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Chen Y, Sha A, Xu M, Rao Z, Zhang X. Elucidating styrene tolerance mechanisms in Gluconobacter oxydans through adaptive laboratory evolution. BIORESOURCE TECHNOLOGY 2025; 429:132509. [PMID: 40209913 DOI: 10.1016/j.biortech.2025.132509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2024] [Revised: 03/05/2025] [Accepted: 04/07/2025] [Indexed: 04/12/2025]
Abstract
Biodegradation of styrene utilizing Gluconobacter oxydans (G. oxydans) is affected by the inhibitory and toxic effects of styrene concentrations. In this study, evolution experiments were conducted at low concentrations to mimic typical wastewater conditions to develop G. oxydans mutants with enhanced styrene tolerance. Physiological and biochemical analyses reveal that styrene hinders normal cell growth and damages cell membrane function and motility. Nevertheless, phenotypic heterogeneity and enhanced biofilm formation emerged as primary factors contributing to high styrene tolerance. Mutations in the flagella protein FlgE primarily affects cell motility, chemotaxis, and biofilm formation. TFs MarR and HipB positively regulate the tolerance phenotypes, with MarR playing a more pivotal role than HipB in regulating styrene tolerance, supporting tolerance up to 22 g·L-1 of styrene. This study clarifies potential mechanisms underlying styrene tolerance and, offering valuable insights for the application of G. oxydans in treating styrene-laden wastewater.
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Affiliation(s)
- Yan Chen
- The Key Laboratory of Industrial Biotechnology, Ministry of Education, School of Biotechnology, Jiangnan University, Wuxi 214122 Jiangsu, China
| | - Aobo Sha
- The Key Laboratory of Industrial Biotechnology, Ministry of Education, School of Biotechnology, Jiangnan University, Wuxi 214122 Jiangsu, China
| | - Meijuan Xu
- The Key Laboratory of Industrial Biotechnology, Ministry of Education, School of Biotechnology, Jiangnan University, Wuxi 214122 Jiangsu, China
| | - Zhiming Rao
- The Key Laboratory of Industrial Biotechnology, Ministry of Education, School of Biotechnology, Jiangnan University, Wuxi 214122 Jiangsu, China
| | - Xian Zhang
- The Key Laboratory of Industrial Biotechnology, Ministry of Education, School of Biotechnology, Jiangnan University, Wuxi 214122 Jiangsu, China.
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He L, Mao M, Ge H, Zhang J, Zhang J, Yan Q. lafK contributes the regulation of swarming motility of Pseudomonas plecoglossicida and bacterial-host interaction. FISH & SHELLFISH IMMUNOLOGY 2025; 157:110071. [PMID: 39637951 DOI: 10.1016/j.fsi.2024.110071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/22/2024] [Revised: 12/01/2024] [Accepted: 12/02/2024] [Indexed: 12/07/2024]
Abstract
Flagella-mediated swarming motility plays a crucial role in facilitating the rapid colonization and dissemination of bacterial within the host. The swarming motility of Pseudomonas plecoglossicida is intricately associated with its lateral flagella, and notably, the lateral flagella system of P. plecoglossicida encompasses a transcriptional regulator known as LafK. However, the regulatory role of LafK and its impact on bacteria-host interactions remain to be elucidated. In this study, we systematically investigated the regulatory role of LafK by constructing lafK deletion strain on the biological characteristics, virulence, and pathogenic process of P. plecoglossicida, as well as its impact on the host immune response. Our findings demonstrated that the deletion of lafK led to a significant down-regulation in the expression of type III secretion system-associated genes within the lateral flagella of P. plecoglossicida, consequently impairing bacterial swarming motility, biofilm formation, adhesion, and chemotaxis ability. Furthermore, in vitro infection experiments demonstrated that the deletion of lafK resulted in a diminished pathogenicity of P. plecoglossicida through down-regulation of flagella-related genes, thereby triggering an expedited immune response for bacterial clearance, and subsequently leading to reduced bacterial load within the host and attenuated tissue damage during infection. In summary, this study presents a novel theoretical framework for elucidating the regulatory mechanism of virulence in P. plecoglossicida.
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Affiliation(s)
- Li He
- Fisheries College, Jimei University, Xiamen, Fujian, 361021, China
| | - Meiqin Mao
- Fisheries College, Jimei University, Xiamen, Fujian, 361021, China
| | - Hui Ge
- Fisheries Research Institute of Fujian, Xiamen, Fujian, 361000, China
| | - Jiaonan Zhang
- Key Laboratory of Special Aquatic Feed for Fujian, Fujian Tianma Technology Company Limited, Fuzhou, Fujian, 350308, China
| | - Jiaolin Zhang
- Key Laboratory of Special Aquatic Feed for Fujian, Fujian Tianma Technology Company Limited, Fuzhou, Fujian, 350308, China
| | - Qingpi Yan
- Fisheries College, Jimei University, Xiamen, Fujian, 361021, China.
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Zhang Y, Zhang N, Bi X, Bi T, Baloch FB, Miao J, Zeng N, Li B, An Y. Growth promotion on maize and whole-genome sequence analysis of Bacillus velezensis D103. Microbiol Spectr 2024; 12:e0114724. [PMID: 39508572 PMCID: PMC11619478 DOI: 10.1128/spectrum.01147-24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2024] [Accepted: 09/02/2024] [Indexed: 11/15/2024] Open
Abstract
Root-associated microorganisms, particularly plant growth-promoting rhizobacteria (PGPR) from the Bacillus genus, play a crucial role in enhancing crop yield and health. In this study, a Bacillus strain was isolated from the rhizosphere soil of maize and identified as Bacillus velezensis D103. The primary objective of this research was to evaluate the potential of D103 as a PGPR. Laboratory tests demonstrated that D103 is capable of nitrogen fixation, inorganic phosphorus solubilization, potassium solubilization, and the synthesis of indole-3-acetic acid, ammonia, siderophores, amylase, protease, cellulase, β-1,3-glucanase, and 1-aminocyclopropane-1-carboxylate deaminase. Additionally, D103 exhibited swimming and swarming motility, biofilm formation, and an antagonistic activity against pathogenic fungi. Genome mining identified genes associated with growth promotion and biocontrol activities. In a hydroponics experiment, maize plants treated with a D103 suspension at a cell density of 103 CFU·mL-1 resulted in the most pronounced showed significant growth stimulation, with shoot length and total root length increasing by 43% and 148%, respectively. These results support the potential of D103 as an effective PGPR for promoting maize crop growth. IMPORTANCE In this study, we assessed the capacity of D103 to promote plant growth and examined the effects of hydroponic experiments inoculated with this strain on the growth of maize seedlings. We sequenced and analyzed the complete genome of D103, identifying several genes and gene clusters associated with plant growth promotion and resistance to pathogenic fungi, thus revealing the plant growth-promoting mechanisms of this strain. The isolation and characterization of new strains with beneficial traits are essential for expanding microbial resources available for biofertilizer production. Collectively, these findings highlight the promising potential of Bacillus velezensis D103 as a biofertilizer for agricultural applications.
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Affiliation(s)
- Yating Zhang
- College of Bioscience and Biotechnology, Shenyang Agricultural University, Shenyang, China
- College of Land and Environment, Shenyang Agricultural University, Shenyang, China
| | - Ning Zhang
- College of Bioscience and Biotechnology, Shenyang Agricultural University, Shenyang, China
| | - Xinyue Bi
- College of Land and Environment, Shenyang Agricultural University, Shenyang, China
| | - Tong Bi
- College of Bioscience and Biotechnology, Shenyang Agricultural University, Shenyang, China
| | - Faryal Babar Baloch
- College of Land and Environment, Shenyang Agricultural University, Shenyang, China
| | - Jianjia Miao
- College of Land and Environment, Shenyang Agricultural University, Shenyang, China
| | - Nan Zeng
- College of Land and Environment, Shenyang Agricultural University, Shenyang, China
| | - Bingxue Li
- College of Land and Environment, Shenyang Agricultural University, Shenyang, China
| | - Yingfeng An
- College of Bioscience and Biotechnology, Shenyang Agricultural University, Shenyang, China
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Bartie KL, Desbois AP. Aeromonas dhakensis: A Zoonotic Bacterium of Increasing Importance in Aquaculture. Pathogens 2024; 13:465. [PMID: 38921763 PMCID: PMC11207067 DOI: 10.3390/pathogens13060465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2024] [Revised: 05/29/2024] [Accepted: 05/30/2024] [Indexed: 06/27/2024] Open
Abstract
Aeromonas dhakensis is increasingly recognised to be an important pathogen responsible for disease losses in warm-water aquaculture and, similar to several other Aeromonas species, it can infect humans. Knowledge of A. dhakensis is accumulating, but this species remains relatively under-investigated compared to its close relative, Aeromonas hydrophila. The significance of A. dhakensis may have been overlooked in disease events of aquatic animals due to issues with reliable identification. Critical to appreciating the importance of this pathogen is the application of dependable molecular tools that enable accurate identification and discrimination from A. hydrophila and other motile aeromonads. This review aims to synthesise the key literature on A. dhakensis, particularly with relevance to aquaculture, including knowledge of the bacterium derived from disease case studies in aquatic hosts. Identification methods and strain phylogeny are discussed, with accurate detection important for prompt diagnosis and for distinguishing strains with heightened virulence. Increasing evidence suggests that A. dhakensis may be more virulent than A. hydrophila and correct identification is required to determine the zoonotic risks posed, which includes concerns for antibiotic-resistant strains. This review provides an impetus to improve species identification in the future and screen strain collections of presumptive Aeromonas spp. retrospectively to reveal the true prevalence and impact of A. dhakensis in aquaculture, the environment, and healthcare settings.
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Affiliation(s)
- Kerry L. Bartie
- Faculty of Health Sciences and Sport, University of Stirling, Stirling FK9 4LA, UK;
| | - Andrew P. Desbois
- Institute of Aquaculture, University of Stirling, Stirling FK9 4LA, UK
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Fan L, Dai H, Zhou W, Yuan L, Yang J, Yang Z, Jiao XA. Unraveling the significance of calcium as a biofilm promotion signal for Bacillus licheniformis strains isolated from dairy products. Food Res Int 2024; 182:114145. [PMID: 38519175 DOI: 10.1016/j.foodres.2024.114145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Revised: 02/15/2024] [Accepted: 02/17/2024] [Indexed: 03/24/2024]
Abstract
Bacillus licheniformis, a quick and strong biofilm former, is served as a persistent microbial contamination in the dairy industry. Its biofilm formation process is usually regulated by environmental factors including the divalent cation Ca2+. This work aims to investigate how different concentrations of Ca2+ change biofilm-related phenotypes (bacterial motility, biofilm-forming capacity, biofilm structures, and EPS production) of dairy B. licheniformis strains. The Ca2+ ions dependent regulation mechanism for B. licheniformis biofilm formation was further investigated by RNA-sequencing analysis. Results revealed that supplementation of Ca2+ increased B. licheniformis biofilm formation in a dose-dependent way, and enhanced average coverage and thickness of biofilms with complex structures were observed by confocal laser scanning microscopy. Bacterial mobility of B. licheniformis was increased by the supplementation of Ca2+ except the swarming ability at 20 mM of Ca2+. The addition of Ca2+ decreased the contents of polysaccharides but promoted proteins production in EPS, and the ratio of proteins/polysaccharides content was significantly enhanced with increasing Ca2+ concentrations. RNA-sequencing results clearly indicated the variation in regulating biofilm formation under different Ca2+ concentrations, as 939 (671 upregulated and 268 downregulated) and 951 genes (581 upregulated and 370 downregulated) in B. licheniformis BL2-11 were induced by 10 and 20 mM of Ca2+, respectively. Differential genes were annotated in various KEGG pathways, including flagellar assembly, two-component system, quorum sensing, ABC transporters, and related carbohydrate and amino acid metabolism pathways. Collectively, the results unravel the significance of Ca2+ as a biofilm-promoting signal for B. licheniformis in the dairy industry.
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Affiliation(s)
- Luyao Fan
- College of Food Science and Engineering, Yangzhou University, Yangzhou, Jiangsu 225127, China
| | - Hongchao Dai
- College of Food Science and Engineering, Yangzhou University, Yangzhou, Jiangsu 225127, China
| | - Wenyuan Zhou
- College of Food Science and Engineering, Yangzhou University, Yangzhou, Jiangsu 225127, China
| | - Lei Yuan
- College of Food Science and Engineering, Yangzhou University, Yangzhou, Jiangsu 225127, China; Key Laboratory of Dairy Science (Northeast Agricultural University), Ministry of Education, Harbin, Heilongjiang 150030, China; Jiangsu Key Laboratory of Zoonoses, Yangzhou, Jiangsu 225009, China.
| | - Jia Yang
- Yangzhou Institute for Food and Drug Control, Yangzhou, Jiangsu 225106, China
| | - Zhenquan Yang
- College of Food Science and Engineering, Yangzhou University, Yangzhou, Jiangsu 225127, China
| | - Xin-An Jiao
- Jiangsu Key Laboratory of Zoonoses, Yangzhou, Jiangsu 225009, China
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Neil B, Cheney GL, Rosenzweig JA, Sha J, Chopra AK. Antimicrobial resistance in aeromonads and new therapies targeting quorum sensing. Appl Microbiol Biotechnol 2024; 108:205. [PMID: 38349402 PMCID: PMC10864486 DOI: 10.1007/s00253-024-13055-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 01/31/2024] [Accepted: 02/05/2024] [Indexed: 02/15/2024]
Abstract
Aeromonas species (spp.) are well-known fish pathogens, several of which have been recognized as emerging human pathogens. The organism is capable of causing a wide spectrum of diseases in humans, ranging from gastroenteritis, wound infections, and septicemia to devastating necrotizing fasciitis. The systemic form of infection is often fatal, particularly in patients with underlying chronic diseases. Indeed, recent trends demonstrate rising numbers of hospital-acquired Aeromonas infections, especially in immuno-compromised individuals. Additionally, Aeromonas-associated antibiotic resistance is an increasing challenge in combating both fish and human infections. The acquisition of antibiotic resistance is related to Aeromonas' innate transformative properties including its ability to share plasmids and integron-related gene cassettes between species and with the environment. As a result, alternatives to antibiotic treatments are desperately needed. In that vein, many treatments have been proposed and studied extensively in the fish-farming industry, including treatments that target Aeromonas quorum sensing. In this review, we discuss current strategies targeting quorum sensing inhibition and propose that such studies empower the development of novel chemotherapeutic approaches to combat drug-resistant Aeromonas spp. infections in humans. KEY POINTS: • Aeromonas notoriously acquires and maintains antimicrobial resistance, making treatment options limited. • Quorum sensing is an essential virulence mechanism in Aeromonas infections. • Inhibiting quorum sensing can be an effective strategy in combating Aeromonas infections in animals and humans.
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Affiliation(s)
- Blake Neil
- Department of Microbiology and Immunology, Medical Branch, University of Texas, Galveston, TX, 77555, USA
| | - Gabrielle L Cheney
- John Sealy School of Medicine, Medical Branch, University of Texas, Galveston, TX, 77555, USA
| | - Jason A Rosenzweig
- Department of Biology, Texas Southern University, Houston, TX, 77004, USA
| | - Jian Sha
- Department of Microbiology and Immunology, Medical Branch, University of Texas, Galveston, TX, 77555, USA
| | - Ashok K Chopra
- Department of Microbiology and Immunology, Medical Branch, University of Texas, Galveston, TX, 77555, USA.
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Nascimento M, Rodrigues J, Matias R, Jordao L. Aeromonas spp. in Freshwater Bodies: Antimicrobial Resistance and Biofilm Assembly. Antibiotics (Basel) 2024; 13:166. [PMID: 38391552 PMCID: PMC10886317 DOI: 10.3390/antibiotics13020166] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Revised: 02/05/2024] [Accepted: 02/07/2024] [Indexed: 02/24/2024] Open
Abstract
Aeromonas spp. are environmental bacteria able to infect animals and humans. Here, we aim to evaluate the role of biofilms in Aeromonas persistence in freshwater. Aeromonas were isolated from water and biofilm samples and identified by Vitek-MS and 16S rRNA sequencing. Antibiotic susceptibility profiles were determined according to EUCAST, and a crystal violet assay was used to assess biofilm assembly. MTT and the enumeration of colony-forming units were used to evaluate biofilm and planktonic Aeromonas susceptibility to chlorination, respectively. Identification at the species level was challenging, suggesting the need to improve the used methodologies. Five different Aeromonas species (A. salmonicida, A. hydrophila, A. media, A. popoffii and A. veronii) were identified from water, and one species was identified from biofilms (A. veronii). A. veronnii and A. salmonicida presented resistance to different antibiotics, whith the highest resistance rate observed for A. salmonicida (multiple antibiotic resistance index of 0.25). Of the 21 isolates, 11 were biofilm producers, and 10 of them were strong biofilm producers (SBPs). The SBPs presented increased tolerance to chlorine disinfection when compared with their planktonic counterparts. In order to elucidate the mechanisms underlying biofilm tolerance to chlorine and support the importance of preventing biofilm assembly in water reservoirs, further research is required.
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Affiliation(s)
- Maria Nascimento
- Department of Environmental Health (DSA), National Institute of Health Dr. Ricardo Jorge (INSA), Avenida Padre Cruz, 1649-016 Lisboa, Portugal
| | - Joao Rodrigues
- Department of Infectious Diseases (DDI), National Institute of Health Dr. Ricardo Jorge (INSA), Avenida Padre Cruz, 1649-016 Lisboa, Portugal
| | - Rui Matias
- Department of Infectious Diseases (DDI), National Institute of Health Dr. Ricardo Jorge (INSA), Avenida Padre Cruz, 1649-016 Lisboa, Portugal
| | - Luisa Jordao
- Department of Environmental Health (DSA), National Institute of Health Dr. Ricardo Jorge (INSA), Avenida Padre Cruz, 1649-016 Lisboa, Portugal
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Mishra S, Cheng L, Lian Y. Response of biofilm-based systems for antibiotics removal from wastewater: Resource efficiency and process resiliency. CHEMOSPHERE 2023; 340:139878. [PMID: 37604340 DOI: 10.1016/j.chemosphere.2023.139878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 07/23/2023] [Accepted: 08/17/2023] [Indexed: 08/23/2023]
Abstract
Biofilm-based systems have efficient stability to cope-up influent shock loading with protective and abundant microbial assemblage, which are extensively exploited for biodegradation of recalcitrant antibiotics from wastewater. The system performance is subject to biofilm types, chemical composition, growth and thickness maintenance. The present study elaborates discussion on different type of biofilms and their formation mechanism involving extracellular polymeric substances secreted by microbes when exposed to antibiotics-laden wastewater. The biofilm models applied for estimation/prediction of biofilm-based systems performance are explored to classify the application feasibility. Further, the critical review of antibiotics removal efficiency, design and operation of different biofilm-based systems (e.g. rotating biological contactor, membrane biofilm bioreactor etc.) is performed. Extending the information on effect of various process parameters (e.g. hydraulic retention time, pH, biocarrier filling ratio etc.), the microbial community dynamics responsible of antibiotics biodegradation in biofilms, the technological problems, related prospective and key future research directions are demonstrated. The biofilm-based system with biocarriers filling ratio of ∼50-70% and predominantly enriched with bacterial species of phylum Proteobacteria protected under biofilm thickness of ∼1600 μm is effectively utilized for antibiotic biodegradation (>90%) when operated at DO concentration ≥3 mg/L. The C/N ratio ≥1 is best suitable condition to eliminate antibiotic pollution from biofilm-based systems. Considering the significance of biofilm-based systems, this review study could be beneficial for the researchers targeting to develop sustainable biofilm-based technologies with feasible regulatory strategies for treatment of mixed antibiotics-laden real wastewater.
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Affiliation(s)
- Saurabh Mishra
- Yangtze Institute for Conservation and Development, Hohai University, Nanjing, 210098, Jiangsu, China; Institute of Water Science and Technology, Hohai University, Nanjing, Jiangsu, 210098, China; State Key Laboratory of Hydrology-Water Resources and Hydraulic Engineering, Hohai University, Nanjing, 210098, Jiangsu, China.
| | - Liu Cheng
- College of Environment, Hohai University, Nanjing, Jiangsu Province, 210098, China
| | - Yanqing Lian
- Yangtze Institute for Conservation and Development, Hohai University, Nanjing, 210098, Jiangsu, China; State Key Laboratory of Hydrology-Water Resources and Hydraulic Engineering, Hohai University, Nanjing, 210098, Jiangsu, China.
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Ng HK, Puah SM, Teh CSJ, Idris N, Chua KH. Characterisation of pellicle-forming ability in clinical carbapenem-resistant Acinetobacter baumannii. PeerJ 2023; 11:e15304. [PMID: 37214089 PMCID: PMC10194081 DOI: 10.7717/peerj.15304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 04/06/2023] [Indexed: 05/24/2023] Open
Abstract
Background Acinetobacter baumannii was reported to have resistance towards carbapenems and the ability to form an air-liquid biofilm (pellicle) which contributes to their virulence. The GacSA two-component system has been previously shown to play a role in pellicle formation. Therefore, this study aims to detect the presence of gacA and gacS genes in carbapenem-resistant Acinetobacter baumannii (CRAB) isolates recovered from patients in intensive care units and to investigate their pellicle forming ability. Methods The gacS and gacA genes were screened in 96 clinical CRAB isolates using PCR assay. Pellicle formation assay was performed in Mueller Hinton medium and Luria Bertani medium using borosilicate glass tubes and polypropylene plastic tubes. The biomass of the pellicle was quantitated using the crystal violet staining assay. The selected isolates were further assessed for their motility using semi-solid agar and monitored in real-time using real-time cell analyser (RTCA). Results All 96 clinical CRAB isolates carried the gacS and gacA genes, however, only four isolates (AB21, AB34, AB69 and AB97) displayed the ability of pellicle-formation phenotypically. These four pellicle-forming isolates produced robust pellicles in Mueller Hinton medium with better performance in borosilicate glass tubes in which biomass with OD570 ranging from 1.984 ± 0.383 to 2.272 ± 0.376 was recorded. The decrease in cell index starting from 13 hours obtained from the impedance-based RTCA showed that pellicle-forming isolates had entered the growth stage of pellicle development. Conclusion These four pellicle-forming clinical CRAB isolates could be potentially more virulent, therefore further investigation is warranted to provide insights into their pathogenic mechanisms.
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Affiliation(s)
- Heng Kang Ng
- Department of Biomedical Science, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Suat Moi Puah
- Department of Biomedical Science, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Cindy Shuan Ju Teh
- Department of Medical Microbiology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Nuryana Idris
- Department of Medical Microbiology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Kek Heng Chua
- Department of Biomedical Science, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
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