Immunocompetent hosts as a reservoir of pneumocystis organisms: histological and rt-PCR data demonstrate active
1Ecology of Parasitism, Lille Pasteur Institute, 1 rue du Prof-Calmette BP245, 59019, Lille, France.
Abstract:
The present study was conducted to further examine recent data suggesting that pneumocystosis could be transmitted between patients and healthcare workers in the hospital environment, as has been proven with Pneumocystis-infected SCID mice and immunocompetent Balb/c mice. Using an experimental design (i.e., SCID-Balb/c mouse airborne transmission system), the present work found that healthy host-to-healthy host transmission of Pneumocystis organisms can occur, and that 'second' healthy contacts are able to transmit the infectious organisms to immunocompromised hosts. Further tests designed to explore the behavior of Pneumocystis organisms in the lungs of immunocompetent hosts were performed using histological and molecular approaches (e.g. testing the expression of both cyclin-dependent serine-threonine kinase and heat-shock 70 protein in Pneumocystis). The results showed Pneumocystis organisms were able to replicate in the lungs of immunocompetent hosts, which indicates these hosts are a reservoir for Pneumocystis spp.
Insights
Pneumocystis pneumonia can spread between healthy individuals and potentially to immunocompromised patients in hospitals. Healthy hosts can act as reservoirs, replicating the infectious Pneumocystis organism in their lungs.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Immunology
Background:
- Recent data suggests pneumocystosis transmission between patients and healthcare workers.
- Previous studies demonstrated Pneumocystis transmission in mouse models.
Purpose of the Study:
- To investigate airborne transmission of Pneumocystis organisms between healthy hosts.
- To determine if healthy contacts can transmit Pneumocystis to immunocompromised individuals.
- To explore Pneumocystis replication and behavior in immunocompetent host lungs.
Main Methods:
- Utilized a SCID-Balb/c mouse airborne transmission system.
- Employed histological and molecular approaches to analyze Pneumocystis in host lungs.
- Assessed the expression of specific proteins (cyclin-dependent serine-threonine kinase, heat-shock 70 protein) in Pneumocystis.
Main Results:
- Confirmed healthy host-to-healthy host airborne transmission of Pneumocystis.
- Demonstrated that secondary healthy contacts can transmit Pneumocystis to immunocompromised hosts.
- Showed Pneumocystis organisms replicate within the lungs of immunocompetent hosts.
Conclusions:
- Healthy individuals can serve as a reservoir for Pneumocystis spp.
- Airborne transmission of Pneumocystis is possible in a hospital setting.
- Further research is needed to understand the full implications for infection control.
Related Concept Videos
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Pneumonia I: Introduction
Respiratory Syncytial Virus Disease
Atypical Pneumonia
Cryptococcal Meningitis
Pulmonary Tuberculosis II
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...


