Legionella pneumophila is a human pathogen commonly found in natural and artificial aquatic environments and can cause a condition called legionellosis. Monitoring for legionellae is therefore important for protecting public health and identifying its environmental sources is a way to prevent illness. This has resulted in development of several control strategies to identify these sources. One of these strategies is to construct a valid method to detect Legionella pneumophila and monitoring these methods is a way to ensure the method remain effective at tracing infection.  The current version of standardized method is called ISO 11731:2017 and supersedes its former version called ISO 11731:1998. The former version uses a combination of heat and acid solution treatment to reduce interfering microorganisms in water with high background, whereas the current version separates the treatment by subdividing the sample in three parts. One part is subjected to heat treatment, one with acid solution treatment and one remains untreated. Therefore, the aim of this study is to analyse how this difference in method strategy will affect detection of Legionella pneumophila between the current and its former version of ISO 11731. To do this, this study divided the experiment into two parts: experiment A was aimed at evaluating the validity of the method and experiment B was designed to study repeatability in terms of dispersion and performance data range. For experiment A: 14 samples were tested using both ISO 11731:2017 and 11731:1998 to see how the results differentiated. Six are natural samples and was appointed based on their previous results that showed positive for Legionella. Four samples were spiked with different serotypes of Legionella and the remaining four were spiked with both Legionella and Legionella-inhibited bacteria. For experiment B, three certified reference material with different concentration of Legionella pneumophila serotype 1 was tested in repeatability conditions with each sample producing ten replicates.  In conclusion, based on results assessed in this study ISO 11731:1998 was more suitable to analyse water with higher concentration of interfering microorganisms. By a combination of heat and acid solution treatment: it maximizes the reduction of interfering microorganisms which facilitates Legionella to cultivate on agar. ISO 11731:2017 was more efficient in recovering different serotypes of Legionella. Although, there were a significant increase in dispersion and performance data range results in ISO 11731:2017. This indicates that since there is an additional dilution step added in acid solution treatment: it increases the risk of human error and therefore a greater vulnerability to the method.

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As waterborne disease originating in potable water plumbing systems (such as Legionnaires' Disease and Nontuberculous Mycobacterial (NTM) infections) continue to increase, it is important to better understand the cause(s), responsible parties and interventions to prevent disease. This dissertation begins with a literature review characterizing the propensity of building (premise) plumbing to enhance or diminish opportunistic pathogen growth, including Legionella. It then holistically examines the problem at the field, bench and pilot scale by first discovering problems with lead and Legionella in Flint, MI, during an event popularly referred to as the Flint Water Crisis in 2014-2016. Four years were then spent simulating critical factors hypothesized to have triggered the Legionella outbreak in residences and in a large hospital in Flint. In parallel with that work, pilot scale rigs were operated for several years, to examine the important role of water heater system design and operation on energy efficiency, hot water delivery, and Legionella. The first chapter literature review is entitled "Critical Review of the Propensity of Premise Plumbing Pipe Materials to Enhance or Diminish the Growth of Legionella and Other Opportunistic Pathogens." It examines the complex environments found in premise systems, focusing primarily on the role of pipe materials. The effects of metallic (copper, iron) and plastic pipe materials on opportunistic pathogens and Legionella include their effect on nutrient availability, disinfectant levels, and the composition of the broader microbiome. Design, configuration, and operation are also examined in terms of their potential for influencing opportunistic pathogens. This chapter demonstrates that pipe materials have the potential to stimulate or inhibit pathogen growth, dependent on circumstance and water chemistry. This chapter will be submitted to the journal Pathogens. The field study in this work first predicted, discovered and then exposed problems with lead and Legionella in Flint, Michigan. A citizen science project that sampled Flint water in August 2015, demonstrated a city-wide problem with water lead exceeding the EPA limit of 15 µg/L after corrosion control was interrupted. Follow-up sampling events between August 2015 and August 2017 demonstrated that the switch back to the original water source and addition of enhanced corrosion control in October 2015, dramatically reduced lead, copper and iron levels flowing into consumer homes. Entitled "Evaluating Water Lead Levels During the Flint Water Crisis," this work was published in Environmental Science and Technology in 2018. After our Virginia Tech team's work helped expose a Legionnaires' disease outbreak that killed twelve people and sickened nearly one hundred individuals, the started to explore possible links between corrosion control, plumbing materials and disinfection that could help explain the trajectory of disease in Flint and elsewhere. Three separate experiments were performed using bench-scale simulated glass water heaters. Two of the studies attempted to simulate what occurred in Flint homes before, during and after the water crisis in relation to factors that either encouraged or discouraged Legionella growth, while the third examined the more benign Blacksburg tap water and a broader range of influential plumbing conditions. The first study entitled "Copper Pipe, Lack of Corrosion Control, and Uncontrolled pH Influenced the Trajectory of the Flint Legionnaires' Disease Outbreak," determined that the very low pH levels in summer 2015 and interruption of phosphate corrosion control, could cause explosive growth of Legionella in PEX plumbing held at warm temperature, without disinfectant and with constant mixing. Under the same conditions copper pipe had antimicrobial properties that markedly reduced Legionella in our experiments. This work has been submitted for review to Environmental Science and Technology. The second companion study conducted at a higher pH, without mixing and with trace chlorine, found 2.5 log10 lower levels of Legionella compared to the worst-case conditions in the aforementioned study, demonstrating the importance of mixing and traces of chlorine. Higher levels of disinfectant and the presence of copper pipe also enhanced control of Legionella. This manuscript is titled "Interactive Effects of Copper Pipe, Stagnation, Corrosion Control, and Disinfectant Residual Influenced Reduction of Legionella pneumophila during Simulations of the Flint Water Crisis," and it has been published in Pathogens. The third simulated glass water heater study examined the disinfection of opportunistic pathogens in the presence of six different premise plumbing materials or conditions in Blacksburg tap water. Generally speaking, all of the premise plumbing materials reduced disinfection of opportunistic pathogens compared to a control condition with glass surfaces. Chlorine decay was catalyzed by iron pipe, warmer temperature and the presence of organic matter, increasing the persistence of Legionella. Magnesium anodes in particular, encouraged much higher Legionella growth compared to all other materials. This work titled "Chlorine and Chloramine Disinfection of Legionella spp., L. pneumophila, and Acanthamoeba Under Warm Water Premise Plumbing Conditions," has been submitted to Microorganisms. Results of a six-year pilot study titled "Elucidating the Role of Water Heater System Configuration in Energy Efficiency, Consumer Comfort and Legionella Proliferation," examined different types of residential-sized water heater systems with plastic pipes including: a standard tank system with water stagnant between uses, a recirculating tank system with flowing water between uses, and an on-demand system which only heated water and had flow during use. Considering the volume of water in each tank between 38 and 47 ° C as a measure of Legionella growth risk, with a heater setpoint at 48 °C (118 °F) the recirculating system had 90% of its volume at risk daily compared to only 24% of the standard system volume. The on-demand system used a minimum of 10% less energy than the standard tank, and 50% less energy than the recirculating tank, and had one tenth of the volume at risk of growing Legionella than either tank system. In fact, it was only by contriving a system to keep distal lines artificially warmed to above room temperature, that Legionella growth could occur in the on-demand system, whereas it rose to 107 L. pneumophila MPN per liter in a normally operating recirculating system. On the other hand, the on-demand heaters were repeatedly subject to mechanical malfunction during the study, and had difficulty delivering water at the desired temperature and flow rates versus traditional tank systems. This manuscript will be submitted to Water Research. / Doctor of Philosophy / Recent water crises in Flint, Michigan and Legionnaires' Disease outbreaks in Flint, New York City, and Quincy, Illinois have demonstrated the need to better understand the cause(s), responsible parties, and interventions required to prevent waterborne diseases. As waterborne disease originating in building plumbing systems (premise plumbing), such as Legionnaires' Disease and Nontuberculous Mycobacterial infections, continue to increase each year, the burden on healthcare systems and impact on public health also grows. In this dissertation, a literature review, a field study of water in Flint, small-scale laboratory studies, and residential-sized water heater systems were examined to study interactions between water chemistry, premise plumbing, and disease-causing opportunistic pathogens (OPs) with a focus on Legionella, the OP which causes Legionnaires' Disease. The first chapter literature review is entitled "Critical Review of the Propensity of Premise Plumbing Pipe Materials to Enhance or Diminish the Growth of Legionella and Other Opportunistic Pathogens." It examines the complex environments found in premise systems, and the important role of pipe material selection. The effects of metallic (copper, iron) and plastic pipe materials on opportunistic pathogens and Legionella include their impact on nutrient availability, disinfectant levels, and the composition of the broader microbiome. Design, configuration, and operation of plumbing systems are also examined in terms of their potential for influencing growth of opportunistic pathogens. This chapter demonstrates that pipe materials have the potential to stimulate or inhibit pathogen growth, dependent on circumstance and water chemistry. The field study in this work exposed problems with lead and Legionella in Flint, Michigan, during an event known in the popular press as the Flint Water Crisis 2014-2016. In August 2015, a citizen science sampling campaign demonstrated a citywide lead in water problem. After a federal emergency was declared, follow-up sampling events between August 2015 and August 2017 demonstrated that the switch back to the original water source, enhanced disinfection, and corrosion control under federal direction had reduced lead levels to half of the EPA limit. Additionally, the pipe material installed between each home and the water main (service lines) affected levels of lead and copper in water, with the lowest lead concentrations measured in homes with copper service lines. After our teams' work in Flint helped expose a Legionnaires' disease outbreak that killed twelve people and sickened nearly one hundred other individuals, we started to explore possible links between corrosion control, plumbing materials, and disinfection that could affect the trajectory of disease in Flint and elsewhere. Three follow-up studies, using small glass bottles to simulate water heaters, provided more specific comparisons between water conditions in premise plumbing and OP occurrence. Two studies expanded on phosphate corrosion control, chlorine (disinfectant) decay, and pH-related research questions, which arose during the Flint water crisis field study. The first determined that properly treated drinking water and some mixing could inhibit Legionella growth in copper pipes. The second study found that without mixing, copper could be antimicrobial and reduce Legionella growth even if the water chemistry was slightly altered with higher pH. The third simulated water heater study examined the reduction of OPs using a chlorine or chlorine plus ammonia disinfectant to reduce Legionella in the presence of six different plumbing conditions. The reduction of Legionella with chlorine was inhibited when carbon was increased and in the presence of a magnesium anode rod, a necessary water heater component. A six-year study using a residential-sized water heater system holistically examined three different types of water heater systems with plastic pipes: one using a standard water heater tank with water stagnant between uses, one using a water heater tank connected to a recirculating pump to provide constantly flowing water, and one tankless (on-demand) heater which only heated water and provided flow during use. Using temperature as an indicator of risk for Legionella growth, the recirculating system at a temperature setpoint of 48 °C (118 °F) would be at high risk for Legionella growth (water volume at 38-47 °C or 100-117 °F) in 90% of the tank volume each day, whereas the standard system would only be at high risk in 24% of the tank each day. The on-demand system provided the safest alternative for hot water distribution with virtually undetectable levels of Legionella risk when the pipes were kept at room temperature as per normal operation. The on-demand system also used at least 50% less energy than the recirculating system and 10% less energy than the standard system; however, we were not successful in finding a reliable on-demand system that could also provide hot water at the desired temperature and flow rate.

The opportunistic pathogen Legionella is the leading cause of reported waterborne disease outbreaks in the United States. Legionella can thrive under the warm, stagnant, low-disinfectant conditions characteristic of premise (i.e., building) plumbing systems, making it challenging to identify effective interventions for its control. Copper (Cu) is a promising antimicrobial that can be dosed directly to water via copper-silver ionization systems or released naturally via corrosion of Cu pipes to help control growth of Legionella and other pathogens. However, prior research has shown that Cu does not always reliably control Legionella and sometimes seems to even stimulate its growth. A deeper understanding of the mechanistic effects of Cu on Legionella, at both pure-culture and real-world scales, is critical in order to inform effective controls for Legionella. The overarching objective of the research embodied by this dissertation was aimed at elucidating the chemical and microbial interactions in premise plumbing that govern efficacy of Cu for Legionella control through a series of complementary bench-, pilot-, and field-scale studies. A critical review and synthesis of the literature identified important knowledge gaps in relation to antimicrobial effects of Cu. In particular, changes in the pH, phosphate corrosion control, and rising levels of natural organic matter (NOM) in distributed water are predicted to be important controlling factors. The type of sacrificial anode rod material employed in water heaters was also identified as an underappreciated factor, which directly affects pH, evolution of hydrogen gas as a microbial nutrient, and release of metals (such as aluminum) that bind copper. Microbiological factors: including growth phase of Legionella (e.g., exponential or stationary), strain-specific Cu tolerance, background microbiome composition, and the possibility that viable but non-culturable (VBNC) Legionella might still cause human disease, were also identified as major confounding factors. These knowledge gaps are addressed from various dimensions across each chapter of the dissertation. The effects of pH, orthophosphate corrosion inhibitor concentration, and NOM were examined in bench-scale pure culture experiments over a range of conditions relevant to drinking water. Cupric ions and antimicrobial effects were drastically reduced at pH >7.5, especially in the presence of phosphate, which precipitates copper, or NOM, which complexes the Cu in a form that is less bioavailable. Chick-Watson disinfection models indicated that soluble Cu was the most robust correlate with observed Cu antimicrobial effects across a range of tested waters. This new knowledge suggests that measuring soluble rather than total Cu would be much more informative to guide practitioners in dosing. The research also demonstrated that changes in pH or orthophosphate that have been made to control corrosion over the last few decades, have significantly altered Cu chemistry in buildings, undermining antimicrobial capacity and increasing likelihood of Legionella growth. Pilot-scale experiments confirmed that soluble Cu is an effective indicator of Cu antimicrobial capacity, even in more complex environments represented by realistic hot water plumbing systems. In particular, dosing of orthophosphate, which is widely added by drinking water utilities to control corrosion, directly reduces soluble copper and overall antimicrobial capacity. In some cases, Cu added together with orthophosphate apparently promoted the growth of Legionella, providing an example of at least one circumstance where Cu addition can induce interactive effects that elevate Legionella compared to a control system with trace Cu. It was also demonstrated for the first time that different water heater sacrificial anode types are subject to different corrosion processes, which indirectly influence Cu antimicrobial capacity. Specifically, aluminum ions released from aluminum anode corrosion at 1 mg/L can form an Al(OH)3 gel, which can remove >80% of the soluble Cu from water and reduce Cu antimicrobial effects by >2-log at pH=7. Corrosion from magnesium anodes was found to dramatically increase the pH from 6.8 to >8, which correspondingly reduces Cu antimicrobial capacity. Cu deposition further increased the anode corrosion rate and promoted evolution of hydrogen gas, which is a potent electron donor that stimulates autotrophic microbial growth especially with a magnesium anode. Electric powered anodes did not release metals or alter pH and thus did not diminish Cu antimicrobial capacity. Still, across the pilot-scale experiments, even very high levels of Cu (>1.2 mg/L) at low pH (<7) failed to fully eradicate culturable Legionella. The much lower than expected antimicrobial efficacy of Cu in the pilot-scale hot water plumbing systems was found to be partially explained by the properties of the strain that colonized the systems. Based on fitting the data to a Chick-Watson disinfection model, the outbreak-associated strain that was inoculated into the systems was estimated to be 7 times more tolerant to Cu compared to the common lab strain applied in the bench-scale tests. Further, exponential growth phase L. pneumophila were found to be 2.5 times more susceptible to Cu relative to early stationary phase cultures. It is important to also recognize that, in the pilot-scale systems, drinking water biofilms and the amoeba hosts that colonize them can further shield Legionella from the antimicrobial effects of Cu. Application of shotgun metagenomic sequencing offered the opportunity to more deeply examine the response of Legionella and other pathogens to Cu dosed to the pilot-scale hot water systems in the context of the broader microbiome. It was found that metagenomic analysis provided a sensitive indication of the bioavailability of Cu to the broader microbial community inhabiting the hot water systems, further confirming that the outbreak-associated strain of Legionella that colonized the rigs was relatively tolerant of Cu. Functional gene analysis provided further insight into the mechanistic action of Cu, suggesting multi-modal action of both membrane damage and interruption of nucleic acid replication. The metagenomic analysis further revealed that protozoan host numbers tended to increase in the pilot-scale systems with time, and this could also increase the potential for Legionella proliferation with time. Additional pure culture studies aiming to further assess the mechanistic action of Cu provided strong evidence that Cu can induce a VBNC state for Legionella. This is a concern, given that other studies have indicated that VBNC Legionella are still capable of causing legionellosis. However, VBNC cells are not detected by conventional culturing. Multiple lines of evidence supported the conclusion that Cu induced a VBNC state for Legionella, including membrane integrity, enzyme activity, ATP generation, and Amoebae resuscitation assays applied to two different strains of L. pneumophila. After exposure to Cu, up to a 5-log (99.999%) reduction in culturable Legionella was observed, whereas corresponding reductions in the various viability measures were only by <1-log (90%). In other words, conventional culturing may miss up to 99.99% of the Legionella that is still capable of causing disease. To our knowledge, this is the first study that has assessed the potential for Cu-induced VBNC Legionella. Additional research is needed to further quantify the contribution of VBNC status to challenges in effective Cu-based control of Legionella in premise plumbing. This research further examines, for the first time, the proteomic response of Legionella to Cu, comparing both presumably VBNC and culturable cells. Functional annotation of proteins that were differentially produced by the cells in response to Cu addition revealed that VBNC L. pneumophila modulated its proteome to favor cell membrane- and motility-related proteins, while reducing production of other proteins related to primary metabolism compared to culturable cells. These observations are consistent with the metagenomic-based observations and support the hypothesis that Cu inactivates cells by damaging the cell membrane. The findings also confirmed reduced general cell metabolism that is characteristic of a VBNC state. This dissertation highlights the important and complex effects of Cu on Legionella growth in potable water systems as modified by water chemistry, water heater anode type, characteristics of the surrounding microbiome, and Legionella strain characteristics and growth status. The findings raise important questions about how to measure disinfectant efficacy and provide fundamental new knowledge that can help to better optimize the application of Cu as an antimicrobial to drinking water systems and better protect public health. / Doctor of Philosophy / The opportunistic pathogen Legionella is the leading cause of reportable waterborne disease outbreaks in the United States. Legionella is capable of growing in drinking water plumbing systems in homes, hospitals, hotels, and other buildings. Legionella is spread by inhaling tiny droplets of water that are suspended in the air when using the water, for example when showering, resulting in a severe and deadly form of pneumonia called Legionnaires' Disease. Copper is a promising antimicrobial that can be dosed directly into a building's water system by installing a copper-silver ionization system. There is also interest in understanding whether copper released naturally from copper pipes could help control Legionella. However, prior research indicates that copper sometimes inhibits, sometimes has no effect, and sometimes even seems to stimulate Legionella growth. The purpose of this dissertation was to better understand how the chemical properties of the drinking water, such as pH, presence of corrosion inhibitors that are commonly added to the water by utilities, and natural organic matter impact the ability of copper to kill Legionella. Impacts of the design of the drinking water system were also examined, for example, the material used in the anodes of water heaters to prevent corrosive damage to other system components was hypothesized to change the water chemistry in such a way that could also interfere with copper disinfection. Finally, the effect of the strain of Legionella, its growth phase (exponential or stationary), and culturability status (culturable versus viable but non-culturable) was also examined. Experiments were conducted over a wide range of conditions, from bench-scale pure culture experiments of a few days to full-scale plumbing systems over a period of 3.5 years. The complementary approaches maximize the strength of scientific conclusions about approaches that can more effectively control Legionella. Several discoveries were made as a result of this research that can help to improve the use of copper for controlling Legionella in drinking water systems. In particular, it was found that it is best to keep the pH less than 7.5, because above pH 7.5 copper reacts with orthophosphate corrosion inhibitor or natural organic matter in the water in a manner that makes it less potent to microbes. Through disinfection modeling it was found that soluble copper was the best predictor of the ability to kill Legionella. Therefore, it is recommended from this research that practitioners should monitor soluble copper instead of total copper for the purpose of assessing Legionella control. From the pilot-scale experiments, it was further found that the type of anode installed in the water heater can affect the ability of copper to kill Legionella. Magnesium anodes performed the worst, likely because they raised the pH above the recommended level of 7.5. Aluminum anodes were also a problem because aluminum ions released form an aluminum hydroxide gel that can remove more than 80% of the soluble copper from water. Electric powered anodes did not reduce copper antimicrobial effects by raising pH or forming a gel, but they are much less commonly used. A surprising finding throughout this study was that very high levels of copper (>1.2 mg/L) were required to measurably reduce Legionella in the pilot-scale systems. In the pure culture experiments, it was found that the outbreak-associated strain from Quincy, IL, that was inoculated into the system was highly copper tolerant. This demonstrated that the strain of Legionella that colonizes a particular drinking water system could be the reason why copper is sometimes less effective. Pure culture experiments also found that stationary phase Legionella are more difficult to kill than exponential phase Legionella, which could explain some discrepancies among lab studies reported in the literature. A particularly noteworthy discovery of this research was that copper can make it appear as if Legionella have been killed, because the traditional culture media indicate that there is no growth on the Petri dish; however, they are in fact still alive and capable of causing human disease. This is referred to as a "viable but non-culturable (VBNC)" state. The VBNC state of Legionella was confirmed using an array of techniques (membrane integrity, enzyme activity, ATP generation, and amoebae resuscitation) for two strains of L. pneumophila. We also examined how VBNC Legionella cellular functions were impacted by copper using whole cell proteome, i.e., analysis of all of the proteins extracted from Legionella. Copper induced VBNC Legionella modulated its proteome to favor cell membrane and motility related proteins, and reduced others related to primary metabolism compared with culturable cells. These results were consistent with those obtained via shotgun metagenomic analysis of the microbial community DNA in the pilot-scale water systems. Given the potential for VBNC organisms to prevail in systems disinfected with copper, it is recommended to supplement culture-based monitoring with molecular-based monitoring, e.g., with quantitative polymerase chain reaction. This dissertation highlights the important and complex effects of copper on Legionella growth in potable water systems. The findings help to inform guidance on how to improve the antimicrobial effect of copper, through adjusting the water chemistry, selecting appropriate water heater anodes, and optimizing the overall hot water system design. The dissertation also helps to inform improved strategies for monitoring the efficacy of copper for killing Legionella in real-world systems. Overall, the findings can help to improve policy and practice aimed at reducing the incidence of Legionnaires' Disease and protecting public health.

Legionella pneumophila est un pathogène intracellulaire, agent de la Légionellose, et dont le réservoir dans l’environnement est constitué d’amibes aquatiques comme Acanthamoeba castellani. Mes objectifs de thèse étaient l’identification de mécanismes moléculaires contrôlant la virulence et la multi-résistance chez L. pneumophila, et en particulier l’exploration du rôle des protéines « GGDEF/EAL ». Les domaines GGDEF et EAL sont retrouvés dans des enzymes permettant respectivement de synthétiser (diguanylate cyclase, DGC) ou dégrader (phosphodiestérase, PDE) le di-GMP cyclique, un second messager spécifique des bactéries, qui participe au contrôle de fonctions clés comme la virulence ou la mobilité. L. pneumophila Lens possède 22 gènes codant des protéines GGDEF/EAL, et dont la plupart sont exprimés lorsqu’elle est dans sa phase virulente. L’activité enzymatique des 22 protéines « GGDEF/EAL » a été analysée in vitro : sur 10 protéines purifiées, 6 sont des DGC, dont 2 présentes une double activité DGC/PDE. L’inactivation de 5 gènes des 22 gènes et la surexpression de 2 autres entrainent une baisse de la virulence vis-à-vis d’A. castellanii. De plus, nous avons montré que l’activité DGC d’au moins 2 de ces protéines est requise lors du cycle infectieux. Enfin, nous avons décrit un système à deux composants original comprenant l’histidine kinase (HK) Lpl0330, capable de s’autophosphoryler sur un nouveau domaine HisKA, retrouvé dans 64 autres HK potentielles, et Lpl0329, le premier régulateur de réponse à double activité enzymatique caractérisé, dont la phosphorylation conduit à moduler le taux de di‐GMPc en favorisant une de ses deux activités (Levet-Paulo et al., 2011). / Legionella pneumophila is an intracellular pathogen found in aquatic environments where it replicates in protozoan hosts. My objectives were to identify molecular mechanisms that control virulence and multidrug resistance in L. pneumophila, and especially to explore the role of proteins “GGDEF/EAL” in virulence. GGDEF and EAL domains are found in enzymes able to synthesize (diguanylate cyclase, DGC) or degrade (phosphodiesterase, PDE) c-di-GMP, respectively. C-di-GMP is a bacterial second messenger which plays a key role in regulating main functions including motility, and virulence. L. pneumophila Lens contains 22 genes encoding GGDEF/EAL proteins and most of them are expressed simultaneously with genes encoding virulence factors. The enzymatic activities of the 22 GGDEF/EAL proteins of L. pneumophila Lens were assayed in vitro. Among the 10 proteins purified, 6 showed a DGC activity and 2 contained both activities. The role of the GGDEF/EAL proteins of L. pneumophila Lens on virulence was investigated. Inactivation of 5 genes and overexpression of 2 other genes led to a significant decrease in virulence. Moreover, DGC activity of at least two of these proteins is required for bacterial virulence. Finally, an original two-component system was identified comprising Lpl0330, a histidine kinase able to autophosphorylate on a new HisKA domain, and Lpl 0329, a protein with dual in vitro DGC/PDE activity. Phosphorylation of Lpl0329 led to a decrease in its DGC activity only, giving the first example of a bifunctional enzyme which modulates synthesis and turnover of c-di-GMP in response to phosphorylation (Levet-Paulo et al., 2011).

De nombreuses bactéries pathogènes piratent les machineries qui régulent le trafic cellulaire pour échapper à la réponse immunitaire de l’hôte ou faciliter leur multiplication. Les familles de petites protéines G Arf et Rab sont des régulateurs majeurs de la régulation du trafic intracellulaire et sont de ce fait des cibles privilégiées pour de nombreuses bactéries pathogènes. Ces pathogènes intracellulaires injectent dans leur cellule hôte des effecteurs capables d’imiter l’activité biochimique de leurs régulateurs pour activer, inhiber ou moduler l’activité des protéines. Ce projet porte sur l’étude de la famille de régulateurs bactériens RalF présents chez les bactéries Legionella pneumophila et Rickettsia prowazekii, les agents responsables de la maladie du Légionnaire et du typhus épidémique, respectivement. RalF possède un domaine catalytique apparenté à celui des facteurs d’échange eucaryotes dont le la fonction est d’activer la petite protéine G Arf. Cet effecteur bactérien agit comme un régulateur illégitime pour détourner les fonctions cellulaires de Arf1. L’objectif de cette thèse est de décrypter les mécanismes biophysiques, structuraux et dynamiques de régulation de la famille RalF pour comprendre les interactions protéine-protéine ou protéine- membrane impliqués dans le piratage de la fonction de Arf1. La combinaison d’études biochimiques et structurales nous ont permis de montrer que RalF est régulé par un cluster aromatique « senseur » de l’environnement lipidique lui permettant de localiser Arf1 à une membrane spécifique. / Many pathogenic bacteria highjack the cellular machineries that control cellular traffic in order to escape the host immune response, or to facilitate their replication. Small GTP-binding proteins (GTPases) of the Arf and Rab families, which are pivotal regulators in these processes, have thus been identified as targets for various human intracellular pathogens. To that purpose, these pathogens translocate bacterial effectors in the host cell, which mimics biochemical functions of their regulators to activate, inhibit or modulate of theses proteins. In this work, we study RalF, a family of bacterial regulators, which are translocated in host cells by the human intracellular pathogens Legionella pneumophila and Rickettsia prowazekii, which are responsible for Legionnaire’s disease and epidemic typhus, respectively. RalF possesses a catalytic domain related to eukaryotic exchange factors, which stimulate GDP/GTP exchange to activate small G-proteins Arf. This bacterial effector acts as an illegitimate regulator to divert cellular functions of Arf1. The aim of this work is to decipher biophysical, structural and dynamics regulation mechanisms of RalF family to understand the intramolecular protein-protein and protein-membrane interactions that underlie highjacking of Arf1 function. Using biochemical and structural analyses we showes how RalF is regulated by a membrane “sensor” to recruit Arf1 at specific membrane locations.

Im Fokus dieser Arbeit stand die Analyse von Faktoren, die den Zusammenbau des Flagellenapparates von Legionella pneumophila (Lp) regulieren. Mit einem kombinierten Replikations-/ Überlebensversuchs mit Lp Corby oder Lp Paris und ihren zugehörigen Regulationsmutanten wurde eine verminderte Fitness für dfliA und erstmals für drpoN, dfleQ defiziente Stämme nachgewiesen. Zur Validierung von Microarray-Daten aus Lp Paris wurden wachstumsphasenabhängige Transkriptions- und Translationsanalysen mit Lp Corby Wildtyp und drpoN, dfleQ, dfliA und dflaA defizienten Stämmen durchgeführt. Es wurde gezeigt, dass die basale Expression von fliA in den späteren Phasen unabhängig von RpoN und FleQ stattfindet. In dieser Arbeit konnte erstmals der Transkriptionsstartpunkt des Hauptregulators FliA bestimmt werden. Es zeigte sich eine putative RpoD (S70) Bindungsstelle. Ein Modell zur Regulation der fliA Expression wurde weiterentwickelt. Demnach kommt es in der exponentiellen Phase durch das Zusammenwirken von RpoD und DksA, aber unabhängig von FleQ, zur basalen fliA Promotoraktivität. Durch den Übergang in die transmissive Phase und direkte oder indirekte Interaktion mit FleQ sowie dem Alarmon ppGpp scheint es zu einem Austausch des Sigmafaktors S70 gegen SS und zu einer Aktivierung der fliA Expression zu kommen. Elektronenmikroskopische Studien zeigten, dass drpoN und dfleQ defiziente Mutanten wahrscheinlich aufgrund des fehlenden Basalkörpers nicht flagelliert sind. Mutanten für dfliA, dflaA und dfliD hatten ebenfalls keine Flagelle, zeigten aber eine ungewöhnliche, gerade Hook Struktur, die den Zusammenbau des Basalkörpers demonstriert. Weiterhin wurden durch in silico Studien 15 Legionella Spezies in Bezug auf das Flagellensystem und ein putatives Chemotaxissystem untersucht. So konnte L. oakridgensis als erste Art ohne beide Systeme sequenziert werden. Andererseits konnten mit LLAP12, L. bozemanii, L. gormanii und L. lytica Stämme beschrieben werden, die beide Systeme tragen. / This work focused on the analysis of factors contributing to the regulation of the flagellum self-assembly of Legionella pneumophila (Lp). With a combined replication/survival assay with Lp Corby or Lp Paris and their corresponding regulatory mutants a reduced fitness could be verified for dfliA and for the first time for drpoN, dfleQ deficient strains. For validation of microarray-data for Lp Paris with strain Lp Corby a growth phase dependent analysis of transcription and translation rates was done with wild-type and the drpoN, dfleQ, dfliA and dflaA deficient strains. A regulation of basal fliA expression independently from RpoN and FleQ was shown in the later growth phases. Furthermore the transcriptional start site of fliA could be shown for the first time. A RpoD (S70) binding site could be identified. According to a further developed model for the regulation of the fliA expression RpoD and DksA lead to a basal fliA promotor activity, independently from FleQ. Most likely, during transition to stationary phase, direct or indirect interaction with FleQ and the alarmone ppGpp results in the exchange of the sigma factor S70 and the binding of RpoS. This leads to the activation of fliA expression. Electron microscopic studies revealed that drpoN and dfleQ deficient mutants are not flagellated caused by the missing basal body. Mutants of dfliA, dflaA and dfliD were also aflagellated, but there was a uncommon straight hook structure visible which demonstrates a filament-independent assembly of the basal body. Furthermore, in silico analysis was done with 15 Legionella species with regard to the flagellum regulation system and a putative chemotaxis system. Analysis revealed that the strain L. oakridgensis is the first strain lacking both systems. On the other hand the strains LLAP12, L. bozemanii, L. gormanii and L. lytica could be characterized as strains carrying both systems.

Legionella pneumophila ist der Erreger der Legionärskrankheit. Die Pathogenität des Bakteriums basiert auf seiner Fähigkeit innerhalb menschlicher Lungenzellen zu überleben und sich zu vermehren. Demzufolge ist L. pneumophila nicht nur interessant als wichtiges Pathogen, sondern kann auch als Sonde verwendet werden, um allgemeine intrazelluläre Ereignisse zu untersuchen. Ein Beispiel hierfür ist die, durch das Pathogen gestörte, intrazelluläre Kommunikation zwischen den Organellen des endoplasmatischen Retikulums (ER) und dem Golgi Apparat (GA). In der vorliegenden Studie schlagen wir ein neues Modell vor, wie das Bakterium erfolgreich seine replikative Nische, die Legionella Vakuole (LV), innerhalb des Zytosols aufbauen könnte, um seine Ausbreitung zu garantieren. Um die Mechanismen für die erfolgreiche Ausbeutung der Wirtszelle gezielt untersuchen zu können, haben wir mit Hilfe von siRNA spezifisch verschiedene Wirtszellproteinen herunterreguliert und den Einfuß der Abwesenheit dieser Proteine auf die Vermehrung von L. pneumophila gemessen. Die Ergebnisse wiesen darauf hin, dass die LV möglicherweise den Golgi Apparat imitiert und auf diese Weise den zellulären Vesikeltransport umleitet. Diese Theorie wurde durch in silico Ergebnisse unterstützt, die in der Proteinsequenz des Legionella Effektor-Proteins LidA, das auf der Vakuole lokalisiert ist, ein SNARE-ähnliches Motiv zeigte. Dies weist auf ein auf der Vakuole lokalisiertes SNARE-Erkennungsmotiv hin, das notwendig sein könnte, um zelluläre Transportvesikel zu koppeln. Aus dem Wissen heraus, dass L. pneumophila in der Lage ist, die Aktivierung der zellulären Proteine Arf1 und Rab1 durch Phosphorylierung und Dephosphorylierung zu regulieren, machten wir uns auf die Suche nach Proteinen, die auf Infektion hin modifiziert werden. Die Kommunikation von Wirt und Pathogen über Phosphorylierung ist bekannt im Bezug auf pathogenspezifische Modifikation des Zytoskeletts und Signalkaskaden in der Anti-Apoptose. Für diese Studie wurde ein Antikörper verwendet, der spezifisch phosphorylierte Tyrosinreste erkennt. Dies resultierte in der Detektion einer Serin-Threonin-Kinase in der Amöbe Acanthamöba castellanii, die an einem Tyrosinrest phosphoryliert ist. Diese Amöben-Kinase wies in silico Homologie zu der humanen GS-Kinase 3 des Wnt-Signalwegs, bekannt aus der Forschung der embronalen Entwicklung bei Drosophila, auf. Der letzte Teil dieser Arbeit konzentrierte sich auf die, durch eine L. pneumophila-Infektion ausgelöste, anti-apoptotische Signalkaskade. Es ist bekannt, dass auf eine Infektion hin NF-kappaB aktiviert wird. Dies führt dazu, dass p65 in den Zellkern wandert und dort als Transkriptionsfaktor aktiv wird. Diese Translokation geschieht in 2 zeitversetzten Phasen. Eine Aktivierungsspitze wird nach dem Kontakt mir bakteriellem Flagellin gemessen, gefolgt, von einer dauerhaften Aktivierung, abhängig von einem funktionierenden Dot/ Icm Typ-IV-Translokationssystem. In dieser Arbeit stießen wir auf eine L. pneumophila Mutante, die den Dot/ Icm-Effektor SdbA nicht bildet, und die daraufhin NF-appaB nicht aktivieren kann. Diese Mutante war ebenfalls nicht in der Lage, sich in Epithelzellen zu vermehren. Dies ist außergewöhnlich, da das L. pneumophila Effektor Repertoire so redundant ist, dass die Abwesenheit eines einzigen Effektors selten einen so starken Einfluss auf die Replikation hat. All diese Ergebnisse zeigen zusammengenommen, auf wie vielen verschiedenen Ebenen L. pneumophila in der Lage ist, seine Wirtszelle zu manipulieren, um einerseits die nötige Nische für seine Vermehrung zu etablieren und andererseits die Zelle am Selbstmord zu hindern. Dies geschieht durch Imitation zellulärer Prozesse. / Legionella pneumophila is the causative agent of Legionnaires´ disease. The bacterium’s pathogenicity is based on its ability to survive and multiply efficiently inside human alveolar cells. Therefore, L. pneumophila is not only an important pathogen, but can also be used as a probe to investigate host cell function as for example, in the cellular trafficking pathway. In this study, we establish a new model of how this pathogen efficiently constructs its replicative niche, the Legionella containing vacuole (LCV), inside the host cytosol, enabling its dissemination. To investigate the mechanisms that lead to effective exploitation of the host cell, we down-regulated specific host cellular proteins via siRNA technology and measured the subsequent impact on L. pneumophila replication. The results suggest that the LCV mimicks the Golgi apparatus and via this mechanism hijacks host cellular vesicular trafficking. The L. pneumophila secreted effector protein LidA, located within the LCV, is shown to have a SNARE-like motif, suggesting a SNARE like sole connected to the LCV. Since it is known that cellular signalling proteins are controlled via phosphorylation and dephosphorylation, we went on to search for specifically modulated host cell proteins after L. pneumophila infection. The cross-talk of the pathogen with its host via phosphorylation has been connected to several sub-cellular activities leading to, for instance, cytoskeleton rearrangement and signalling events including anti-apoptosis pathways. Here we used a phosphorylated tyrosine antibody resulting in the detection of an amoeba serine-threonine-kinase, phosphorylated at its tyrosine residue. This kinase shows homologies to the human GSK3 of the wnt-signalling pathway. (“Wnt“ is merged from the names of the homologues genes Wg (Drosophila melanogaster) and Int (mouse) both employed in evolutionary developement.) The final part of this work concentrated on anti-apoptotic signalling events induced upon L. pneumophila infection. It is known that during L. pneumophila infection the activation of NF-kappaB and subsequent translocation of p65 from the cytosol into the nucleus follows a biphasic pattern. One short peak of activation is induced upon contact with bacterial flagellin, succeeded by a permanent Dot/ Icm type IV secretion system-dependent activation. In this study, we found the L. pneumophila mutant lacking the Dot/ Icm effector SdbA to be unable to activate NF-kappaB. This mutant also showed impaired growth in epithelial cells. This is remarkable due to the high redundancy of the L. pneumophila effector system, meaning deletion of a single effector rarely has such a big impact on replication. Taken together this work demonstrates, the manifold ways in which L. pneumophila on the one hand side establishes its niche to ensure replication and on the other hand side to bars its host cell from suicide. All of this is managed by mimicking cellular processes.

Les espèces bactériennes exhibent plusieurs états de structure de populations pouvant varier de clonale à panmictique selon l'importance des transferts horizontaux et la nature de leur écosystème. Dans mon travail de thèse, je me suis intéressé à trois espèces bactériennes, Staphylococcus aureus, Legionella pneumophila et Pseudomonas aeruginosa qui reflètent trois situations différentes. Afin de pouvoir décrire de façon rapide de grandes collections de souches, j'ai utilisé comme marqueurs de diversité le polymorphisme de séquences répétées en tandem appelées VNTRs, pour Variable Number Tandem Repeat. La méthode MLVA, ou Multiple Loci VNTR Analysis, est une méthode de typage moléculaire qui s’appuie sur l’étude concomitante du polymorphisme de plusieurs loci VNTRs. Dans un premier temps, j'ai conçu des protocoles de typage automatisés pour les trois espèces considérées, puis j'ai appliqué ces outils pour traiter de questions d'épidémiologie. S. aureus, espèce à structure clonale, est un pathogène majeur responsable notamment de toxi-infections alimentaires collectives (TIAC). Les travaux réalisés ont permis de démontrer la spécificité d’hôte de certains complexes clonaux et l’origine humaine des cas de TIAC. L. pneumophila est un pathogène de l’environnement dont la structure de population est atypique : présumée panmictique dans la nature, la bactérie semble connaitre une évolution clonale lorsque son écosystème est restreint, dans un milieu anthropique par exemple. L’étude épidémiologique menée sur la population de L. pneumophila dans la ville de Rennes a mis en évidence la présence d’un écotype, non impliqué dans les cas cliniques épidémiques, particulièrement adapté aux réseaux d’eau. P. aeruginosa, modèle de bactérie panmictique, colonise les bronches de patients atteints de mucoviscidose. Le suivi longitudinal de patients indique que les souches installées sont persistantes et quasi-exclusive de la niche qu’elles occupent. L’exploration de cette diversité du monde bactérien est un préalable à l’investigation épidémiologique des maladies infectieuses. Avec un même outil moléculaire de première intention, cette thèse retrace l’épidémiologie et la structure de trois espèces bactériennes très différentes. L’adaptation à un nouvel environnement (hôte animal, niche écologique, organe) est l'occasion d'expansions clonales. / Bacterial species exhibit diversity in their population structure varying from clonal to panmictic according to the abundance of horizontal transfer and the nature of their ecosystem. During my PhD, I focused on three bacterial species, Staphylococcus aureus, Pseudomonas aeruginosa and Legionella pneumophila, which reflect three different situations. To perform the characterisation of large strain collections, I studied the polymorphism of molecular markers called VNTRs for Variable Number Tandem Repeat. MLVA (Multiple Loci VNTR Analysis) is a PCR based typing method that relies on the concomitant analysis of several VNTRs loci. Initially, I designed automated typing protocols for the three species, then I applied these tools to address issues of epidemiology. S. aureus, a clonal species, is a major cause of food poisoning. The present work confirmed the existence of host-specific clonal complexes and demonstrated the predominantly human origin of foodborne disease cases. L. pneumophila is an environmental pathogen whose population structure is atypical: it is presumed panmictic in the environment but the bacterium expands clonally when the ecosystem is restricted, in an anthropogenic habitat for instance. A long-term epidemiological monitoring of L. pneumophila populations in the city of Rennes highlighted the presence of an ecotype, not involved in epidemic cases, particularly adapted to hot water supply systems. P. aeruginosa, a well-described panmictic bacterium, colonizes CF patients’ airways. The longitudinal monitoring of patients provided evidence that the settled strains were persistent and exhibited strong exclusivity for the occupied niche. Exploring the bacterial world diversity is a prerequisite for epidemiological investigation of infectious diseases. Using a first-line molecular tool, these works trace the epidemiology and the population structure of three bacterial species. The adaptation to a new environment (animal host, ecological niche, organ) generally results in clonal expansions.

Legionella pneumophila est une bactérie aquatique qui prolifère en se répliquant à l’intérieur de cellules amibiennes. Elle peut persister dans ces environnements en vivant en communauté sous forme de biofilms. L’inhalation par l’Homme d’eau contaminée, vaporisée par les réseaux d’eau chaude ou les tours aéro‐réfrigérantes, peut mener à l’infection des macrophages pulmonaires qui se traduit par une grave pneumonie appelée légionellose. Le di‐GMP cyclique (diGMPc) est impliqué, chez diverses espèces bactériennes, dans la transition entre les modes de vie mobiles et sessiles, et chez certains pathogènes, dans la régulation de la virulence. Mon travail de thèse vise à démontrer l’implication des voies de signalisation à diGMPc dans le contrôle de la virulence et de la formation de biofilms par L. pneumophila. Cette implication a été étudiée grâce à l’inactivation systématique de chacun des gènes codant les protéines du métabolisme du diGMPc chez la souche L. pneumophila Lens. Notre étude a révélé que trois de ces protéines, Lpl0780, Lpl0922 et Lpl1118, sont spécifiquement requises pour le contrôle de la virulence et, plus particulièrement, pour la survie précoce lors de l’infection de cellules‐hôtes via l’orchestration de la sécrétion de facteurs de virulence dans la cellule‐hôte. Lpl1118 participerait également à la biogénèse de la vacuole de réplication. Cinq autres de ces protéines sont impliquées dans la régulation de la formation et de l’architecture des biofilms. L’une d’elles est, plus particulièrement, requise pour la formation de biofilms en présence d’oxyde nitrique. Ces résultats contribuent à une meilleure compréhension de l’organisation complexe et spécifique des voies de signalisation à diGMPc chez L. pneumophila et pourraient permettre d’envisager une lutte plus efficace contre ce pathogène / Legionella pneumophila is a bacterium that proliferates in fresh water environments through the replication within amoebas. These bacteria can persist in these environments through biofilm formation. The inhalation of aerosolized contaminated water through hot water systems or cooling towers can induce the infection of human lungs, leading to a severe pneumonia called legionellosis. Cyclic di‐GMP (c‐di‐GMP) in involved, in various bacterial species, in the motility‐to‐sessility transition, and in some pathogens, in virulence control. My work aims to demonstrate the involvement of signaling pathways that use c‐di‐GMP in virulence control and biofilm formation of L. pneumophila. This involvement was investigated by systematically inactivating each gene encoding a c‐di‐GMP‐metabolizing enzyme in L. pneumophila Lens strain. Our work revealed that 3 of these proteins, Lpl0780, Lpl0922 and Lpl1118 are specifically involved in virulence control and, particularly, in the early survival during host cell infection through the orchestration of virulence factors secretion within host cell. Lpl1118 is particularly required for replicative vacuole biogenesis. Five other proteins, participate in the formation and architecture of biofilms. One of them is more specifically involved in biofilm formation in the presence of nitric oxide. These results help to better understand the complexity and the specificity of c‐di‐GMP signaling pathways in L. pneumophila and should allow the exploration of more effective ways to fight this pathogen