TY - JOUR KW - Africa South of the Sahara KW - Buruli ulcer KW - China KW - Communicable Diseases, Emerging KW - Humans KW - Japan KW - Macrolides KW - Mycobacterium ulcerans KW - Plasmids KW - Polyketide Synthases KW - Virulence Factors AU - Nakanaga K AU - Yotsu RR AU - Hoshino Y AU - Suzuki K AU - Makino M AU - Ishii N AB -

Buruli ulcer (BU) is an emerging human disease caused by Mycobacterium ulcerans, which mainly affects the extremities. It is most endemic in sub-Saharan Africa; however, it has been reported worldwide, including in some non-tropical areas. "M. ulcerans subsp. shinshuense" is proposed as a subspecies of M. ulcerans, which have been reported from Japan and China. A total of 35 BU cases have been reported as of November 2012. Although M. ulcerans is categorized as nontuberculous mycobacteria, it has some unique characteristics that could only be observed in this bacterium. It possesses a giant virulent plasmid, composed of 174-kbp nucleotides, coding polyketide synthase to produce macrolide toxin called mycolactone. The discovery of such a linkage of plasmid and its pathogenesis has not been reported in other human disease-causing mycobacteria.

BT - Japanese journal of infectious diseases C1 - http://www.ncbi.nlm.nih.gov/pubmed/23514902?dopt=Abstract CN - NAKANAGA2013 DA - 2013 IS - 2 J2 - Jpn. J. Infect. Dis. LA - eng N2 -

Buruli ulcer (BU) is an emerging human disease caused by Mycobacterium ulcerans, which mainly affects the extremities. It is most endemic in sub-Saharan Africa; however, it has been reported worldwide, including in some non-tropical areas. "M. ulcerans subsp. shinshuense" is proposed as a subspecies of M. ulcerans, which have been reported from Japan and China. A total of 35 BU cases have been reported as of November 2012. Although M. ulcerans is categorized as nontuberculous mycobacteria, it has some unique characteristics that could only be observed in this bacterium. It possesses a giant virulent plasmid, composed of 174-kbp nucleotides, coding polyketide synthase to produce macrolide toxin called mycolactone. The discovery of such a linkage of plasmid and its pathogenesis has not been reported in other human disease-causing mycobacteria.

PY - 2013 SP - 83 EP - 8 T2 - Japanese journal of infectious diseases TI - Buruli ulcer and mycolactone-producing mycobacteria. UR - https://www.jstage.jst.go.jp/article/yoken/66/2/66_83/_pdf VL - 66 SN - 1884-2836 ER -