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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Evolution and diversification of secreted protein effectors in the order Legionellales

Ammunet, Tea January 2018 (has links)
The evolution of a large, diverse group of intracellular bacteria was previously very difficult to study. Recent advancements in both metagenomic methods and bioinformatics has made it possible. This thesis investigates the evolution of the order Legionellales. The study concentrates on a group of proteins essential for pathogenesis and host manipulation in the order, called effector proteins. The role of effectors in host adaptation, evolutionary history and the diversification of the order were investigated using a multitude of bioinformatics methods. First, the abundance and distribution of the known effector proteins in the orderwas found to cover newly discovered clades. There was a clear distinction between the proteins present in Legionellales and the outgoup, indicating the important role of the effectors in the order. Further, the effectors with known functions found in the new clades, particularly in Berkiella, revealed potential modes of host manipulation of this group. Secondly, the evolution of the effector gene content in the order shed light on theevolution of the order, as well as on the potential evolutionary differences between Legionellaceae and Coxiellaceae. In general, most of the effectors were gained early in the last common ancestor of Legionellales and Legionellaceae, as further indication of their role in the diversification of the order. New effector genes were acquired in the Legionellaceae even up to recent speciation events, whereas Coxiellacea have lost more protein coding genes with time. These differences may be due to horizontal gene transfer in the case of gene gains in Legionellaceae and loss of selection in the case of gene losses in Coxiellaceae. Third, the early evolution of core gained effector proteins for the order was studied.Two of the eight investigated core effectors seem to have a connection to eukaryotes, the rest to other bacteria, indicating both inter-domain and within bacteria horizontal gene transfer. In particular, one effector protein with eukaryotic motif gained at the last common ancestor of Legionellales, was found in all the clades and is therefore an important evolutionary link that may have allowed Legionellales to utilize eukaryotic hosts.
2

Population genomic analysis of bacterial pathogen niche adaptation

Bacigalupe, Rodrigo January 2018 (has links)
Globally disseminated bacterial pathogens frequently cause epidemics that are of major importance in public health. Of particular significance is the capacity for some of these bacteria to switch into a new environment leading to the emergence of pathogenic clones. Understanding the evolution and epidemiology of such pathogens is essential for designing rational ways for prevention, diagnosis and treatment of the diseases they cause. Whole-genome sequencing of multiple isolates facilitating comparative genomics and phylogenomic analyses provides high-resolution insights, which are revolutionizing our understanding of infectious diseases. In this thesis, a range of population genomic analyses are employed to study the molecular mechanisms and the evolutionary dynamics of bacterial pathogen niche adaptation, specifically between humans, animals and the environment. A large-scale population genomic approach was used to provide a global perspective of the host-switching events that have defined the evolution of Staphylococcus aureus in the context of its host-species. To investigate the genetic basis of host-adaptation, we performed genome-wide association analysis, revealing an array of accessory genes linked to S. aureus host-specificity. In addition, positive selection analysis identified biological pathways encoded in the core genome that are under diversifying selection in different host-species, suggesting a role in host-adaptation. These findings provide a high-resolution view of the evolutionary landscape of a model multi-host pathogen and its capacity to undergo changes in host ecology by genetic adaptation. To further explore S. aureus host-adaptive evolution, we examined the population dynamics of this pathogen after a simulated host-switch event. S. aureus strains of human origin were used to infect the mammary glands of sheep, and bacteria were passaged in multiple animals to simulate onward transmission events. Comparative genomics of passaged isolates allowed us to characterize the genetic changes acquired during the early stages of evolution in a novel host-species. Co-infection experiments using progenitor and passaged strains indicated that accumulated mutations contributed to enhanced fitness, indicating adaptation. Within-host population genomic analysis revealed the existence of population bottlenecks associated with transmission and establishment of infection in new hosts. Computational simulations of evolving genomes under regular bottlenecks supported that the fitness gain of beneficial mutations is high enough to overcome genetic drift and sweep through the population. Overall, these data provide new information relating to the critical early events associated with adaptation to novel host-species. Finally, population genomics was used to study the total diversity of Legionella longbeachae from patient and environmental sources and to investigate the epidemiology of a L. longbeachae outbreak in Scotland. We analysed the genomes of isolates from a cluster of legionellosis cases linked to commercial growing media in Scotland and of non-outbreak-associated strains from this and other countries. Extensive genetic diversity across the L. longbeachae species was identified, associated with intraspecies and interspecies gene flow, and a wide geographic distribution of closely related genotypes. Of note, a highly diverse pool of L. longbeachae genotypes within compost samples that precluded the genetic establishment of an infection source was observed. These data represent a view of the genomic diversity of this pathogen that will inform strategies for investigating future outbreaks. Overall, our findings demonstrate the application of population genomics to understand the molecular mechanisms and the evolutionary dynamics of bacterial adaptation to different ecological niches, and provide new insights relevant to other major bacterial pathogens with the capacity to spread between environments.
3

Characterization of Two Novel Gene Regulatory Systems in the Zoonotic Bacterium <i>Bartonella henselae</i>

Tu, Nhan 19 November 2015 (has links)
The genus Bartonella contains Gram-negative arthropod-borne bacteria that are found in many small animal reservoirs and are capable of causing human disease. Bacteria utilize a general stress response system to combat stresses from their surrounding environments. In α-proteobacteria, the general stress response system uses an alternate σ factor as the main regulator and incorporates it with a two-component system into a unique system. Our study identifies the general stress response system in the α-proteobacterium, Bartonella henselae, where the gene synteny is conserved and both the PhyR and alternate σ factor have similar sequence and domain structures with other α-proteobacteria. Furthermore, we showed that the general stress response genes are up-regulated under conditions that mimic the cat flea vector. We also showed that both RpoE and PhyR positively regulate this system and that RpoE also affects transcription of genes encoding heme-binding proteins and the BadA adhesin. Finally, we also identified a histidine kinase, annotated as BH13820 that can potentially phosphorylate PhyR. In addition, analysis of the transcriptome from the Houston-1 strain of B. henselae by RNA-Seq reveals a family of small RNAs (termed Brt1-Brt9 for Bartonella Regulatory Transcripts 1-9) that may rapidly adapt gene expression patterns to the diverse hosts of this bacterium. This family of RNAs consists of nine novel, highly expressed intergenic transcripts, ranging from 193-205 nucleotides with a high degree of homology (70-100%) and stable predicted secondary structures that are unique to the genus Bartonella. Northern blot analysis indicates that transcription of these sRNAs was highest under conditions mimicking those of the cat flea vector (low temperature, high hemin). The predicted promoters for Brt1-Brt9 have been cloned upstream of a β-galactosidase reporter gene in pNS2 to identify conditions altering transcription. Immediately downstream of each of the nine putative sRNAs is a helix-turn-helix DNA binding protein (termed Trp1-9 for Transcriptional Regulatory Protein 1-9) that is poorly transcribed as determined by RNA-Seq. This gene organization is suggestive of a potential cis-acting RNA mechanism or riboswitch with the RNA secondary structure controlling transcription of the cognate downstream trp.
4

Phylogenetic analysis of secretion systems in Francisellaceae and Legionellales : Investigating events of intracellularization

Nyrén, Karl January 2021 (has links)
Host-adapted bacteria are pathogens that, through evolutionary time and host-adaptive events, acquired the ability to manipulate hosts into assisting their own reproduction and spread. Through these host-adaptive events, free-living pathogens may be rendered unable to reproduce without their host, which is an irreversible step in evolution. Francisellaceae and Legionellales, two orders of Gammaproteobacteria, are cases where host-adaptation has lead to an intracellular lifestyle. Both orders use secretion systems, in combination with effector proteins, to invade and control their hosts. A current view is that Francisellaceae and Legionellales went through host-adaptive events at two separate time points. However, F. hongkongensis, a member of Francisellaceae shares the same secretion system as the order of Legionellales. Additionally, two host-adapted Gammaproteobacteria, Piscirickettsia spp. and Berkiella spp., swaps phylogenetic positions between Legionellales and Francisellaceae depending on methods applied - indicating shared features of Francisellaceae and Legionellales. In this study, we set up a workflow to screen public metagenomic data for candidate host-adaptive bacteria. Using this data, we attempted to assert the phylogenetic position and possibly resolve evolutionary events that occurred in Legionellales, F. hongkongensis, Francisellaceae, Piscirickettsia spp. and Berkiella spp. We successfully acquired 23 candidate host-adapted MAGs by (i) scanning for genes, among reads before assembly, using PhyloMagnet, and (ii) screening for complete secretion systems with MacSyFinder. The phylogenetic results turned out indecisive in the placement ofBerkiella spp. and Piscirickettsia. However, results found in this study indicate that, contrary to previous beliefs, it is possible that it was one intracellularization event of a common ancestor that gave rise to the intracellular lifestyle of Francisellaceae and Legionellales.
5

An Aminopeptidase Acting as a Potential Factor in Host Adaptation of Mycoplasma Gallinarum

Wan, Xiufeng 03 August 2002 (has links)
Unlike most other host-specific mycoplasmas, Mycoplasma gallinarum exists as a commensal with a host range including most poultry as well as some mammals. This property of M. gallinarum may reflect unique mechanisms for its colonization and persistence in hosts. Whereas M. gallinarum shows leucine and arginine aminopeptidase activity, the genes encoding the enzymes had not been cloned and characterized. We identified an aminopeptidase gene (APN) by oligonucleotide hybridization to a genomic library of M. gallinarum in lambda ZAPII bacteriophage. Nucleotide sequence analysis of overlapping phage clones identified a 1,362 bp open reading frame (ORF) encoding a putative leucine aminopeptidase gene. Database searches indicate that this ORF has 68% nucleotide identity and 51% amino acid identity with the M. salivarium leucine aminopeptidase gene. The active sites of the leucine aminopeptidases in other eukaryotes and prokaryotes were conserved in the cloned aminopeptidase gene. Northern-blot hybridization analysis showed that this ORF is expressed as a 1.5 kb transcript. Southern-blot hybridization analysis demonstrated this gene was present as a single copy in M. gallinarum. Characterization of the leucine aminopeptidase demonstrated that it is a metallo-aminopeptidase (EC 3.4.11.1) and is located in the cytoplasm with a weak interaction with the cell membrane. The subcellular location was further confirmed by immunoblotting with polyclonal anti-recombinant APN serum and M. gallinarum Triton-114 partitions. Immunoblotting results with sera from three chickens experimentally infected with M. gallinarum showed that there were very few proteins in M. gallinarum exposed to the host immune responses and that leucine aminopeptidase was not able to stimulate production of specific humoral antibody. Our results suggest that this leucine aminopeptidase play a role in nutrition supply for the host adaptation of M. gallinarum and that the enzyme was not strongly immunogenic.
6

Déterminisme de la spécificité d'hôte et rôle des effecteurs TAL dans l'interaction Xanthomonas - haricot / Determinism of host specifi city and role of TAL effectors inXanthomonas - bean interaction

Ruh, Mylene 19 December 2017 (has links)
La graisse commune est la principale phytobactériose du haricot.Cette maladie est causée par Xanthomonas citri pv. fuscans(Xcf) et X. phaseoli pv. phaseoli (Xpp). Xcf et Xpp étantphylogénétiquement distantes, leur capacité à produire lesmêmes symptômes sur haricot serait le fruit d’une convergencepathologique. L’objectif de cette thèse était d’identifi erles gènes candidats pour la spécifi cité d’hôte et d’étudier le rôledes effecteurs Transcription Activator-Like (TAL) dans l’interactionXanthomonas - haricot. Par une approche de génomiquecomparative, nous avons identifi é 116 gènes spécifi ques desagents de la graisse commune, dont un grand nombre a ététransféré horizontalement entre Xcf et Xpp. Ces gènes codentdes protéines intervenant aux différentes étapes de l’interaction.L’obtention du génome de 17 souches par séquençageSingle-Molecule Real-Time a révélé l’existence de un à troisgènes codant des effecteurs TAL par souche, pour un total dequatre gènes tal différents dont deux (tal23A et tal18H) ontété également transférés horizontalement entre Xcf et Xpp.L’ensemble de ces gènes constitue un répertoire spécifi que deXcf et Xpp qui pourrait expliquer la convergence pathologiqueentre ces pathovars. Des tests de pouvoir pathogène couplés àdes analyses transcriptomiques après inoculation d’un mutantde délétion de tal18H sur haricot ont révélé que TAL18H étaitimpliqué dans l’aggravation des symptômes et avait un effetpléiotrope sur le transcriptome du haricot lors de l’interaction.Les résultats de cette thèse constituent une / Common bacterial blight is the main bacterial disease of commonbean. This disease is caused by Xanthomonas citri pv.fuscans (Xcf) and X. phaseoli pv. phaseoli (Xpp). Xcf and Xppare phylogenetically distant yet they share the ability to inducethe same symptoms on common bean, which is suggestive ofpathological convergence between these two pathovars. Thisthesis aimed at identifying candidate genes for host specifi -city and studying the role of Transcription Activator-Like (TAL)effectors in the Xanthomonas – common bean interaction.Using a comparative genomic approach, we identifi ed 116genes specifi c to common bacterial blight agents, a largenumber of which were horizontally transferred between Xcfand Xpp. These genes encoded proteins involved in the differentsteps of the interaction.Single-Molecule Real-Timesequencing of 17 Xcf and Xpp genomes unveiled one to threeTAL-encoding genes per strain for a total of four different talgenes, two of which (tal23A and tal18H) were also horizontallytransferred between Xcf and Xpp. All these genes forma repertoire specifi c to Xcf and Xpp that could be responsiblefor the pathological convergence observed between thesetwo pathovars. Combination of pathogenicity tests and transcriptomicsafter inoculation of a tal18H deletion mutant oncommon bean plants revealed that TAL18H was involved insymptom development and displayed a pleiotropic effect oncommon bean transcriptome during the interaction. The resultsof this thesis constitute a stepping stone towards optimizingthe monitoring of co
7

Molecular variability among Brazilian strains of the sugarcane smut pathogen and the genetic basis of host specialization in smut fungi / Variabilidade molecular entre isolados brasileiros do agente causal do carvão da cana-de-açúcar e a base genética da especialização ao hospedeiro

Benevenuto, Juliana 19 May 2017 (has links)
Plant pathogens have the ability to quickly overcome host resistance and shift to novel hosts. The (re)emergence of plant pathogens is a major concern in agriculture and in conservation of natural landscapes. The rapid adaptation to hosts and new environments depends on the genetic variability in pathogen populations. Despite of the importance of sugarcane for Brazilian agribusiness and the persistence of the smut pathogen Sporisorium scitamineum in most cropping areas, genetic variation studies are still missing for Brazilian isolates. In the chapters 1 and 2, molecular variability studies were performed for Brazilian and Argentine isolates of S. scitamineum, using molecular markers (AFLP, telRFLP) and sequencing (ITS and a candidate effector gene) strategies. No variation was found in ITS sequences. On the contrary, telRFLP marker generates almost a unique fingerprint for each strain. Two genetically distinct groups were formed by the joint analysis of the AFLP and telRFLP markers. The two groups were the same formed by haplotypes of a candidate effector gene. The presence of polymorphisms that causes non-synonymous mutations in a candidate effector gene potentially involved in the specific interaction with sugarcane may cause distinct performances on host genotypes. S. scitamineum is part of the highly diverse clade of Ustilaginomycetes fungi that includes several smut disease agents. Despite being phylogenetically close and present similar lifestyles, species of smut fungi have distinct and narrow host ranges. Hence, another objective in this thesis was to identify the genetic basis of host specialization in smut fungi using comparative genomics analyses. In chapter 3, the mating-type loci were described in S. scitamineum genome and compared among smut fungi. Transposable elements are the likely mechanism causing chromosomal rearrangements between mating-type loci. The presence of trans-specific polymorphisms at the genes encoding pheromone/receptor proteins suggests a hybridization potential among smut species. In the chapter 4, a broad comparative genomics analysis was performed among nine species of smut fungi infecting distinct hosts. The genetic basis of host specialization in smut fungi is complex and seems to involve a range of evolutionary processes, including gene gain/loss and episodic selection events. Species-specific effectors and positively selected genes will be good candidates for further characterization in regards to their role in host adaptation. / Fitopatógenos apresentam a habilidade de rapidamente suplantar os mecanismos de defesas da planta e adaptar-se a um novo hospedeiro. A (re)emergência de patógenos é uma das maiores preocupações na agricultura e na conservação de populações naturais. A rápida adaptação ao hospedeiro e a novos ambientes depende da variabilidade genética nas populações de patógenos. Apesar da importância da cana-de-açúcar para o agronegócio brasileiro e da persistência do patógeno Sporisorium scitamineum, o agente causal do carvão da cana-de-açúcar, na maioria das áreas canavieiras, estudos de variabilidade genética ainda não foram realizados para isolados brasileiros. Nos capítulos 1 e 2, estudos de variabilidade molecular foram realizados para isolados brasileiros e argentinos de S. scitamineum, usando marcadores moleculares (AFLP e telRFLP) e dados de sequenciamento (ITS e um gene candidato a efetor). Nenhum polimorfismo foi encontrado usando sequências ITS. Contrariamente, o marcador telRFLP gerou quase um fingerprint para cada linhagem. Dois grupos geneticamente distintos foram formados pela análise conjunta dos marcadores telRFLP e AFLP. Os dois grupos também foram formados pelos haplótipos obtidos pelo sequenciamento de um candidato a efetor. A presença de polimorfismos causando mutações não-sinônimas em um candidato a efetor pode acarretar em performances distintas em diferentes genótipos de cana-de-açúcar. S. scitamineum pertence à classe Ustilaginomycetes, a qual também abrange vários outros agentes causais de doenças do carvão. Apesar de filogeneticamente próximos e com estilo de vida similar, espécies de carvão apresentam uma faixa distinta e estreita de hospedeiros. Portanto, outro objetivo desta tese foi identificar a base genética da especialização ao hospedeiro por fungos causadores de carvão usando análises de genômica comparativa. No capítulo 3, os loci envolvidos na determinação do tipo de reação sexual (mating-type) foram caracterizados no genoma de S. scitamineum e comparados com sequências de outras espécies de carvão. Tranposons foram identificados como provável mecanismo de rearranjo cromossômico entre os loci de mating-type. Polimorfismos trans-específicos nos genes codificadores de feromônios e receptores sugerem o potencial de hibridização entre espécies de carvão. No capítulo 4, análises de genômica comparativa abrangendo nove espécies de carvão infectando hospedeiros distintos foram realizadas. A base genética da especialização ao hospedeiro em fungos causadores de carvão é complexa e parece envolver processos evolutivos de ganho/perda de genes e seleção positiva. Efetores espécie-específicos e sob seleção positiva são destacados como bons candidatos para serem caracterizados quanto ao papel que estabelecem na adaptação ao hospedeiro.
8

Membrane fusion mediated by the influenza virus hemagglutinin

Mair, Caroline 21 May 2015 (has links)
Der Eintritt von Influenza A Viren in Wirtszellen erfolgt anhand des Hämagglutinin (HA) Proteins. Neueste Entwicklungen zielen darauf ab, die fusionsinduzierende Konformations-änderung des HA und damit die Freisetzung des viralen Genoms in die Wirtszelle zu inhibieren. Der Fusionsprozess ist pH-abhängig da nur bei einem niedrigen pH-Wert (~5.0-6.0) die Protonierung bestimmter Reste innerhalb des HA eine Konformationsänderung, und somit die Membranfusion, auslöst. Die Identifizierung von konservierten, titrierbaren Resten und die Aufklärung der Strukturveränderungen im HA ermöglichen eine gezielte Entwicklung neuer antiviraler Medikamente. In dieser Arbeit wurden bestimmte Histidine im HA mittels umfassender experimenteller und theoretischer Methoden als potentielle pH-Sensoren untersucht. Dabei konnte das Histidin an Position 184 als wichtiger Schalter der pH-induzierten Konformationsänderung identifiziert werden. Außerdem bewirkte der Austausch des geladenen Rests an Position 216 in der Nähe des His184 eine Veränderung der pH-Abhängigkeit des H5 HA aufgrund der Beeinflussung des pKa-Werts des His184. Da die Mutation R216E im HA des hochpathogenen H5N1 Virus in allen Isolaten während der Vogelvirenseuche im Jahr 2003/04 detektiert wurde, deutet das Ergebnis daraufhin, dass diese Mutation zur Entstehung des hochvirulenten Vogelvirus und dessen Adaptierung an den Menschen beigetragen hat. In diesem Zusammenhang wurde auch der Einfluss der pH-Abhängigkeit des HA auf die Fusion und Infektiosität von Viren in lebenden Zellen getestet. Eine destabilisierende Mutation im HA eines rekombinanten WSN-H3 Virus reduzierte dessen Infektions- und Replikationseffizienz in MDCK-Zellen, was auf den endosomalen pH-Wert dieser Zellen zurückgeführt werden konnte. Die Messung der Virus-Endosom-Fusionskinetik in lebenden Zellen machte außerdem die Bedeutung der pH-Abhängigkeit des HA für den Zeitpunkt der Membranfusion und dessen Einfluss auf die Effizienz der Virusinfektion deutlich. / The entry of influenza A virus into host cells is established by the hemagglutinin (HA) protein. New antiviral strategies aim to inhibit the fusion inducing conformational change of HA and thereby liberation of the viral genome into the cell. This process is strictly pH dependent since the conformational change of HA initiating the fusion of membranes only occurs upon protonation of yet unknown residues within HA at low pH (~5.0-6.0). The identification of conserved titrable residues and better understanding of the sequential structural rearrangements within HA may facilitate the development of new broad-spectrum antivirals. In the present work His184 and His110 were characterized as potential pH sensors by a comprehensive mutational and computational analysis. The results suggest that His184, but not His110, is an important regulator of HA conformational change at low pH. Furthermore, an exchange of charge at position 216 in vicinity to His184 was shown to alter the pH dependence of conformational change and of fusion in correlation to the known pKa dependence of histidines on neighboring residues. The result advocates that the mutation R216E, which emerged in the highly pathogenic H5 HA in 2003-2004, contributed to an altered acid stability of H5 HA via its effect on His184 and thus to the adaptation of avian H5N1 viruses to the human host. Therefore, the role of an altered acid stability of HA for viral fusion and infectivity in living cells was assessed. Recombinant viruses containing a destabilizing mutation in the HA protein were found to have a reduced infectivity and replication efficiency in MDCK cells compared to the respective wild type. Studying virus-endosome fusion kinetics in these cells we could resolve a significant difference in the timing of fusion induction suggesting that the time-point of fusion is a critical determinant of viral infection efficiency which depends on the endosomal acidification as well as on the acid stability of HA.
9

Diagnostic rapide de la tuberculose par culture / Rapid diagnosis of tuberculosis by culture

Asmar, Shady 30 September 2015 (has links)
L'isolement de Mycobacterium tuberculosis par culture est la méthode de référence pour le diagnostic de la tuberculose. Le but de notre travail était d'améliorer et de faciliter le diagnostic par culture de la tuberculose. Dans un premier temps, nous avons produit une revue bibliographique en comparant les différentes techniques ou protocoles utilisés pour le diagnostic de la tuberculose. Ce travail nous a permis d'actualiser notre protocole de diagnostic, avec la mise en place d’un "kit-tuberculose" contenant des containers imprégnés de chlorhexidine pour la récupération et la décontamination directe d’échantillons cliniques non- invasifs, suivi par la culture sur un milieu solide à base d'oeuf, et détection des colonies par microscope inversé ou par un système d'imagerie en temps réel. Nous avons mis en place une méthode de décontamination par 0,7%-chlorhexidine et avons montré que cette méthode était plus efficace que la méthode de référence NALC-NaOH. Ensuite, nous avons développé un milieu de culture à base de sérum animal, le MOD9 dont nous avons montré par une étude comparative qu'il était supérieur au milieu solide LJ de référence. Une deuxième étude comparant un protocole de décontamination par la chlorhexidine et culture sur milieu MOD9 au protocole standard, NALC-NaOH/Bactec960 a montré une supériorité par rapport au protocole standard. Enfin, la mise en place d'un système de détection des micro-colonies de M. tuberculosis sur MOD9 par imagerie en temps réel Advencis-Biosystem a permis de réduire le temps de détection de M. tuberculosis à 3,2 jours avec le protocole chlorhexidine/MOD9/Advencis, avec un record mondial de détection en 25h. / Isolation of Mycobacterium tuberculosis by culture is the gold standard for the diagnosis of tuberculosis. The aim of my thesis work was to simplify and improve the culture diagnosis of tuberculosis. At first we started with a bibliographic study, comparing step by step the different techniques and protocols that have been used for the diagnosis of tuberculosis. This work has allowed us to update our tuberculosis diagnosis protocol, starting with the implementation of a "Tuberculosis-kit" consisting of chlorhexidine containing containers for the recovery and decontamination of non-invasive specimens, followed by culture on an egg-based medium, a micro- colonies detection using an inverted microscope or an automated real-time imaging incubator system and finally an identification using mass spectrometry. We established a new chlorhexidine- based decontamination method that we showed to be more efficient for the recovery and isolation of M. tuberculosis than the standard NALC-NaOH method. Than we developed a new serum-based culture medium, the MOD9 that we showed in a comparative study to be superior to the reference LJ medium for the recovery of M. tuberculosis. In a second study we proved that our chlorhexidine/MOD9 protocol was superior to the standard NALC-NaOH/Bactec 960 MGIT protocol for the isolation of M. tuberculosis. And finally the implementation of a real time imaging system for the detection of M. tuberculosis micro-colonies on MOD9 permits us to dramatically reduce the detection time from 15 days with the standard NALC-NaOH/Bactec 960 MGIT protocol to 3.2 days with our 0.7%-chlorhexidine/MOD9/Advencis-Biosystem protocol with a world record detection time of 25h.

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