Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 4 uppsatser.

Berlin, Freie Universiẗat, Diss., 2005. / Dateiformat: zip, Dateien im PDF-Format.

A dissertation submitted to the Faculty of Medicine of the University of the Witwatersrand. Johannesburg. for the Degree of Master of Science in Medicine Johannesburg 1994 / South African gold-miners work under stressful conditions and live in communal hostels. Respiratory infections are common in these workers and several cases of Legionnaires' Disease have previously been diagnosed in workers at a gold mine on the East Rand. The prevalence of antibodies and the rate of seroconversion within a period of six months, to C. pneumoniae and L. paeumopbils, both common causes of atypical pneumonia, was studied in relation to several risk factors including age, smoking habits, previous underground experience and past exposure to dust and humidity in the environment. Factory workers from a rural area in Natal and hospitalised patients with community acquired pneumonia were tested for comparison. Water samples were collected from several areas at the mine, including both surface and underground samples" Antibodies to C. pneumoniae were present in 66% of the mine workers, compared to 50% of pneumonia patients and 22% of factory workers, a statistically significant difference (P<O.OOl), Seroconversion was demonstrated ill 17% of the mine workers within a period of six months working underground, and in 22% of pneumonia patients, with convalescent stage sera taken 1-6 weeks after onset of symptoms. None of the risk factors studied influenced the prevalence of C. pneumoniae antibodies in the mine workers, but a significant association between the presence of respiratory symptoms in the six month period and seroconversicn was demonstrated (P<O.025). Using heat- killed antigens, antibodies to L. paeumopbile serogroups 1-4 were demonstrated in 36% of the mine workers, in 16% of the pneumonia patients and in 10% of factory workers (P<O.OOl). Seroconversion occurred in 18% of mine workers and in 14% of pneumonia patients. An association could not be demonstrated between any (if the risk factors studied and the prevalence of antibodies or the rate of seroconversion to L. pneumophila in the mine workers. No legionellae were cultured from the water samples, and the presence of these organsims in chlorinated water from both surface and underground samples could not be confirmed.

Charité, Universiẗat-Med., Diss--Berlin, 2005.

Universiẗat, Diss--Ulm, 2005.

Proefschrift Universiteit Maastricht. / Met lit. opg. - Met samenvatting in het Nederlands.

Arginine uptake and degradation systems are common throughout bacteria and archaea. The genome of human pathogen Chlamydia pneumoniae encodes three proteins now called AaxA, AaxB, and AaxC which function together to take up arginine, decarboxylate it, and expel the decarboxylation product, agmatine. AaxB is the previously characterized pyruvoyl-dependent arginine decarboxylase, AaxC is an inner membrane amino acid transport protein that functions as an arginine-agmatine antiporter, and AaxA is an outer membrane porin, which facilitates the uptake of arginine and also functions as a general porin with broad specificity. C. pneumoniae is a non-typical Gram negative bacteria and an obligate intracellular parasite with a unique 2-phase life cycle. The role of this system for arginine-agmatine exchange has yet to be determined but it may function to deplete host cell arginine as a means of inactivating host inducible nitric oxide synthase (iNOS), a molecule used in the innate immune response that has been shown to have an inhibitory affect on the growth of C. pneumoniae in cell culture. AaxB and AaxC are able to complement the loss of extreme acid-resistance in E. coli mutants that lack their own system for arginine-agmatine exchange, making pH homeostasis another possible role for this system. The porin AaxA is able to enhance arginine-agmatine exchange by AaxB and AaxC in E. coli mutants as well as by the native arginine decarboxylase AdiA and the native arginine-agmatine antiporter AdiC in wild type E. coli. AaxA is not an arginine-specific porin and instead acts as a general porin with a broad specificity. AaxA discriminates only against large and negatively charged solute molecules, and therefore it may have a broad role in the uptake of various biomolecules essential for chlamydial growth in addition to its role as part of a system for arginine-agmatine exchange. / text

The obligate intracellular gram-negative bacterium, Chlamydophila pneumoniae (Cpn), has a significant impact as an acute and chronic disease-causing pathogen. Its potential to undergo persistent infections has been linked to chronic diseases. Several in vitro cell culture models are used to study persistent conditions, mainly IFN_ stimulation, treatment with antibiotics and iron depletion. Little is known about changes in the Cpn transcriptome during the acute and persistent infection. Therefore, the Cpn transcriptome during its acute developmental cycle and iron depletion-mediated persistence was examined in this study. Based on expression profiles, genes with similar expression changes formed 12 clusters using the self-organizing map algorithm. While other studies define genes based on their onset of transcription, here the important feature for clustering was the expression profile. This turned out to be more appropriate for comparing the time specific relevance of a certain cluster of genes to their proposed functions in the cycle. The Cpn clusters were grouped into the 'Early', 'Mid' and 'Late' classes as described for Ctr. Additionally, a new gene expression class containing genes with steadily increasing expression at the end of the developmental cycle was defined and termed 'Tardy' class. Comparison of the Cpn clusters to published proteomics data showed that genes encoding elementary body (EB) proteins peaked in the 'Late' gene cluster. This indicated that genes of the ‘Late’ and ‘Tardy’ class have different roles in RB to EB re-differentiation. Moreover, using lexical comparison the EB mRNA profile was significantly linked to the ‘Tardy’ cluster class. This provided evidence that initial translation in the cycle might be directed from stable transcripts present in the infectious EB form. Based on these criteria the novel ‘Tardy’ class was separated from the ‘Late’ class. The gene ontologies were used to identify specific pathways and physiological functions active during the different phases of development. Additionally, the transcriptome of Cpn in the persistent stage was compared to that of the acute developmental cycle. The Cpn transcriptome was altered in the iron-depletion mediated persistence. Genes upregulated were linked to clusters at the beginning of the developmental cycle, and genes down-regulated were linked to clusters at the end of the developmental cycle. These data provided strong evidence that the Cpn transcriptome during persistence is a gene expression arrest in mid-development. In early acute infection convergently or divergently oriented gene pairs preferentially had an antagonistic expression profile, whereas tandemly oriented gene pairs showed a correlated expression profile. This suggests that the Cpn genome is organized mainly in tandemly arranged operons and in convergently or divergently oriented genes with favored antagonistic profiles. The microarray studies done with the Cpn strain CWL029 also showed expression signals for several genes annotated only for the Cpn strains AR39 and J138. BLAST comparison verified that these genes are also coded in the CWL029 genome. Several of these genes were convergently arranged with their neighboring gene and shared overlapping genome information. Among these were parB, involved in DNA segregation and rpsD, an alternative sigma factor responsible for the transcription at late stages of the developmental cycle. Both genes have been described to have major roles in the chlamydial cycle. These genes had an antagonistic expression profile at the beginning of the acute developmental cycle and in persistence, as described before to be predominant for convergently oriented genes. Real time RT-PCR analysis showed that full-length rpsD mRNA transcripts were down-regulated, whereas short-length rpsD mRNA transcripts were up-regulated during the persistent infection. This demonstrated that the rpsD promoter is activated during the persistent infection and that because of the collision of the RNA polymerases full length transcripts were down-regulated. This sigma factor-independent mechanism is known as ‘Transcriptional Interference’. This is the first description on how the alternative sigma factor rpsD might be down-regulated during persistent infections. Finally, the host cell transcriptome was analyzed in the acute and persistent infection mediated by the depletion of iron. Cpn infection triggered the upregulation of relB, involved in an alternative NF-KB signaling pathway. Several genes coding for cell cycle proteins were triggered, including cyclin G2 and cyclin D1 and inhibitors of CDK4. Taken together, this work provides insights into the modulation of the pathogen and the host transcriptome during the acute infection and the iron mediated persistent infection. / Das obligat intrazelluläre, gram-negative Bakterium Chlamydophila pneumoniae (Cpn) wird mit akuten und chronischen Krankheiten in Verbindung gebracht. Besonders sein Potential persistente Infektionen zu durchlaufen ist mit chronischen Krankheiten korreliert worden und deshalb von besonderem Interesse. Verschiedene in vitro Zellkulturmodelle werden verwendet um persistente Infektionen zu untersuchen, darunter IFN_ Stimulation, Antibiotika Behandlung und Eisenmangel. Über die Genregulation von Cpn als auch der Wirtzelle in der akuten und persistenten Infektion ist jedoch wenig bekannt. In dieser Arbeit wurde das Cpn Transkriptom als auch das von epithelialen Wirtszellen in der akuten und in der durch Eisenmangel induzierten Infektion untersucht. Mittels eines Algorithmuses für ‚selbstorganisierende Netzwerke’ (SOM) wurden signifikant regulierte Gene aufgrund ihres Expressionsprofiles in 12 Cluster gegliedert. Diese 12 Cluster wurden wiederum in die Klassen der ‘Frühen’ (engl.: ‘Early’), ‘Mittleren’ (engl.: ‘Mid’) und ‘Späten’ (engl.: ‘Late’) Gene eingeteilt. Diese Unterteilung lehnt sich an schon beschriebenen Genexpressionsstudien für Ctr an. Weiterhin wurde die neue Klasse der ‘Verspäteten’ (engl.: ‘Tardy’) Gene eingeführt. Diese hatten am Ende des Entwicklungszykluses ein kontinuierlich ansteigendes Expressionsprofil. Mit publizierten Proteinen aus chlamydialen Elementarkörperchen (EK) korrelierten vor allem Gene aus den ‘Späte’ jedoch nicht aus den ‘Verspätete’ Klassen. Gene dieser beiden Klassen müssen also eine unterschiedliche Rolle im EK Redifferenzierungsprozess spielen. Weiterhin waren überdurchschnittlich viele mRNA Transkripte aus der Klasse der ‘Verspäteten’ Gene in den EK vorhanden. Dies führte zu der Annahme, daß ein Teil der initiale Proteinexpression von stabilen mRNA-Transkripten aus der infektiösen EK Form erfolgt. Anschließend wurden, Gene, die für spezifische Signalwege und physiologische Funktionen von Cpn kodieren, basierend auf der ‚Gene Ontology’ während des Entwicklungszykluses untersucht. Weiterhin wurde das Transkriptom von Cpn in der Persistenz mit dem Transkriptom der akuten Infektion verglichen. Unter Persistenzbedingungen zeigte Cpn ein verändertes Expressionsprofil. Hochregulierte Gene konnten akuten Clustern am Anfang des akuten Entwicklungszykluses und herunterregulierte Gene Clustern am Ende des akuten Entwicklungszykluses zugeordnet werden konnten. Dies legt nahe, daß es sich bei der Persistenz nicht um ein neues Transkriptionsprofil handelt, sondern eher um eine Arretierung des Transkriptomes in der Mitte des akuten Entwicklungszykluses. Weiterhin zeigten konvergent und divergent orientierte Gene am Anfang des Zyklus bevorzugt ein antagonistisches Expressionsprofil, während in Reihe angeordnete (‘tandem’) Gene ein korreliertes Expressionsprofil aufwiesen. Bei den mit dem Cpn Stamm CWL029 durchgeführten Mikroarrayexperimenten konnten auch Expressionswerte für einige ausschließlich für die Stämme AR39 und J138 beschriebenen Gene gemessen werden. Ein Vergleich mittels BLAST zeigte, daß diese Gene auch im CWL029 Genom kodiert sind. Dazu gehörten mehrere Gene, welche konvergent zu ihren Nachbargenen orientiert waren und eine Sequenzüberlappung mit diesen aufwiesen. Darunter fielen parB, welches eine Rolle für die Trennung der DNA in der Zellteilung spielt, und rpsD, ein alternativer Sigma-Faktor, der für die Transkription in der späten Phase des Entwicklungszyklus verantwortlich ist. Für beide Genpaare konnte in der frühen akuten und in der persistenten Infektion ein antagonistisches Expressionsprofil beobachtet werden, wie es bei konvergent orientierten Genpaaren überwiegt. Mittels quantitativer qRT-PCR wurde für rpsD gezeigt, dass vollständige mRNA-Fragmente in der Persistenz herunterreguliert, während kurze mRNA-Fragmente hochreguliert waren. Als Erklärung für diesen Effekt dient ein Modell, welches auf einer Kollision der RNA Polymerasen basiert. Dieser Sigma-Faktor unabhängige Mechanismus ist in der Literatur als ‘Transkriptionelle Interferenz’ bekannt und führt so trotz einer Promoteraktivierung zu einer verminderten Anzahl an vollständigen mRNA Transkripten. Die Herunterregulation von RpsD auf Proteinebene in der Cpn Persistenz ist beschrieben worden. Im letzten Teil dieser Arbeit wurde das Wirtszelltranskriptom in der akuten und persistenten Infektion untersucht.Infektion mit Cpn führte zu einer Hochregulation von relB, welches an alternativen NF-KB Signalwegen beteiligt ist und das anti-apoptotische Potential verstärkt. Weiterhin waren Gene differentiell exprimiert, welche für die Zellzyklusproteine Cyclin-G2 und Cyclin-D1 sowie Inhibitoren von CDK4 kodieren. Zusammenfassend gibt diese Arbeit gibt einen Einblick sowohl in das Transkriptom des Pathogens als auch der Wirtszelle während der akuten und durch Eisenmangel ausgelösten persistenten Infektion als auch potentiellen Mechanismen zu Persistenzentstehung auf der Ebene der Genregulation.

Proefschrift Maastricht. / Lit. opg. - Met een samenvatting in het Nederlands.

Ulm, Univ., Diss., 2002.