Enteric fever caused by Salmonella enterica serovars Typhi and Paratyphi A are a major public health concern in Kathmandu. The aim of this thesis was to identify and assess the population most at risk by investigating epidemiologic trends of enteric fever within a subset population of Kathmandu. Therefore,the burden and incidence of enteric fever within the study population and the seasonal and gender distribution of enteric fever was assessed. Considerable burden of enteric fever, unrelated to population density, correlating with the seasonal fluctuations in rainfall was observed. This thesis also aimed to improve the understanding of enteric fever transmission by identifying probable transmission routes,hence various water and food samples were analysed and the extent of faecal contamination in them was determined. S. Typhi isolates were sequenced and genotyped and combined with GPS data to longitudinally study the local distribution and infer transmission of this human restricted bacterial pathogen. Extensive clustering of typhoid independent of population size and density and existence of an extensive range of genotypes within typhoid clusters including individual households with multiple cases was observed. These observations predict that indirect transmission had an overwhelming contribution for disease persistence, potentially through contaminated water. Consistent with this hypothesis, S. Typhi and S. Paratyphi A were detected in water supplies and it was observed that typhoid was spatially associated with public water sources and low elevation. A concurrent case-control study was also conducted which allowed for the determination of risk factors in the population at risk. These studies imply that resources should be allocated toward controlling the most important vectors of enteric fever, including food sold by vendors, chlorination of drinking water, construction of proper water distribution and sewage networks,vaccination campaigns and hygiene education.

Submitted by Cleide Dantas (cleidedantas@ufpa.br) on 2014-02-10T13:46:45Z No. of bitstreams: 2 license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Dissertacao_CaracterizacaoMolecularFenotipica.pdf: 1040083 bytes, checksum: 48972a88ad6c49701dfcb31c811763bd (MD5) / Approved for entry into archive by Ana Rosa Silva (arosa@ufpa.br) on 2014-04-08T13:40:23Z (GMT) No. of bitstreams: 2 Dissertacao_CaracterizacaoMolecularFenotipica.pdf: 1040083 bytes, checksum: 48972a88ad6c49701dfcb31c811763bd (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Made available in DSpace on 2014-04-08T13:40:23Z (GMT). No. of bitstreams: 2 Dissertacao_CaracterizacaoMolecularFenotipica.pdf: 1040083 bytes, checksum: 48972a88ad6c49701dfcb31c811763bd (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2011 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / A Salmonella Typhi é o agente etiológico da febre tifóide, uma doença infecciosa, sistêmica, que constitui importante problema de saúde pública principalmente nos países em desenvolvimento da África, Ásia, América Central e do Sul. Amostras de Salmonella Typhi isoladas de casos clínicos no período de 1970 a 2009 no Estado do Pará foram caracterizadas por meio da técnica de Eletroforese em Gel de Campo Pulsado (PFGE). O perfil de suscetibilidade aos antimicrobianos foi realizado através dos métodos manual e automatizado. Foi empregada a técnica de Reação em Cadeia Mediada pela Polimerase (PCR) para a pesquisa das integrases de classe 1 e 2 e do fator de virulência Vi. Em 151 amostras pôde-se observar 68 diferentes pulsotipos, sendo 66 deles agrupados em 5 clusters. As amostras independente de sua procedência, fonte de isolamento ou ano, apresentaram elevada similaridade genética que variou de 80 a 100%. Verificou-se resistência (1,99%) e resistência intermediária (6,62%) somente à nitrofurontoína, em nenhuma amostra foi detectado integrase de classe 1 e 2, demonstrando, que, no Estado do Pará, as cepas circulantes não apresentam multi-resistência como observado em várias regiões do mundo. Foram encontradas 4 (2,65%) amostras Vi-negativo, que pode ser devido ao longo período de armazenamento, pois a ilha de patogenicidade SPI-7 é geneticamente instável e pode ser perdida após sucessivos repiques. / Salmonella Typhi is the causative agent of typhoid fever, a systemic infectious disease which is an important public health problem mainly in developing countries from Africa, Asia, America Central and South. Samples of Salmonella Typhi isolated from clinical cases between the period from 1970 to 2009 in the state of Pará were characterized by the Pulsed Field Gel Electrophoresis (PFGE) technique. The profile of antimicrobial susceptibility has been performed using manual and automated methods. Also, Polymerase Chain Reaction (PCR) has been used to the detection of class 1 and 2 integrons and the virulence factor Vi. In 151 samples, we could observe 68 different pulse types, with 66 pulse types grouped into five clusters. The samples, regardless their origin, source of isolation or year, have shown high genetic similarity ranging from 80 to 100%. Resistance (1.99%) and intermediate resistance (6.62%) only against nitrofurantoin has been noticed, integrons have not been found in class 1 and 2 related to resistance, demonstrating that, in the State of Para, the phenomenon of resistance and multidrug resistance found in several regions of the world has not occurred yet. We found four (2.65%) Vi-negative samples, which may be so due to the long storage period, as the pathogenicity island SPI-7 is genetically unstable and may be lost after repeated subcultures.

No description available.

The work in this thesis is concerned with the study of bacterial adaptation on short and long timescales. In the first section, consisting of three chapters, I describe a recently developed high-throughput technology for probing gene function, transposon-insertion sequencing, and its application to the study of functional differences between two important human pathogens, Salmonella enterica subspecies enterica serovars Typhi and Typhimurium. In a first study, I use transposon-insertion sequencing to probe differences in gene requirements during growth on rich laboratory media, revealing differences in serovar requirements for genes involved in iron-utilization and cell-surface structure biogenesis, as well as in requirements for non-coding RNA. In a second study I more directly probe the genomic features responsible for differences in serovar pathogenicity by analyzing transposon-insertion sequencing data produced following a two hour infection of human macrophage, revealing large differences in the selective pressures felt by these two closely related serovars in the same environment. The second section, consisting of two chapters, uses statistical models of sequence variation, i.e. covariance models, to examine the evolution of intrinsic termination across the bacterial kingdom. A first collaborative study provides background and motivation in the form of a method for identifying Rho-independent terminators using covariance models built from deep alignments of experimentally-verified terminators from Escherichia coli and Bacillus subtilis. In the course of the development of this method I discovered a novel putative intrinsic terminator in Mycobacterium tuberculosis. In the final chapter, I extend this approach to de novo discovery of intrinsic termination motifs across the bacterial phylogeny. I present evidence for lineage-specific variations in canonical Rho-independent terminator composition, as well as discover seven non-canonical putative termination motifs. Using a collection of publicly available RNA-seq datasets, I provide evidence for the function of some of these elements as bona fide transcriptional attenuators.

Salmonella enterica sérovar Typhi est une bactérie pathogène humain-spécifique et l’agent étiologique de la fièvre typhoïde. Parmi ses facteurs de virulence, il y a 14 systèmes d’adhésion putatifs nommés fimbriae qui ont été identifiés dans le génome de S. Typhi. Les fimbriae sont regroupés en opérons qui codent pour des structures protéiques extracellulaires, pour une machinerie de sécrétion et d’assemblage et parfois pour des régulateurs. Ceux-ci sont peu exprimés en conditions de laboratoire et peu étudiés chez S. Typhi. Parmi les 14 fimbriae de S. Typhi, 12 appartiennent à la classe des chaperon-placier, c’est-à-dire qu’ils possèdent un chaperon et un placier qui leur sont dédiés pour la formation de la structure fimbriaire. Je crois que ces fimbriae sont importants pour la pathogenèse de S. Typhi. Le but de ce projet est l’analyse fonctionnelle des fimbriae de type chaperon-placier chez S. Typhi. Pour ce faire, j’ai voulu établir une caractérisation générale des 12 fimbriae de type chaperon-placier, puis j’ai concentré l’étude sur la régulation de 2 de ces fimbriae, c’est-à-dire Fim et Std. La caractérisation générale des fimbriae de type chaperon-placier consistait à déterminer l’expression des promoteurs fimbriaires lors de la croissance en différentes conditions de culture mimant l’infection, à déterminer la présence et la morphologie des fimbriae à la surface de la bactérie et à évaluer l’effet des fimbriae sur la pathogenèse de S. Typhi (formation de biofilm, interactions avec les cellules de l’hôte et motilité bactérienne). L’expression maximale des fimbriae a été obtenue principalement en milieu minimal. J’ai observé pour la première fois 6 des 12 fimbriae par microscopie électronique à transmission. Chaque fimbria présentait des effets sur au moins une étape testée sur la pathogénèse. La régulation de std et fim a été étudiée en déterminant le rôle de régulateurs globaux et par criblage d’une banque de mutants par insertion de transposon. Principalement, j’ai découvert que le promoteur std était activé par Crp, responsable de la répression catabolique, tandis que fim voit son expression modulée par la chaîne de transport d’électrons (Ndh) et des perturbations de l’enveloppe (OmpR). Finalement, nos résultats démontrent que les fimbriae de type chaperon-placier sont importants pour la 6 pathogenèse de S. Typhi et que deux de ceux-ci sont régulés par des signaux environnementaux importants rencontrés par la bactérie lors de l’infection. / Salmonella enterica serovar Typhi is a human-specific pathogenic bacteria and the etiologic agent of typhoid fever. Among its virulence factors, there are 14 putative adhesion systems named fimbriae identified in the S. Typhi genome. Each fimbria is clustered in an operon that encodes for extracellular proteinaceous structures, for the secretion and assembly machinery and sometime for regulators. Fimbrial genes are poorly expressed under laboratory conditions, with few studied in S. Typhi. Among the 14 fimbriae, 12 belong to the chaperone-usher class, where each one encodes a dedicated chaperone and usher that form the fimbrial structure. I propose that fimbriae are important for S. Typhi pathogenesis. The aim of this project is the functional analysis of all the chaperone-usher fimbriae of S. Typhi. My goals were to establish a general characterization of the 12 chaperone-usher fimbriae, and to study specifically the regulation of 2 fimbriae, Fim and Std. The general characterization of chaperone-usher fimbriae includes the determination of the expression of fimbrial promoters in different growth conditions mimicking infection, the observation of the presence and morphology of fimbriae at the bacterial surface, and the evaluation of the role of fimbriae on S. Typhi pathogenesis (biofilm formation, host-cells interactions and motility). Fimbrial expression was generally higher when cells were grown in minimal medium. I was able to observe for the first time the presence of 6 out of 12 fimbriae by transmission electron microscopy. Regarding the role of fimbriae in pathogenesis, each fimbria was involved in at least one step. Regulation of std and fim was studied by evaluating the implication of several general regulators and by screening a transposon-based library. Overall, I discovered that the std promoter was activated by Crp, responsible of catabolic repression, and that fim was modulated by the activity of the electron transport chain and by envelope perturbations. Finally, my results demonstrated that the chaperone-usher fimbriae are important for S. Typhi pathogenesis and two of them are regulated by important environmental signals encountered during bacterial infection.

No description available.

Salmonella enterica sérovar Typhi est une bactérie à Gram négatif qui cause la maladie systémique nommée fièvre typhoïde. Cette maladie affecte environ 9 millions de personnes par année et se propage par la voie fécale-orale par ingestion d’aliments ou d’eau contaminés. Ainsi, la fièvre typhoïde est particulièrement problématique dans les pays ayant des systèmes d’assainissement peu efficaces. Elle peut être traitée par des antibiotiques, mais comme pour de nombreuses bactéries, la résistance est de plus en plus commune. À la suite d’une infection aiguë, environ 5% des patients deviennent porteurs chroniques asymptomatiques grâce à la formation de biofilms dans la vésicule biliaire et excrètent la bactérie dans leurs selles continuellement. Étant le seul réservoir connu de S. Typhi, cet état constitue une source importante de persistance et de propagation de la maladie. L’état de porteur est intraitable par antibiotiques en raison de la haute tolérance aux stress des biofilms et une chirurgie pour enlever la vésicule biliaire est souvent la solution la plus efficace. Il est connu que les biofilms de Salmonella contiennent principalement de la cellulose, des fimbriae curli, de l'acide colanique et des protéines BapA. Cependant, S. Typhi a accumulé de nombreux pseudogènes au cours de son évolution humain-spécifique, dont certains sont impliqués dans la biosynthèse de composants communs de biofilm chez Salmonella, comme la cellulose et l'acide colanique. Il est également proposé que l'expression de curli soit dysfonctionnelle chez S. Typhi. La production de biofilms chez cette souche n'a jamais été caractérisée dans des conditions in vitro optimisées. Par conséquent, nous supposons que les biofilms de S. Typhi soient uniques dans leur production et leur composition. Cette étude caractérise la composition et la structure d’un biofilm de S. Typhi in vitro. Nous déterminons qu’aucun composant de biofilm communément identifié chez Salmonella ne joue un rôle majeur dans les biofilms de S. Typhi. Nous identifions un rôle important pour l’ADN extracellulaire et l’intégrité des LPS. / Salmonella enterica serovar Typhi is a Gram-negative rod-shaped bacterium that causes the systemic disease of typhoid fever. This disease affects about 9 million people per year and is spread through the fecal-oral route by ingestion of contaminated food or water. Thus, typhoid fever is particularly problematic in countries with poor sanitation systems. It is currently treatable by antibiotics but as with many other bacteria, resistance is becoming more and more common. Following acute infection, ~5% of patients become chronic asymptomatic carriers through biofilm formation in the gallbladder and continuously shed the bacteria in their feces. Being the only known reservoir of S. Typhi, this is an important source of persistence of the disease in endemic areas and propagation to new areas. The carrier state is untreatable by antibiotics due to the high stress tolerance of biofilms. Gallbladder-removal surgery is often the most efficient solution. Salmonella biofilms are known to primarily contain cellulose, curli fimbriae, colanic acid and BapA proteins. However, S. Typhi evolved to be human-specific over time and has accumulated many pseudogenes in the process, some of which are genes in the biosynthetic pathways of biofilm-related components of Salmonella, such as cellulose and colanic acid. It is also proposed that curli expression is dysfunctional in S. Typhi. Biofilm production in this strain has never been characterized in optimized in vitro conditions. Therefore, we hypothesized that S. Typhi biofilms are unique in their production and composition. This study characterizes S. Typhi biofilm composition and structure in vitro. We determine that no biofilm components commonly identified in other bacteria play a major role in S. Typhi biofilms. We identify an important role for extracellular DNA and lipopolysaccharide-layer integrity.

Salmonella enterica sérovar Typhi (S. Typhi) est l’agent responsable de la fièvre typhoïde et cause environ 200 000 morts et 27 millions de cas annuellement. C’est un pathogène entérique dont le réservoir est restreint à l’Homme. Les raisons de cette restriction d’hôte sont méconnues et pourraient dépendre de l’expression de facteurs d’adhésion à des étapes importantes au cours de la pathogenèse. L’annotation bioinformatique du génome de S. Typhi identifie 12 fimbriae de type chaperon-placier (FCP), un curli ainsi qu’un pilus de type IV. L’objectif de ce projet de recherche est d’étudier ces systèmes d’adhésion peu caractérisés. D’abord, le niveau d’expression de ces gènes a été évalué dans différentes conditions de culture in vitro en utilisant une approche de gènes rapporteurs. L’expression des 14 systèmes d’adhésion a été détectée. Nos résultats indiquent qu’une carence en fer favorise l’expression des opérons bcf et csg. Indépendamment du fer, l’expression de bcf, csg, pil, sef, sta, stc, stg et sth est influencée par la richesse nutritive du milieu. L’incubation en milieu LB liquide favorise l’expression de la plupart des systèmes d’adhésion par rapport à un milieu LB liquide sans agitation ou un milieu LB solide. En somme, l’expression des systèmes d’adhésion de S. Typhi a été observée et est influencée par des conditions environnementales. Dans un second volet, nous avons tent de surexprimer les différents systèmes d’adhésion chez une souche d’E. coli ou de S. Typhi afimbriaire. Avec cette approche, nous avons été en mesure de démontrer que l’opéron tcf encode pour un fimbria fonctionnel que l’on a pu observer en microscopie électronique. L’expression de tcf chez une souche afimbriaire d’E. coli et S. Typhi a également diminué leur capacité d’adhésion à des cellules épithéliales intestinales humaines lors d’essais in vitro. Nos observations démontrent que l’expression des systèmes d’adhésion retrouvés chez S. Typhi est influencée par les conditions enviroi9onnementales. Au moins un de ces systèmes est fonctionnel. Ceci suggère une contribution des systèmes d’adhésion retrouvés chez S. Typhi lors de l’interaction de ce pathogène avec l’humain. / Salmonella enterica serovar Typhi (S. Typhi) is the etiological agent of typhoid fever which causes more than 200 000 deaths and 27 million cases worldwide, mostly in south Asia. This pathogen can only cause significant symptoms in humans, which are the only recognized animal reservoir. This host restriction is not clearly understood and could depend on the expression of adhesion systems during critical pathogenesis steps. Bioinformatic studies on S. Typhi predict 12 chaperone-usher fimbriae, one curli and one type IV secretion system. The aim of the project was to study those poorly described adhesion systems using two different methodologies. First, transcription levels were evaluated in different in vitro growth conditions using both gfp and β-galactosidase reporter genes. The expression of the 14 adhesion systems was detected, even if some of them were poorly expressed. The expression of bcf and csg was higher during iron-deficiency. Also, the availability of nutrients had an impact on bcf, csg, pil, sef, sta, stc, stg and sth expression, independently of the presence of iron. Most of the adhesion systems showed higher expression levels in liquid LB media with aeration compared to the same media without aeration or supplemented with agar. Secondly, several S. Typhi adhesion systems were cloned into an inducible expression plasmid introduced in both an afimbriated E. coli K-12 strain (ORN172) and an afimbriated S. Typhi strain (ISP1820). This approach enabled us to directly observe the presence of tcf by electron microscopy. Furthermore, the expression of tcf was correlated with a reduction of the capacity of bacteria to adhere to INT-407 human intestinal epithelial cells in an in vitro assay. In summary, this work demonstrates that the putative adhesion systems found in S. Typhi can indeed be expressed and this expression can be regulated by environmental signals. Furthermore, tcf encodes for a functional fimbria which has never before been observed. Taken together, our results suggest a significant contribution of the putative adhesion systems during normal pathogenesis.

Thèse numérisée par la Direction des bibliothèques de l'Université de Montréal.

<p>Multiple studies have demonstrated atmospheric cold plasma (ACP) as an effective non-thermal technology for microbial decontamination, surface modification, and functionality alteration in food processing and packaging. ACP constitutes charged particles, such as positive and negative ions, electrons, quanta of electromagnetic radiation, and excited and non-excited molecules, which corresponds to its predominant reactive properties. However, in many of these applications, the interactions between plasma and the components in food matrix are not well-understood. The <b>overall goals</b> of this dissertation were to 1) evaluate the interactions between high voltage atmospheric cold plasma (HVACP) and microbes in liquid and semi-solid food; 2) investigate plasma transfer into semi-solid foods and determine the relationship between microbial inactivation and plasma transfer; 3) explore the interactions between plasma and proteins. </p> <p>The first study explored the microbial (<i>Salmonella</i> <i>enterica</i> serovar Typhimurium, <i>S</i>. <i>enterica</i>) inactivation efficacy of HVACP. The physicochemical interactions between HVACP and biomolecules, including an enzyme (pectin methylesterase, PME), vitamin C and other components in orange juice (OJ) under different conditions was also evaluated. Both direct and indirect HVACP treatment of 25 mL OJ induced greater than a 5 log reduction in <i>S</i>. <i>enterica</i> following 30 s of treatment with air and MA65 gas with no storage. For 50 mL OJ, 120 s of direct HVACP treatment followed by 24 h storage achieved <i>S</i>. <i>enterica</i> reductions of 2.9 log in air and 4.7 log in MA65 gas. An indirect HVACP treatment of 120 s followed by 24 hours storage resulted in a 2.2 log reduction in air and a 3.8 log reduction in MA65. No significant (<i>P </i>< 0.05) Brix or pH change occurred following 120 s HVACP treatment. HVACP direct treatment reduced vitamin C content by 56% in air and PME activity by 74% in air and 82% in MA65. These results demonstrated that HVACP can significantly reduce <i>Salmonella</i> in OJ with minimal quality degradation.</p> <p>The second study in this dissertation examined the penetration process of plasma into semi-solid food and the resulting microbial inactivation efficacy. Agar gels of various densities (0.25, 0.5, 1.0, and 2%) with a pH indicator were inoculated with <i>S</i>. <i>enterica</i> (10⁷>CFU) and exposed directly (between the electrode) or indirectly (adjacent to the plasma field created between the two electrodes) to 90 kV at 60 Hz for up to 1.5 h. A long treatment time (1.5 h) caused sample temperature to increase 5~10 °C. The microbial analysis indicated a greater than 6 log₁₀ (CFU) reduction (both with air and MA65) in the zone with a pH change. Inactivation of bioluminescence cells in the plasma penetrated zone confirmed that the plasma, and its generated reactive species, inactivate microbial as it penetrates into the gel. A two-minute HVACP direct treatment with air at 90 kV induced greater than 5 log₁₀ (CFU)<i> S</i>. <i>enterica </i>reduction in applesauce. <em></em></p> <p>The third study investigated the interactions between HVACP and protein, using bovine serum albumin (BSA) as a model protein. The physicochemical and structural alteration of BSA and its reaction mechanism, when subjected to HVACP, were investigated. After treating 10 mL of BSA solution (50 mg/mL) at 90 kV for 20, 40, or 60 min, we characterized structural alteration and side-group modification. FTIR spectroscopy, Raman spectroscopy, and circular dichroism analysis indicated protein unfolding and decreased secondary structure (25 % loss of α-helix, 12% loss of β-sheet) in HVACP treated BSA. Average particle size in the protein solutions increased from 10 nm to 113 µm, with a broader distribution after 60 min HVACP treatment indicating protein aggregation. SDS-PAGE and mass spectrometer analysis observed a formation of new peptides of 1 to 10 kDa, indicating that the plasma triggered peptide bond cleavage. Chemical analysis and mass spectrometer results confirmed the plasma modifications on the side chains of amino acids. This study reveals that HVACP treatment may effectively introduce structural alteration, protein aggregation, peptide cleavage, and side-group modification to proteins in aqueous conditions, through several physicochemical interactions between plasma reactive species (reactive oxygen species and reactive nitrogen species) and the proteins. This finding can be readily applied to other plasma-protein studies or applications in the food system, such as enzyme inactivation or protein-based film modifications.</p>