Eastern Finland Laboratory Center Joint Authority Enterprise

Kuopio, Finland

Eastern Finland Laboratory Center Joint Authority Enterprise

Kuopio, Finland
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Siren H.,University of Helsinki | Savolainen L.E.,University of Helsinki | Tuuminen T.,University of Helsinki | Tuuminen T.,Eastern Finland Laboratory Center Joint Authority Enterprise
Journal of Separation Science | Year: 2016

Tuberculosis is a devastating contagious disease caused by Mycobacterium tuberculosis. This is the first report describing the development of novel capillary electrophoresis methods to detect lipoarabinomannans shed into the blood circulation by replicating bacteria. The novelty of the methods is the detection without derivatization. The lipoarabinomannan is detected owing to the ionization of the diverse functional groups of the structure, such as the multibranched mannan domain or the phosphatidyl group. Four alkaline solutions were used; normal polarity in three of them and reversed polarity in one. Urinary lipoarabinomannans by saccharide domains were identified with direct absorbance detection. The accuracy and the analytical sensitivity were then validated with cello-, manno- and xylooligosaccharides. Lipoarabinomannan detection was feasible within 20 min (RSD 2.1%). This method worked at the dynamic range of 0.1–10 μg/mL. With reversed polarity, indirect absorbance detection, and pH 9.0 electrolyte were used, the analytes migrated already within 5 min (RSD 0.01%). Inorganic nonabsorbing ions were used for this method optimization. This improvement resulted in the detection limit of 1 pg/mL in water and in the linear dynamic range of 1 pg/mL to 10 ng/mL. In conclusion, the described method has great potential as a point-of-care assay for clinical use. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim

Kovanen S.M.,University of Helsinki | Kivisto R.I.,University of Helsinki | Rossi M.,University of Helsinki | Schott T.,Leibniz Institute for Baltic Sea Research | And 8 more authors.
Journal of Clinical Microbiology | Year: 2014

A total of 95 human Campylobacter jejuni isolates acquired from domestic infections and collected from three districts in Finland during the seasonal peak (June to September) in 2012 were analyzed by PCR-based multilocus sequence typing (MLST) and by whole-genome sequencing (WGS). Four predominant sequence types (STs) were detected among the isolates: ST-45 (21%) and ST-230 (14%, ST-45 clonal complex [CC]), ST-267 (21%, ST-283 CC), and ST-677 (19%, ST-677 CC). In districts 1 and 3, most of the infections occurred from early July to the middle of August, with a peak at weeks 29 to 31, but in district 2, the infections were dispersed more evenly throughout 3 months (June to August). WGS data were used for further whole-genome MLST (wgMLST) analyses of the isolates representing the four common STs. Shared loci of the isolates within each ST were analyzed as distance matrices of allelic profiles by the neighbor-net algorithm. The highest allelic variations (>400 different alleles) were detected between different clusters of ST-45 isolates (1,121 shared loci), while ST-230 (1,264 shared loci), ST-677 (1,169 shared loci), and ST-267 isolates (1,217 shared loci) were less diverse with the clusters differing by<40 alleles. Closely related isolates showing no allelic variation (subclusters) were detected among all four major STs. In some cases, they originated from different districts, suggesting that isolates can be epidemiologically connected and may have the same infection source despite being originally identified as sporadic infections. Copyright © 2014, American Society for Microbiology. All Rights Reserved.

Karkkainen H.,Kuopio University Hospital | Saarelainen H.,Kuopio University Hospital | Valtonen P.,Eastern Finland Laboratory Center Joint Authority Enterprise | Laitinen T.,Kuopio University Hospital | And 5 more authors.
BMC Pregnancy and Childbirth | Year: 2014

Background:The aims were to evaluate the effect of pregnancy on carotid artery elasticity and determine the associations between maternal lipids, endothelial function and arterial elasticity during pregnancy.Methods:We examined 99 pregnant and 99 matched non-pregnant control women as part of a population-based prospective cohort study. Carotid artery elasticity indexes; carotid artery distensibility (CAD), Young's elastic modulus (YEM) and stiffness index (SI) as well as brachial artery flow-mediated dilation (FMD) were assessed using ultrasound; serum lipid levels were also determined.Results:SI was 57% and YEM 75% higher and CAD 36% lower in the third trimester group than the corresponding values in the first trimester group. Serum cholesterol and triglyceride levels were significantly higher in women at the end of the pregnancy than at the beginning of pregnancy (P < 0.001) and in controls (P < 0.001). In multivariate analysis, gestational age was the only independent correlate of arterial elasticity in pregnant women. In controls, age (P ≤ 0.001) and common carotid diameter (P = 0.001-0.029) were associated with SI, YEM and CAD.Conclusions:The present study revealed that carotid artery elasticity declined towards the end of the pregnancy; this neither is straight correlating with maternal hyperlipidemia or the diameter of the carotid artery nor is it associated with changes in endothelial function. © 2014 Kärkkäinen et al.; licensee BioMed Central Ltd.

Polkowska A.,Finnish National Institute for Health and Welfare | Harjunpaa A.,Finnish National Institute for Health and Welfare | Toikkanen S.,Finnish National Institute for Health and Welfare | Lappalainen M.,University of Helsinki | And 5 more authors.
Eurosurveillance | Year: 2012

The number of cases of Mycoplasma pneumoniae infection detected by laboratory-based surveillance increased in Finland in late 2010. During 2011, the number of cases was four times higher than during the previous epidemic in 2005. The 2011 epidemic affected mostly school-age children. The increased number of cases was probably not due to changes in laboratory procedures, but public interest may have had an effect, since the number of Google queries followed closely the epidemic curve.

Tuuminen T.,Eastern Finland Laboratory Center Joint Authority Enterprise | Tuuminen T.,University of Helsinki | Viiri H.,Finnish Forest Research Institute | Vuorinen S.,Mikkeli Central Hospital
Journal of Clinical Microbiology | Year: 2014

The first vector-borne Capnocytophaga canimorsus sepsis case is presented. An immunocompetent male who denied any contact with canines and who worked in a sawmill was bitten on his neck by a large pine weevil (Hylobius abietis L.; Coleoptera: Curculionidae). Bacteriological diagnosis was confirmed by 16S rRNA gene sequence analysis. Copyright © 2014, American Society for Microbiology. All Rights Reserved.

Kontturi A.,University of Helsinki | Tuuminen T.,Eastern Finland Laboratory Center Joint Authority Enterprise | Tuuminen T.,University of Helsinki | Karttunen R.,University of Helsinki | Salo E.,University of Helsinki
Pediatric Infectious Disease Journal | Year: 2016

Childhood cervical lymphadenitis caused by nontuberculous mycobacteria is a diagnostic challenge for the clinician. We present a new promising diagnostic method for childhood nontuberculous mycobacterial lymphadenitis. The modified T-SPOT.TB test with purified protein derivative as an additional antigen is noninvasive with estimated sensitivity and specificity of 1.00 and 0.81, respectively. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.

Tuuminen T.,University of Helsinki | Tuuminen T.,Eastern Finland Laboratory Center Joint Authority Enterprise | Hedman K.,University of Helsinki | Soderlund-Venermo M.,University of Helsinki | Seppala I.,University of Helsinki
Clinical and Vaccine Immunology | Year: 2011

Several infectious agents may cause arthritis or arthropathy. For example, infection with Borrelia burgdorferi, the etiologic agent of Lyme disease, may in the late phase manifest as arthropathy. Infections with Campylobacter, Salmonella, or Yersinia may result in a postinfectious reactive arthritis. Acute infection with parvovirus B19 (B19V) may likewise initiate transient or chronic arthropathy. All these conditions may be clinically indistinguishable from rheumatoid arthritis. Here, we present evidence that acute B19V infection may elicit IgM antibodies that are polyspecific or cross-reactive with a variety of bacterial antigens. Their presence may lead to misdiagnosis and improper clinical management, exemplified here by two case descriptions. Further, among 33 subjects with proven recent B19V infection we found IgM enzyme immunoassay (EIA) positivity for Borrelia only; for Borrelia and Salmonella; for Borrelia and Campylobacter; and for Borrelia, Campylobacter, and Salmonella in 26 (78.7%), 1 (3%), 2 (6%), and 1 (3%), respectively; however, when examined by Borrelia LineBlot, all samples were negative. These antibodies persisted over 3 months in 4/13 (38%) patients tested. Likewise, in a retrospective comparison of the results of a diagnostic laboratory, 9/11 (82%) patients with confirmed acute B19V infection showed IgM antibody to Borrelia. However, none of 12 patients with confirmed borreliosis showed any serological evidence of acute B19V infection. Our study demonstrates that recent B19V infection can be misinterpreted as secondary borreliosis or enteropathogen-induced reactive arthritis. To obtain the correct diagnosis, we emphasize caution in interpretation of polyreactive IgM and exclusion of recent B19V infection in patients examined for infectious arthritis or arthropathy. Copyright © 2011, American Society for Microbiology. All Rights Reserved.

Tuuminen T.,University of Helsinki | Tuuminen T.,Eastern Finland Laboratory Center Joint Authority Enterprise | Suomala P.,Eastern Finland Laboratory Center Joint Authority Enterprise | Vuorinen S.,Mikkeli Central hospital
BMC Infectious Diseases | Year: 2013

Background: In 1872, in British Medical Journal (BMJ) Dr. David Ferrier published that Sarcina ventriculi (Goodsir) constantly occurred in the blood of man and the lower animals. His observation was based on bleeding experiments, incubation of blood at 100oF (37.8oC) and later examination. He found " immense numbers of beautifully formed sarcinæ" In the next issue of BMJ Dr. Charlton Bastian expressed concerns that Sarcina might indeed be " really a living thing" or " might be partly organic and partly mineral in its constitutions" .Case presentation: Anaerobic gram-positive giant coccae assembled in tetrads were recovered from one anaerobic blood culture bottle of a 48-year-old female who in her early childhood was diagnosed with congenital chloride diarrhoea. This is a rare recessively inherited disease that belongs to the Finnish disease heritage. The bacteria were identified with the 16S rRNA gene sequencing.Conclusions: Here, after more than a century we present the first report that Sarcina ventriculi can indeed cause bacteremia in a susceptible person. © 2013 Tuuminen et al.; licensee BioMed Central Ltd.

PubMed | Eastern Finland Laboratory Center Joint Authority Enterprise, Finland and Fimlab Laboratories Ltd., University of Helsinki and Finnish Food Safety Authority
Type: | Journal: International journal of food microbiology | Year: 2016

Campylobacter jejuni is the leading cause of bacterial gastroenteritis and chicken is considered a major reservoir and source of human campylobacteriosis. In this study, we investigated temporally related Finnish human (n=95), chicken (n=83) and swimming water (n=20) C. jejuni isolates collected during the seasonal peak in 2012 using multilocus sequence typing (MLST) and whole-genome MLST (wgMLST). Our objective was to trace domestic human C. jejuni infections to C. jejuni isolates from chicken slaughter batches and swimming water. At MLST level, 79% of the sequence types (STs) of the human isolates overlapped with chicken STs suggesting chicken as an important reservoir. Four STs, the ST-45, ST-230, ST-267 and ST-677, covered 75% of the human and 64% of the chicken isolates. In addition, 50% of the swimming water isolates comprised ST-45, ST-230 and ST-677. Further wgMLST analysis of the isolates within STs, accounting their temporal relationship, revealed that 22 of the human isolates (24%) were traceable back to C. jejuni positive chicken slaughter batches. None of the human isolates were traced back to swimming water, which was rather sporadically sampled. The highly discriminatory wgMLST, together with the patient background information and temporal relationship data with possible sources, offers a new, accurate approach to trace back the origin of domestic campylobacteriosis. Our results suggest that potentially a substantial proportion of campylobacteriosis cases during the seasonal peak most probably are due to other sources than chicken meat consumption. These findings warrant further wgMLST-based studies to reassess the role of other reservoirs in the Campylobacter epidemiology both in Finland and elsewhere.

Nieminen P.,University of Eastern Finland | Westenius E.,University of Eastern Finland | Halonen T.,Eastern Finland Laboratory Center Joint Authority Enterprise | Mustonen A.-M.,University of Eastern Finland
Food Chemistry | Year: 2014

The fatty acid (FA) compositions of the diet and diverse tissues of the farmed Siberian sturgeon (Acipenser baerii) were analyzed in detail to assess their nutritional quality. Twelve male fish were sampled for muscle, fat, liver, brain, gill, kidney and gonad and the tissue FA measured by gas-liquid chromatography. The FA profile of the diet diverged from the FA signatures of the tissues, where the sturgeons accumulated particular highly-unsaturated FA (HUFA). They were probably derived from the diet but, as previous studies have shown that fish can also have desaturase enzymes, endogenous synthesis of these FA cannot be excluded. The sturgeon muscle tissue contained HUFA in proportions comparable to those of other fish species that are considered good sources of n-3 polyunsaturated FA. The indices of atherogenicity and thrombogenicity were also within the values considered to be health-promoting. © 2014 Elsevier Ltd. All rights reserved.

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