血小板制品中共存细菌全基因组测序分析及其生物学特征研究OA
Whole-genome sequencing analysis of co-existing bacteria in platelet products:genomic features and biological im-plications
目的 建立 1 种可在血小板制品保质期内完成的快速、准确的细菌全基因组测序流程,实现对合格血小板制品中共存细菌的物种分类及毒力、耐药与免疫压力应对相关基因谱解析,为血小板细菌污染与输血安全风险评估提供依据.方法 收集成都血液中心 2025 年 5-6 月通过常规细菌培养检测阴性的 3 份浓缩血小板制品,采用 6种需氧培养条件和 9 种厌氧培养条件于 37℃富集培养 7 d,通过微生物培养组学策略在培养d1、d3、d5、d7 涂布分离,获得可培养单菌株,并设置培养组空白对照以排除污染.采用研磨法提取长片段细菌DNA,并进行去杂质纯化与片段长度质控后,构建纳米孔测序文库,利用G-seq500 测序平台进行单碱基纳米孔测序.测序数据通过质控后使用Flye组装与NextPolish抛光获得高质量基因组,并经BUSCO、CheckM评价完整度;应用GTDB-Tk进行基因组水平物种鉴定,结合功能注释和数据库比对分析毒力因子、抗菌药物耐药基因以及免疫逃逸与环境适应相关基因谱.结果 在血小板制品保质期内 3 份合格血小板制品中均检出可培养细菌,共获得 3 株细菌,全基因组测序鉴定为白色芽孢杆菌(Bacillus albus)、红豆杉尼尔菌(Niallia taxi)和沃氏葡萄球菌(Staphylococcus warneri).纳米孔测序获得92 227-109 813 条序列读段,总碱基数 6.80×108-7.58×108 bp,读长N50 为 7 625-8 584 bp,Q20 为 97%、Q30 为93%,平均碱基质量评分为Q(24.15-24.51),序列准确率为 99.615%-99.646%.3 株细菌均获得完整闭合的环状染色体及 1-3 条质粒,BUSCO与CheckM评估完整度均>93%.功能注释显示,B.albus 携带多种溶血毒素、金属蛋白酶及多重耐药基因,潜在致病力和耐药水平最高;S.warneri 具有典型凝固酶阴性葡萄球菌的多重耐药谱和复杂调控网络,毒力处于中等水平;N.taxi 几乎不含经典毒力因子和执行性耐药基因,整体呈"低毒力、低耐药"特征.3 株菌共同富集dltABCD、mprF、GraRS、BceAB 等抗菌肽抵抗与细胞表面修饰系统以及多种抗氧化酶系,提示具有较强的免疫压力应对潜力.结论 合格血小板制品中仍可培养分离出可存活细菌,全基因组测序可实现菌株级鉴定并解析毒力、耐药及免疫压力相关要素.检出菌株功能谱介于典型环境菌与高致病菌之间,在特定受血者人群中可能构成被低估的输血相关感染风险.本研究方案可在血小板制品保质期内精准鉴定出共存细菌及其完整生物学特征,后续应用可为受血者的安全提供更好的技术支撑.
Objective To establish a rapid,accurate,and decentralized workflow for bacterial whole-genome sequen-cing(WGS)and risk profiling within the shelf-life of platelet concentrates,and to characterize the species,virulence,anti-microbial resistance(AMR),and immune evasion mechanisms of co-existing bacteria in qualified platelet products,thereby providing a scientific basis for transfusion safety assessment.Methods Three units of platelet concentrates,which tested negative by routine bacterial screening,were collected from the Chengdu Blood Center between May and June 2025.Sam-ples were enriched at 37℃under six aerobic and nine anaerobic conditions for 7 days.Using a culturomics strategy,ali-quots were plated for isolation on days 1,3,5,and 7 to obtain cultivable isolates,with negative culture controls included to exclude contamination.High-molecular-weight genomic DNA was extracted via mechanical grinding,purified,and size-se-lected.Sequencing libraries were constructed and sequenced on the G-seq500 single-molecule nanopore sequencing plat-form.Genomes were assembled using Flye and polished with NextPolish,with quality evaluated by BUSCO and CheckM.Taxonomic identification was performed using GTDB-Tk.Functional annotation and database comparisons were conducted to analyze virulence factors,AMR genes,and genes related to immune evasion and environmental adaptation.Results Viable bacteria were successfully isolated from all three qualified platelet units within their shelf life.The isolates were identified as Bacillus albus,Niallia taxi,and Staphylococcus warneri.Nanopore sequencing generated 92 227-109 813 reads(totaling 680-758 Mb)with an N50 of 7 625-8 584 bp and Q20/Q30 scores of 97%/93%,respectively.All three genomes were as-sembled into complete circular chromosomes with 1-3 plasmids,achieving>93%completeness.Functional analysis re-vealed that B.albus carried multiple hemolysins,metalloproteases,and multidrug resistance genes,indicating the highest potential pathogenicity and AMR risk.S.warneri exhibited a typical multidrug resistance profile and regulatory network characteristic of coagulase-negative staphylococci,suggesting intermediate virulence.N.taxi harbored few canonical viru-lence factors and lacked functional AMR determinants,presenting a"low-virulence,low-resistance"profile.Notably,all three strains were enriched in genes encoding antimicrobial peptide resistance systems(e.g.,dltABCD,mprF,GraRS,BceAB)and antioxidant enzymes,suggesting a strong capacity to withstand immune stress in the blood environment.Con-clusion Viable bacteria can be recovered from qualified platelet concentrates that test negative by routine screening.Nano-pore WGS enables rapid strain-level identification and comprehensive risk profiling of virulence,resistance,and immune ad-aptation traits.The functional repertoires of these"co-existing"isolates range from environmental adaptation to potential pathogenicity,representing an underappreciated risk for transfusion-transmitted infections in susceptible recipients.
王琪琪;赵玉伟;陈雪;高瞻;何苗
中国医学科学院 北京协和医学院 输血研究所,四川 成都 610052成都市血液中心,四川 成都 610020成都市血液中心,四川 成都 610020中国医学科学院 北京协和医学院 输血研究所,四川 成都 610052中国医学科学院 北京协和医学院 输血研究所,四川 成都 610052
医药卫生
血小板制品细菌全基因组测序纳米孔测序输血安全
platelet concentratesbacteriawhole-genome sequencingnanopore sequencingtransfusion safety
《中国输血杂志》 2026 (3)
305-316,12
四川省自然科学基金面上项目(2024NSFSC0716)
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