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Discovery of New Intracellular Pathogens by Amoebal Coculture and Amoebal Enrichment Approaches
Published on: October 27, 2013
Acanthamoeba containing endosymbiotic chlamydia isolated from hospital environments and its potential role in
Tatsuya Fukumoto1, Junji Matsuo2, Torahiko Okubo2
1Hokkaido University Hospital, Nishi-5 Kita-14 Jo, Kita-ku, Sapporo, Hokkaido, 060-8648, Japan.
Background:
Environmental chlamydiae belonging to the Parachlamydiaceae are obligate intracellular bacteria that infect Acanthamoeba, a free-living amoeba, and are a risk for hospital-acquired pneumonia. However, whether amoebae harboring environmental chlamydiae actually survive in hospital environments is unknown. We therefore isolated living amoebae with symbiotic chlamydiae from hospital environments.
Results:
One hundred smear samples were collected from Hokkaido University Hospital, Sapporo, Japan; 50 in winter (February to March, 2012) and 50 in summer (August, 2012), and used for the study. Acanthamoebae were isolated from the smear samples, and endosymbiotic chlamydial traits were assessed by infectivity, cytokine induction, and draft genomic analysis. From these, 23 amoebae were enriched on agar plates spread with heat-killed Escherichia coli. Amoeba prevalence was greater in the summer-collected samples (15/30, 50%) than those of the winter season (8/30, 26.7%), possibly indicating a seasonal variation (p = 0.096). Morphological assessment of cysts revealed 21 amoebae (21/23, 91%) to be Acanthamoeba, and cultures in PYG medium were established for 11 of these amoebae. Three amoebae contained environmental chlamydiae; however, only one amoeba (Acanthamoeba T4) with an environmental chlamydia (Protochlamydia W-9) was shown the infectious ability to Acanthamoeba C3 (reference amoebae). While Protochlamydia W-9 could infect C3 amoeba, it failed to replicate in immortal human epithelial, although exposure of HEp-2 cells to living bacteria induced the proinflammatory cytokine, IL-8. Comparative genome analysis with KEGG revealed similar genomic features compared with other Protochlamydia genomes (UWE25 and R18), except for a lack of genes encoding the type IV secretion system. Interestingly, resistance genes associated with several antibiotics and toxic compounds were identified.
Conclusion:
These findings are the first demonstration of the distribution in a hospital of a living Acanthamoeba carrying an endosymbiotic chlamydial pathogen.
Insights
Environmental chlamydiae, bacteria that infect Acanthamoeba, were found living in a hospital environment. This study demonstrates the presence of these potentially pathogenic amoebae in hospitals, posing a risk for hospital-acquired pneumonia.
Area of Science:
- Microbiology
- Environmental Science
- Hospital Epidemiology
Background:
- Environmental chlamydiae (Parachlamydiaceae) are obligate intracellular bacteria infecting Acanthamoeba.
- These bacteria are a potential risk factor for hospital-acquired pneumonia.
- The survival of chlamydiae-harboring amoebae in hospital environments remains largely unknown.
Purpose of the Study:
- To investigate the presence and characteristics of living amoebae harboring environmental chlamydiae within a hospital setting.
- To assess the infectious potential and genomic features of isolated chlamydiae.
Main Methods:
- Collection of smear samples from Hokkaido University Hospital during winter and summer.
- Isolation and enrichment of Acanthamoeba from samples.
- Assessment of endosymbiotic chlamydial traits via infectivity assays, cytokine induction, and draft genomic analysis.
- Comparative genome analysis of isolated chlamydiae.
Main Results:
- Acanthamoeba prevalence was higher in summer samples (50%) than winter samples (26.7%).
- One Acanthamoeba isolate (T4) harbored Protochlamydia W-9, which demonstrated infectivity towards reference Acanthamoeba (C3) but not human epithelial cells.
- Protochlamydia W-9 induced IL-8 in human epithelial cells and possessed antibiotic resistance genes, lacking a type IV secretion system.
Conclusions:
- This study provides the first evidence of living Acanthamoeba carrying an endosymbiotic chlamydial pathogen within a hospital environment.
- The findings highlight the potential for transmission and infection within healthcare settings.
- Further research is needed to understand the full clinical implications of these environmental pathogens.
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