Iranian Journal of Microbiology https://ijm.tums.ac.ir/index.php/ijm en-US ijm@tums.ac.ir (Mohammad Mehdi Feizabadi, PhD) journals@tums.ac.ir (TUMS Technical Support) Sun, 07 Jun 2026 01:10:40 +0430 OJS 3.1.1.1 http://blogs.law.harvard.edu/tech/rss 60 Lacticaseibacillus casei and Lacticaseibacillus rhamnosus cell-free supernatants induce apoptosis-related responses in PANC-1 human pancreatic cancer cells https://ijm.tums.ac.ir/index.php/ijm/article/view/5910 <p><strong>Background and Objectives:</strong> This study aimed to evaluate the anticancer potential of <em>Lacticaseibacillus casei</em> and <em>Lacticaseibacillus rhamnosus</em> cell-free supernatants (CFSs) against the PANC-1 human pancreatic cancer cell line, focusing on apoptosis, cell cycle modulation, and the expression of <em>BAX</em> and <em>BCL-XL</em> genes.<br><strong>Materials and Methods:</strong> PANC-1 cancer cells and adult human dermal fibroblast (HDFa) cells were treated with various concentrations of individual or combined CFSs. Cell viability was assessed using the MTT assay. Apoptosis was evaluated through Hoechst/PI staining and flow cytometry, while cell cycle distribution was analyzed via flow cytometry. Gene expression of <em>BAX</em> and <em>BCL-XL</em> was measured by quantitative real-time PCR.<br><strong>Results:</strong> At 20% (v/v), all CFS treatments significantly reduced PANC-1 cell viability while showing minimal effects on HDFa cells. Flow cytometry confirmed apoptotic rates of 39.33%, 42%, and 40.33% for <em>L. casei</em>, <em>L. rhamnosus</em>, and their combination, respectively, alongside a notable increase in S-phase cell population. Gene expression analysis showed a pro-apoptotic shift, characterized by <em>BAX</em> upregulation and <em>BCL-XL</em> downregulation.<br><strong>Conclusion:</strong> CFSs from <em>L. casei</em> and <em>L. rhamnosus</em> showed anticancer effects on PANC-1 cells, inducing apoptosis, S-phase arrest, and a favorable shift in apoptosis-related gene expression. These findings highlight their potential as promising adjuvant candidates for pancreatic cancer therapy.</p> Shadi Moradi, Reza Moradi-Hajidavaloo, Fatemeh Soleimanifar, Kiana Shahzamani, Mehdi Hajian, Hajar-Alsadat Mansouri-Tehrani ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5910 Sun, 07 Jun 2026 00:20:53 +0430 Helicobacter pylori infection and the hypothalamic–pituitary axis: association with cortisol and thyroid-stimulating hormone levels in adults https://ijm.tums.ac.ir/index.php/ijm/article/view/6065 <p><strong>Background and Objectives:</strong> <em>Helicobacter pylori</em> is a common chronic bacterial infection primarily associated with gastrointestinal disease. Increasing evidence suggests that <em>H. pylori</em> may also exert systemic effects beyond the stomach, including possible modulation of neuroendocrine pathways. This study aimed to investigate the association between <em>H. pylori</em> infection and alterations in serum cortisol and thyroid-stimulating hormone (TSH) levels as indicators of hypothalamic-pituitary-adrenal (HPA) and hypothalamic-pituitary-thyroid (HPT) axis activity.<br><strong>Materials and Methods:</strong> In this case-control study, 850 adults were enrolled, including 425 <em>H. pylori</em>-positive cases and 425 <em>H. pylori</em>-negative controls. Active <em>H. pylori</em> infection was determined using a monoclonal stool antigen test (HpSA). Fasting venous blood samples were collected between 08:00 and 10:00 AM under standardized conditions. Serum cortisol and TSH levels were measured using validated immunoassays. Group comparisons, correlation analysis, sex-stratified subgroup analysis, and receiver operating characteristic (ROC) curve analysis were performed.<br><strong>Results:</strong> <em>H. pylori</em>-positive participants had significantly higher serum cortisol levels and lower TSH levels compared with controls (both p &lt; 0.001). A significant inverse correlation between cortisol and TSH was observed only in infected participants (r = -0.41, p &lt; 0.001). These hormonal alterations were evident in both sexes. ROC analysis showed moderate discriminatory performance for cortisol (AUC = 0.71) and fair-to-moderate performance for TSH (AUC = 0.67).<br><strong>Conclusion:</strong> <em>H. pylori</em> infection was significantly associated with elevated cortisol levels, reduced TSH levels, and an inverse relationship between both hormones in adults. These findings suggest that chronic <em>H. pylori</em> infection may influence both HPA and HPT axis regulation and support further investigation into its systemic neuroendocrine effects.</p> Nedaa Husein, Muna M. Abbas, Dania Basha, Dima Tareq Owais, Nameer Amer Hanineh-Halasa ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/6065 Sun, 07 Jun 2026 00:25:07 +0430 Multiplex qPCR for the early detection of sepsis pathogens and its impact on antimicrobial therapy in critically ill patients https://ijm.tums.ac.ir/index.php/ijm/article/view/5302 <p><strong>Background and Objectives:</strong> Sepsis is a life threatening condition caused by a dysregulated host response to infection and is associated with high morbidity and mortality worldwide. Early bacterial detection and therapy with antibiotics improve outcomes. We compared multiplex quantitative PCR (qPCR) to traditional blood culture for early pathogen detection in critically ill patients with suspected sepsis.<br><strong>Materials and Methods:</strong> This prospective observational study included 200 critically ill ICU patients with suspected sepsis. Multiplex qPCR using the TRUPCR® Sepsis Panel was compared with conventional blood culture for pathogen detection. To assess sensitivity, specificity, PPV, and NPV, blood culture was used as the reference standard. Mortality, ICU stay, and antibiotic therapy time were studied. Multivariable logistic regression was adjusted for baseline severity (SOFA, APACHE II), septic shock, and antibiotic exposure.<br><strong>Results:</strong> Multiplex qPCR significantly reduced the time to initiation of appropriate antibiotic therapy (5.2 vs 8.3 hours, p&lt;0.001). The assay demonstrated higher sensitivity compared with blood culture for pathogen detection. qPCR positivity was associated with shorter ICU stay and lower mortality; however, these associations were interpreted after adjustment for baseline illness severity. <em>Escherichia coli</em>, <em>Klebsiella pneumoniae</em>, and <em>Staphylococcus aureus</em> were the most frequently detected pathogens, and several antimicrobial resistance genes including <em>bla</em><sub>CTX-M</sub>, <em>bla</em><sub>NDM</sub>, and <em>mecA</em> were identified.<br><strong>Conclusion:</strong> Multiplex qPCR can detect infections early and optimize antimicrobials for sepsis. These findings should be cautiously evaluated and corroborated in larger multicentre trials due to reduced specificity and observational nature.</p> Pooja Pandey, Raunak Bir, Kuhu Chatterjee, Nikhil Verma, Yasha Mukim, Komal Grover, Shefali Sharma, Priya Sehgal, Swati Chamoli, Rajiv M Gupta, Anil K Pandey ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5302 Sun, 07 Jun 2026 00:27:53 +0430 Moleculartyping and antibiotic resistance pattern of Aeromonas hydrophila isolated from children with diarrhea in Qom, Iran https://ijm.tums.ac.ir/index.php/ijm/article/view/5331 <p><strong>Background and Objectives:</strong> Today there are reports of the spread of multiple antibiotic resistance in <em>Aeromonas</em> spp., which can be opportunistic pathogens and can cause infection in the host. This study aimed to investigate ERIC-PCR and BOX-PCR typing, drug resistance pattern, and tetracycline, sulfonamide, and fluoroquinolone resistance genes in <em>Aeromonas hydrophila</em> collected from diarrhea samples of children in Qom City, Iran.<br><strong>Materials and Methods:</strong> In our cross-sectional descriptive study, isolates of <em>A. hydrophila</em> isolated from children's diarrhea samples at Hazrat Masoumeh Hospital in Qom were evaluated between 2018 and 2020. Once isolates confirmed, the level of antimicrobial resistance of the strains was determined by the disk diffusion assay following the recommendations of Clinical and Laboratory Standards Institute (CLSI). The genes of <em>tetA</em>, <em>tetB</em>, <em>tetC</em>, <em>tetD</em>, <em>tetE</em>, <em>sul1</em>, <em>sul2</em>, <em>Edq1qc</em>, <em>qnrA</em>, <em>qnrB</em>, <em>qnrS</em> were studied using the PCR method. Then the genetic diversity of the isolates was investigated by ERIC-PCR and box-PCR. Finally, data analysis was done with SPSS version 16.<br><strong>Results:</strong> From 100 <em>A. hydrophila</em> strains, the highest resistance, and sensitivity were related to ampicillin (92%) and azithromycin (96%), respectively. The frequency of <em>tetA</em>, <em>tetB</em>, <em>tetC</em>, <em>tetD</em>, <em>tetE</em>, <em>sul1</em>, <em>sul2</em>, <em>Edq1qc</em>, <em>qnrA</em>, <em>qnrB</em>, <em>qnrS</em> genes was 23, 24, 27, 23, 21, 26, 10, 22, 8, 11, 15%, respectively. With ERIC-PCR and BOX-PCR techniques, all isolates could be typed, so that 8 genetic patterns were determined in ERIC-PCR and 10 genetic patterns were determined in BOX-PCR. A significant relationship was found between cefotaxime and tetA (p = 0.012), ciprofloxacin and tetC (p = 0.018), cefotaxime and qnrA (p = 0.04), and also between tetracycline resistance genes and both sulfonamide genes (p &gt; 0.05).<br><strong>Conclusion:</strong> For the first time this study revealed resistance genes for tetracycline, sulfonamide, and fluoroquinolones in<em> A. hydrophila</em> isolated from childeren’s diarrhea samples in Qom. Even though these antimicrobial resistance genes are present in our study and bacteria are resistant to different types of antimicrobials, it can be predicted that the abundance of these genes will increase in the future. We also observed that <em>A. hydrophila</em> isolates had high genetic diversity.</p> Pegah Shakib, Mohammad Reza Zolfaghari, Mina Hosseini, Fatemeh Mosaei, Seyed Soheil Aghaei ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5331 Sun, 07 Jun 2026 00:30:27 +0430 Evaluation of susceptibility to colistin, fosfomycin and mecillinam in carbapenemase-producing Enterobacterales isolated in Marrakech in 2023 https://ijm.tums.ac.ir/index.php/ijm/article/view/5960 <p><strong>Background and Objectives:</strong> Carbapenemase-producing Enterobacterales (CPE) constitute a critical public health concern due to multidrug resistance and limited available treatment options. This study aimed to assess the in vitro susceptibility of CPE isolates to colistin, fosfomycin, and mecillinam.<br><strong>Materials and Methods:</strong> Prospective study was conducted in 2023 at Mohammed VI University Hospital, Marrakech. A total sample of 180 non-duplicate CPE isolates were collected and identified by standard microbiological methods. Antimicrobial susceptibility testing was performed following recommended guidelines.<br><strong>Results:</strong> Among the isolates, <em>Klebsiella pneumoniae</em> (60%) and <em>Escherichia coli</em> (14%) predominated. The most common carbapenemase was NDM (62%), followed by OXA-48 (26%) and co-producers (11%). Most isolates were obtained from intensive care (32%), plastic surgery (13%), and neonatology (12%) units. Skin and soft tissue (43%) and bloodstream (21%) were the predominant infected sites. Resistance rates were 25% for colistin, 48% for fosfomycin, and 64% for mecillinam, with frequent co-resistance to fluoroquinolones, aminoglycosides, and cotrimoxazole.<br><strong>Conclusion:</strong> The high prevalence of NDM-producing <em>Klebsiella pneumoniae</em> and significant resistance to last-line agents suggest the urgent need for antimicrobial stewardship, optimized therapeutic strategies, and strengthened regional surveillance.</p> Wissal Nordine, Ayoub El Ame, Taoufik Benhoumich, Asmaa Lamrani Hanchi, Nabila Soraa ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5960 Sun, 07 Jun 2026 00:33:37 +0430 Efficacy of a bacteriophage cocktail in controlling Salmonella Enteritidis infection in broiler chickens https://ijm.tums.ac.ir/index.php/ijm/article/view/5594 <p><strong>Background and Objectives:</strong> <em>Salmonella</em> Enteritidis is widespread in the world and is known to be among the most common agents of zoonotic food-borne illnesses. This study evaluates the efficacy of a bacteriophage cocktail — comprising SEPL01 (Siphovirus) and SEPL13 and SEPL20 (Myoviruses) — in controlling <em>Salmonella</em> Enteritidis infection in poultry.<br><strong>Materials and Methods:</strong> A total of 168 one-day-old desi chicks were procured and randomly divided into five different groups: negative control, positive control, prophylactic, 6 h and delayed post-challenge treatment group. Birds in the positive control and trial groups were orally infected with 10⁵ CFU/ml <em>S</em>. Enteritidis on the fourth day. The bacteriophage was given in 10⁷ PFU/ml through oral gavage, drinkers and aerosol spray. Bacterial enumeration was done using dilution plate counting on XLD agar and bacterial reduction was determined using log10 reduction.<br><strong>Results:</strong> Among the groups, the prophylactic group showed the highest log₁₀ bacterial reduction: 1.92 (Day 3), 1.79 (Day 7), and 1.23 (Day 14). Drinking water administration resulted in a log₁₀ reduction of 1.62, 1.44, and 0.91, respectively, while aerosol spray was the least effective with a log₁₀ reduction of 1.12, 0.85, and 0.52 across the same days. The treatment group receiving therapy 6 hours post-challenge exhibited a moderate level of reduction: 1.63, 1.37, and 1.22 via oral gavage; 1.43, 1.15, and 0.94 via drinkers; and 0.46, 0.15, and 0.12 via aerosol spray. The delayed post-challenge group showed smaller reductions: 1.56, 1.24, and 0.92 by oral gavage; 1.25, 0.99, and 0.79 by water; and 0.42, 0.13, and 0.10 by aerosol spray.<br><strong>Conclusion:</strong> The bacteriophage therapy is highly effective in reducing <em>Salmonella</em> Enteritidis, demonstrating potential as an antibiotic alternative.</p> Muhammad Zohaib Wasam, Ali Ahmad Sheikh, Aftab Ahmad Anjum, Muhammad Mubashar Beig, Sehrish Firyal, Aleena Kokab, Syed Bilal Tahir, Tauqeer Mahmood, Muhammad Shahzad ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5594 Sun, 07 Jun 2026 00:37:50 +0430 Antimicrobial and antioxidant properties of green synthesis CuO nanoparticles using Salvia officinalis hydroalcoholic extract https://ijm.tums.ac.ir/index.php/ijm/article/view/5566 <p><strong>Background and Objectives:</strong> Following the emergence of microbial resistance to chemical antimicrobial agents, researchers have recently focused on the effects of nanoparticles and their antimicrobial activity. This research aimed to investigate the antimicrobial and antioxidant activity of copper oxide nanoparticles (CuO-NPs) produced using the hydroalcoholic extract of <em>Salvia officinalis</em> (<em>S. officinalis</em>).<br><strong>Materials and Methods:</strong> In this study, after preparing the hydroalcoholic extract of <em>S. officinalis</em> and synthesizing CuO-NPs using this extract, the synthesized nanoparticles were evaluated. The antimicrobial properties of synthesized CuO-NPs were investigated by determining the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) using the microbroth dilution method. The minimum biofilm inhibitory concentration (MBIC) and antioxidant activity of CuO-NPs and the hydroalcoholic extract of <em>S. officinalis</em> against <em>Pseudomonas aeruginosa</em> (<em>P. aeruginosa</em>) were investigated.<br><strong>Results:</strong> CuO-NPs have a size in the range of 40 nm and a monoclinic crystal structure. Antimicrobial activity assessment by well diffusion showed that the synthesized CuO-NP nanoparticles at concentrations below 5 mg/mL had no antimicrobial effect on any of the bacteria studied. The lowest MIC of the synthesized CuO-NPs was observed against <em>Staphylococcus saprophyticus</em> (<em>S. saprophyticus</em>), and the highest against <em>P. aeruginosa</em> and <em>Bacillus cereus</em> (<em>B. cereus</em>). On the other hand, the highest MBC was related to <em>B. cereus.</em> The plant extract exhibited much weaker antimicrobial activity than CuO-NPs. The results obtained showed that the MBIC for CuO-NPs was 312 μg/mL. The half-maximal inhibitory concentration (IC<sub>50</sub>) obtained from CuO-NPs and the hydroalcoholic extract of <em>S. officinalis</em> was 2.79 and 1.97mg/ml, respectively.<br><strong>Conclusion:</strong> Based on the results of this study, the green synthesis of CuO-NPs using hydroalcoholic extract of <em>S. officinalis</em> is a suitable candidate for the preparation of antimicrobial and antibiofilm compounds that also have antioxidant properties.</p> Abdolrazagh Marzban, Pegah Shakib, Seyedeh Zahra Mirzaei, Gholamreza Goudarzi, Fatemeh Jahani ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5566 Sun, 07 Jun 2026 00:44:15 +0430 Genetic variations on influenza virus infection outcomes in Moroccan patients https://ijm.tums.ac.ir/index.php/ijm/article/view/5869 <p><strong>Background and Objectives:</strong> The influenza infection remains a significant global health challenge, it leads to illnesses that vary from mild to severe, and in certain cases, death. The innate immune response is the first line of defense against pathogen invaders; identification of variants associated with susceptibility or protection could further elucidate immune mechanisms and provide the basis for new therapeutic targets.<br><strong>Materials and Methods:</strong> We investigated four widely studied SNPs on the immune response to RNA infection in samples collected as part of sentinel influenza surveillance system. Of 1925 nasopharyngeal swabs collected from patients with Severe Acute Respiratory Infection (SARI) and Influenza-Like Illness (ILI), 115 samples were positive for ILI and 83 were positive for SARI. A third group of healthy individuals was also enrolled as a control. Genetic polymorphisms of the <em>OAS3</em> (<em>rs10735079</em>), <em>TYK2</em> (<em>rs74956615</em>) and <em>APOBEC3G</em> (<em>rs8177832</em> and <em>rs2294367</em>) genes were genotyped using Human TaqMan SNP Genotyping Assays (ThermoFisher Scientific©). The association of Single Nucleotide Polymorphisms (SNPs) with ILI and SARI was investigated using SNPStats software.<br><strong>Results:</strong> The <em>rs2294367</em> in <em>APOBECG3 </em>show a strong and significant association with ILI and SARI across all genetic models, with a p-value&lt;0.001 and OR between 2 and 6, while no association was found with <em>rs8177832</em>. The results for <em>TYK2</em> suggest a potential protective effect, while the <em>OAS3</em> SNP shows a strong and significant association with a decreased risk of Influenza infection specially with ILI group (OR&lt;1 and p &lt; 0.0001).<br><strong>Conclusion:</strong> Our results open up a new perspective for new methods and strategies of therapy aimed to enhance the body's natural defenses against influenza virus infection.</p> Hassan Ihazmade, Zakia Regragui, Abderrahman Bimouhen, Imane Belbacha, Fatima El Falaki, Bouchra Benfathallah, Elmir Elharti, Soumia Triki, Khalid Sadki, Hicham Oumzil ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5869 Sun, 07 Jun 2026 00:46:25 +0430 Epidemiology and subtype analysis of respiratory syncytial virus among hospitalized children under five in Isfahan during early 2024 https://ijm.tums.ac.ir/index.php/ijm/article/view/5992 <p><strong>Background and Objectives:</strong> Respiratory syncytial virus is the most common virus causing acute respiratory infections in children under 5 years old. We aimed to investigate the prevalence and circulating strains of RSV in hospitalized children in Isfahan.<br><strong>Materials and Methods:</strong> Between January and May 2024, children under 5 years of age were enrolled in this study. Nasal swabs were collected from 100 children with acute respiratory infections admitted to the referral pediatric ward at Imam Hossein Children’s Hospital in Isfahan, Iran. The prevalence of circulating RSV was investigated using the RSV qPCR detection kit. The virus type was identified by RT-PCR using type A- and B-specific primers.<br><strong>Results:</strong> A total of 51 (51%) samples tested positive for RSV. Among them, typing was done in 33 specimens, of which 66.6% (22/33 cases) were assigned as subtype B and 33.3% (11/33 cases) as subtype A. Infants under 6 months were most severely affected by RSV (47.1%, 24/51). RSV-positive samples peaked in February (43.1%), followed by January (29.4%).<br><strong>Conclusion:</strong> The results of the current study revealed a high prevalence of RSV and co-circulation of subtypes A and B, with subtype B more prevalent among children. This highlights the importance of ongoing surveillance of RSV.</p> Forough Tavakoli, Sharareh Moghim, Vahid Salimi, Mohammad Ali Pourmirzaiee ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5992 Sun, 07 Jun 2026 00:49:44 +0430 Rotavirus-associated acute gastroenteritis in children under five years: a cross-sectional study from southern Iran https://ijm.tums.ac.ir/index.php/ijm/article/view/5943 <p><strong>Background and Objectives:</strong> Rotavirus is a major cause of acute gastroenteritis in children. This study assessed the frequency and clinical characteristics of rotavirus infection in children under five years old.<br><strong>Materials and Methods:</strong> This cross-sectional study was conducted in 2020 on children with acute gastroenteritis. Clinical and demographic data were collected, dehydration severity was assessed by a pediatrician, and stool samples obtained within 48 hours of admission were tested for rotavirus antigen using ELISA.<br><strong>Results:</strong> A total of 301 children with acute gastroenteritis were included. Rotavirus antigen was detected in 34.6% of cases. Vomiting (81.2%) and diarrhea (96.1%) were significantly common among rotavirus-positive children (p = 0.01). Severe dehydration (&gt;10%) and the need for parenteral rehydration were observed more frequently among rotavirus-positive children compared with rotavirus-negative cases (20.9% vs. 9.2%, p = 0.02 and 91.1% vs. 78.1%, p = 0.01, respectively). However, these findings should be interpreted cautiously, as clinical severity may also have been influenced by other demographic and clinical factors.<br><strong>Conclusion:</strong> Rotavirus was detected in a considerable proportion of children with acute gastroenteritis in southern Iran. Rotavirus-positive cases showed more frequent severe dehydration, although this finding should be interpreted cautiously. Early assessment and supportive care remain important.</p> Marjan Tariverdi, Mohammad Tamaddondar, Dariush Hooshyar, Mahsa Fallahi, Mohammad Bagher Rahmati, Maryam Mohammadian Hakami, Ali Asgari, Hossein Abdollahi ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5943 Sun, 07 Jun 2026 00:51:47 +0430 High prevalence of seronegative occult hepatitis C in high-risk individuals https://ijm.tums.ac.ir/index.php/ijm/article/view/4939 <p><strong>Background and Objectives:</strong> Routine screening for occult hepatitis C virus (OHCV) is not a standard procedure in medical laboratories, which has resulted in an increased incidence of OHCV among high-risk groups and the general population. The objective of this study was to investigate the molecular epidemiology of (OHCV) in Iranian injecting drug users (IDUs).<br><strong>Materials and Methods:</strong> To determine chronic hepatitis C virus(HCV) and OHCV, plasma and peripheral blood mononuclear cell (PBMC) were collected from 103 (96 (93.2%) males, 7 (6.79%) females) IDUs. Their plasma was tested for Anti-HCV (ELISA). Following RNA extraction from plasma and PBMCs, RT-nested PCR was employed to amplify the 5′ untranslated region (5′UTR) and core regions of the HCV genome in plasma and PBMCs from IDUs. Sequencing of the 5′UTR and core regions, along with phylogenetic tree construction, was used to determine HCV genotypes.<br><strong>Results:</strong> Among the 103 individuals, 12/96 males (12.5%) were positive for both anti-HCV and HCV RNA in plasma, indicating chronic HCV infection. In addition, 18/96 males (18.75%) and 1/7 females (14.28%) were positive for anti-HCV but negative for HCV RNA, indicating evidence of past HCV infection (p = 0.1). Furthermore, 5 individuals, including 4/94 males (4.1%) and 1/7 females (14.28%), were found to be seropositive for HCV (p = 0.77). Meanwhile, 23/103 individuals (22.33%), including 20/96 males (20.8%) and 3/7 females (42.85%), were seronegative for HCV (p = 0.37). HCV genotype 1a was the dominant genotype among IDUs.<br><strong>Conclusion:</strong> In conclusion, a high prevalence of HCV infection was observed among IDUs, underscoring the pressing necessity for the implementation of an efficacious strategy to eradicate HCV transmission in this high-risk population.</p> Azadeh Haghi Navand, Azarakhsh Azaran, Mina Bavi, Farid Yousefi, Maryam Dastorpour, Manoochehr Makvandi ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/4939 Sun, 07 Jun 2026 00:54:28 +0430 Molecular detection of Anaplasma spp. in blood and ticks collected from sheep and goat in West Azerbaijan province, Iran https://ijm.tums.ac.ir/index.php/ijm/article/view/5518 <p><strong>Background and Objectives:</strong> Anaplasmosis, an ailment affecting both captive and free-ranging small ruminants, is instigated by <em>Anaplasma</em> spp., a tick-vectored, obligate intracellular rickettsial bacterium. Iran's ovine and caprine populations, numbering roughly 71 million, are vital to its financial structure.<br><strong>Materials and Methods:</strong> This study investigated the prevalence of <em>Anaplasma</em> species in sheep and goats within West Azerbaijan province. Additionally, nucleic acid specimens were isolated from gathered ticks and examined for <em>Anaplasma</em> spp. Through polymerase chain reaction (PCR) utilizing the major surface protein gene (<em>groEL</em>).<br><strong>Results:</strong> <em>Anaplasma</em> was detected in 161 (69.0%) of 919 ovine and 82 (71.3%) of 243 caprine blood DNA extracts. Subsequently, genetic material from 426 ticks comprised of <em>Rhipicephalus sanguineus</em> (n=146), R<em>hipicephalus turanicus</em> (n=63), <em>Hyalomma asiaticum</em> (n=56),<em> Hyalomma anatolicum</em> (n=74), and <em>Hyalomma egebtiom</em> (n=87) was screened for <em>A. ovis</em> utilizing the same methodology.<br><strong>Conclusion:</strong> This research not only confirmed the presence of <em>A. ovis</em> within Iranian sheep and goats but also implicated ticks as a possible vector for its transmission. The findings emphasize the importance of monitoring the health status of Iran's small ruminants to detect clinical manifestations of anaplasmosis and of implementing effective tick control strategies worldwide.</p> Ahmad Enferadi, Amir Tukmechi, Katayoon Nofouzi, Zahraalsadat Tavakolian ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5518 Sun, 07 Jun 2026 00:56:18 +0430 In vitro antifungal resistance and molecular analysis of the SQLE gene in dermatophytosis: a laboratory-based study https://ijm.tums.ac.ir/index.php/ijm/article/view/5732 <p><strong>Background and Objectives:</strong> Dermatophytosis is a common superficial fungal infection that affects the keratinised tissues. This study examines the antifungal resistance mechanisms and molecular detection of squalene epoxidase gene alterations in clinical isolates from patients.<br><strong>Materials and Methods:</strong> A cross-sectional study conducted from January 2019 to December 2020 included 110 clinically suspected dermatophytosis specimens. Microscopy, culture, CLSI M38-A2 broth microdilution testing, and PCR-based ITS and SQLE (520 bp) amplification were performed. MIC50, MIC90, geometric mean, and ranges were analysed using SPSS version 19 with P &lt; 0.05.<br><strong>Results:</strong> A total of 110 suspected cases were evaluated, with 78 (70.9%) males. KOH positivity reached 100%, while culture positivity was 47.3% (52/110). <em>Trichophyton rubrum</em> accounted for 38.5% isolates. Fluconazole MICs were ≥64 µg/mL. 39/52 isolates showed terbinafine resistance, with 23 expressing the 520 bp SQLE gene.<br><strong>Conclusion:</strong> Terbinafine and caspofungin showed consistent in vitro activity, while fluconazole showed limited activity. Routine susceptibility testing guides drug selection, improves treatment outcomes, and supports rational management of resistant dermatophytosis cases.</p> Jegan Charlies, Latha Ragunathan, Kavitha Kanniyan, Jeyakumari Duraipandian ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5732 Sun, 07 Jun 2026 00:58:14 +0430 Spectrum of central nervous system mycoses and antifungal susceptibility: a two-year retrospective analysis from a tertiary care hospital in India https://ijm.tums.ac.ir/index.php/ijm/article/view/5805 <p><strong>Background and Objectives:</strong> The frequency of central nervous system (CNS) fungal infections is rising, leading to increased mortality. These infections pose diagnostic challenges, and therapy depends on the specific fungal pathogen identified. Only a few studies from India have examined the spectrum of fungal pathogens causing CNS infections. The objective of this study was to analyze the clinical and microbiological diversity of fungal pathogens responsible for CNS infections.<br><strong>Materials and Methods:</strong> This was a retrospective study conducted at a tertiary care center in India from January 2023 to December 2024. The study included patients in whom fungi were isolated from cerebrospinal fluid, brain abscess pus, and paraspinal abscesses.<br><strong>Results:</strong> Nine fungal pathogens were identified during the study period. Three isolates were yeasts and six were molds. Brain abscess was the predominant clinical presentation. The yeast isolates included <em>Cryptococcus neoformans</em> (n = 1) in meningitis and <em>Candida tropicalis</em> (n = 1) and <em>Candida parapsilosis</em> (n = 1) in VP shunt infections. The molds isolated from brain abscesses included <em>Cladophialophora bantiana</em> (n = 1), <em>Rhizopus arrhizus</em> (n = 1), <em>Aspergillus flavus</em> (n = 2), <em>Scedosporium apiospermum</em> (n = 1), and <em>Chaetomium lucknowensis</em> (n = 1). Mortality was observed in 4 of 9 cases (44.4%).<br><strong>Conclusion:</strong> In the present study, nine fungal pathogens were isolated over a two‑year period from varied clinical presentations. This highlights the rarity of the condition, which should not be overlooked.</p> Sukanya Sudhaharan, Umabala Pamidimukkala, Shivani Bojja, Nikhil Gandi, Vamsi Krishna Yerramneni, Sireesha Yareeda ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5805 Sun, 07 Jun 2026 01:00:26 +0430 Mating type and genotyping of Candida albicans isolated from different samples https://ijm.tums.ac.ir/index.php/ijm/article/view/5596 <p><strong>Background and Objectives:</strong> <em>Candida albicans</em> is a common opportunistic pathogen. Genotyping based on the 25S rDNA and mating type locus (MTL) allows for epidemiological and genetic profiling. This study aimed to characterize the genotypes and mating types of <em>C. albicans</em> isolates from various clinical sources in Iran.<br><strong>Materials and Methods:</strong> Ninety-four isolates from clinical samples (saliva, urine, vaginal swabs, and skin scrapings) were cultured on CHROMagar Candida and identified by standard phenotypic methods. Genotyping was performed using CA-INT primers, and mating type analysis was conducted using MTLa1 and MTLα1 primers.<br><strong>Results:</strong> In this study, 94 isolates of <em>C. albicans</em> from various sources were analyzed. Genotype A was the most frequent (65%), followed by genotypes C (24.5%), B (9.6%), and D (1.1%). Most isolates (97.9%) were heterozygous at the MTL locus, only two isolates homozygous (α/α).<br><strong>Conclusion:</strong> Genotype A and MTL-heterozygous strains were predominant among <em>C. albicans</em> isolates, suggesting a consistent molecular pattern across different clinical sources and regions.</p> Abed Karimpour, Maral Gharaghani, Amir Kamal Hardani, Hadis Jafarian, Ali Zarei Mahmoudabadi ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5596 Sun, 07 Jun 2026 01:02:37 +0430 Simultaneous GCN4 co-expression and promoter optimization enhance glucose oxidase production in Pichia pastoris https://ijm.tums.ac.ir/index.php/ijm/article/view/5623 <p><strong>Background and Objectives:</strong> This study aimed to enhance glucose oxidase (GOX) production in <em>Pichia pastoris</em> GS115 using a novel dual-promoter system, combining the constitutive <em>glyceraldehyde-3-phosphate dehydrogenase</em> promoter (pGAP) in pGAPZαA with the methanol-inducible <em>Alcohol oxidase 1</em> promoter (p<em>AOX1</em>) in PIC9.<br><strong>Materials and Methods:</strong> The <em>GOX</em> gene from <em>Aspergillus niger</em> (ATCC 9029) and a transcription factor, <em>general control nonderepressible 4</em> (<em>GCN4</em>) gene from <em>P. pastoris</em> were co-expressed to mitigate oxidative stress, thereby improving cell viability and enzyme yield. The recombinant construct pGAPZαA-<em>GOX-GCN4</em> was transformed into <em>P. pastoris</em> GS115 and <em>P. pastoris</em> GS115-PIC9 via electroporation. Expression conditions under various temperatures and pH treatments were optimized. We examined glucose oxidase expression by inducing methanol at concentrations of 100% and 5% in BMMY (Buffered Methanol-complex-medium). The highest enzyme levels were observed at pH 6.0, 34°C, and 5% methanol induction. Enzyme validation was performed using SDS and Western blotting.<br><strong>Results:</strong> Co-expression of <em>GCN4</em> significantly enhanced GOX production, achieving 16.65 µg/mL (333 U/mL) in <em>P. pastoris</em> GS115-PIC9-pGAPZαA-<em>GOX-GCN4</em>(2), a 377.4-fold increase over the control, and 11.03 µg/mL (220.6 U/mL) in <em>P. pastoris</em> GS115-PIC9-pGAPZαA-<em>GOX-GCN4</em>(3), a 249.65-fold increase.<br><strong>Conclusion:</strong> The results demonstrate that <em>GCN4</em>'s stress mitigation amplifies the synergy between constitutive and inducible promoters. The dual-promoter strategy offers a robust platform for recombinant protein production.</p> Nasrin Ghafari, Mohammad Reza Zolfaghari, Jamshid Raheb, Ali Asghar Karkhane, Seyed Soheil Aghaei, Bijan Bambai, Amena Mohaghegh ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5623 Sun, 07 Jun 2026 01:04:53 +0430 Cellulase and β-glucosidase activity of crude enzyme extracted from fresh and expired soybean tempeh https://ijm.tums.ac.ir/index.php/ijm/article/view/5666 <p><strong>Background and Objectives:</strong> Enzymes are protein biomolecules that act as catalysts, including cellulase and β-glucosidase with extensive applications. Thus, this work aimed to contrast the activity of both enzymes from tempeh fermented by <em>Rhizopus microsporus</em> at 2 and 7 days of incubation.<br><strong>Materials and Methods:</strong> Incubated tempeh was tested for quality evaluation. The crude extracts of cellulase and β-glucosidase were obtained by extracting tempeh with a cold phosphate buffer solution. The presence of the <em>R. microsporus</em> was examined through microscopic identification, and molecular identification using PCR amplification. Cellulase activity was determined using 3.5-dinitrosalicylic acid (DNS) reagent, whereas β-glucosidase activity was evaluated by measuring the release of p-nitrophenol from p-nitrophenyl-β-D-glucopyranoside (p-NPG).<br><strong>Results:</strong> The protein content and water content increase with the length of fermentation time. Microscopic identification and molecular identification confirmed the presence of <em>R. microsporus.</em> The highest cellulase activity was found in fresh tempeh (2-day incubation) at 0.0911 U/mL at pH 7, while the highest β-glucosidase activity was found in expired tempeh (7-day incubation) at 0.0042 U/mL at pH 5.<br><strong>Conclusion:</strong> These findings indicate that the standard quality contributed to the differences in the enzymatic profile of tempeh incubated for 2 and 7 days.</p> Yenni Karlina, Defri Rizaldy, Catur Riani, Fahrauk Faramayuda, Sukrasno Sukrasno ##submission.copyrightStatement## https://ijm.tums.ac.ir/index.php/ijm/article/view/5666 Sun, 07 Jun 2026 01:06:44 +0430