Dissertation (Ph.D.)--University of South Florida, 2007. / Includes vita. Includes bibliographical references (leaves 70-84). Also available online.

Legionella pneumophila (Lp) est un pathogène accidentel de l'homme capable d'infecter les macrophages alvéolaires et les pneumocytes. Au cours de l'infection, Legionella se confronte à différents types d'agents antibactériens, dont les peptides antimicrobiens (PAMs) produit par l'hôte et les antibiotiques à activité intracellulaire administrés aux patients. Le mécanisme d'action des PAMs humains à l'encontre de Legionella, ainsi que le niveau de résistance aux antibiotiques de la bactérie sont à ce jour encore peu documentés. Mes travaux ont pour but de contribuer à une meilleure connaissance de l'activité anti-Legionella de ces molécules. La première partie de cette étude a consisté à évaluer la sensibilité d'isolats cliniques de Lp sg 1 à 8 antibiotiques, afin de déterminer le seuil épidémiologique de sensibilité de la bactérie à ces différentes molécules. Nous avons démontré que l'ensemble des isolats cliniques sont sensibles aux antibiotiques testés. Les résultats ont révélé l'existence d'une sous-population présentant une sensibilité réduite aux macrolides. L'analyse des génomes a permis de corréler cette sensibilité diminuée à la présence de la pompe à efflux LpeAB spécifique des macrolides. Cette pompe est présente uniquement dans trois complexes clonaux centrés sur le ST1, le ST701 et le ST1335.La seconde partie de cette étude a été consacrée à la caractérisation de l'activité antibactérienne des PAMs humains LL-37 et HBD-3, ainsi qu'à l'identification de leur(s) mécanisme(s) d'action contre Legionella. L'ensemble des tests réalisés montre que LL-37 et HBD-3 induisent une perte de cultivabilité des légionelles par des modes d'action différents. Les résultats suggèrent que LL-37 agit par perméabilisation des membranes de L. pneumophila. Nos résultats ont également montré que les deux peptides exercent une activité inhibitrice sur la réplication intracellulaire des légionelles, au moins en partie grâce à une collaboration avec la cellule hôte / Legionella pneumophila (Lp) is an accidental human pathogen which can infect alveolar macrophages and pneumocytes. During infection, Legionella have to deal with to various types of antibacterial agents, such as antimicrobial peptides (AMPs) produced by the host, and antibiotics with intracellular activity administered to patients. The mechanism of action of human AMPs against Legionella, and the resistance level to antibiotics of the bacterium are still poorly described. Our work aimed to contribute to a better understanding of the anti-Legionella activity of these molecules. The first part of this study consisted in the evaluation of the susceptibility of clinical Lp sg1 isolates to 8 antibiotics, to determine the epidemiological cut-off values of these different molecules. We demonstrated that all clinical isolates are susceptible to the tested antibiotics. The results revealed the presence of a subpopulation displaying a reduced susceptibility to macrolides. The analysis of the genomes allowed us to correlate this reduced susceptibility to le presence of the LpeAB macrolides efflux pump, found specifically in the sequence types ST1, ST701 and ST1335.The second part of this study was dedicated to the characterization of the antibacterial activity of the human AMPs LL-37 and HBD-3, and to the identification of their mechanism(s) of action against Legionella. All of the experiments show that LL-37 and HBD-3 induce a loss of cultivability by different mode of action. The results suggest that LL-37 is able to permeabilize the membrane of the L. pneumophila cells. Our findings also show that both peptides inhibit the intracellular replication of L. pneumophila, in part through collaboration with the host cell

Legionella pneumophila, l’agent responsable de la légionellose est transmissible à l’Homme par les aérosols environnementaux et infecte les macrophages pulmonaires. Après l’exposition à différents stress L. pneumophila est capable de d’entrer dans un état Viable Non Cultivable (VBNC) qui semble être une stratégie de survie. L’objectif de nos travaux était d’étudier l’état VBNC de différentes souches de L. pneumophila après des traitements thermique et chimique et d’évaluer le pouvoir infectieux des formes VBNC envers les macrophages et les cellules épithéliales alvéolaires. Nous avons étudié les profils physiologiques de L. pneumophila de trois souches différentes. Les résultats montrent que pour chaque souche 3 populations peuvent être identifiées, les légionelles viables cultivables, les VBNC et les bactéries mortes. Lorsque soumises aux stress, chaque souche possède un profil physiologique propre et la présence ou non de bactéries VBNC était dépendante du traitement appliqué et de la souche utilisée. La deuxième partie fut relative à l’étude des traitements thermiques de 70°C pendant 30 min et des chocs au dioxyde de chlore de 4, 6 et 7 mg/L pendant 60 min à température ambiante sur ces VBNC. Aucune légionelle VBNC n’est capable de se développer au sein des cellules et aucune croissance sur milieu BCYE n’a été observée après co-culture. La suite de notre étude a été d’étudier le comportement, envers les macrophages, de L. pneumophila revivifiées après culture sur amibes. Les résultats montrent que les légionelles VBNC induites par choc thermique et revivifiées par co-culture sur Acanthamoeba polyphaga sont capables d’infecter de nouveau les macrophages. En conclusion, ces résultats suggèrent que: (i) les formes VBNC de L. pneumophila ne sont pas spontanément infectieuses pour les macrophages et les cellules épithéliales alvéolaires in vitro et (ii) elles peuvent devenir pathogènes pour les cellules humaines après revivification préalable sur A. polyphaga / Legionella pneumophila, the causative agent of legionellosis is transmitted to human through aerosols from environmental sources and invades lung’s macrophages. It also can replicate within various protozoan species in environmental reservoirs. Following exposures to various stresses, L. pneumophila enters a Viable Non Cultivable state (VBNC) which is likely to be a survival strategy. The objective of our work was to study the VBNC forms of several strains of L. pneumophila serogroup 1 obtained after thermal and chemical treatments and to evaluate the infectivity of these VBNC forms against macrophages and alveolar epithelial cells. First we studied the physiological patterns of the three different strains (Philadelphia GFP 008, 044 clinical and environmental RNN). For all strains we observed the presence of VBNC bacteria in the native (non stressed) state. The results show that for each strain, three populations of Legionella can be identified: viable and culturable, VBNC and dead cells. Once submitted to the various stresses, we observed that each strain had its own physiological pattern and the presence (or not) of VBNC bacteria was dependent on the applied treatment and the strain used. The second part was related to the study of the pathogenicity of these VBNC forms against macrophages or epithelial cells. The study focused on heat shock treatment at 70°C for 30 min and chlorine dioxide treatment at 4, 6 and 7 mg/L for 60 min at room temperature. The results show that no Legionella VBNC forms were able to grow within the cells and no growth on BCYE medium was observed after co-culture. Then we investigated the behavior of L. pneumophila resuscitated after culture on ameba within macrophages. The results shows that Legionella VBNC induced by heat shock treatment and resuscitated by Acanthamoeba polyphaga co-culture are able to infect macrophages. In conclusion, these results suggest that: (i) the VBNC forms of L. pneumophila are not infectious for macrophages and alveolar epithelial cells in vitro and; (ii) they can be pathogenic for human cells after revivification by an amoeba (A. polyphaga)

Water disinfection systems utilizing electrolytically generated copper:silver ions (200:20 to 400:40 ug/L) and low levels of free chlorine (0.1 to 0.4 mg/L) were evaluated at room (21-23°C) and elevated (39-40°C) temperatures in filtered well water (pH 7.3) for their efficacy in inactivating Legionella pneumophila (ATCC 33155). A contact time of 24 hr was necessary for copper:silver (400:40 ug/L) to achieve a 3 log₁₀ reduction in bacterial numbers at room temperature. As the copper:silver concentration increased to 800:80 ug/L (K = 7.50 x 10⁻³ log₁₀ reduction/min), the inactivation rate significantly (p ≤ 0.05) increased. In water systems at room temperature with and without copper:silver (400:40 ug/L), the inactivation rates significantly increased as the free chlorine concentration increased from 0.1 mg/L (K = 0.397 log₁₀ reduction/min) to 0.4 mg/L (K = 1.047 log₁₀ reduction/min). All disinfection systems, regardless of temperature or free chlorine concentration, showed increased inactivation rates when 400:40 ug/L copper:silver was added; however, this trend was significant only at 0.4 mg/L free chlorine.

No description available.

La multi-résistance aux drogues des bactéries est un problème majeur en clinique. L'un des mécanismes de résistance consiste à effluer les composés toxiques hors de la cellule grâce à des protéines de la membrane interne nommées pompes d'efflux. Ces protéines appartiennent à cinq familles (MFS, RND, MATE, SMR et ABC) et peuvent fonctionner en association avec deux autres types de protéines (protéine du périplasme et protéine de la membrane externe) pour former un canal. Dans le cadre d'une thématique de recherche basée sur l'étude des mécanismes de résistance auxdrogues de la bactérie pathogène Legionella pneumophila, une approche bioinformatique menée sur lesgénomes de trois souches séquencés (souches Lens, Paris et Philadelphia) a permis d'identifier des protéinespouvant participer à l'efflux. Notre but a été de vérifier l'implication de ces protéines dans la résistance auxdrogues et dans la virulence de Legionella en ciblant un ou plusieurs gènes codant pour des composants desystèmes d'efflux. Pour inactiver les gènes, nous avons choisi une stratégie de recombinaison homologue. Lesrecombinants ont été testés pour leur sensibilité à des composés toxiques afin de voir si les gènes ciblés jouentun rôle dans l'efflux d'E. coli. Un de ces mutants, le mutant MF201, altéré pour le gène codant pour une protéinehomologue à TolC chez E. coli s'est avéré être 2 à 16 fois plus sensible aux drogues testées comparé à lasouche sauvage. De plus, ce mutant présente un défaut important de virulence dans Acanthamoeba castellanii,Dictyostelium discoideum et les macrophages U937. Ce premier résultat implique que la protéine TolC-like deLegionella aurait un rôle clef dans la relation hôte pathogène et sous-tend un lien entre multi-résistance auxdrogues et virulence. Par ailleurs une étude de l'expression des gènes codant pour des pompes à efflux a étéinitiée afin de comprendre leur rôle au cours du cycle infectieux de Legionella.

abstract: Bacteria of the Legionella genus are a water-borne pathogen of increasing concern due to being responsible for more annual drinking water related disease outbreaks in the United States than all other microbes combined. Unfortunately, the development of public health policies concerning Legionella has impeded by several key factors, including a paucity of data on their interactions and growth requirements in water distribution networks, a poor understanding of potential transmission sources for legionellosis, and limitations in current methodology for the characterization of these pathogens. To address these issues, a variety of research approaches were taken. By measuring Legionella survival in tap water, association in pipe material biofilms, population dynamics in a model distribution system, and occurrence in drinking water distribution system biofilms, key aspects of Legionella ecology in drinking water systems were revealed. Through a series of experiments qualitatively and quantitatively examining the growth of Legionella via nutrients obtained from several water sources, environmental nutritional requirements and capability for growth in the absence of host organisms were demonstrated. An examination of automobile windshield washer fluid as a possible source of legionellosis transmission revealed Legionella survival in certain windshield washer fluids, growth within washer fluid reservoirs, high levels and frequency of contamination in washer fluid reservoirs, and the presence of viable cells in washer fluid spray, suggesting the potential for exposure to Legionella from this novel source. After performing a systematic and quantitative analysis of methodology optimization for the analysis of Legionella cells via matrix-assisted laser desorption/ionization time-of-flight mass spectrometry, several strains of this microbe isolated from separated and varied environmental water sampling sites were distinctly typed, demonstrating a potential application of this technology for the characterization of Legionella. The results from this study provide novel insight and methodology relevant to the development of programs for the monitoring and treatment of Legionella in drinking water systems. / Dissertation/Thesis / Doctoral Dissertation Microbiology 2014

Background: Community acquired pneumonia causes 5,9% of deaths in elderly South Africans. Mortality rates are increased in those in whom initiation of therapy with an appropriate agent has been delayed. Whereas Mycoplasma pneumoniae and Legionella pneumophila are sensitive to the macrolides or tetracycline, they do not respond to the currently recommended first-line agents for community acquired pneumonia, penicillin or a cephalosporin. It was therefore necessary to assess the prevalence of exposure to these 2 organisms in the elderly in order to determine whether a modification in the recommendations may be justified. Methods: Study population and survey: Subjects were residents of 4 old age homes in Cape Town who were older than 60 years and willing to participate. Written consent was obtained, a demographic and medical history questionnaire was completed, and a sample of blood was drawn. Laboratory methods: The indirect fluorescent antibody tests (Zeus Scientific Inc, New Jersey, USA) were used to detect the presence of antibodies to Mycoplasma pneumoniae and Legionella pneumophila. Results: The participation rate in this study was high, with 88,4% (677/766) taking part. Seropositivity for both of these organisms was low. There were 17 participants (2, 51 %) with antibodies to mycoplasma (IgG only in 8, IgM only in 1, and both IgG and IgM in the remaining 8). Titres were low with only 1 IgM titre of 16, and only 3 IgG titres of 64. Antibodies to Legionella were demonstrated in only 9 participants (1,33%). All these titres were 128 or above. Conclusions: It is concluded that first-line therapy for community acquired pneumonia should adhere to the current guidelines published by the South African Pulmonology Society. There is no indication for the routine use of agents active against Legionella or mycoplasma. Clearly, these antibiotics should be introduced if specific pointers to infection with one of these organisms are found. Because of the low seropositivity rate, the indirect fluorescent antibody test for these 2 agents has a high specificity in this population. This may be of use in making a diagnosis in an acute infection Further studies are required to elucidate the immunological response to these organisms in elderly persons. A further survey should be done to determine the seropositivity rate to these agents in community dwelling elderly.

Tesis por compendio / [EN] Legionella pneumophila is a strictly environmental and opportunistic pathogen that can cause severe pneumonia after inhalation of aerosols with enough bacterial load. Outbreaks and sporadic cases are usually localized in temperate environments, and the reservoirs are often water-related sources where biofilms are created. The existence of non-cultivable forms of the bacteria increases the risk for public health, as culture-based methods may miss them, thus complicating the environmental investigations of the sources. Genetic classification through the Sequence-Based Typing (SBT) technique allowed an increased discrimination among L. pneumophila strains compared to previous methods. SBT data can also be used for genetic variability and population structure studies, but a more exhaustive analysis can be performed using high-throughput genome sequencing strategies. This thesis describes the use of both SBT and genomic sequencing to evaluate and provide solutions to different public health needs in L. pneumophila epidemiology. We have focused in the Comunidad Valenciana (CV), the second region in Spain with the highest incidence of Legionellosis, with special interest in the city of Alcoy, where recurrent outbreaks have occurred since 1998. Firstly, SBT data were used to gain a deeper insight into the genetic variability and distribution of the most abundant Sequence Types (ST) in the CV area. We have shown that the level of variability in this region is comparable to that from other countries, revealing the existence of both locally and broadly extended profiles. Approximately half of the observed genetic diversity was found to result from geographical and temporal structure. Secondly, L. pneumophila detection from environmental sources remains a challenge for public health. A comparison between water and biofilm samples using a sensitive touchdown PCR (TD-PCR) strategy revealed that the use of biofilms increased by ten-fold the detection rate. This method allowed evaluating the hidden uncultivable L. pneumophila diversity in the locality of Alcoy and the real-time investigation of a Legionellosis outbreak affecting a hotel in Calpe (Southeast of Spain) in 2012. Thirdly, genomic sequencing was applied to a set of 69 strains isolated during 13 outbreaks occurred in Alcoy in the period 1999-2010, mainly the recurrent ST578. Higher intra-outbreak variability than expected was observed, pointing to the potential existence of multiple sources in this endemic area or high environmental diversity. Interestingly, above 98% of the genomic variability in this ST was found as being incorporated through recombination processes rather than through point mutations. Finally, a metagenomic analysis of environmental biofilms from Alcoy revealed a microbial community dominated by Proteobacteria, Cyanobacteria, Actinobacteria and Bacteroidetes. Despite the known endemism of Legionella in this area, the genus was only found in a relative abundance ranging 0.01-0.07%, which explains the low recovery from environmental sources. In summary, the results from this thesis can benefit public health efforts to control this pathogen in the environment, as we provide new insight into its molecular epidemiology, with immediate applications to surveillance and outbreak investigations. / [ES] Legionella pneumophila es un patógeno oportunista estrictamente ambiental capaz de causar neumonía debido a la inhalación de aerosoles con suficiente carga bacteriana. Los brotes y casos esporádicos suelen producirse en ambientes templados y los reservorios encontrarse en zonas con agua donde pueden crearse biopelículas microbianas. La existencia de formas no cultivables de la bacteria aumenta el riesgo para la salud pública, ya que los métodos estándar basados en cultivo microbiológico no pueden detectarlas, complicando las investigaciones ambientales. La clasificación genética basada en el método Sequence-Based Typing (SBT) permite un mayor poder de discriminación entre cepas de L. pneumophila en comparación con métodos previos. Los datos derivados del SBT pueden utilizarse para estudios de variabilidad genética y estructura poblacional. Sin embargo, puede llevarse a cabo un análisis más exhaustivo mediante técnicas de secuenciación genómica de alto rendimiento. Esta tesis describe la utilización tanto de SBT como de secuenciación genómica para evaluar e incluso proponer soluciones a diferentes necesidades en salud pública relacionadas con la epidemiología de L. pneumophila. Nos centramos en la Comunidad Valenciana (CV), la segunda región en España con mayor incidencia de Legionelosis, con especial interés en la localidad de Alcoy, donde ocurren brotes de forma recurrente. En primer lugar, utilizamos datos derivados de SBT para conocer mejor la variabilidad y la distribución de los perfiles genéticos (Sequence Types, ST) en el área de la CV. Mostramos que el nivel de variabilidad en sólo esta región es comparable a la de otros países, con perfiles extendidos local y globalmente. Aproximadamente la mitad de la diversidad genética observada se estima que procede de estructuración geográfica y temporal. En segundo lugar, la detección de L. pneumophila a partir de fuentes ambientales sigue suponiendo un reto para la salud pública. En esta tesis realizamos una comparación entre la detección mediante touchdown PCR (TD-PCR) a partir de muestras de agua y biopelículas microbianas y mostramos que estas últimas proporcionan un aumento de 10 veces en la tasa de detección de la bacteria. Este método permitió evaluar la diversidad no cultivable de L. pneumophila en la localidad de Alcoy y la investigación a tiempo real de un brote en un hotel en Calpe (Sudeste de España) en 2012. A continuación, aplicamos la secuenciación genómica a 69 cepas aisladas durante 13 brotes ocurridos en Alcoy en el período 1999-2010, principalmente el recurrente ST578. Se observó mayor variabilidad entre cepas de un mismo brote que la esperada, lo cual apunta a la existencia potencial de múltiples fuentes en este área, o alta diversidad ambiental. Además, se observó que más del 98% de la variabilidad genómica fue introducida por procesos de recombinación y no de mutación puntual. Finalmente, se realizó un análisis metagenómico de biopelículas ambientales recogidas en Alcoy. Se encontró que la comunidad está dominada por Proteobacteria, Cyanobacteria, Actinobacteria y Bacteroidetes. A pesar del conocido endemismo de Legionella en el área, este género sólo se encontró en una abundancia relativa entre 0.01-0.07%, lo cual explica su baja tasa de recuperación a partir de muestras ambientales. En resumen, los resultados de esta tesis pueden ser de utilidad para los programas de control de este patógeno llevados a cabo por las autoridades de salud pública, ya que proporcionan una nueva percepción de su epidemiología molecular, con aplicación inmediata a la vigilancia e investigación de brotes. / [CA] Legionella pneumophila és un patogen oportunista estrictament ambiental capaç d'ocasionar pneumònia degut a la inhalació d'aerosols amb la suficient carga bacteriana. Els brots i casos esporàdics solen ocórrer en ambients temperats, i els reservoris solen trobar-se en zones amb aigua on poden crear-se biopel·lícules microbianes. La existència de formes no cultivables del bacteri augmenten el risc per a la salut pública, ja que els mètodes estàndard basats en el cultiu microbiològic no poden detectar-les, complicant les investigacions ambientals. La classificació genètica basada en el mètode Sequence-Based Typing (SBT) permet un major poder de discriminació entre soques de L. pneumophila en comparació amb previs mètodes. Les dades derivades del SBT poden utilitzar-se per a estudis de variabilitat genètica i estructura poblacional, però un anàlisis més exhaustiu pot dur-se a terme a través de tècniques de seqüenciació genòmica d'alt rendiment. Esta tesis descriu la utilització tant del SBT com de la seqüenciació genòmica per a avaluar i proposar solucions a diferents necessitats en salut pública relacionades amb l'epidemiologia de L. pneumophila. Ens centrem en la Comunitat Valenciana (CV), la segona regió d'Espanya amb la major incidència de Legionel·losi, amb especial interès en la localitat d'Alcoi, on els brots ocorren de forma recurrent des de 1998. Primer, hem utilitzat dades derivades del SBT per a conèixer millor la variabilitat i la distribució dels perfils genètics (Sequence Types, ST) en l'àrea de la CV. Mostrem que el nivell de variabilitat en només aquesta regió és comparable a la d'altres països, amb perfils estesos tant de forma local com més amplia. Aproximadament la meitat de la diversitat genètica observada s'estima que procedeix d'estructuració geogràfica i temporal. Segon, la detecció de L. pneumophila a partir de fonts ambientals continua suposant un repte per a la salut pública. En aquesta tesis realitzem una comparació entre la detecció mitjançant touchdown PCR (TD-PCR) a partir de mostres d'aigua i biopel·lícules microbianes i mostrem que aquestes últimes proporcionen un augment de deu vegades en la tassa de detecció. A més, aquest mètode ens va permetre avaluar la diversitat no cultivable de L. pneumophila a la localitat d'Alcoi i la investigació a temps real d'un brot de Legionelosis que va afectar a un hotel en Calp (Sud-est d'Espanya) a l'any 2012. Tercer, vam aplicar la seqüenciació genòmica a 69 soques aïllades durant 13 brots ocorreguts a Alcoi en el període 1999-2010, principalment el recurrent ST578. Es va observar una major variabilitat entre soques d'un mateix brot de l'esperada, apuntant a l'existència potencial de múltiples fonts en aquesta àrea, considerada endèmica, o alta diversitat ambiental. A més, es va observar que més del 98% de la variabilitat genòmica havia sigut introduïda a partir de processos de recombinació i no de mutació puntual. Finalment, es va realitzar una anàlisi metagenòmica de biopel·lícules ambientals recollides a Alcoi. Varem trobar que la comunitat està dominada per Proteobacteria, Cyanobacteria, Actinobacteria i Bacteroidetes. A pesar del conegut endemisme de Legionella en l'àrea, aquest gènere només es va trobar en una abundància relativa entre 0.01-0.07%, el qual explica la seua baixa tassa de recuperació a partir de mostres ambientals. En resum, els resultats d'aquesta tesi poden ser d'utilitat per als programes de control d'aquest patogen duts a terme per les autoritats de salut pública, ja que proporcionen una nova percepció de la seua epidemiologia molecular, amb aplicació immediata a la vigilància i la investigació de brots. / Sánchez Busó, L. (2015). Genetic and genomic variability of Legionella pneumophila: applications to molecular epidemiology and public health [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/52854 / TESIS / Premios Extraordinarios de tesis doctorales / Compendio

<p>The actin cytoskeleton is involved in many essential cellular events such as mitosis, cell migration, control of epithelial barrier function, and adherence of immune cells. Given the essential roles of the actin cytoskeleton, it is not surprising that it is a common target for bacterial virulence factors. <em>Legionella pneumophila</em>, the causative agent of Legionnaire’s pneumonia, establishes a replicative compartment using effectors secreted by its Dot/Icm secretion system. At least four Dot/Icm effectors, VipA, Ceg14, LegK2 and RavK have been shown to modulate the host actin cytoskeleton. Here, we identified RavJ (lpg0944) as an additional effector that interferes with the actin cytoskeleton in mammalian cells. We demonstrated that RavJ is a transglutaminase that functions to induce crosslink between actin and members of the Motin protein family, leading to inhibition of the binding between actin and ADF/cofilin. We also found that LegL1 (lpg0945) is a metaeffector of RavJ, which suppresses the transglutaminase activity of RavJ by blocking its enzymatic domain. </p>