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Discovery of New Intracellular Pathogens by Amoebal Coculture and Amoebal Enrichment Approaches
Published on: October 27, 2013
Free-living amoebae and their associated bacteria in Austrian cooling towers: a 1-year routine screening
Ute Scheikl1, Han-Fei Tsao2, Matthias Horn2
1Institute of Specific Prophylaxis and Tropical Medicine, Medical University of Vienna, Vienna, Austria.
Abstract:
Free-living amoebae (FLA) are widely spread in the environment and known to cause rare but often serious infections. Besides this, FLA may serve as vehicles for bacterial pathogens. In particular, Legionella pneumophila is known to replicate within FLA thereby also gaining enhanced infectivity. Cooling towers have been the source of outbreaks of Legionnaires' disease in the past and are thus usually screened for legionellae on a routine basis, not considering, however, FLA and their vehicle function. The aim of this study was to incorporate a screening system for host amoebae into a Legionella routine screening. A new real-time PCR-based screening system for various groups of FLA was established. Three cooling towers were screened every 2 weeks over the period of 1 year for FLA and Legionella spp., by culture and molecular methods in parallel. Altogether, 83.3 % of the cooling tower samples were positive for FLA, Acanthamoeba being the dominating genus. Interestingly, 69.7 % of the cooling tower samples were not suitable for the standard Legionella screening due to their high organic burden. In the remaining samples, positivity for Legionella spp. was 25 % by culture, but overall positivity was 50 % by molecular methods. Several amoebal isolates revealed intracellular bacteria.
Insights
Free-living amoebae (FLA) are common in cooling towers and can harbor Legionella. A new screening method detected FLA in most samples, improving detection of Legionella bacteria.
Area of Science:
- Environmental microbiology
- Public health microbiology
Background:
- Free-living amoebae (FLA) are ubiquitous environmental microorganisms.
- FLA can host bacterial pathogens like Legionella pneumophila, enhancing their infectivity.
- Cooling towers are known reservoirs for Legionella and sources of Legionnaires' disease outbreaks.
Purpose of the Study:
- To develop and implement a screening system for host amoebae in routine Legionella monitoring.
- To assess the prevalence of FLA and Legionella in cooling tower systems.
- To evaluate the impact of organic burden on Legionella screening methods.
Main Methods:
- Development of a real-time PCR-based screening system for FLA groups.
- Parallel screening of three cooling towers over one year for FLA and Legionella using culture and molecular methods.
- Assessment of sample suitability for standard Legionella screening based on organic load.
Main Results:
- 83.3% of cooling tower samples tested positive for FLA, with Acanthamoeba being the dominant genus.
- 69.7% of samples were unsuitable for standard Legionella screening due to high organic content.
- Legionella spp. were detected in 25% of samples by culture and 50% by molecular methods; intracellular bacteria were observed in amoebal isolates.
Conclusions:
- Integrating FLA screening into routine Legionella monitoring is crucial for understanding pathogen transmission in cooling towers.
- FLA are prevalent in cooling towers and can impact the effectiveness of standard Legionella detection methods.
- A novel PCR-based FLA screening system offers a valuable tool for environmental surveillance.
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