No description available.

Virulent strains of the bovine opportunistic pathogen Haemophilus somnus (Histophilus somni) cause multi-systemic diseases in cattle. One of the reported virulence factors that H. somnus may use to persist in the host is resistance to intracellular killing. It is reported in this dissertation that H. somnus significantly (P <0.001) inhibited production of superoxide anion (O2-) by bovine mammary and alveolar macrophages as well as by polymorphonuclear leukocytes. Inhibition of O2- production was time- and dose-dependent and did not occur after incubation with Escherichia coli, H. influenzae, or Brucella abortus. Non-viable H. somnus, purified lipooligosaccharide (LOS), or cell-free supernatant from mid-log phase cultures did not inhibit O2- production, indicating that O2- inhibition required contact with live H. somnus. Commensal isolates of H. somnus were less capable or incapable of inhibiting macrophage O2- production compared to isolates tested from disease sites. H. somnus shares conserved epitopes in its LOS with Neisseria gonorrhoeae, N. meningitidis, and H. influenzae, and can also undergo structural phase variation of these LOS epitopes. Sialylation of the terminal galactose of H. somnus LOS is another reported virulence mechanism. Current sequencing of the genomes of H. somnus strains 2336 (pathogenic) and 129Pt (commensal) has enabled in silico identification of three open reading frames (ORFs) involved in sialylation. The ORFs-1 (hsst-I) and -2 (hsst-II) had BLASTx homology to sialyltransferases, while ORF-3 (neuAhs) had BLASTx homology to CMP-sialic acid synthetases. These ORFs were amplified by PCR and cloned into the expression vector pCWOri+. Thin layer chromatography of the hsst-I gene product showed this sialyltransferase exhibited preference for sialylation of terminal N-acetyllactosamine (LacNAc, beta-Gal-[1,4]-beta-GlcNAc-R). However, Hsst-II preferentially sialylated lacto-N-biose (LNB, beta-Gal-[1,3]-beta-GlcNAc-R). In this study, phase variation of the terminal linkage in isolate 738 from a 3 linked galactose (LNB) to a 4 linked galactose (LacNac) was demonstrated. Such variation of a glycose linkage appears to be a novel mechanism of LOS phase variation. Furthermore, the ability of sialylated strain 738 LOS vs de-sialylated strain 738 LOS to induce Toll-like receptor 4 signaling was decreased by 28%, as determined by ELISA for Macrophage Inflammatory Protein-2. Therefore, sialylated LOS may aid H. somnus to avoid host innate immunity. / Ph. D.

No / Streptococcus agalactiae is a major neonatal pathogen. Disease progression is characterised by bacterial adaptation from commensal maternal vaginal colonisation to environments associated with neonatal disease, including exposure to blood. To explore this adaptation in vitro, we have used proteomics to identify proteins differentially expressed following growth on Todd Hewitt agar in the presence or absence of 10% v/v human serum. Twelve differentially expressed proteins were identified. Notably, the C protein β antigen and arginine deiminase proteins were upregulated following growth in the presence of human serum, consistent with previous studies implicating these two proteins in the pathogenesis of S. agalactiae disease.

No / Streptococcus agalactiae is a major neonatal pathogen that is able to adapt to a variety of host environments, including both rectal and vaginal maternal carriage, growth in amniotic fluid and at various neonatal body sites. As such it is important to elucidate the patterns of protein expression that are associated with S. agalactiae growth under these different in vivo conditions. To this end, we have grown S. agalactiae strain A909 under in vitro conditions reflecting those associated with maternal vaginal carriage (low pH, low oxygen, nutrient stress) and those associated with exposure to body fluids during invasive disease (neutral pH, aeration, nutrient sufficient). The protein profiles of bacterial cells grown under each of these conditions were compared using a proteome approach. A total of 76 proteins were reproducibly identified 16 of which were shown to be differentially expressed. The putative virulence factor C protein β and several proteins linked to resistance to oxidative stress were found to be upregulated under the conditions hypothesised to reflect those associated with foetal exposure to S. agalactiae. Thus, these data add to the currently limited understanding of the molecular basis of S. agalactiae GBS adaptation to different environmental conditions.

No description available.

Pseudomonas aeruginosa are medically important bacteria that are notorious for causing nosocomial infections. To gain more knowledge into understanding how this organism operates, it was decided to explore the pyrimidine biosynthetic pathway. Pyrimidine synthesis, being one half of the DNA structure, makes it a very important pathway to the organism’s survivability. With previous studies being done on various genes in the pathway, pyrE has not been studied to the fullest extent. To study the function of pyrE, a site directed mutagenesis was done to completely knock out pyrE, which encodes the protein orotate phosphoribosyl transferase that is responsible for converting orotate into orotate monophosphate (OMP). A mutation in this step leads to accumulation and secretion of orotate into the medium. Analyzing virulence factors produced by the mutant and comparing to the wild type, some intriguing features of the mutant were discovered. One of the findings was the over expression of virulence factors pyoverdin and pyocyanin. Pyocyanin over expression, based on the results of this study, is due to the accumulation of orotate while over production of pyoverdin is due to the accumulation of dihydroorotate. The other virulence factors studied were motility assays, exoproducts, and growth analysis. All virulence factor production was reduced significantly in the mutant compared to the wild type. The casein protease assay showed absolutely no production of proteases in the mutant. The conclusion is that orotate accumulation leads to a significant reduction in virulence factor production in Pseudomonas aeruginosa. In addition to that, it was found that excess orotate in the wild type led to a decrease in quorum sensing regulated products.

As leveduras do gênero Candida são responsáveis por 80% das infecções fúngicas sistêmicas. Nas Unidades de Terapia Intensiva, essas leveduras estão envolvidas em aproximadamente 17% das infecções. Essas doenças aumentam o tempo de hospitalização, resultando em aumento de gastos; além disso, as infecções sistêmicas causadas por Candida spp. apresentam elevada taxa de mortalidade. A candidemia representa grande parte das candidíases invasivas e sua epidemiologia pode variar de acordo com o local de estudo, práticas hospitalares e país estudado. Assim, o objetivo do presente estudo foi caracterizar 79 isolados de candidemia de pacientes internados no Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto de junho de 2014 a novembro de 2015. Para isso, os isolados foram submetidos a testes de microdiluição em caldo para a determinação da Concentração Inibitória Mínima dos antifúngicos anfotericina B, caspofungina, fluconazol e voriconazol; testes para avaliar a produção de fatores de virulência: hemolisina, fosfolipase e proteinase; e genotipagem por Pulsed-field Gel Electrophoresis, Microsatellite Length Polymorphism e Multilocus Sequence Typing. Como esperado, C. albicans foi a espécie predominante (44%), seguida por C. glabrata (19%), C. tropicalis (19%), C. parapsilosis (14%) e C. orthopsilosis (4%). Os isolados, em geral, não apresentaram resistência aos antifúngicos testados. Entretanto, todos os isolados de C. glabrata e um isolado de C. parapsilosis apresentaram-se suscetíveis dose-dependentes ao fluconazol, três isolados de C. glabrata foram suscetíveis dose-dependentes à caspofungina, um isolado de C. albicans foi suscetível dose-dependente ao voriconazol e um isolado de C. albicans apresentou-se resistente ao fluconazol e voriconazol. Os isolados da espécie C. albicans foram os principais produtores de fatores de virulência. Os resultados dos testes de genotipagem indicaram a espécie C. glabrata apresentou menor variabilidade genética. A incidência de candidemia no período estudado foi de 1,52/1000 admissões e a taxa de mortalidade foi de 52%. O principal fator de risco foi antibioticoterapia (86%), seguido de sonda vesical (68%), acesso venoso central (60%), cirurgias (54%), nutrição parenteral (42%) e neutropenia (14%). Das doenças de base, o câncer sólido estava presente em 28% dos pacientes, seguido por diabetes (23%), doenças gastrointestinais (20%) e doenças hepáticas (15%). Finalmente, os resultados obtidos são úteis para o melhor entendimento do perfil da candidemia no hospital estudado e podem auxiliar na escolha da terapia empírica para essa doença / Candida spp. are responsible for 80% of all systemic fungal infections. In the Intensive Care Units, these yeasts are present in 17% of all infections. These diseases result in extended hospitalization, leading to increased hospital costs; besides, the systemic infections caused by Candida spp. are related to high mortality rates. Candidemia is the main invasive candidiasis and its epidemiology may vary among study location, local healthcare practices and studied countries. Therefore, the aim of this study was to characterize 79 bloodstream isolates from patients of the Hospital das Clínicas of Faculdade de Medicina de Ribeirão Preto, from June 2014 to November 2015. The Minimal Inhibitory Concentration of amphotericin B, caspofungin, fluconazole and voriconazole was determined using broth microdilution; virulence factor production was analyzed; and the strains were typed by Pulsed-field Gel Electrophoresis, Microsatellite Length Polymorphism and Multilocus Sequence Typing. As expected, C. albicans was the most predominant species (44%), followed by C. glabrata (19%), C. tropicalis (19%), C. parapsilosis (14%) and C. orthopsilosis (4%). In general, the strains did not show resistance to the tested antifungals. However, all C. glabrata and one C. parapsilosis isolates exhibited dose-dependent susceptibility to fluconazole, three C. glabrata isolates exhibited dose-dependent susceptibility to caspofungin, one C. albicans isolate was susceptible dose-dependent to voriconazole and one C. albicans isolate was resistant to fluconazole and voriconazole. Candida albicans strains were the main virulence attributes producer. C. glabrata isolates showed less genetic variability than the others studied species. The candidemia incidence was 1.52 per 1,000 admissions, and the mortality rate was 52%. The main risk factors were antibiotic therapy (86%), followed by urinary catheterization (68%), central venous access (60%), surgical procedures (54%), parenteral nutrition (42%) and neutropenia (14%). The most common underlying diseases were solid cancer (28%), diabetes (23%), gastrointestinal disease (20%) and liver disease (15%). Finally, the results are useful to bring a better comprehension of candidemia in the studied hospital and can help in the identification of efficient empirical treatment strategies

No Brasil, os cânceres de cólon e de reto são considerados as neoplasias gastrintestinais mais comumente observadas na população. Nos últimos anos vêm se relatando na literatura nacional e internacional a possível relação da presença de microrganismos com o desenvolvimento de câncer; entretanto, ainda não se observam evidências científicas convincentes dessa interação. Este estudo teve como objetivo determinar a presença e participação dos diferentes patótipos de Escherichia coli em pacientes com e sem câncer de reto. Foram coletadas amostras fecais de pacientes com neoplasia de reto, e de indivíduos sadios sem sinais de câncer (pólipos e/ou tumor), usadas como controle. Uma porção fecal foi semeada em ágar MacConkey isolando-se aletaoriamente quatro colônias de cada amostra. A identificação em nível de espécie, e dos patótipos, assim como dos fatores de virulência das cepas extra-intestinais de E. coli foi realizada por PCR convencional. Para a caracterização molecular das E. coli foi usada a técnica de ERIC-PCR. Os pacientes com neoplasia de reto apresentaram idade média de 63 anos de idade (P < 0,001). A ocorrência de E. coli extra-intestinal (ExPEC; 44,17%) foi menor que as cepas de E. coli diarreiogênicas (DEC; 49,2%). A presença de E. coli enteroagregativa típica (tEAEC) foi observada em 44,1% das amostras fecais de pacientes com câncer de reto e em indivíduos sadios (12,9%) (P = 0,003); entretanto, as E. coli enteropatogênicas atípicas (aEPEC) foram isoladas em ambos os grupos de pacientes (câncer: 37,3%; sadios: 48,4%). O gene afa/dra da adesina Afa/Dr foi observado em maior prevalência nas ExPEC isoladas de pacientes com câncer (P < 0,001). As cepas de E. coli mostraram combinações gênicas que variaram de 2 a 8 genes, observando-se 39 e 24 combinações gênicas nas cepas de pacientes com câncer e sadios, respectivamente. Pelo ERIC-PCR observou-se elevada diversidade genética em todas as cepas. Foi observada a presença dos oito filogrupos de E. coli, sendo o filogrupo B2 (55,2%) o mais predominante. Os filogrupos D e E não agruparam cepas de indivíduos sadios. Os resultados sugerem maiores estudos para determinar o papel das DEC, particularmente das aEPEC, tEAEC e ExPEC de forma individual ou em associação, avaliando-se o provável sinergismo e/ou a co-infecção de diferentes patótipos nesses processos, assim como sua presença no trato intestinal em pacientes assintomáticos com câncer de reto. / In Brazil, colon and rectal cancer are increasing and they are considered the gastrointestinal neoplasia most commonly observed in the population. In recent years, national and international literatures have shown a possible correlationship among the presence of microorganisms with the development of cancer; however, no convincing scientific evidence of this interaction has been observed. This study aimed to determine the presence and participation of different pathotypes of Escherichia coli isolated from patients with or without rectal cancer. Fecal samples were collected from patients with rectal cancer and healthy individuals with no signs of cancer (polyps and/or tumor) used as a control. Feces were plated onto agar MacConkey and four strains were randomly selected from each sample. Conventional PCR was used for identification of E. coli and pathotypes, as well as to detect virulence genes in extra-intestinal strains. The molecular characterization of E. coli was performed by ERIC-PCR. Patients with rectal cancer were mean age of 63 years old (P < 0.001). Diarrheogenic E. coli (DEC, 49.17%) were more prevalent than extra-intestinal E. coli (ExPEC, 44.17%). The presence of tEAEC was observed in 44.1% of the patients with cancer compared to healthy (12.9%) (P = 0.003). Atypical enteropathogenic E. coli (aEPEC) strains were isolated in both patient groups (cancer: 37.3%; healthy: 48.4%). The gene afa/dra for adhesion Afa/Dr was observed in higher prevalence than in ExPEC strains in patients with cancer and healthy subjects (P < 0.001). E. coli strains showed genetic combinations from 2 to 8 genes, showed 39 and 24 genetic combinations in strains from cancer and healthy patients, respectively. All strains showed high genetic diversity by ERIC-PCR. It was observed presence of eight filogroups and B2 filogroup (55.2%) was the most prevalent. Filogroups D and E were absent in strains from healthy. The results suggest further studies to determine the role of DEC, particularly aEPEC, tEAEC, and ExPEC, individually or in combination, and the synergism and co-infection of different pathotypes in these processes, as well as its presence in the intestinal microbiota in asymptomatic patients with rectal cancer.

Une partie conséquente de mon travail a été d'effectuer un crible génétique en utilisant une bibliothèque de mutants générés par insertion aléatoire de Tn5-Sm, un minitransposon bactérien. Le crible a été réalisé dans un contexte défini: celui de mouches-hôtes auxquelles manquait le gène Eater, lequel code un récepteur de phagocytose (Kocks et al., 2005). Dans ces mouches, l'infection n'est plus contrôlée dans l'hémocoele par les hémocytes et les drosophiles mutantes succombent rapidement à une bactériémie. Plusieurs phénotypes bactériens étaient attendus à l'issue de ce crible. Une première catégorie de phénotype prévisible était une virulence accrue, par exemple si les bactéries mutantes devenaientcapables de traverser plus rapidement ou efficacement la barrière intestinale conséquemment à la perte d'un régulateur négatif. Un deuxième type de phénotype attendu était une virulence atténuée pouvant s'expliquer de plusieurs manières: 1- perte de résistance à l'environnement existant dans le lumen intestinal (enzymes digestives et lysozyme, radicaux libres et peptides antimicrobiens induits au niveau de l'épithélium intestinal dans le cadre d'une réponse immunitaire locale de l'hôte); 2- incapacité à traverser la matrice péritrophique; 3-incapacité à envahir les cellules épithéliales (adhésion, pénétration); 4- incapacité à résister aux défenses intracellulaires potentielles; 5- incapacité à sortir du côté basal des entérocytes 6- incapacité à proliférer dans l'hémolymphe ou perte de la résistance à l'action de la réponse immunitairesystémique qui est, quant à elle, fortement induite en l'absence de phagocytose, laquelle empêche chez les mouches sauvages la prolifération des bactéries ayant traversé la paroi intestinale. [...] Dans le cadre d'une infection intestinale, les mouches sauvages (et imd) succombaient en six jours alors que, de manière surprenante, les mouches mutantes de la voie Toll périssaient plus lentement, une situation opposée à celle du modèle de la piqûre septique. Quelques bactéries sont capables de traverser la paroi intestinale mais sont incapables de proliférer à moins que la réponse cellulaire ait été préalablement bloquée. L'épithélium intestinal apparaissait normal à la dissection et la presque totalité des bactéries ingérées étaient tuées dans l'intestin. Après avoir exclu l'hypothèse d'une toxine sécrétée dans le surnageant des bactéries adsorbées sur le filtre sur lequel viennent se nourrir les mouches, nous avons testé l'hypothèse qu'une suractivation de la réponse immunitaire était à l'origine du décès des mouches. La génétique mettant hors de cause les peptides antimicrobiens, la voie Toll n'étant apparemment pas activée dans l'épithélium intestinal, nous avons alors étudié laréponse oxydative induite par l'ingestion de bactéries (Ha et al., 2009), laquelle est capable de tuer les mouches lorsqu'elle n'est pas régulée correctement. Là-aussi, le résultat s'est avéré négatif. En fin de compte, j'ai pu établir que la mort des mouches était due à un état de famine, confirmé par des mesures des réserves métaboliques. Mes travaux ont permis d'établir un nouveau rôle de la voie Toll dans la résistance à la famine, en présence ou absence d'infection, qui sera peut-être à mettre en relation avec un rôle métabolique de la voie Toll consistant à bloquer la voie de réponse à l'insuline lors d'une infection. En conclusion, mes travaux permettent de mieux comprendre les relations hôte-pathogènequi s'établissent lors d'une infection intestinale. / For the systematic study of bacteri al virulence factors, we initially planned to screen the 12,000 mutant strains of the miniTn5-Sm tranposon-induced mutant bank in a wild-type S. marcescens strain Db10. Phagocytosis-deficient eater mutant flies (Kocks et al., 2005) were used in this screen to isolate the bacterial strains mutated for virulence factors and the genes responsible for crossing the gut barrier. In the eater mutant background, flies succumb to septicemia caused by the rapid proliferation of the bacteria in the hemolymph. Out of 1348 mutant strains screened, 58 candidate mutants have been isolated. Only 20% percent of the potential mutant strains displayed an increased virulence indicating that there are very few factor(s) that negatively control the virulence program of the bacterium. The fly survival phenotypes induced by the candidate mutants isolated in the first round of screen were retested. Only those bacterial strains that were consistent with the phenotype were chosen for the molecular identification of the transposon insertion sites using one primer PCR (Karlyshev et al., 2000). Once the genes impaired in each case had been identified, they were knocked off in the S. marcescens Db10 by site specific plasmid insertion mutagenesis. A mutant strain with the transposon inserted into the fliR gene, a component of the type III flagellar protein export system, exhibited attenuation of virulence. The plasmid insertionmutant strain generated to interrupt the gene fliR reproduced the fly survival phenotyp, indicating that the fliR gene is important for the virulence of S. marcescens. The fliR mutants are able to cross the peritrophic matrix, functionally similar to the human mucus. The bacteria were found in the vicinity of the epithelial cells but were not able to efficiently invade the intestinal epithelium as compared to the wild-type strain. Consequently lower titer of FliR mutants was found in the hemolymph. The inefficiency of the FliR mutants to invade cells was also confirmed in ex-vivo assay using insect cells.I thus demonstrated that the fliR gene which is important in the motility apparatus is also required by S. marcescens for the crossing of the epithelial barrier of D. melanogaster.[...]A strong oxidative response is triggered by D. melanogaster in the midgut against commensals and pathogens (Ha et al., 2009). In order to check whether the strong oxidative immune response is eventually killing the flies themselves, hydrogen peroxide was chemically neutralized in the midgut during the S. xylosus A. oral infection. No difference inthe fly survivals was observed with or without neutralization of the oxidative response indicating that over-production of reactive oxygen species (ROS) does not seem to be responsible for the fly death caused by a very low number of bacteria. Flies could efficiently survive to killed bacteria and filtered supernatant solution from overnight bacterial culture indicating that they do not die to the toxins released by the bacteria. Most surprisingly MyD88-, the Toll pathway-, mutant flies were surviving better to S. xylosus A. oral infection. A series of experiments lead us to the finding that the flies actually succumbed to starvation when orally infected with S. xylosus and that the MyD88 is required for the starvation susceptibility in microbiota-mediated manner. In conclusion my work has lead us to the better understanding of the host-bacterial interactions in the intestine.

EPECa tem sido identificada como o principal agente de diarreia aguda em crianças de países em desenvolvimento. Biofilmes são estruturas bacterianas envoltas por uma matriz de exopolissacarídeos. O objetivo deste estudo foi verificar a influência de diferentes condições de cultivo na formação de biofilme por EPECa isoladas de crianças com diarreia e pesquisar a presença de genes relacionados com a formação de biofilme. As sequências genéticas dos genes csgA, crl, fimH e bcsA foram pesquisadas através da PCR e verificadas em 6 (26%), 23 (100%), 22 (95,6%) e 23 (100%) das amostras respectivamente. A formação de biofilme em placas de MTP por EPECa foi melhor evidenciada em meio LB sem sal a 26 °C e em caldo E. coli a 37 °C, tanto em número de amostras quanto em intensidade da formação de biofilme. As microscopias confocal e de varredura propiciaram uma análise qualitativa de microcolônias e pilares, além de EPS respectivamente. As condições de cultivo devem ser usadas com precaução para realmente aferir a capacidade de formação de biofilme por amostras de EPECa. / aEPEC has been identified as the main agent of acute diarrhea in children in developing countries. Biofilms are bacterial structures which are surrounded by a matrix of exopolysaccharides. The aim of this study was investigate the influence of different culture conditions on biofilm formation by 23 aEPEC strains isolated from children with diarrhea and search for the presence of genes related to biofilm formation. The genetic sequences of the csgA, crl, fimH and bcsA genes were screened by PCR and were found in 6 (26%), 23 (100%) 22 (95.6%) and 23 (100%) of the strains respectively. Biofilm formation in MTP plates for aEPEC strains was better evidenced in LB medium without NaCl at 26 ° C and in E. coli broth at 37 ° C, both in number and intensity of biofilm formation. The confocal and scanning electron microscopy provided a qualitative analysis of structures such as microcolonies and pillars, and respectively EPS. The growing conditions should be used with caution to measure the real ability of biofilm formation by strains of aEPEC.