Amostras de sangue total e suabes de orofaringe e conjuntiva foram coletadas de 57 felídeos Neotropicais (1 Leopardus geoffroyi, 17 L. wiedii, 22 L. tigrinus, 14 L. pardalis e 3 Puma yagouaroundi) mantidos em cativeiro no Refúgio Bela Vista, Foz do Iguaçu. Dados clínicos, hemograma e histórico dos animais foram disponibilizados. Materiais clínicos obtidos a partir dos suabes de orofaringe e conjuntiva foram submetidos ao cultivo para Mycoplasma spp em meio específico. DNA do sangue e suabes foram extraídos por meio de um kit comercial e pelo método de fervura, respectivamente. DNA extraído de amostras de sangue foram submetidos à PCR para detecção de Mycoplasma haemofelis (Mhf), Candidatus M. haemominutum (CMhm), DNA proviral do vírus da leucemia felina (FeLV) e Bartonella spp. DNA extraído dos suabes foram submetidos à PCR para detecção de Mollicutes e M. felis. Foi realizada uma análise de associação entre alterações clínicas e a infecção por Bartonella spp e um estudo de fator de risco da infecção por esse microrganismo. Apenas 1 (1,75%) animal foi positivo a reação para Mhf e nenhum foi positivo a reação para CMhm. Dois (3,5%) animais foram positivos a reação para FeLV e 6 (10,52%) foram positivos para Bartonella spp. Não houve co-infecção entre os agentes pesquisados nas amostras de sangue. Foram obtidos 5 (8,77%) isolados de Mycoplasma spp da orofaringe e nenhum de conjuntiva. DNA de Mollicutes foi detectado em 53 (93%) e 27 (47,36%) amostras de orofaringe e conjuntiva, respectivamente. Nenhuma amostra apresentou resultado positivo na detecção de DNA alvo de M. felis. Não houve associação entre as alterações hematológicas (anemia, desidratação, leucocitose, leucopenia, histórico de anemia) e a infecção por Bartonella spp. Machos apresentam maior risco de adquirir bartonelose do que fêmeas. Este é o primeiro relato da presença de DNA proviral de FeLV em L. tigrinus e L. pardalis no sul do aís, de DNA de B. henselae em L. tigrinus, L. pardalis, L. geoffroyii e P. yagouaroundi, e de um estudo de fator de risco associado a infecção por Bartonella spp em felídeos neotropicais. / Total blood samples and oropharinx and conjunctival swabs were collected from 57 neotropical felids (1 Leopardus geoffroyi, 17 L. wiedii, 22 L. tigrinus, 14 L. pardalis and 3 Puma yagouaroundi) maintained in captivity at Refúgio Bela Vista, Foz do Iguaçu. Clinical data, hemogram and clinical history of these animals were available. Clinical materials obtained from oropharinx and conjunctiva were cultured in specific media for Mycoplasma spp isolation. DNA of blood and swabs were extracted using a commercially available kit and a boiling method, respectively. DNA samples from swabs were submitted to a PCR for the detection of Mollicutes and M. felis. DNA samples from blood were submitted to a PCR for detection of Mycoplasma haemofelis (Mhf), Candidatus M. haemominutum (CMhm), feline leukemia virus (FeLV) proviral DNA , and Bartonella spp. The association between hematological alterations and bartonella infection was evaluated and a risk factor analysis was performed. Only 1 (1.75%) animal was positive for Mhf reaction, whereas all animals were negative for CMhm detection. Two (3.5%) animals were positives for FeLV and 6 (10.52%) animals were positive for Bartonella spp, by PCR. Co-infections among these agents were not observed. Five (8.77%) mycoplasma isolates were obtained from oropharinx samples and none was obtained from conjunctival samples. Mollicutes DNA was detected in 53 (93%) and 27 (47.36%) samples from oropharinx and conjunctiva, respectively. All samples were negative for M. felis detection. Hematological alterations (anemia, dehydration, leukocytosis, leucopenia, history of anemia) were not associated to Bartonella spp infection. Males are more likely to be infected than females. This is the first report of FeLV proviral DNA in L. tigrinus and L. pardalis in Southern Brazil, of B. henselae DNA in L. trigrinus, L. pardalis, L. geoffroyi and P. yagouaroundi, and the first study of risk factors for Bartonella spp infection in neotropical felids.

The Gram-negative bacterium Bartonella henselae (Bh) is an emerging zoonotic pathogen that has been associated with a variety of human diseases including bacillary angiomatosis which is characterized by vasoproliferative tumor-like lesions on the skin and internal organs of some immunosuppressed individuals. Several virulence factors associated with Bartonella-induced pathogenesis have been characterized. However, the study of those virulence factors has been limited to in vitro cell culture systems due to the lack of a practical animal model. Therefore, we wanted to investigate whether the zebrafish embryo (Danio rerio) could be used to model human infection with Bh. We investigated if Bh can mount an infection in zebrafish embryos during their early stage of development. Our data showed that Tg(fli1:egfp)y1 zebrafish embryos supported a sustained Bh infection for 7 days with >10-fold bacterial replication when inoculated in the yolk sac. This was evident by plating of zebrafish homogenates, quantitative PCR, and confocal microscopy analysis. We assessed the interaction of Bh with EC and the phagocytic cells in live embryos by microscopy. Our data showed that aggregates of Bh interact with the endothelium of the embryo vasculature. Evidence showed that Bh recruited phagocytes to the site of infection in the Tg(mpx:GFP)uwm1 embryos. We also wanted to determine the response to infection with Bh. Infected embryos showed evidence of a Bh-induced angiogenic phenotype as well as an increase in expression of genes encoding pro-inflammatory factors and pro-angiogenic markers. A deletion mutant for the entire VirB type IV secretion system (ΔvirB2-11 supported bacterial replication although to a lesser degree compared to the wild type control. However, infection of zebrafish embryos with a deletion mutant in the major adhesin (BadA) resulted in little or no bacterial replication and a diminished pro-angiogenic and pro-inflammatory host response compared to wild type Bh, providing the first evidence that BadA is critical for in vivo infection. Thus, the zebrafish embryo provides the first practical animal model of Bh infection that will facilitate efforts to identify virulence factors and define molecular mechanisms of Bh pathogenesis.

Dans le cadre de cette thèse, nous avons mis au point un outil de différenciation moléculaire performant, simple et transférable pour Bartonella henselae, basé sur la technique MLVA. 5 VNTR dits " principaux " ont été sélctionnés pour leur polymorphisme (BHVA- E). Ceci nous a permis d'évaluer la diversité des souches et/ou isolats de B. henselae. Avec ces 5 VNTR, et pour 178 isolats et /ou souches testés, un index de diversité de 0.98 et 99 profils ont été obtenus. Ces profils se répartissent en groupes A et B. Le groupe A n'inclut que des soldats félins, alors que le groupe B est constitué d'isolats félins, d'un isolat canin et de la totalité des isolats humains testés. Une étude réalisée sur des isolats de chats et de leurs propriétaires a montré que la technique MLVA est un outil efficace pour la traçabilité. Les VNTR les moins polymorphes semblent pouvoir jouer le rôle de marqueur géographique, alors que pour les BHV les plus polymorphes, certains allèles sont particulièrement associés aux isolats humains. Aucun profil commun aux génotypes I et II n'a été rencontré. Nos observations suggèrent par ailleurs que tous les isolats du groupe B, c'est-à-dire les isolats de génotype I (d'origine humaine et féline) ainsi que tous les isolats humains appartenant à l'un ou l'autre des 2 génotypes, pourraient être dérivés d'isolats félins de génotype II (groupe A). En outre, la technique MLVA s'est avérée capable de typer des " variants " de B. henselae issus de félidés sauvages. La comparaison des performances de la technique MLVA versus les autres techniques déjà développées telles que ECP, MLST et MST, utilisant des souches communes, a montré que la technique MLVA est plus discriminante que l'ensemble de ces techniques et par ailleurs plus stable que l'ECP. Enfin, nos résultats suggèrent que seul le groupe B serait zoonotique, et que parmi les 5 VNTR polymorphes intragéniques que nous avons utilisés, certains au moins joueraient un rôle dans le potentiel zoonotique, la persistance chez le chat et/ou la virulence pour l'Homme.

<p>Bacteria of the genus <i>Bartonella</i> inhabit the red blood cells of many mammals, including humans, and are transmitted by blood-sucking arthropod vectors. Different species of <i>Bartonella</i> are associated with different mammalian host species, to which they have adapted and normally do not cause any symptoms. Incidental infection of other hosts is however often followed by various disease symptoms, and several <i>Bartonella</i> species are considered as emerging human pathogens.</p><p>In this work, I have studied the genomic diversity within and between different <i>Bartonella</i> species, with focus on the feline-associated human pathogen <i>B. henselae</i> and its close relatives, the similarly feline-associated <i>B. koehlerae</i> and the trench-fever agent <i>B. quintana</i> which is restricted to humans.</p><p>In <i>B. henselae</i>, the overall variability in sequence and genome content was modest and well correlated, suggesting low levels of intra-species recombination in the core genome. The variably present genes were located in the prophage and the genomic islands, which are also absent from <i>B. quintana</i> and <i>B. koehlerae</i>, indicating multiple independent excision events. In contrast, diversity of genome structures was immense and probably associated with rearrangements between the repeated genomic islands located around the terminus of replication, possibly to avoid the host’s immune system. In both <i>B. henselae</i> and the mouse-associated species <i>B. grahamii</i> a large portion of the chromosome was manifold amplified in long-time cultures and packaged into phage particles, allowing for different recombination rates for different chromosomal regions.</p><p>In B<i>. quintana</i>, diversity was studied by sequencing non-coding spacers. The low variability might be due to the recent emergence of this species. Surprisingly, also this species displayed high variability in genome structures, despite its lack of repeated sequences.</p><p>The results indicate that genome rearrangements and gain or loss of mobile elements are major mechanisms of evolution in <i>Bartonella</i>.</p>

Bacteria of the genus Bartonella inhabit the red blood cells of many mammals, including humans, and are transmitted by blood-sucking arthropod vectors. Different species of Bartonella are associated with different mammalian host species, to which they have adapted and normally do not cause any symptoms. Incidental infection of other hosts is however often followed by various disease symptoms, and several Bartonella species are considered as emerging human pathogens. In this work, I have studied the genomic diversity within and between different Bartonella species, with focus on the feline-associated human pathogen B. henselae and its close relatives, the similarly feline-associated B. koehlerae and the trench-fever agent B. quintana which is restricted to humans. In B. henselae, the overall variability in sequence and genome content was modest and well correlated, suggesting low levels of intra-species recombination in the core genome. The variably present genes were located in the prophage and the genomic islands, which are also absent from B. quintana and B. koehlerae, indicating multiple independent excision events. In contrast, diversity of genome structures was immense and probably associated with rearrangements between the repeated genomic islands located around the terminus of replication, possibly to avoid the host’s immune system. In both B. henselae and the mouse-associated species B. grahamii a large portion of the chromosome was manifold amplified in long-time cultures and packaged into phage particles, allowing for different recombination rates for different chromosomal regions. In B. quintana, diversity was studied by sequencing non-coding spacers. The low variability might be due to the recent emergence of this species. Surprisingly, also this species displayed high variability in genome structures, despite its lack of repeated sequences. The results indicate that genome rearrangements and gain or loss of mobile elements are major mechanisms of evolution in Bartonella.

Many bacteria live in close association with other organisms such as plants and animals, with important implications for both health and disease. This thesis investigates bacteria that are well adapted to live inside an animal host, and describes the molecular evolutionary processes underlying host-adaptation, based on bacterial genome comparisons. Insect-transmitted bacteria of the genus Bartonella infect the red blood cells of mammals, and we investigate host adaptation and genome evolution in this genus. In Bartonella, many host-interaction systems are encoded in a highly variable chromosomal segment previously shown to be amplified and packaged into bacteriophage particles. Among all genes imported into the Bartonella ancestor, we identify the short gene cluster encoding these phage particles as the most evolutionary conserved, indicating a strong selective advantage and a role in niche adaptation. We also provide an overview of the remarkable evolutionary dynamics of type IV and type V secretion systems, including a detailed analysis of the type IV secretion system trw. Our results highlight the importance of recombination and gene conversion in the evolution of host-adaptation systems, and reveal how these mutational mechanisms result in strikingly different outcomes depending on the selective constraints. In the insect endosymbionts Buchnera and Blochmannia, we show that genes frameshifted at poly(A) tracts can remain functional due to transcriptional slippage. Selection against poly(A) tracts is very inefficient in these genomes compared to other bacteria, and we discuss why this can lead to increased rates of gene loss. Using the human pathogen Helicobacter pylori as a model, we provide a deeper understanding of why highly expressed genes evolve slowly. This thesis emphasizes the power of using complete genome sequences to study evolutionary processes. In particular, we argue that knowledge about the complex evolution of duplicated gene segments is crucial to understand host adaptation in bacteria.

Bacteria of the genus Bartonella infect the red blood cells of a wide range of wild and domestic mammals and are transmitted between hosts by blood-sucking insects. Although most Bartonella infections are asymptomatic, the genus contains several human pathogens. In this work, host adaptation and host switches in Bartonella have been studied from a genomic perspective, with special focus on the acquisition and evolution of genes involved in host interactions. As part of this study, the complete genome of B. grahamii isolated from a Swedish wood mouse was sequenced. A genus-wide comparison revealed that rodent-associated Bartonella species, which have rarely been associated with human disease, have the largest genomes and the largest number of host-adaptability genes. Analysis of known and putative genes for host interactions identified several families of autotransporters as horizontally transferred to the Bartonella ancestor, with a possible role both during early host adaptation and subsequent host shifts. In B. grahamii, the association of a gene transfer agent (GTA) and phage-derived run-off replication of a large genomic segment was demonstrated for the first time. Among all acquisitions to the Bartonella ancestor, the only well conserved gene clusters are those that encode the GTA and contain the origin of the run-off replication. This conservation, along with a high density of host-adaptability genes in the amplified region suggest that the GTA provides a strong selective advantage, possibly by increasing recombination frequencies of host-adaptability genes, thereby facilitating evasion of the host immune system and colonization of new hosts. B. grahamii displays stronger geographic pattern and higher recombination frequencies than the cat-associated B. henselae, probably caused by different lifestyles and/or population sizes of the hosts. The genomic diversity of B. grahamii is markedly lower in Europe and North America than in Asia, possibly an effect of reduced host variability in these areas following the latest ice age.

Bartonella, a group of Gram negative facultative intracellular bacteria, are known to cause diseases, such as Cat Scratch Disease, Trench Fever and Carrion’s Disease, that involve angiogenesis during the infective cycle. B. bacilliformis, the etiological agent of Carrion’s Disease, causes a bi-phasic infection resulting in the formation of blood-filled angiogenic proliferative cutaneous nodules called verruga peruana. The work presented here was undertaken to characterize the mechanism by which these nodules are produced. Previous work in our laboratory suggested that the Bartonella henselae genome contains a homologue to the virB operon, a set of genes coding for a Type IV Secretion System (TFSS) that has been implicated in the pathogenesis of other α-2-proteobacteria. We identified virB operons in two additional Bartonella pathogens, B. quintana and B. clarridgeiae. No corresponding operon sequences were detected in B. bacilliformis DNA, however. This finding suggests that virB gene products are not required for verruga peruana formation. To continue our search for factors involved in B. bacilliformis-induced angiogenesis, we conducted a microarray analysis of differential gene expression in infected and uninfected endothelial cells. The results suggest similarities between later stage (36 hours) B. bacilliformis infection and that of HHV-8, the causative agent of Kaposi’s Sarcoma, particularly in relation to the host immune response. Finally, our research focused on the secreted factors that B. bacilliformis produces during its host infective cycle. Our data suggest that the B. bacilliformis homologue to the molecular chaperone GroEL not only induces angiogenesis in endothelial cells, but also protects endothelial cell tubule from the degradation seen when these cells are in the presence of live B. bacilliformis. In summary, the induction of verruga peruana nodules via B. bacilliformis may be the result of multiple factors over the course of persistent infection. Early infection may cause vascular damage, which induces VEGF and hypoxia factors. As infection persists, bacterial secretion of a unique GroEL may result in continued angiogenesis and the ensuing activation of immune cells, producing a localized environment of continual incomplete angiogenesis in areas of cutaneous infection.

The genus Bartonella comprises emerging pathogens that are causative agents of a wide range of clinical manifestations such as cat scratch disease, bacillary angiomatosis, and Carrion’s disease. All species are transmitted by blood-sucking arthropods and infect erythrocytes and endothelial cells of hosts. Carrion’s disease is a bi-phasic infection caused by Bartonella bacilliformis which is characterized by hemolysis of infected erythrocytes followed by invasion of the vascular endothelium. This provokes pronounced cellular proliferation, angiogenesis and skin eruptions called verruga peruana. Endothelial cells are thought to be the primary niche wherein bacteria reside between inoculation and erythrocyte infection. This study aims to elucidate some of the endothelial factors involved during the verruga peruana phase of Carrion’s disease. In order to adhere to and invade human microvascular endothelial cells (HMEC-1), B. bacilliformis engages a family of cell receptors called integrins. We used anti-integrin antibodies to show that the primary integrin involved is the fibronectin receptor á5â1, although the vitronectin receptor áVâ3 also plays a minor role. We show B. bacilliformis invasion is also dependent on integrin ligands, fibronectin and vitronectin as antibodies against these proteins decreased invasion and attachment, whereas pre-treatment of the bacteria with these molecules enhanced infection of endothelial cells. Bacterial uptake requires various host cytoplasmic signaling pathways to work in tandem, and our study identified three mitogen activated protein kinases involved. Apart from MAPKs, phosphotidylinositol 3 kinase plays a role during invasion and cell survival. PI3K inhibitors blocked bacterial internalization and B. bacilliformis infected cells showed accelerated apoptosis. Lastly, microarray analysis was performed to study the gene expression profile of B. bacilliformis infected HMEC-1 cells. Numerous molecules of the integrin signaling pathways are involved, suggesting integrins as the major receptor recruited for the successful infection by B. bacilliformis. In summary this is the first study to demonstrate the role of integrins as B. bacilliformis receptors and integrin ligands as facilitators of infection. Gene expression analysis suggests the possibility that integrin mediated signaling pathways are the key modulators of cellular alterations during B. bacilliformis infection. This hypothesis is supported by the identification of some members of the integrin signaling pathway necessary for B. bacilliformis entry into endothelial cells.

Human pathogens survive anti-pathogen host immune assault by either circumventing or evading the host immune response. Bartonella henselae, an intracellular pathogen previously shown to disrupt intrinsic apoptotic messengers to enhance its survival, exploits multiple facets of the cellular apoptotic mechanisms. Cellular pathways affected by apoptotic processes were assessed using real-time reverse-transcriptase-polymerase-chain-reaction (rRT-PCR) to measure the effect of B. henselae on cell regulator gene expression (TRADD, FADD, caspase-8 and caspase-3), caspase activity, DNA cell cycle analysis, cell regulator protein expression and overall cell viability and morphology. The presence of B. henselae suppresses overall gene expression for TRADD and FADD and it dramatically suppresses ceramide-induced TRADD and FADD gene expression. The presence of B. henselae has a noticeable effect on ceramide-induced caspase-8 and caspase-3 gene expression. Only caspase-3 enzymatic activity was ceramide-induced and likewise supressed by the presence of B. henselae, whereas caspase-6 and caspase-8 were unaffected and equivalent to controls. The presence of B. henselae inhibits ceramide-induced DNA fragmentation, maintains overall cell morphology and enhances host cell viability. Lastly, B. henselae inhibits the time-dependant ceramide-induction of TRADD protein and suppresses ubiquitous FADD protein expression. We demonstrated that B. henselae inhibits apoptotic induction in a systematic manner following exogenous apoptotic induction. B. henselae protection of microvascular endothelial cells from apoptosis induction begins at the modulation of cell surface receptor-dependent signaling. B. henselae minimizes, but does not completely abrogate, the cytotoxic effect of the apoptogenic shingolipid ceramide on human microvascular endothelial cells (CDC.EU.HMEC-1). Broadening our understanding of the sequence of cell regulator suppression events by intracellular pathogens will provide insight into disease manifestation. Further, understanding how infected cells initiate and conclude apoptosis will open new avenues into the study of disease treatment.