Group A streptococcus (GAS) is a human pathogen inflicting a broad vary of infections, linked with international morbidity and mortality. Macrolide resistance charges differ considerably in numerous components of the world. Driving components of the emergence and unfold of resistant clones are usually not clearly understood. We investigated 102 macrolide-resistant GAS strains collected in the course of the interval 2014-2018 from varied scientific specimens from Bulgarian sufferers.
Strains have been characterised by the presence of mefA/mefE, ermA, and ermB utilizing polymerase chain response and sequencing for mefA/mefE. Resistant strains have been studied by emm sequence typing and emm-cluster system. Most prevalent emm varieties among the many macrolide-resistant GAS strains have been emmemmemmermB have been emmermA have been predominantly emmemmemmmefE (49 isolates) and solely 9 strains carried mefA.
Probably the most prevalent emm clusters among the many GAS isolates have been E4 (40.20%), A-C4 (17.65%), and E1 (16.66%). The examine’s outcomes recommend that dissemination of particular clones in GAS inhabitants may additionally be the explanation for the rising macrolide-resistance charge in our nation.
Adjustments in emm varieties and superantigen gene content material of Streptococcus pyogenes inflicting invasive infections in Portugal.
Fluctuations within the clonal composition of Group A Streptococcus (GAS) have been related to the emergence of profitable lineages and with upsurges of invasive infections (iGAS). This examine aimed toward figuring out adjustments within the clones inflicting iGAS in Portugal. Antimicrobial susceptibility testing, emm typing and superantigen (SAg) gene profiling have been carried out for 381 iGAS isolates from 2010-2015. Macrolide resistance decreased to 4%, accompanied by the disappearance of the M phenotype and a rise of the iMLSB phenotype.
The dominant emm varieties have been: emm1 (28%), emm89 (11%), emm3 (9%), emm12 (8%), and emm6 (7%). There have been no vital adjustments within the prevalence of particular person emm varieties, emm clusters, or SAg profiles when evaluating to 2006-2009, though an general rising pattern was recorded throughout 2000-2015 for emm1, emm75, and emm87. Brief-term will increase within the prevalence of emm3, emm6, and emm75 could have been pushed by concomitant SAg profile adjustments noticed inside these emm varieties, or replicate the emergence of novel genomic variants of the identical emm varieties carrying totally different SAgs.
Lengthy-term, single-center surveillance of non-invasive group A streptococcal (GAS) infections, emm varieties and emm clusters.
Group A streptococci (GAS) are among the many most frequent pathogens in youngsters. Many epidemiological research give attention to particular GAS infections (reminiscent of tonsillopharyngitis or invasive illness), on GAS carriers or on post-streptococcal sequelae.
By comparability, studies on regional GAS traits, notably circulating non-invasive GAS in Europe, are uncommon. In a monocentric examine, all GAS remoted from pediatric sufferers at a tertiary care hospital over a 6-year interval (2006-2012) have been characterised. GAS emm varieties and clusters have been decided. Related affected person knowledge have been analyzed. 5 hundred sixty-six GAS strains have been collected. GAS tonsillopharyngitis was most typical (71.6%), adopted by pyoderma (6.0%), otitis media (3.7%), perineal dermatitis (3.4%), and invasive infections (1.4%).
Colonizing strains represented 13.6% of GAS. GAS emm12 was most prevalent amongst invasive and non-invasive isolates. Emm1, emm4, emm28, and emm89 have been probably the most frequent non-invasive GAS strains. The emm E4 cluster was most typical, adopted by the A-C4, A-C3, and E1. Among the many GAS infections, totally different emm varieties and clusters have been recognized, e.g., emm4 was extra widespread amongst sufferers with scarlet fever.

Three new emm subtypes have been characterised: emm29.13, emm36.7, and emm75.5. This complete evaluate of a big, native GAS cohort factors to the variations between and similarities amongst GAS genotypes and illness manifestations, whereas minimizing regional variations.
Appreciable deviation from earlier epidemiological findings is described, particularly relating to the frequent detection of emm1 and emm89 in non-invasive GAS infections. Periodic updates on molecular and epidemiological GAS traits are wanted to trace the multifaceted pathogenic potential of GAS.
Sudden relationships between frequency of antimicrobial resistance, illness phenotype and emm kind in group A Streptococcus.
Regardless of common susceptibility to β-lactams, resistance to second-line antimicrobials (e.g. erythromycin) is more and more widespread amongst group A Streptococcus (GAS). To higher perceive the frequency of regional GAS antimicrobial resistance, we screened a beforehand described GAS pressure assortment from Houston, TX, USA, for resistance to generally used antimicrobials. A complete of 100/929 (10.8 %) confirmed resistance to a minimum of one antimicrobial.
Tetracycline resistance was recognized in 52 (5.6 %) GAS strains. The cumulative frequency of erythromycin and clindamycin resistance [macrolide (M) and macrolide-lincosamide-streptogramin (MLS) phenotypes] was biggest amongst invasive GAS strains (9.9 %) in comparison with that of strains derived from another an infection kind (5.9 %, P=0.045). We recognized emm varieties 11, 75, 77 and 92 as the one emm varieties with excessive (e.g. >50 %) within-emm kind resistance and contributing to the bulk (24/26; 92 %) of erythromycin/clindamycin resistance in invasive GAS.
Excessive-frequency resistance emm varieties have been additionally considerably overrepresented in invasive GAS strains as indicated by invasive index. We carried out whole-genome sequencing to outline genetic components related to resistance amongst emm varieties 11, 75, 77 and 92. Various cellular components contributed to GAS resistance together with transposons, integrative conjugative components, prophage and a plasmid. Phylogenetic evaluation suggests latest clonal emergence of emm92 GAS strains.
Gynostemma Extract |
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MBS579069-1mg | MyBiosource | 1mg | 240 EUR |
Gynostemma Extract |
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MBS579069-25mg | MyBiosource | 25mg | 1055 EUR |
Gynostemma Extract |
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MBS579069-50mg | MyBiosource | 50mg | 1620 EUR |
Gynostemma Extract |
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MBS579069-5mg | MyBiosource | 5mg | 390 EUR |
Gynostemma Extract |
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MBS3607595-100mg | MyBiosource | 100mg | 745 EUR |
Gynostemma Extract |
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MBS3607595-5mg | MyBiosource | 5mg | 285 EUR |
Gynostemma Extract |
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MBS3607595-5x100mg | MyBiosource | 5x100mg | 3035 EUR |
Gynostemma Extract |
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MBS386525-100mg | MyBiosource | 100mg | 985 EUR |
Gynostemma Extract |
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MBS386525-10mg | MyBiosource | 10mg | 245 EUR |
Gynostemma Extract |
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MBS386525-1mLinDMSO | MyBiosource | 1mL(inDMSO) | 250 EUR |
Gynostemma Extract |
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MBS386525-50mg | MyBiosource | 50mg | 635 EUR |
Gynostemma Extract |
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MBS386525-5mg | MyBiosource | 5mg | 190 EUR |
Gynostemma Extract |
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MBS8506502-10mg | MyBiosource | 10mg | 1200 EUR |
Gynostemma Extract |
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MBS8506502-5x10mg | MyBiosource | 5x10mg | 5250 EUR |
Gynostemma Extract |
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T6528-10mg | TargetMol Chemicals | 10mg | Ask for price |
Description: Gynostemma Extract |
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Gynostemma Extract |
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T6528-1g | TargetMol Chemicals | 1g | Ask for price |
Description: Gynostemma Extract |
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Gynostemma Extract |
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T6528-1mg | TargetMol Chemicals | 1mg | Ask for price |
Description: Gynostemma Extract |
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Gynostemma Extract |
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T6528-50mg | TargetMol Chemicals | 50mg | Ask for price |
Description: Gynostemma Extract |
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Gynostemma Extract |
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T6528-5mg | TargetMol Chemicals | 5mg | Ask for price |
Description: Gynostemma Extract |
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Recombinant Gynostemma pentaphyllum Ribosome-inactivating protein gynostemmin |
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MBS1402620-002mgBaculovirus | MyBiosource | 0.02mg(Baculovirus) | 1160 EUR |
Recombinant Gynostemma pentaphyllum Ribosome-inactivating protein gynostemmin |
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MBS1402620-002mgEColi | MyBiosource | 0.02mg(E-Coli) | 795 EUR |
Recombinant Gynostemma pentaphyllum Ribosome-inactivating protein gynostemmin |
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MBS1402620-002mgYeast | MyBiosource | 0.02mg(Yeast) | 945 EUR |
Recombinant Gynostemma pentaphyllum Ribosome-inactivating protein gynostemmin |
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MBS1402620-01mgEColi | MyBiosource | 0.1mg(E-Coli) | 955 EUR |
Recombinant Gynostemma pentaphyllum Ribosome-inactivating protein gynostemmin |
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MBS1402620-01mgYeast | MyBiosource | 0.1mg(Yeast) | 1110 EUR |
Ribosome-inactivating protein gynostemmin Antibody |
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1-CSB-PA688696LA01GAAZ | Cusabio |
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Description: A polyclonal antibody against Ribosome-inactivating protein gynostemmin. Recognizes Ribosome-inactivating protein gynostemmin from Gynostemma pentaphyllum. This antibody is Unconjugated. Tested in the following application: ELISA |
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Ribosome-inactivating protein gynostemmin Antibody |
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abx300943-100g | Abbexa | 100 µg | 362.5 EUR |
Ribosome-inactivating protein gynostemmin Antibody |
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20-abx300943 | Abbexa |
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Ribosome-inactivating protein gynostemmin Antibody |
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abx300943-20g | Abbexa | 20 µg | 162.5 EUR |
Ribosome-inactivating protein gynostemmin Antibody |
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abx300943-50g | Abbexa | 50 µg | 250 EUR |
Ribosome-inactivating protein gynostemmin Antibody |
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MBS7001373-005mg | MyBiosource | 0.05mg | 190 EUR |
Ribosome-inactivating protein gynostemmin Antibody |
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MBS7001373-01mg | MyBiosource | 0.1mg | 270 EUR |
Ribosome-inactivating protein gynostemmin Antibody |
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MBS7001373-5x01mg | MyBiosource | 5x0.1mg | 1205 EUR |
Bovine Pituitary Extract, 10mg/ml in PBS |
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CA054-005 | GenDepot | 5x1ml | 145 EUR |
Ribosome-inactivating protein gynostemmin Antibody (HRP) |
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abx300944-100g | Abbexa | 100 µg | 362.5 EUR |
Ribosome-inactivating protein gynostemmin Antibody (HRP) |
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20-abx300944 | Abbexa |
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Ribosome-inactivating protein gynostemmin Antibody (HRP) |
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abx300944-20g | Abbexa | 20 µg | 162.5 EUR |
Ribosome-inactivating protein gynostemmin Antibody (HRP) |
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abx300944-50g | Abbexa | 50 µg | 250 EUR |
Ribosome-inactivating protein gynostemmin Antibody (FITC) |
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abx300945-100g | Abbexa | 100 µg | 362.5 EUR |
Ribosome-inactivating protein gynostemmin Antibody (FITC) |
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20-abx300945 | Abbexa |
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Ribosome-inactivating protein gynostemmin Antibody (FITC) |
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abx300945-20g | Abbexa | 20 µg | 162.5 EUR |
Ribosome-inactivating protein gynostemmin Antibody (FITC) |
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abx300945-50g | Abbexa | 50 µg | 250 EUR |
Ribosome-inactivating protein gynostemmin Antibody (Biotin) |
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abx300946-100g | Abbexa | 100 µg | 362.5 EUR |
Ribosome-inactivating protein gynostemmin Antibody (Biotin) |
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20-abx300946 | Abbexa |
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Ribosome-inactivating protein gynostemmin Antibody (Biotin) |
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abx300946-20g | Abbexa | 20 µg | 162.5 EUR |
Ribosome-inactivating protein gynostemmin Antibody (Biotin) |
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abx300946-50g | Abbexa | 50 µg | 250 EUR |
Ribosome-inactivating Protein Gynostemmin Polyclonal Antibody |
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A65086 | EpiGentek |
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Ribosome-inactivating protein gynostemmin Antibody, HRP conjugated |
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1-CSB-PA688696LB01GAAZ | Cusabio |
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Description: A polyclonal antibody against Ribosome-inactivating protein gynostemmin. Recognizes Ribosome-inactivating protein gynostemmin from Gynostemma pentaphyllum. This antibody is HRP conjugated. Tested in the following application: ELISA |
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Ribosome-inactivating protein gynostemmin Antibody; HRP conjugated |
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MBS7001582-005mg | MyBiosource | 0.05mg | 190 EUR |
Ribosome-inactivating protein gynostemmin Antibody; HRP conjugated |
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MBS7001582-01mg | MyBiosource | 0.1mg | 270 EUR |
Ribosome-inactivating protein gynostemmin Antibody; HRP conjugated |
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MBS7001582-5x01mg | MyBiosource | 5x0.1mg | 1205 EUR |
Ribosome-inactivating protein gynostemmin Antibody, FITC conjugated |
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1-CSB-PA688696LC01GAAZ | Cusabio |
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Description: A polyclonal antibody against Ribosome-inactivating protein gynostemmin. Recognizes Ribosome-inactivating protein gynostemmin from Gynostemma pentaphyllum. This antibody is FITC conjugated. Tested in the following application: ELISA |
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Ribosome-inactivating protein gynostemmin Antibody; FITC conjugated |
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MBS7004152-005mg | MyBiosource | 0.05mg | 190 EUR |
Ribosome-inactivating protein gynostemmin Antibody; FITC conjugated |
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MBS7004152-01mg | MyBiosource | 0.1mg | 270 EUR |
Ribosome-inactivating protein gynostemmin Antibody; FITC conjugated |
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MBS7004152-5x01mg | MyBiosource | 5x0.1mg | 1205 EUR |
Ribosome-inactivating protein gynostemmin Antibody, Biotin conjugated |
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1-CSB-PA688696LD01GAAZ | Cusabio |
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Description: A polyclonal antibody against Ribosome-inactivating protein gynostemmin. Recognizes Ribosome-inactivating protein gynostemmin from Gynostemma pentaphyllum. This antibody is Biotin conjugated. Tested in the following application: ELISA |
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Ribosome-inactivating protein gynostemmin Antibody; Biotin conjugated |
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MBS7003014-005mg | MyBiosource | 0.05mg | 190 EUR |
Ribosome-inactivating protein gynostemmin Antibody; Biotin conjugated |
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MBS7003014-01mg | MyBiosource | 0.1mg | 270 EUR |
Ribosome-inactivating protein gynostemmin Antibody; Biotin conjugated |
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MBS7003014-5x01mg | MyBiosource | 5x0.1mg | 1205 EUR |
Ribosome-Inactivating Protein Gynostemmin Polyclonal Antibody, HRP Conjugated |
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A65087 | EpiGentek |
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Ribosome-inactivating Protein Gynostemmin Polyclonal Antibody, FITC Conjugated |
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A65088 | EpiGentek |
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Ribosome-Inactivating Protein Gynostemmin Polyclonal Antibody, Biotin Conjugated |
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A65089 | EpiGentek |
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ENA EXTRACT |
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MBS319513-025mL | MyBiosource | 0.25mL | 360 EUR |
ENA EXTRACT |
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MBS319513-5x025mL | MyBiosource | 5x0.25mL | 1445 EUR |
Beef Extract |
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A8506-100G | Biomatik Corporation | 100G | 29.7 EUR |
Description: High Purity |
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Beef Extract |
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A8506-50G | Biomatik Corporation | 50G | 22 EUR |
Description: High Purity |
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Malt Extract |
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A8536-100G | Biomatik Corporation | 100G | 26.4 EUR |
Description: Bacteriological |
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Malt Extract |
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A8536-500G | Biomatik Corporation | 500G | 97.9 EUR |
Description: Bacteriological |
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Meat Extract |
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41300006-1 | Bio-WORLD | 500 g | Ask for price |
Meat Extract |
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41300006-2 | Bio-WORLD | 1 kg | Ask for price |
Extract Beef |
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15837-55 | NACALAI TESQUE | 500G | 78.4 EUR |
Extract Malt |
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18966-75 | NACALAI TESQUE | 500G | 57.4 EUR |
Malt Extract |
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abx082459-100l | Abbexa | 100 µl | 150 EUR |
Malt Extract |
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abx082459-1ml | Abbexa | 1 ml | Ask for price |
Malt Extract |
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abx082459-200l | Abbexa | 200 µl | Ask for price |
Malt Extract |
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abx082459-500g | Abbexa | 500 g | 292.8 EUR |
Acai Extract |
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CBE-17 | Creative BioMart | 1kg | 158.4 EUR |
Description: Greater than 95% |
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Lily Extract |
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CBE-28 | Creative BioMart | 1kg | 158.4 EUR |
Description: Greater than 95% |
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BEEF EXTRACT |
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B02-104-10kg | Alphabiosciences | 10 kg | 1388.4 EUR |
BEEF EXTRACT |
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B02-104-2kg | Alphabiosciences | 2kg | 349.2 EUR |
BEEF EXTRACT |
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B02-104-500g | Alphabiosciences | 500 g | 138 EUR |
BEEF Extract |
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BB0114 | Bio Basic | 100g | 78.79 EUR |
Beef extract |
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HY-156261 | MedChemExpress | 250 g | 200.22 EUR |
Description: Beef extract is a common ingredient in the preparation of biological culture media[1]. |
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MALT EXTRACT |
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M474 | PhytoTechnology Laboratories | 1KG | 52.67 EUR |
MALT EXTRACT |
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M13-133-10kg | Alphabiosciences | 10 kg | 1240.8 EUR |
MALT EXTRACT |
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M13-133-2Kg | Alphabiosciences | 2 Kg | 316.8 EUR |
MALT EXTRACT |
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M13-133-500g | Alphabiosciences | 500 g | 129.6 EUR |
Malt Extract |
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MBS635360-100g | MyBiosource | 100g | 175 EUR |
Malt Extract |
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MBS635360-25kg | MyBiosource | 2.5kg | 910 EUR |
Malt Extract |
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MBS635360-500g | MyBiosource | 500g | 260 EUR |
Malt Extract |
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MBS635360-5x25kg | MyBiosource | 5x2.5kg | 3825 EUR |
Malt Extract |
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MJ873 | Bio Basic | 100g | 75.84 EUR |
Yeast Extract |
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abx082370-100l | Abbexa | 100 µl | 150 EUR |
Yeast Extract |
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abx082370-1ml | Abbexa | 1 ml | Ask for price |
Yeast Extract |
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abx082370-200l | Abbexa | 200 µl | Ask for price |
Yeast Extract |
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abx082370-500g | Abbexa | 500 g | 260.4 EUR |
Yeast Extract |
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A2540-1000000 | ApexBio | 1000 g | 259.2 EUR |
Description: microbial mediawater soluble portion of autolyzed yeast with intact B-complex vitaminsstore at room temperature |
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Yeast Extract |
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A2540-500000 | ApexBio | 500 g | 170.4 EUR |
Description: microbial mediawater soluble portion of autolyzed yeast with intact B-complex vitaminsstore at room temperature |
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Yeast Extract |
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0146 | AthenaES | 500 g | 55 EUR |
Thyme Extract |
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CBE-18 | Creative BioMart | 1kg | 158.4 EUR |
Description: Greater than 95% |
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Baibu Extract |
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CBE-27 | Creative BioMart | 1kg | 158.4 EUR |
Description: Greater than 95% |
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Chaga Extract |
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CBE-29 | Creative BioMart | 1kg | 158.4 EUR |
Description: Greater than 95% |
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EXTRACT BROTH |
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E05-109-10kg | Alphabiosciences | 10 kg | 60 EUR |
EXTRACT BROTH |
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E05-109-2kg | Alphabiosciences | 2kg | 60 EUR |
EXTRACT BROTH |
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E05-109-500g | Alphabiosciences | 500 g | 60 EUR |
Yeast extract |
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HY-153126 | MedChemExpress | Get quote | Ask for price |
Description: Yeast extract is a concentrate of the soluble part of yeast, especially Saccharomyces cerevisiae. The main nutritional components of yeast extract include partly hydrolyzed protein with 35-40% of free amino acid, and it also contain B vitamins and some trace elements. Yeast extract can be used as nutrients for bacterial culture media[1]. |
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YEAST EXTRACT |
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IB49160 | IBI Scientific | 500GM | 71.16 EUR |
YEAST EXTRACT |
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IB49161 | IBI Scientific | 1KG | 105.42 EUR |
YEAST EXTRACT |
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IB49162 | IBI Scientific | 5KG | 445.71 EUR |
YEAST EXTRACT |
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IB49163 | IBI Scientific | 20KG | 1350.24 EUR |
Yeast Extract |
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G0961 | Bio Basic | 500g | 97.58 EUR |
Yeast Extract |
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Y00035 | Pfaltz & Bauer | 100G | 108.48 EUR |
Description: CAS N° 2232731 |
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Yeast Extract |
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Y2007-050 | GenDepot | 500g | 105 EUR |
Yeast Extract |
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Y2007-100 | GenDepot | 1Kg | 154 EUR |
Yeast Extract |
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Y2007-250 | GenDepot | 2.5Kg | Ask for price |
Yeast Extract |
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Y2007-500 | GenDepot | 5Kg | Ask for price |
YEAST EXTRACT |
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Y25-101-10kg | Alphabiosciences | 10 kg | 926.4 EUR |
YEAST EXTRACT |
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Y25-101-2Kg | Alphabiosciences | 2 Kg | 248.4 EUR |
YEAST EXTRACT |
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Y25-101-500g | Alphabiosciences | 500 g | 111.6 EUR |
YEAST EXTRACT |
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Y892 | PhytoTechnology Laboratories | 1KG | 81.57 EUR |
Ginger extract |
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MBS5801092-500mg | MyBiosource | 500(mg | 300 EUR |
Ginger extract |
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MBS5801092-5x500mg | MyBiosource | 5x500(mg | 1200 EUR |
Spruce Extract |
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S08230 | Pfaltz & Bauer | 100G | 102.24 EUR |
Description: CAS N° 91770-69-3 |
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Ginger extract |
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T40939-10mg | TargetMol Chemicals | 10mg | Ask for price |
Description: Ginger extract |
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Ginger extract |
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T40939-1g | TargetMol Chemicals | 1g | Ask for price |
Description: Ginger extract |
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Ginger extract |
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T40939-1mg | TargetMol Chemicals | 1mg | Ask for price |
Description: Ginger extract |
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Ginger extract |
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T40939-50mg | TargetMol Chemicals | 50mg | Ask for price |
Description: Ginger extract |
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Ginger extract |
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T40939-5mg | TargetMol Chemicals | 5mg | Ask for price |
Description: Ginger extract |
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Spinach Extract |
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CBE-14 | Creative BioMart | 1kg | 158.4 EUR |
Description: Greater than 95% |
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Lobelia Extract |
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CBE-15 | Creative BioMart | 1kg | 158.4 EUR |
Description: Greater than 95% |
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Collagen Extract |
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COS-3064 | Creative BioMart | 1kg | 79.2 EUR |
Description: Greater than 95% |
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Pulsatilla Extract |
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CBE-24 | Creative BioMart | 1kg | 158.4 EUR |
Description: Greater than 95% |
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Atractylodes extract |
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CBE-23 | Creative BioMart | 1kg | 158.4 EUR |
Description: Greater than 95% |
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57136-3 BV PITUITARY EXTRACT (100-mL)* |
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57136-3 | Pel-Freez | 100mL | 1357 EUR |
Our findings point out that much less continuously encountered GAS emm varieties disproportionately contribute to resistance phenotypes, are outlined by various cellular genetic components and should favour invasive illness.