceptibilitys of different strains each not phase Together.Therefore the dosage regimen that is obtained according to traditional In vitro chemo-drug sensitive test, may to cross resistance that bacterium itself has, Bacterial Drug Resistance of Patients variation lags behind situations such as antibacterials dosage variation, and shortage considers.The present invention utilizes Bao Man not levers The Caenorhabditis elegans of bacterium is model, is treated to it with antibiotic, observation treatment nematode survival state, will in vivo and experiment in vitro It is compared.In this experiment, the incubation time and Infection Action of nematode are convenient, and the bacterium infection degree of nematode can pass through control Infection time is adjusted, and establishes the model of Caenorhabditis elegans food antiseptic by preliminary experiment condition optimizing.And pass through this The screening of 3 drug-fast bacterias of model pair obtains, Meropenem, Imipenem, ampicillin and sulbactam, Minocycline In The Treatment effect More apparent, in addition, lavo-ofloxacin, the therapeutic effect of Ciprofloxacin, amikacin, amphotericin B does not have significant difference (P > 0.05).
This experiment infects caenorhabditis elegan using the general drug resistant Acinetobacter bauamnnii that patient body fluid sample is isolated, and is resisted The high flux screening of infection medicine and research establish optimal operation parameter, and have studied different antibiotic to nematode survival The influence of time, obtained the general drug resistant Acinetobacter bauamnnii gradient of infection of nematode can quantization operation conclusion.To online polypide Inside there is the drug of anti-infection activity, compares extracorporeal bacteria inhibitor test result and patient clinical therapeutic effect, carried out correlation analysis. By Acinetobacter bauamnnii to the drug resistance situation and the metainfective survival condition of caenorhabditis elegan of all kinds of antibacterials, correlation point is carried out Analysis the results show that Acinetobacter bauamnnii to drug resistance situation and the metainfective survival condition of caenorhabditis elegan to all kinds of antibacterials Without notable positive correlation (P > 0.05).This result reflects that some sensitive medicaments may pass through enhancing by acting on host The mechanism such as host autoimmune ability resist pathogenic bacterial infection.Therefore, to there is the drug of anti-infection activity in online polypide, Control extracorporeal bacteria inhibitor test result and patient clinical therapeutic effect are also needed to, comprehensive evaluation is carried out.
It is experimental subjects that the present invention, which selects nematode, carries out the drug sensitive experiment of general drug resistant Acinetobacter bauamnnii in vivo, knot Fruit is compared to each other with drug sensitivity testing in vitro result, has clinical reference value, can make up traditional In vitro chemo-drug sensitive test screening In omission.This will largely improve disease prognosis, reduce the death rate and hospital stays, Economy type medicine during being hospitalized Resource reduces medical treatment cost.

Claims (10)

1. a kind of method for building up of drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model, which is characterized in that Include the following steps:
Step 1:Isolate general drug resistance Acinetobacter bauamnnii;
Step 2:Caenorhabditis elegans infects drug resistance Acinetobacter bauamnnii:Worm's ovum is detached from pregnancy adult, incubated overnight obtains Larva is transferred on the E.coli lawns of NGM culture mediums continued growth 48h in the incubator by L1 phase larvas, obtains L4 youth Polypide is transferred to the general drug resistance Bao Man of plain agar tablet not lever by adult respectively after being eluted polypide with buffer solution and cleaned On the lawn of bacterium, 8h~infected for 24 hours is cultivated in the incubator;
Step 3:Nematode infections synchronize:The good tablet of nematode growth is collected, is washed down polypide with buffer solution, centrifuges, takes Clearly, it washs, places it on the culture plate containing 5-FU, be incubated overnight, obtain synchronized Caenorhabditis elegans, drug screening Model foundation is completed.
2. the foundation side of drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model as described in claim 1 Method, it is characterised in that:
In step 3, centrifugal condition 20S takes supernatant, is repeated 3 times.
3. the foundation side of drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model as described in claim 1 Method, it is characterised in that:
By percentage to the quality, M9 buffer solutions include:Peptone 2%, beef extract 4%.
4. the foundation side of drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model as described in claim 1 Method, it is characterised in that:
In step 2, infection time is 16 hours.
5. the foundation side of drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans medicaments sifting model as described in claim 1 Method, it is characterised in that:
Further include being transferred to the step of continuing to cultivate, observe and record daily death condition in buffer solution after infecting in step 2.
6. the drug resistance Acinetobacter bauamnnii that the method as described in claim 1 is established infects Caenorhabditis elegans model in drug sieve The application chosen.
7. application as claimed in claim 6, which is characterized in that include the following steps:
Step 1:Negative control is set;
Step 2:Positive control is set;
Step 3:Establish the concentration gradient of each drug;
Step 4:Drug resistance Acinetobacter bauamnnii is added into the drug of each concentration gradient and infects Caenorhabditis elegans model, culture Afterwards to the nematodal accounting of survival, nematode survival quantity is at most optimum medicine, nematode survival number in each drug The optimum concentration of the most a concentration of drug of amount.
8. the use as claimed in claim 7, it is characterised in that:
The negative control is M9 buffer solutions, and the positive control is:The nematode of Acinetobacter bauamnnii but non-administration is infected.
9. the use as claimed in claim 7, it is characterised in that:
In step 3, drug concentration gradient is respectively 1000,500,250,125,62.5,31.25,15.625,7.8125 μ g ml-1
10. the use as claimed in claim 7, it is characterised in that:
Wherein, 10-30 drug resistance Acinetobacter bauamnnii infection Caenorhabditis elegans model is added in each concentration.
CN201710576315.4A 2017-07-14 2017-07-14 A kind of drug resistance Acinetobacter bauamnnii infects method for building up and its application of Caenorhabditis elegans medicaments sifting model Pending CN108719204A (en)

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CN111398573B (en) * 2019-01-02 2024-04-30 广东省第二人民医院 Method for screening medicines with anti-lung cancer drug resistance based on caenorhabditis elegans
CN110269923A (en) * 2019-06-06 2019-09-24 中国人民解放军南部战区总医院 Turmeric P.E is preparing the application in overriding resistance Acinetobacter bauamnnii drug
CN110302308A (en) * 2019-06-06 2019-10-08 中国人民解放军南部战区总医院 Pseudobulbus Cremastrae seu Pleiones extract is preparing the application in overriding resistance Acinetobacter bauamnnii drug
CN110302219A (en) * 2019-06-06 2019-10-08 中国人民解放军南部战区总医院 Cortex Pseudolaricis extract is preparing the application in overriding resistance Acinetobacter bauamnnii drug
CN110302219B (en) * 2019-06-06 2023-10-03 中国人民解放军南部战区总医院 Application of cortex pseudolaricis extract in preparation of drug-resistant Acinetobacter baumannii drug
CN110269923B (en) * 2019-06-06 2023-10-03 中国人民解放军南部战区总医院 Application of turmeric extract in preparation of drug-resistant Acinetobacter baumannii drug
CN110302308B (en) * 2019-06-06 2023-10-03 中国人民解放军南部战区总医院 Application of Indian iphigenia bulb extract in preparation of drug-resistant acinetobacter baumannii drug
CN111378715A (en) * 2020-02-29 2020-07-07 广西壮族自治区兽医研究所 Caenorhabditis elegans model for identifying bovine escherichia coli virulence

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