The primary objective of this thesis is to differentiate between the risk factors for pre-and post-monsoon cholera epidemics in rural Bangladesh by analyzing the complex interaction between select environmental, cultural/behavioral, and socioeconomic variables over space and time. In rural Bangladesh, cholera epidemics correspond with the annual monsoon: the first, and smallest, occurs between March and June, while the larger cholera peak occurs between September and December. The differences between the spatial and temporal patterns of seasonal cholera are analyzed, and the risk factors are calculated for pre-and post-monsoon cholera epidemics. The theoretical approach that underlies this medical geographical study is disease ecology, which espouses that risk of disease is caused by an interaction between people and their environment. This thesis is structured around a holistic understanding that human-environment interactions are inseparable. In Bangladesh, the monsoon season typically starts between May and June. The 1992 and 1993 cholera peaks occurred just before the monsoon in April and March respectively, while the 1994 cholera peak occurred between April and June. In 1992 and 1993 cholera incidence increased in the post-monsoon period, and peaked in October. The 1994 post-monsoon cholera peak occurred in November. There is a regular temporal pattern to cholera, as the peaks followed a seasonal pattern with the smaller epidemic occurring in the pre-monsoon period and the larger epidemic occurring in the post-monsoon period. This study shows that there are different risks associated with pre-monsoon cholera epidemics and post-monsoon cholera epidemics. The two main risk factors associated with cholera incidence pre-monsoon were bari population (i.e., crowding) and a house located within the flood controlled area. These two variables were even more strongly associated with post-monsoon cholera incidence to a greater degree, along with a number of other variables including water use, sanitation practices, and socioeconomic status.

La mutagenèse dirigée est un outil indispensable à toute étude microbiologique, car elle permet d’identifier le rôle de certains locus génétiques identifiés comme acteurs potentiels dans des contextes précis. Cependant, les protocoles de mutagenèse dirigée sont longs et laborieux, et leur mise en œuvre est l’un des points limitants en recherche. L’émergence de CRISPR-Cas9 (clustered regularly interspaced short palindromic repeats) comme outil moléculaire a permis d’accélérer et de faciliter ces procédures de mutagenèse par contre-sélection. La limite de ces protocoles se situe dans la régénération de l’espaceur effectuant la contre-sélection. Notre plateforme CRISPR, dénommée Horus, offre une solution à cette limitation. Elle utilise du clonage in vivo afin de raccourcir autant la durée que la charge de travail du protocole, pour aboutir à l'obtention de mutants en une seule étape. Pour se faire nous avons conçu in silico un ARN guide synthétique capable d’agir comme un interrupteur génétique (porte logique ET) et de performer une contre sélection (discriminant les bactéries de types sauvages des mutants) via le système CRISPR-Cas9. / Site-directed mutagenesis is an essential tool for any microbiological study because it makes it possible to identify the role of certain loci identified as potential actors in specific contexts. However, site-directed mutagenesis protocols are long and laborious, and their implementation is one of the limiting points of research. The emergence of CRISPR-Cas9 (clustered regularly interspaced short palindromic repeats) as a molecular tool has accelerated the facilitation of these counter-selection mutagenesis protocols. The limitation of these protocols lies in the regeneration of the protospacer mediating the counter selection. Our CRISPR platform, called Horus (HOmologuous Recombination Using SsDNA), offers a solution to this limitation. It uses in vivo cloning to shorten both the duration and the workload of the protocol, allowing to obtain mutants strains in just one step. To do so, we designed in silico a synthetic guide RNA capable of acting as a genetic switch (AND Gate) and performing counter-selection (discriminating WT bacteria from mutants) via the CRISPR-Cas9 system.

One of the greatest challenges in finfish aquaculture is combating losses caused by infectious bacterial diseases, and a better understanding of the interactions between the host immune system and pathogens is essential for developing new methods to manage infections and outbreaks. Extracellular traps (ETs) are decondensed nuclear chromatin released by neutrophils into the extracellular matrix that can ensnare and kill microbes. Since the discovery of ETs in humans, these innate immune effectors have been characterised across the animal kingdom, including in some fish species, though their existence the salmonids has yet to be confirmed. Therefore, the aim of this thesis was to confirm and characterise the release of ETs in the rainbow trout (Oncorhynchus mykiss) and investigate the interaction of these structures with fish pathogenic bacteria. To do this, a triple-layer Percoll gradient technique was employed to give highly enriched cell suspensions of polymorphonuclear cells (PMNs) derived from head-kidney tissue preparations. Treatment of PMN-enriched cell suspensions with the nucleic-acid-specific stain, SYTOX Green, revealed the presence of ET-like structures that had been released without stimulation. These ET-like structures were confirmed by immunostaining techniques to contain the diagnostic proteinaceous markers of ETs: neutrophil elastase, myeloperoxidase and the H2A histone. Previously characterised inhibitors and inducers of ET release from phagocytic immune cells in other animals confirmed that calcium ionophore (CaI), flagellin, and cytochalasin D shared similar activities for ET-release by rainbow trout PMNs. However, interestingly, as the common ET-inducer phorbol-myristate acetate (PMA) and ET-inhibitor diphenyleneiodonium (DPI) did not exert their expected potency in ET release assays with the PMNs, perhaps indicating that these fish cells are less dependent on NADPH oxidase signalling for ET release compared to mammals and most invertebrate species. The PMN-derived ETs were demonstrated to bind to and trap the extracellular nuclease-deficient bacterial fish pathogen, Vibrio anguillarum (Vib 87) when co-cultured. Finally, extracellular nuclease activity produced by a V. anguillarum isolate (Vib 6) during culture was able to degrade ETs released by rainbow trout PMNs in a dose-dependent manner. Moreover, viable colony counts, fluorescent and phase contrast microscopy demonstrated that V. anguillarum Vib 6 eluded trapping by ETs, while an extracellular nuclease-deficient isolate did not. These observations are consistent with the suggestion that nucleases are a microbial virulence factor during host infection. Confirming the existence and antimicrobial potential of extracellular traps released by rainbow trout PMNs may provide a platform towards the development of novel therapeutics to reduce mortalities in finfish aquaculture caused by infectious microbial pathogens.

Two disease regions existed on the Oregon Trail. Asiatic cholera impacted the Platte River flood plain from 1849 to 1852. Dysentery developed two endemic foci due to the decay of buffalo carcasses in eastern and middle Nebraska between 1844 and 1848, but later developed a much larger endemic region west of this Great Plains due to the infection of livestock carcasses by opportunistic bacteria. This study demonstrates that whereas Asiatic cholera diffusion along the Trail was defined primarily by human population features, topography, and regional climate along the Platte River flood plain, the distribution of opportunistic dysentery along the Trail was defined primarily by human and animal fitness in relation to local topography features. By utilizing a geographic interpretation of disease spread, the Asiatic cholera epidemic caused by Vibrio cholerae could be distinguished from the dysentery epidemic caused by one or more species of Salmonella or Campylobacter. In addition, this study also clarifies an important discrepancy popular to the Oregon Trail history literature. "Mountain fever," a disease typically associated with Rocky Mountain Spotted Fever, was demonstrated to be cases of fever induced by the same bacteria responsible for opportunistic dysentery. In addition, several important geographic methods of disease interpretations were used for this study. By relating the epidemiological transition model of disease patterns to the early twentieth century sequent occupance models described in numerous geography journals, a spatially- and temporally-oriented disease model was produced applicable to reviews of disease history, a method of analysis which has important applications to current studies of disease patterns in rapidly changing rural and urban population settings.

La palourde japonaise, Venerupis philippinarum, a été introduite en France au début des années 70 à des fins aquacoles. Depuis 1987, d'importants épisodes de mortalité, causés par la bactérie pathogène Vibrio tapetis, touchent cette espèce le long des côtes françaises et européennes. Cette vibriose, appelée Maladie de l'Anneau Brun (MAB), est considérée comme une maladie d'eau froide. L'interaction tripartite entre V. philippinarum, V. tapetis et l'environnement a été explorée à travers le rôle du système enzymatique des phénoloxydases (POs) dans le but de mieux comprendre la réponse immunitaire de la palourde japonaise, la virulence de l'agent pathogène mais aussi l'impact de l'environnement et plus particulièrement de la température. Les POs sont des oxydoréductases impliquées dans la synthèse de la mélanine et de ses dérivés mais aussi dans les processus de reconnaissance du non-soi et d'encapsulation chez les invertébrés. Dans un premier temps, l'activité PO du sérum d'hémolymphe a été caractérisée d'un point de vue biochimique comme étant majoritairement de type laccase ; une activité minoritaire de type tyrosinase a également été identifiée. Des infections de palourdes par trois souches de V. tapetis, à différentes températures, ont mis en évidence une modulation de la réponse du système PO en fonction du temps et du compartiment étudiés. De façon générale, l'infection bactérienne s'est traduite par une augmentation de l'activité PO. Toutefois, le niveau basal d'activité PO est variable d'une population à une autre et cette variabilité semble traduire une susceptibilité différente à la MAB. L'augmentation de la température de 15 à 22°C a entraîné une augmentation des capacités immunitaires de la palourde japonaise. La températurea également eu un impact sur la pathogénicité de V. tapetis et ce, de façon différentielle selon les souches. L'inhibition de l'activité PO observée in vitro en présence de produits extracellulaires bactériens souligne la complexité de l'interaction entre V. philippinarum et V. tapetis. Ainsi, le suivi de l'activité PO constitue un biomarqueur pertinent des capacités immunitaires des invertébrés marins dans l'interaction tripartite hôte-pathogène-environnement.

Vibrio infections remain a serious threat to public health. In the last decade, Vibrio disease outbreaks have created a painful awareness of the personal, economic, societal, and public health costs associated with the impact of contaminated water in the aquatic milieu. This study was therefore designed to assess the prevalence of Vibrio pathogens in the final effluents of wastewater treatment plants (WWTPs) in the Eastern Cape Province, as well as their abilities to survive the treatment processes of the activated sludge system either as free cells or as plankton-associated entities in relation to the physicochemical qualities of the effluents. Three wastewater treatment facilities were selected to represent typical urban, sub-urban and rural communities, and samples were collected monthly from August 2007 to July 2008 from the final effluent, discharge point, 500 meter upstream and downstream of the discharge points and analysed for physicochemical parameters, Vibrio pathogens prevalence and their antibiogram characteristics using both culture based and molecular techniques. Physicochemical parameters measured include pH, temperature, electrical conductivity, salinity, turbidity, total dissolved solid (TDS), dissolved oxygen (DO), chemical oxygen demand (COD), nitrate, nitrite and orthophosphate levels. Unacceptably high levels of the assayed parameters were observed in many cases for COD (<10 - 1180 mg/l), nitrate (0.08 - 13.14 mg NO3- as N/l), nitrite (0.06 - 6.78 mg NO2- as N/l), orthophosphate (0.07-4.81 mg PO43- as P/l), DO (1.24 - 11.22 mg/l) and turbidity (2.04 -159.06 NTU). Temperature, COD and nitrite varied significantly with season (P < 0.05), while pH, EC, salinity, TDS, COD, and nitrate all varied significantly with sampling site (P < 0.01; P < 0.05). In the rural wastewater treatment facility, free-living Vibrio densities varied from 0 to 3.45 × 101 cfu ml-1, while the plankton-associated Vibrio densities vary with plankton sizes as follows: 180 μm (0 – 4.50 × 103 cfu ml-1); 60 μm (0 – 4.86 × 103 cfu ml-1); 20 μm (0 – 1.9 × 105 cfu ml-1). The seasonal variations in the Vibrio densities in the 180 and 60 μm plankton size samples were significant (P < 0.05), while the 20 μm plankton size and free-living vibrios densities were not. Molecular confirmation of the presumptive vibrios isolates revealed V. fluvialis (36.5 percent), as the predominant species, followed by V. vulnificus (34.6 percent), and V. parahaemolyticus (23.1 percent), and V. metschnikovii (5.8 percent) (detected using only API 20 NE), suggesting high incidence of pathogenic Vibrio species in the final effluent of the wastewater facility. Correlation analysis suggested that the concentration of Vibrio species correlated negatively with salinity and temperature (P < 0.001 and P < 0.002 respectively) as well as with pH and turbidity (P < 0.001), in the final effluent. Population density of total Vibrio ranged from 2.1 × 101 to 4.36 × 104 cfu ml-1 and from 2.80 ×101 to 1.80 × 105 cfu ml-1 for the sub-urban and urban communities treatment facilities respectively. Vibrio species associated with 180 μm, 60 μm, and 20 μm plankton sizes, were observed at densities of 0 - 1.36 × 103 cfu ml-1, 0 - 8.40 × 102 cfu ml-1 and 0 - 6.80 × 102 cfu ml-1 respectively at the sub-urban community‘s WWTP. In the urban community, counts of culturable vibrios ranged from 0 - 2.80 × 102 cfu ml-1 (180 μm); 0 - 6.60 × 102 cfu ml-1 (60 μm) and 0 -1.80 × 103 cfu ml-1 (20 μm). Abundance of free-living Vibrio species varied between 0 and the orders of 102 and 103 cfu ml-1 in the sub-urban and urban communities WWTPs respectively. Molecular confirmation of the presumptive vibrios isolates revealed the presence of V. fluvialis (41.38 percent), V. vulnificus (34.48 percent), and V. parahaemolyticus (24.14 percent) in the sub-urban community effluents. In the urban community V. fluvialis (40 percent), V. vulnificus (36 percent), and V. parahaemolyticus (24 percent) were detected. There was no significant correlation between Vibrio abundance and season, either as free-living or plankton-associated entities, while Vibrio species abundance correlated positively with temperature (r = 0.565; P < 0.01), salinity and dissolved oxygen (P < 0.05). Turbidity and pH showed significant seasonal variation (P < 0.05) in both locations. The Vibrio strains showed the typical multi-antibiotic-resistance of an SXT element. They were resistant to sulfamethoxazole (Sul), trimethoprim (Tmp), cotrimoxazole (Cot), chloramphenicol (Chl) and streptomycin (Str), as well as other antibiotics such as ampicillin (Amp), penicillin (Pen), erythromycin (Ery), tetracycline (Tet), nalidixic acid (Nal), and gentamicin (Gen). The antibiotic resistance genes detected includes dfr18 and dfrA1 for trimethoprim; tetA, strB, floR, sul2 blaP1, for tetracycline, streptomycin, chloramphenicol, sulfamethoxazole and β-lactams respectively. A number of these genes were only recently described from clinical isolates, demonstrating genetic exchange between clinical and environmental Vibrio species. This study revealed that there was an adverse impact on the physicochemical characteristics of the receiving watershed as a result of the discharge of inadequately treated effluents from the wastewater treatment facilities. The occurrence of Vibrio species as plankton-associated entities confirms the role of plankton as potential reservoir for this pathogen. Also the treated final effluents are reservoirs of various antibiotics resistance genes. This could pose significant health and environmental risk to the biotic component of the environment including communities that rely on the receiving water for domestic purposes and may also affect the health status of the aquatic milieu in the receiving water. There is need for consistent monitoring programme by appropriate regulatory agencies to ensure compliance of the wastewater treatment facilities to regulatory effluent quality standards.

To determine the ecotoxicity of analgetics, first the individual ecotoxicity values of individual analgetics are determined and then a mixture of two analgetics is tested. To determine the toxicity, both standard and alternative toxicity tests are used (daphnia magna, sinapsis alba, scenedesmus subspicatum, vibrio fischeri, thamnotoxkit FTM a daphnotoxkit FTM magna). The analgetics being whish tested are the commonly used medicines ibuprofen, ASA, diclofenac and paracetamol, which are the most frequently used medicines in the Czech Republic and whole Europe. To determine the ecotoxicity of the polymers, I‘m using an indirect method of examination, in which I determine the antagonistic or synergistic effects of the mixture of monomers from which the polymer is prepared and into which it slowly decomposes in nature. For the determination both standard and alternative toxicity tests are used. The polymers the toxicity of which is being determined are the habitually used polymer PET and the formaldehyde resine known as bakelite in Eastern Europe.

Corynebacterium diphtheriae, Pseudomonas aeruginosa, Ricinus communis, Shigella dysentariae, and Vibrio cholerae produce AB toxins which share the same basic structural characteristics: a catalytic A subunit attached to a cell-binding B subunit. All AB toxins have cytosolic targets despite an initial extracellular location. AB toxins use different methods to reach the cytosol and have different effects on the target cell. Broad-spectrum inhibitors against these toxins are therefore hard to develop because they use different surface receptors, entry mechanisms, enzyme activities, and cytosolic targets. We have found that grape seed extract provides resistance to five different AB toxins: diphtheria toxin (DT), P. aeruginosa exotoxin A (ETA), ricin, Shiga toxin, and cholera toxin (CT). To identify individual compounds in grape seed extract that are capable of inhibiting the activities of these AB toxins, we screened twenty common phenolic compounds of grape seed extract for anti-toxin properties. Three compounds inhibited DT, four inhibited ETA, one inhibited ricin, and twelve inhibited CT. Additional studies were performed to determine the mechanism of inhibition against CT. Two compounds inhibited CT binding to the cell surface and even stripped bound CT off the plasma membrane of a target cell. Two other compounds inhibited the enzymatic activity of CT. We have thus identified individual toxin inhibitors from grape seed extract and some of their mechanisms of inhibition against CT. This work will help to formulate a defined mixture of phenolic compounds that could potentially be used as a therapeutic against a broad range of AB toxins.

No description available.

Les communautés bactériennes sont constituées d’un grand éventail d’espèces pouvant interagir entre elles dans des environnements spatialement hétérogènes tels que le sol, les plantes ou l'intestin humain. À quel point ces interactions stimulent ou entravent la diversité du microbiome demeure inconnu. Historiquement, deux hypothèses ont été proposées pour expliquer comment les interactions interespèces pourraient influencer la diversité. L’hypothèse ‘l’écologie contrôle’ (EC) prédit une relation négative, dans laquelle l'évolution ou la migration de nouvelles espèces est freinée à mesure que les niches se saturent. En revanche, l’hypothèse ‘la diversité engendre la diversité’ (DBD) prédit une relation positive, où la diversité existante favorise l'accumulation d'une plus grande diversité à travers des interactions telles que la construction de niche. De nombreuses études ont investigué ces modèles chez les vertébrés ou les plantes, et certaines les ont testés sur des bactéries en culture ; mais le modèle qui régit les communautés bactériennes naturelles demeure inconnu. En utilisant les données du gène ARN ribosomique 16S provenant d’un large éventail de microbiomes, j'ai montré une relation positive générale entre la diversité des taxons et la diversité des communautés de niveaux taxonomiques plus élevés. Cette observation est conforme à l’hypothèse du DBD, mais cette tendance positive plafonne à des niveaux élevés de diversité en raison des limites physiques de la niche. Ensuite, j'ai observé que le modèle DBD restait valide à une résolution plus fine, en analysant la variation génétique intra espèce dans les métagénomes des microbiomes intestinaux humains. Conformément au DBD, j'ai observé que le polymorphisme génétique ainsi que le nombre de souches intra espèces étaient positivement corrélés avec la diversité Shannon de la communauté. Dans le chapitre 3, j'ai examiné les interactions antagonistes entre V. cholerae et ses phages virulents et la manière dont ces interactions affectaient le cours de l’infection et la diversité génétique de V. cholerae chez les patients infectés. J'ai quantifié les abondances relatives de V. cholerae et des phages virulents associés dans plus de 300 métagénomes provenant de selles de patients atteints de choléra, tout en tenant compte de leur exposition aux antibiotiques. Les phages et les antibiotiques ont supprimé V. cholerae et ont été associés à une déshydratation légère chez les patients. J'ai également investigué les mécanismes de défense contre les phages dans V. cholerae et découvert que les éléments connus de résistance aux phages (integrative conjugative elements, ICEs) étaient associés à de faibles rapports phage: V. cholerae. J’ai pu montrer aussi que lorsque les ICEs ne sont pas détectés, la résistance aux phages semble être acquise par l’accumulation de mutations ponctuelles non synonymes. Mes résultats valident que les phages virulents sont un facteur qui protège contre le choléra tout en sélectionnant la résistance dans le génome de V. cholerae. / Bacterial communities harbor a broad range of species interacting within spatially heterogeneous environments such as soil, plants or the human gut. The extent to which these interactions drive or impede microbiome diversity is not well understood. Historically, two hypotheses have been suggested to explain how species interactions could influence diversity. The ‘Ecological Controls’ (EC) hypothesis predicts a negative relationship, where the evolution or migration of novel species is constrained as niches become filled. In contrast, the ‘Diversity Begets Diversity’ (DBD) hypothesis predicts a positive relationship, with existing diversity promoting the accumulation of further diversity via niche construction and other interactions. Many studies investigated these models in vertebrates or plants, some focused on cultured bacteria, but we still lack insights into how natural communities are assembled in the context of these two hypotheses. Using 16S RNA gene amplicon data across a broad range of microbiomes, I showed a general positive relationship between taxa diversity and community diversity at higher taxonomic levels, consistent with DBD. Due to niche’ limits, this positive trend plateaus at high levels of community diversity. Then, I found that DBD holds at a finer resolution by analyzing intra-species strain and nucleotide variation in sampled metagenomes from human gut microbiomes. Consistent with DBD, I observed that both intra-species polymorphism and strain number were positively correlated with community Shannon diversity. In Chapter 3, I investigated the antagonistic interactions between V. cholerae and its virulent phages and how these interactions affect the course of the infection and the within V. cholerae genetic diversity in natural infections. I quantified relative abundances of Vibrio cholerae (Vc) and associated phages in 300 metagenomes from cholera patients stool, while accounting for antibiotic exposure. Both phages and antibiotics suppressed V. cholerae and were inversely associated with severe dehydration. I also looked at V. cholerae phage-defense mechanisms and found that known phage-resistance elements (integrative conjugative elements, ICEs) were associated with lower phage:V. cholerae ratios. In the absence of detectable ICEs, phages selected for nonsynonymous point mutations in the V. cholerae genome. My findings validate that phages may protect against severe cholera while also selecting for resistance in the V. cholerae genome within infected patients.