1
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Malinowski N, Morgan MJ, Wylie J, Walsh T, Domingos S, Metcalfe S, Kaksonen AH, Barnhart EP, Mueller R, Peyton BM, Puzon GJ. Prokaryotic microbial ecology as an ecosurveillance tool for eukaryotic pathogen colonisation: Meiothermus and Naegleria fowleri. WATER RESEARCH 2024; 254:121426. [PMID: 38471203 DOI: 10.1016/j.watres.2024.121426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 02/21/2024] [Accepted: 03/04/2024] [Indexed: 03/14/2024]
Abstract
Naegleria fowleri has been detected in drinking water distribution systems (DWDS) in Australia, Pakistan and the United States and is the causative agent of the highly fatal disease primary amoebic meningoencephalitis. Previous small scale field studies have shown that Meiothermus may be a potential biomarker for N. fowleri. However, correlations between predictive biomarkers in small sample sizes often breakdown when applied to larger more representative datasets. This study represents one of the largest and most rigorous temporal investigations of Naegleria fowleri colonisation in an operational DWDS in the world and measured the association of Meiothermus and N. fowleri over a significantly larger space and time in the DWDS. A total of 232 samples were collected from five sites over three-years (2016-2018), which contained 29 positive N. fowleri samples. Two specific operational taxonomic units assigned to M. chliarophilus and M. hypogaeus, were significantly associated with N. fowleri presence. Furthermore, inoculation experiments demonstrated that Meiothermus was required to support N. fowleri growth in field-collected biofilms. This validates Meiothermus as prospective biological tool to aid in the identification and surveillance of N. fowleri colonisable sites.
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Affiliation(s)
- Natalia Malinowski
- CSIRO Environment, Floreat Park, WA, Australia; Water Corporation of Western Australia, Leederville, WA, Australia
| | | | - Jason Wylie
- CSIRO Environment, Floreat Park, WA, Australia
| | - Tom Walsh
- CSIRO Environment, Canberra, ACT, Australia
| | - Sergio Domingos
- Water Corporation of Western Australia, Leederville, WA, Australia
| | | | | | - Elliott P Barnhart
- U.S. Geological Survey, Wyoming-Montana Water Science Center, Helena, Montana (MT), USA
| | - Rebecca Mueller
- Centre for Biofilm Engineering, and Thermal Biology Institute, Montana State University, Bozeman, MT, USA
| | - Brent M Peyton
- Centre for Biofilm Engineering, and Thermal Biology Institute, Montana State University, Bozeman, MT, USA
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2
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Barnhart E, Kinsey SM, Wright PR, Caldwell SL, Hill V, Kahler A, Mattioli M, Cornman RS, Iwanowicz D, Eddy Z, Halonen S, Mueller R, Peyton BM, Puzon GJ. Naegleria fowleri Detected in Grand Teton National Park Hot Springs. ACS ES&T WATER 2024; 4:628-637. [PMID: 38356928 PMCID: PMC10862551 DOI: 10.1021/acsestwater.3c00650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 12/20/2023] [Accepted: 12/21/2023] [Indexed: 02/16/2024]
Abstract
The free-living thermophilic amoeba Naegleria fowleri (N. fowleri) causes the highly fatal disease primary amoebic meningoencephalitis. The environmental conditions that are favorable to the growth and proliferation of N. fowleri are not well-defined, especially in northern regions of the United States. In this study, we used culture-based methods and multiple molecular approaches to detect and analyzeN. fowleri and other Naegleria spp. in water, sediment, and biofilm samples from five hot spring sites in Grand Teton National Park, Wyoming, U.S.A. These results provide the first detections of N. fowleri in Grand Teton National Park and provide new insights into the distribution of pathogenic N. fowleri and other nonpathogenic Naegleria spp. in natural thermal water systems in northern latitudes.
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Affiliation(s)
- Elliott
P. Barnhart
- U.S.
Geological Survey, Wyoming/Montana Water Science Center, 3162 Bozeman Ave., Helena, Montana 59601, United States
| | - Stacy M. Kinsey
- U.S.
Geological Survey, Wyoming/Montana Water Science Center, 3162 Bozeman Ave., Helena, Montana 59601, United States
| | - Peter R. Wright
- U.S.
Geological Survey, Wyoming/Montana Water Science Center, 3162 Bozeman Ave., Helena, Montana 59601, United States
| | - Sara L. Caldwell
- U.S.
Geological Survey, Wyoming/Montana Water Science Center, 3162 Bozeman Ave., Helena, Montana 59601, United States
| | - Vince Hill
- U.S.
Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, Atlanta, Georgia 30333, United States
| | - Amy Kahler
- U.S.
Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, Atlanta, Georgia 30333, United States
| | - Mia Mattioli
- U.S.
Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, Atlanta, Georgia 30333, United States
| | - Robert S. Cornman
- U.S.
Geological Survey, Fort Collins Science Center, 2150 Centre Ave., Bldg. C, Fort Collins, Colorado 80526, United States
| | - Deborah Iwanowicz
- U.S.
Geological Survey, Eastern Ecological Science Center, 11649 Leetown Road, Kearneysville, West Virginia 25430, United States
| | - Zachary Eddy
- U.S.
Geological Survey, Wyoming/Montana Water Science Center, 3162 Bozeman Ave., Helena, Montana 59601, United States
| | - Sandra Halonen
- Department
of Microbiology & Cell Biology, Montana
State University, P.O. Box 173520, Bozeman, Montana 59717, United States
| | - Rebecca Mueller
- Western Regional
Research Center, U.S. Department of Agriculture
Agricultural Research Service, 800 Buchanan St., Albany, California 94710, United States
| | - Brent M. Peyton
- Center
for Biofilm Engineering, Chemical and Biochemical Engineering Department, Montana State University, 366 Barnard Hall, Bozeman Montana 59717, United States
| | - Geoffrey J Puzon
- CSIRO
Environment, Private
Bag No. 5, Wembley, Western
Australia 6913, Australia
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3
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Lackmann AR, Black SA, Bielak-Lackmann ES, Lackmann JA. Centenarian lifespans of three freshwater fish species in Arizona reveal the exceptional longevity of the buffalofishes (Ictiobus). Sci Rep 2023; 13:17401. [PMID: 37864074 PMCID: PMC10589290 DOI: 10.1038/s41598-023-44328-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 10/06/2023] [Indexed: 10/22/2023] Open
Abstract
During the 1910s three buffalofish species (Catostomidae: Ictiobus cyprinellus, I. bubalus, I. niger) were reared in ponds along the Mississippi River. Individuals of these buffalofishes were transported to locations across the United States to support or establish commercial fisheries, including Roosevelt Lake, Arizona in 1918. During the 1930s-1960s a commercial fishery existed on Roosevelt Lake, ending by 1970. Scarce information exists on Arizona buffalofishes since. From 2018 to 2023 we studied buffalofishes from nearby Apache Lake (adjacent and downstream of Roosevelt Lake) in collaboration with anglers. Here we show that > 90% of buffalofishes captured from Apache Lake are more than 80 years old and that some of the original buffalofishes from the Arizona stocking in 1918 are likely still alive. Using unique markings on old-age buffalofishes, we demonstrate how individuals are identified and inform dozens of recaptures. We now know all species of USA Ictiobus can live more than 100 years, making it the only genus of animal besides marine rockfishes (Sebastes) for which three or more species have been shown to live > 100 years. Our citizen-science collaboration has revealed remarkable longevity for freshwater fishes and has fundamentally redefined our understanding of the genus Ictiobus itself.
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Affiliation(s)
- Alec R Lackmann
- Department of Mathematics and Statistics, University of Minnesota Duluth, 140 Solon Campus Center, 1117 University Drive, Duluth, MN, 55812, USA.
- Department of Biology, University of Minnesota Duluth, 1035 Kirby Drive, SSB 207, Duluth, MN, 55812, USA.
| | | | - Ewelina S Bielak-Lackmann
- Department of Biology, University of Minnesota Duluth, 1035 Kirby Drive, SSB 207, Duluth, MN, 55812, USA
| | - Jeffrey A Lackmann
- Department of Biological Sciences, Dept. 2715, North Dakota State University, PO Box 6050, Fargo, ND, 58108, USA
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4
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Miko S, Cope JR, Hlavsa MC, Ali IKM, Brown TW, Collins JP, Greeley RD, Kahler AM, Moore KO, Roundtree AV, Roy S, Sanders LL, Shah V, Stuteville HD, Mattioli MC. A Case of Primary Amebic Meningoencephalitis Associated with Surfing at an Artificial Surf Venue: Environmental Investigation. ACS ES&T WATER 2023; 3:1126-1133. [PMID: 37213412 PMCID: PMC10193442 DOI: 10.1021/acsestwater.2c00592] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Naegleria fowleri is a thermophilic ameba found in freshwater that causes primary amebic meningoencephalitis (PAM) when it enters the nose and migrates to the brain. In September 2018, a 29-year-old man died of PAM after traveling to Texas. We conducted an epidemiologic and environmental investigation to identify the water exposure associated with this PAM case. The patient's most probable water exposure occurred while surfing in an artificial surf venue. The surf venue water was not filtered or recirculated; water disinfection and water quality testing were not documented. N. fowleri and thermophilic amebae were detected in recreational water and sediment samples throughout the facility. Codes and standards for treated recreational water venues open to the public could be developed to address these novel venues. Clinicians and public health officials should also consider novel recreational water venues as a potential exposure for this rare amebic infection.
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Affiliation(s)
- Shanna Miko
- U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333
| | - Jennifer R. Cope
- U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333
| | - Michele C. Hlavsa
- U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333
| | - Ibne Karim M. Ali
- U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333
| | - Travis W. Brown
- U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333
| | - Jennifer P. Collins
- U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333
| | | | - Amy M. Kahler
- U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333
| | - Kathleen O. Moore
- Texas Department of State Health Services, P.O. Box 149347, Austin, TX 78714-9347
| | - Alexis V. Roundtree
- U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333
- Chenega Enterprise System & Solutions, 609 Independence Parkway Suite 210, Chesapeake, VA 23320
| | - Shantanu Roy
- U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333
| | - Lacey L. Sanders
- Waco-McLennan County Public Health District; 225 W Waco Dr, Waco, TX 76707
| | - Vaidehi Shah
- Waco-McLennan County Public Health District; 225 W Waco Dr, Waco, TX 76707
| | - Haylea D. Stuteville
- Texas Department of State Health Services, P.O. Box 149347, Austin, TX 78714-9347
| | - Mia C. Mattioli
- U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333
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5
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Leal dos Santos D, Chaúque BJM, Virginio VG, Cossa VC, Pettan-Brewer C, Schrekker HS, Rott MB. Occurrence of Naegleria fowleri and their implication for health - a look under the One Health approaches. Int J Hyg Environ Health 2022; 246:114053. [DOI: 10.1016/j.ijheh.2022.114053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 10/06/2022] [Accepted: 10/09/2022] [Indexed: 11/06/2022]
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6
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Prevalence of free-living amoebae in swimming pools and recreational waters, a systematic review and meta-analysis. Parasitol Res 2022; 121:3033-3050. [PMID: 36040629 PMCID: PMC9424809 DOI: 10.1007/s00436-022-07631-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Accepted: 08/16/2022] [Indexed: 11/06/2022]
Abstract
Free-living amoebae (FLA) are cosmopolitan microorganisms known to be pathogenic to humans who often have a history of contact with contaminated water. Swimming pools and recreational waters are among the environments where the greatest human exposure to FLA occurs. This study aimed to determine the prevalence of FLA in swimming pools and recreational waters, through a systematic review and meta-analysis that included studies published between 1977 and 2022. A total of 106 studies were included and an overall prevalence of FLA in swimming pools and recreational waters of 44.34% (95% CI = 38.57–50.18) was found. Considering the studies published up to 2010 (1977–2010), between 2010 and 2015, and those published after 2010 (> 2010–2022), the prevalence was 53.09% (95% CI = 43.33–62.73) and 37.07% (95% CI = 28.87–45.66) and 45.40% (95% CI = 35.48–55.51), respectively. The highest prevalence was found in the American continent (63.99%), in Mexico (98.35%), and in indoor hot swimming pools (52.27%). The prevalence varied with the variation of FLA detection methods, morphology (57.21%), PCR (25.78%), and simultaneously morphology and PCR (43.16%). The global prevalence by genera was Vahlkampfia spp. (54.20%), Acanthamoeba spp. (33.47%), Naegleria spp. (30.95%), Hartmannella spp./Vermamoeba spp. (20.73%), Stenamoeba spp. (12.05%), and Vannella spp. (10.75%). There is considerable risk of FLA infection in swimming pools and recreational waters. Recreational water safety needs to be routinely monitored and, in case of risk, locations need to be identified with warning signs and users need to be educated. Swimming pools and artificial recreational water should be properly disinfected. Photolysis of NaOCl or NaCl in water by UV-C radiation is a promising alternative to disinfect swimming pools and artificial recreational waters.
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7
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A Shahin S, H Alarcon J, Brosky HN, Lamori JG, Dada AC, Xue J, Gyawali P, P Sherchan S. Occurrence of Naegleria fowleri and faecal indicators in sediments from Lake Pontchartrain, Louisiana. JOURNAL OF WATER AND HEALTH 2022; 20:657-669. [PMID: 35482382 DOI: 10.2166/wh.2022.285] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
The occurrence of amoeba, Naegleria fowleri, in sediment samples from Lake Pontchartrain in Louisiana was investigated. This amoeba is pathogenic and can cause primary amoebic meningoencephalitis. In this study, quantitative polymerase chain reaction methods were used to test for the prevalence of Naegleria fowleri, HF183, and E. coli. N. fowleri was detected in 51.25% of our sediment samples. Illumina sequencing of sediment samples revealed ten different phyla, with Cyanobacteria being the most predominant at sites that generally presented with the highest median N. fowleri concentrations. N. fowleri was however strongly negatively correlated with HF183 (r = -0.859, p < 0.001). Whenever sediment E. coli concentrations were below 1.54 Log GC/g, there was only a 37.5% chance that N. fowleri would be detected in the same sample. When sediment E. coli concentrations exceeded 2.77 Log GC/g, the chances of detecting N. fowleri in the same sample increased to 90%, potentially suggesting predatory activity by the amoeba. The effect of temperature was observed to be different in relation to observed N. fowleri concentrations and detection rates. Although sediment samples collected during periods of higher temperatures had significantly lower mean N. fowleri concentrations (2.7 Log GC/g) compared to those collected at lower temperatures (3.7 Log GC/g, t(39) = 4.167, p < 0.001), higher N. fowleri detection rates in the overall samples were observed at higher temperatures (>19.1 °C) than at lower temperatures (<19.1 °C).
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Affiliation(s)
- Shalina A Shahin
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana 70112, USA E-mail:
| | - Joshua H Alarcon
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana 70112, USA E-mail:
| | - Hanna N Brosky
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana 70112, USA E-mail:
| | - Jennifer G Lamori
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana 70112, USA E-mail:
| | | | - Jia Xue
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana 70112, USA E-mail:
| | - Pradip Gyawali
- Institute of Environmental Science and Research Ltd, Porirua 5240, New Zealand
| | - Samendra P Sherchan
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana 70112, USA E-mail: ; Department of Biology, Morgan State University, 1700 East Cold Spring Lane, Baltimore, MD 21251, USA
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8
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Gunarathna N, Amarasinghe A, Wijesundara S, Iddawela D, Wickramasinghe S. Isolation, molecular characterization and phylogeny of Naegleria species in water bodies of North-Western Province, Sri Lanka. PLoS One 2021; 16:e0248510. [PMID: 33705485 PMCID: PMC7951808 DOI: 10.1371/journal.pone.0248510] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 02/28/2021] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND The inland freshwater bodies in the North-Western Province of Sri Lanka have ideal environmental conditions for the Naegleria species. Therefore, the presence and prevalence of Naegleria species in the water bodies of North-Western Province were determined by molecular characterization and phylogenetic analysis in this study. METHODS A total of 104 water bodies were selected from Kurunegala and Puttalam districts in the North-Western Province of Sri Lanka. Mean turbidity, pH, and temperature were recorded in each water body from three selected site. Centrifuged samples were cultured on non-nutrient agar plates with Escherichia coli. Enflagellation test positive isolates were subjected to DNA extraction and polymerase chain reaction using genus and species-specific primers targeting the internal transcribed spacer region (ITS) and Mp2CL5 gene. Phylogenetic analysis was performed using Bayesian and maximum likelihood (ML) methods. RESULTS The prevalence of Naegleria species and N. fowleri in the study area were 23.07% and 1.92%. The prevalence of Naegleria species and the physicochemical parameters of the water bodies showed no significant correlation. Bayesian analysis of the ITS region revealed the Naegleria Sri Lankan (SL) isolates 1, 3, and 4 in a single clade separated from the 2 and 5. Furthermore, Bayesian analysis identified isolates 2 and 5 in the same clade with Naegleria sp. samples and N. Philippinensis forming a sister clade. However, in the ML tree, all isolates were in the same clade with Naegleria sp. samples and N. Philippinensis. CONCLUSIONS The present study reports the first isolation of pathogenic N. fowleri from Sri Lanka. Based on Bayesian analysis, SL isolates 2 and 5 form a separate clade from 1, 3, and 4. However, in ML analysis, all isolates are grouped in one clade with Naegleria sp. samples and N. philippinensis. Further investigations are required to confirm these findings.
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Affiliation(s)
- Nuwan Gunarathna
- Faculty of Medicine, Department of Parasitology, University of Peradeniya, Peradeniya, Sri Lanka
- Ministry of Health, Ven. Baddegama Wimalawansa Thero Mawatha, Colombo, Sri Lanka
| | - Anjalie Amarasinghe
- Faculty of Medicine, Department of Parasitology, University of Peradeniya, Peradeniya, Sri Lanka
| | - Sunil Wijesundara
- Faculty of Medicine, Department of Parasitology, University of Peradeniya, Peradeniya, Sri Lanka
| | - Devika Iddawela
- Faculty of Medicine, Department of Parasitology, University of Peradeniya, Peradeniya, Sri Lanka
- * E-mail: (DI); (SW)
| | - Susiji Wickramasinghe
- Faculty of Medicine, Department of Parasitology, University of Peradeniya, Peradeniya, Sri Lanka
- * E-mail: (DI); (SW)
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9
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Stahl LM, Olson JB. Environmental abiotic and biotic factors affecting the distribution and abundance of Naegleria fowleri. FEMS Microbiol Ecol 2020; 97:6006869. [PMID: 33242082 PMCID: PMC8068756 DOI: 10.1093/femsec/fiaa238] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 11/23/2020] [Indexed: 12/15/2022] Open
Abstract
Naegleria fowleri is a free-living protozoan that resides in soil and freshwater. Human intranasal amoebae exposure through water or potentially dust particles can culminate in primary amoebic meningoencephalitis, which generally causes death. While many questions remain regarding pathogenesis, the microbial ecology of N. fowleri is even less understood. This review outlines current knowledge of the environmental abiotic and biotic factors that affect the distribution and abundance of N. fowleri. Although the impacts of some abiotic factors remain poorly investigated or inconclusive, N. fowleri appears to have a wide pH range, low salinity tolerance and thermophilic preference. From what is known about biotic factors, the amoebae preferentially feed upon bacteria and are preyed upon by other free-living amoebae. Additional laboratory and environmental studies are needed to fill in knowledge gaps, which are crucial for surveillance and management of N. fowleri in freshwaters. As surface water temperatures increase with climate change, it is likely that this amoeba will pose a greater threat to human health, suggesting that identifying its abiotic and biotic preferences is critical to mitigating this risk.
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Affiliation(s)
- Leigha M Stahl
- Department of Biological Sciences, The University of Alabama, Tuscaloosa, AL 35487, USA
| | - Julie B Olson
- Department of Biological Sciences, The University of Alabama, Tuscaloosa, AL 35487, USA
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10
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Isolation and Identification of Naegleria Species in Irrigation Channels for Recreational Use in Mexicali Valley, Mexico. Pathogens 2020; 9:pathogens9100820. [PMID: 33036396 PMCID: PMC7600940 DOI: 10.3390/pathogens9100820] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 09/29/2020] [Accepted: 10/01/2020] [Indexed: 12/13/2022] Open
Abstract
Members of the genus Naegleria are free-living amoebae that are widely distributed in water and soil environments. Moreover, Naegleria fowleri is a pathogenic amoeba species that causes a fatal disease in the central nervous system known as primary amoebic meningoencephalitis (PAM) in humans. Since most reported infections due to N. fowleri are reported in recreational waters worldwide, this study was aimed to describe the presence of these amoebic genus in Mexicali Valley irrigation channels of recreational use. A total of nine water samples were collected and processed by triplicate, in nine different sites of the Valley. After filtering and culturing the samples, plates were examined, and the observed amoebae were morphologically identified at the genus level. In addition, the pathogenicity of these amoebic isolates was checked, and molecular characterization was performed by PCR/sequencing. The results revealed the presence of Naegleria spp. in all the channels sampled. Finally, molecular identification confirmed the presence of five different species of Naegleria: N. fowleri, N. australiensis, N. gruberi, N. clarki and N. pagei. The presence of these protists, particularly N. fowleri, should be considered as a potential human health risk in the region.
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11
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Xue J, Zhang B, Lamori J, Shah K, Zabaleta J, Garai J, Taylor CM, Sherchan SP. Molecular detection of opportunistic pathogens and insights into microbial diversity in private well water and premise plumbing. JOURNAL OF WATER AND HEALTH 2020; 18:820-834. [PMID: 33095203 PMCID: PMC9115838 DOI: 10.2166/wh.2020.271] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Private well water systems in rural areas that are improperly maintained will result in poor drinking water quality, loss of water supply, and pose human health risk. The purpose of this study was to investigate the occurrence of fecal indicator bacteria (FIB) and opportunistic pathogens in private well water in rural areas surrounding New Orleans, Louisiana. Our results confirmed the ubiquitous nature of Legionella (86.7%) and mycobacteria (68.1%) in private well water in the study area, with gene concentration ranged from 0.60 to 5.53 and 0.67 to 5.95 Log10 of GC/100 mL, respectively. Naegleria fowleri target sequence was detected in 16.8% and Escherichia coli was detected in 43.4% of the water samples. Total coliform, as well as Legionella and mycobacteria genetic markers' concentrations were significantly reduced by 3-minute flushing. Next-generation sequencing (NGS) data indicated that the abundance of bacterial species was significantly increased in water collected in kitchens compared with samples from wells directly. This study provided integrated knowledge on the persistence of pathogenic organisms in private well water. Further study is needed to explore the presence of clinical species of those opportunistic pathogens in private well water systems to elucidate the health risk.
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Affiliation(s)
- Jia Xue
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, 70112, USA E-mail:
| | - Bowen Zhang
- Department of Natural Resources and Environmental Management, Ball State University, Muncie, Indiana, 47306, USA
| | - Jennifer Lamori
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, 70112, USA E-mail:
| | - Kinjal Shah
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, 70112, USA E-mail:
| | - Jovanny Zabaleta
- Department of Pediatrics and Stanley S. Scott Cancer Center, Louisiana State University Health Sciences Center, Louisiana Cancer Research Center, New Orleans, Louisiana, 70112, USA
| | - Jone Garai
- Department of Pediatrics and Stanley S. Scott Cancer Center, Louisiana State University Health Sciences Center, Louisiana Cancer Research Center, New Orleans, Louisiana, 70112, USA
| | - Christopher M Taylor
- Department of Microbiology, Immunology & Parasitology, Louisiana State University Health Sciences Center, New Orleans, Louisiana, 70112, USA
| | - Samendra P Sherchan
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, 70112, USA E-mail:
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12
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Saberi R, Seifi Z, Dodangeh S, Najafi A, Abdollah Hosseini S, Anvari D, Taghipour A, Norouzi M, Niyyati M. A systematic literature review and meta‐analysis on the global prevalence of
Naegleria
spp. in water sources. Transbound Emerg Dis 2020; 67:2389-2402. [DOI: 10.1111/tbed.13635] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Revised: 05/07/2020] [Accepted: 05/14/2020] [Indexed: 12/15/2022]
Affiliation(s)
- Reza Saberi
- Department of Medical Parasitology School of Medicine Toxoplasmosis Research CenterMazandaran University of Medical Sciences Sari Iran
- Student Research Committee Mazandaran University of Medical Sciences Sari Iran
| | - Zahra Seifi
- Student Research Committee Mazandaran University of Medical Sciences Sari Iran
| | - Samira Dodangeh
- Department of Medical Parasitology School of Medicine Toxoplasmosis Research CenterMazandaran University of Medical Sciences Sari Iran
| | - Azar Najafi
- Department of Medical Parasitology Paramedical Faculty Ilam University of Medical Sciences Ilam Iran
- Razi Herbal Medicines Research Center Lorestan University of Medical Sciences Lorestan Iran
| | - Seyed Abdollah Hosseini
- Department of Medical Parasitology School of Medicine Toxoplasmosis Research CenterMazandaran University of Medical Sciences Sari Iran
| | - Davood Anvari
- Department of Medical Parasitology School of Medicine Toxoplasmosis Research CenterMazandaran University of Medical Sciences Sari Iran
| | - Ali Taghipour
- Department of Parasitology Faculty of Medical Sciences Tarbiat Modares University Tehran Iran
| | - Maryam Norouzi
- Department of Medical Parasitology and Mycology Faculty of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran
| | - Maryam Niyyati
- Department of Medical Parasitology and Mycology Faculty of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran
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Cope JR, Murphy J, Kahler A, Gorbett DG, Ali I, Taylor B, Corbitt L, Roy S, Lee N, Roellig D, Brewer S, Hill VR. Primary Amebic Meningoencephalitis Associated With Rafting on an Artificial Whitewater River: Case Report and Environmental Investigation. Clin Infect Dis 2019; 66:548-553. [PMID: 29401275 DOI: 10.1093/cid/cix810] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Accepted: 09/13/2017] [Indexed: 11/13/2022] Open
Abstract
Background Naegleria fowleri is a thermophilic ameba found in freshwater that causes primary amebic meningoencephalitis (PAM) when it enters the nose and migrates to the brain. Patient exposure to water containing the ameba typically occurs in warm freshwater lakes and ponds during recreational water activities. In June 2016, an 18-year-old woman died of PAM after traveling to North Carolina, where she participated in rafting on an artificial whitewater river. Methods We conducted an epidemiologic and environmental investigation to determine the water exposure that led to the death of this patient. Results The case patient's most probable water exposure occurred while rafting on an artificial whitewater river during which she was thrown out of the raft and submerged underwater. The approximately 11.5 million gallons of water in the whitewater facility were partially filtered, subjected to ultraviolet light treatment, and occasionally chlorinated. Heavy algal growth was noted. Eleven water-related samples were collected from the facility; all were positive for N. fowleri. Of 5 samples collected from the nearby natural river, 1 sediment sample was positive for N. fowleri. Conclusions This investigation documents a novel exposure to an artificial whitewater river as the likely exposure causing PAM in this case. Conditions in the whitewater facility (warm, turbid water with little chlorine and heavy algal growth) rendered the water treatment ineffective and provided an ideal environment for N. fowleri to thrive. The combination of natural and engineered elements at the whitewater facility created a challenging environment to control the growth of N. fowleri.
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Affiliation(s)
- Jennifer R Cope
- Waterborne Disease Prevention Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Jennifer Murphy
- Waterborne Disease Prevention Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Amy Kahler
- Waterborne Disease Prevention Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
| | | | - Ibne Ali
- Waterborne Disease Prevention Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
| | | | - Lisa Corbitt
- Mecklenburg County Health Department, Charlotte, North Carolina
| | - Shantanu Roy
- Waterborne Disease Prevention Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Nicole Lee
- North Carolina Department of Health and Human Services, Raleigh
| | - Dawn Roellig
- Waterborne Disease Prevention Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
| | | | - Vincent R Hill
- Waterborne Disease Prevention Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
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14
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Miller HC, Morgan MJ, Walsh T, Wylie JT, Kaksonen AH, Puzon GJ. Preferential feeding in Naegleria fowleri; intracellular bacteria isolated from amoebae in operational drinking water distribution systems. WATER RESEARCH 2018; 141:126-134. [PMID: 29783165 DOI: 10.1016/j.watres.2018.05.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2018] [Revised: 05/04/2018] [Accepted: 05/04/2018] [Indexed: 06/08/2023]
Abstract
The amoeba Naegleria fowleri is the causative agent of the highly fatal disease, primary amoebic meningoencephalitis, and estimated to cause 16 deaths per year in the United States alone. Colonisation of drinking water distribution systems (DWDSs) by the N. fowleri is a significant public health issue. Understanding the factors which enable this pathogen to colonise and thrive in DWDSs is critical for proper management. The microbial ecology within DWDSs may influence the ability of N. fowleri to colonise DWDSs by facilitating the availability of an appropriate food source. Using biofilm samples obtained from operational DWDSs, 16S rRNA amplicon metabarcoding was combined with genus-specific PCR and Sanger sequencing of intracellular associated bacteria from isolated amoeba and their parental biofilms to identify Meiothermus chliarophilus as a potential food source for N. fowleri. Meiothermus was confirmed as a food source for N. fowleri following successful serial culturing of axenic N. fowleri with M. chliarophilus or M. ruber as the sole food source. The ability to identify environmental and ecological conditions favourable to N. fowleri colonisation, including the detection of appropriate food sources such as Meiothermus, could provide water utilities with a predictive tool for managing N. fowleri colonisation within the DWDS.
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Affiliation(s)
- Haylea C Miller
- CSIRO Land and Water, Private Bag No.5, Wembley, Western Australia 6913, Australia; School of Biomedical Sciences, University of Western Australia, 35 Stirling Highway, Crawley, Western Australia 6009, Australia
| | - Matthew J Morgan
- CSIRO Land and Water, Black Mountain Laboratories, P.O. Box 1700, Canberra, ACT, 2601, Australia
| | - Tom Walsh
- CSIRO Land and Water, Black Mountain Laboratories, P.O. Box 1700, Canberra, ACT, 2601, Australia
| | - Jason T Wylie
- CSIRO Land and Water, Private Bag No.5, Wembley, Western Australia 6913, Australia
| | - Anna H Kaksonen
- CSIRO Land and Water, Private Bag No.5, Wembley, Western Australia 6913, Australia; School of Biomedical Sciences, University of Western Australia, 35 Stirling Highway, Crawley, Western Australia 6009, Australia
| | - Geoffrey J Puzon
- CSIRO Land and Water, Private Bag No.5, Wembley, Western Australia 6913, Australia.
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15
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Xue J, Caton K, Sherchan S. Comparison of next-generation droplet digital PCR with quantitative PCR for enumeration ofNaegleria fowleriin environmental water and clinical samples. Lett Appl Microbiol 2018; 67:322-328. [DOI: 10.1111/lam.13051] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2018] [Revised: 05/25/2018] [Accepted: 07/11/2018] [Indexed: 11/28/2022]
Affiliation(s)
- J. Xue
- Department of Global Environmental Health Sciences; School of Public Health and Tropical Medicine, Tulane University; New Orleans LA USA
| | - K. Caton
- Department of Global Environmental Health Sciences; School of Public Health and Tropical Medicine, Tulane University; New Orleans LA USA
| | - S.P. Sherchan
- Department of Global Environmental Health Sciences; School of Public Health and Tropical Medicine, Tulane University; New Orleans LA USA
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16
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Xue J, Lamar FG, Zhang B, Lin S, Lamori JG, Sherchan SP. Quantitative assessment of Naegleria fowleri and fecal indicator bacteria in brackish water of Lake Pontchartrain, Louisiana. THE SCIENCE OF THE TOTAL ENVIRONMENT 2018; 622-623:8-16. [PMID: 29220778 DOI: 10.1016/j.scitotenv.2017.11.308] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2017] [Revised: 11/15/2017] [Accepted: 11/27/2017] [Indexed: 06/07/2023]
Abstract
Brackish water samples from Lake Pontchartrain in Louisiana were assessed for the presence of pathogenic amoeba Naegleria fowleri, which causes primary amoebic meningoencephalitis (PAM). In our study, quantitative polymerase chain reaction (qPCR) methods were used to determine N. fowleri, E. coli, and enterococci in water collected from Lake Pontchartrain. N. fowleri target sequence was detected in 35.4% (56/158) of the water samples from ten sites around the lake. Statistically significant positive correlations between N. fowleri concentration and water temperature as well as E. coli (qPCR) were observed. Multiple linear regression (MLR) model shows seasonal factor (summer or winter) has significant effect on the concentration of N. fowleri, E. coli and enterococci (qPCR) concentration. Significant positive relationships between E. coli and enterococci was observed from both qPCR (r=0.25) and culture based method (r=0.54). Meanwhile, significant positive correlation between qPCR and culture based methods for enterococci concentration was observed (r=0.33). In our study, water temperature and E. coli concentration were indicative of N. fowleri concentrations in brackish water environment. Future research is needed to determine whether sediment is a source of N. fowleri found in the water column.
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Affiliation(s)
- Jia Xue
- Department of Global Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
| | - Frederica G Lamar
- Department of Global Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
| | - Bowen Zhang
- International Center for Climate and Global Change Research, Auburn University, Auburn, AL 36849, USA
| | - Siyu Lin
- Department of Global Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
| | - Jennifer G Lamori
- Department of Global Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
| | - Samendra P Sherchan
- Department of Global Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA.
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17
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Seong GS, Sohn HJ, Kang H, Seo GE, Kim JH, Shin HJ. Production and characterization of monoclonal antibodies against cathepsin B and cathepsin B-Like proteins of Naegleria fowleri. Exp Parasitol 2017; 183:171-177. [DOI: 10.1016/j.exppara.2017.09.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2017] [Revised: 08/18/2017] [Accepted: 09/11/2017] [Indexed: 11/15/2022]
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18
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Miller HC, Morgan MJ, Wylie JT, Kaksonen AH, Sutton D, Braun K, Puzon GJ. Elimination of Naegleria fowleri from bulk water and biofilm in an operational drinking water distribution system. WATER RESEARCH 2017; 110:15-26. [PMID: 27974249 DOI: 10.1016/j.watres.2016.11.061] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Revised: 10/07/2016] [Accepted: 11/25/2016] [Indexed: 06/06/2023]
Abstract
Global incidence of primary amoebic meningoencephalitis cases associated with domestic drinking water is increasing. The need for understanding disinfectant regimes capable of eliminating the causative microorganism, Naegleria fowleri, from bulk water and pipe wall biofilms is critical. This field study demonstrated the successful elimination of N. fowleri from the bulk water and pipe wall biofilm of a persistently colonised operational drinking water distribution system (DWDS), and the prevention of further re-colonisation. A new chlorination unit was installed along the pipe line to boost the free chlorine residual to combat the persistence of N. fowleri. Biofilm and bulk water were monitored prior to and after re-chlorination (RCl), pre-rechlorination (pre-RCl) and post-rechlorination (post-RCl), respectively, for one year. A constant free chlorine concentration of > 1 mg/L resulted in the elimination of N. fowleri from both the bulk water and biofilm at the post-RCl site. Other amoeba species were detected during the first two months of chlorination, but all amoebae were eliminated from both the bulk water and biofilm at post-RCl after 60 days of chlorination with free chlorine concentrations > 1 mg/L. In addition, a dynamic change in the biofilm community composition and a four log reduction in biofilm cell density occurred post-RCl. The pre-RCl site continued to be seasonally colonised by N. fowleri, but the constant free chlorine residual of > 1 mg/L prevented N. fowleri from recolonising the bulk and pipe wall biofilm at the post-RCl site. To our knowledge, this is the first study to demonstrate successful removal of N. fowleri from both the bulk and pipe wall biofilm and prevention of re-colonisation of N. fowleri in an operational DWDS. The findings of this study are of importance to water utilities in addressing the presence of N. fowleri and other amoeba in susceptible DWDSs.
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Affiliation(s)
- Haylea C Miller
- CSIRO Land and Water, Private Bag No.5, Wembley, Western Australia 6913, Australia; School of Pathology and Laboratory Medicine, University of Western Australia, 35 Stirling Highway, Crawley, Western Australia 6009, Australia
| | - Matthew J Morgan
- CSIRO Land and Water, Black Mountain Laboratories, P.O. Box 1700, Canberra, ACT 2601, Australia
| | - Jason T Wylie
- CSIRO Land and Water, Private Bag No.5, Wembley, Western Australia 6913, Australia
| | - Anna H Kaksonen
- CSIRO Land and Water, Private Bag No.5, Wembley, Western Australia 6913, Australia; School of Pathology and Laboratory Medicine, University of Western Australia, 35 Stirling Highway, Crawley, Western Australia 6009, Australia
| | - David Sutton
- School of Pathology and Laboratory Medicine, University of Western Australia, 35 Stirling Highway, Crawley, Western Australia 6009, Australia
| | - Kalan Braun
- Water Corporation of Western Australia, 629 Newcastle Street, Leederville, Western Australia 6007, Australia
| | - Geoffrey J Puzon
- CSIRO Land and Water, Private Bag No.5, Wembley, Western Australia 6913, Australia.
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19
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Plutzer J, Karanis P. Neglected waterborne parasitic protozoa and their detection in water. WATER RESEARCH 2016; 101:318-332. [PMID: 27281375 DOI: 10.1016/j.watres.2016.05.085] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/20/2015] [Revised: 05/25/2016] [Accepted: 05/26/2016] [Indexed: 05/08/2023]
Abstract
Outbreak incidents raise the question of whether the less frequent aetiological agents of outbreaks are really less frequent in water. Alternatively, waterborne transmission could be relevant, but the lack of attention and rapid, sensitive methods to recover and detect the exogenous stages in water may keep them under-recognized. High quality information on the prevalence and detection of less frequent waterborne protozoa, such as Cyclospora cayetanensis, Toxoplasma gondii, Isospora belli, Balantidium coli, Blastocystis hominis, Entamoeba histolytica and other free-living amoebae (FLA), are not available. This present paper discusses the detection tools applied for the water surveillance of the neglected waterborne protozoa mentioned above and provides future perspectives.
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Affiliation(s)
- Judit Plutzer
- Qinghai Academy of Animal Science and Veterinary Medicine, Qinghai University, Xining, China; National Public Health Center, National Directorate of Environmental Health, Environmental Health Testing Laboratory, Budapest, Hungary.
| | - Panagiotis Karanis
- Qinghai Academy of Animal Science and Veterinary Medicine, Qinghai University, Xining, China
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20
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NLRP3 Inflammasome Activation in THP-1 Target Cells Triggered by Pathogenic Naegleria fowleri. Infect Immun 2016; 84:2422-8. [PMID: 27297387 DOI: 10.1128/iai.00275-16] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2016] [Accepted: 06/06/2016] [Indexed: 01/06/2023] Open
Abstract
Naegleria fowleri, known as the brain-eating amoeba, causes acute primary amoebic meningoencephalitis. During swimming and other recreational water activities, N. fowleri trophozoites penetrate the nasal mucosa and invade the olfactory bulbs, resulting in intense inflammatory reactions in the forebrain tissue. To investigate what kinds of inflammasome molecules are expressed in target cells due to N. fowleri infection, human macrophage cells (THP-1 cells) were cocultured with N. fowleri trophozoites in a noncontact system, and consequently, interleukin-1β (IL-1β) production was estimated. Caspase-1 activation and IL-1β production from THP-1 cells by Western blotting and the culture supernatant by enzyme-linked immunosorbent assay analysis were observed at 3 h after cocultivation. In addition, the increased expression of ASC and NLRP3, which make up an inflammasome complex, was also observed at 3 h after cocultivation. To confirm the caspase-1 activation and IL-1β production via the NLRP3 inflammasome in THP-1 cells triggered by N. fowleri trophozoites, THP-1 cells were pretreated with several inhibitors. The inhibition assay showed that CA-074 (a cathepsin B inhibitor), glybenclamide (an NLRP3 molecule inhibitor), and N-benzyloxycarbony-Val-Ala-Asp(O-methyl)-fluoromethylketone (Z-VAD-FMK; a caspase-1 inhibitor) reduced the levels of caspase-1 activation and IL-1β production from THP-1 cells. This study suggests that N. fowleri infection induces the NLRP3 inflammasome, which activates caspase-1 and subsequently produces IL-1β, thus resulting in inflammation.
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21
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Sente C, Erume J, Naigaga I, Mulindwa J, Ochwo S, Magambo PK, Namara BG, Kato CD, Sebyatika G, Muwonge K, Ocaido M. Prevalence of pathogenic free-living amoeba and other protozoa in natural and communal piped tap water from Queen Elizabeth protected area, Uganda. Infect Dis Poverty 2016; 5:68. [PMID: 27485513 PMCID: PMC4971666 DOI: 10.1186/s40249-016-0162-5] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Accepted: 06/22/2016] [Indexed: 12/14/2022] Open
Abstract
Background Pathogenic water dwelling protozoa such as Acanthamoeba spp., Hartmannella spp., Naegleria spp., Cryptosporidium spp. and Giardia spp. are often responsible for devastating illnesses especially in children and immunocompromised individuals, yet their presence and prevalence in certain environment in sub-Saharan Africa is still unknown to most researchers, public health officials and medical practitioners. The objective of this study was to establish the presence and prevalence of pathogenic free-living amoeba (FLA), Cryptosporidium and Giardia in Queen Elizabeth Protected Area (QEPA). Methods Samples were collected from communal taps and natural water sites in QEPA. Physical water parameters were measured in situ. The samples were processed to detect the presence of FLA trophozoites by xenic cultivation, Cryptosporidium oocysts by Ziehl-Neelsen stain and Giardia cysts by Zinc Sulphate floatation technique. Parasites were observed microscopically, identified, counted and recorded. For FLA, genomic DNA was extracted for amplification and sequencing. Results Both natural and tap water sources were contaminated with FLA, Cryptosporidium spp. and Giardia spp. All protozoan parasites were more abundant in the colder rainy season except for Harmannella spp. and Naegleria spp. which occurred more in the warmer months. The prevalence of all parasites was higher in tap water than in natural water samples. There was a strong negative correlation between the presence of Acanthamoeba spp., Hartmannella spp., Cryptosporidium spp. and Giardia spp. with Dissolved Oxygen (DO) (P < 0.05). The presence of Cryptosporidium spp. showed a significant positive correlation (P < 0.05) with conductivity, pH and Total Dissolved Solids (TDS); whereas the presence of Giardia spp. had only a strong positive correlation with TDS. Molecular genotyping of FLA produced 7 Acanthamoeba, 5 Echinamoeba, 2 Hartmannella, 1 Bodomorpha, 1 Nuclearia and 1 Cercomonas partial sequences. Conclusions All water collection sites were found to be contaminated with pathogenic protozoa that could possibly be the cause of a number of silent morbidities and mortalities among rural households in QEPA. This implies that water used by communities in QEPA is of poor quality and predisposes them to a variety of protozoan infections including the FLA whose public health importance was never reported, thus necessitating adoption of proper water safety measures. Electronic supplementary material The online version of this article (doi:10.1186/s40249-016-0162-5) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Celsus Sente
- Department of Wildlife and Aquatic Animal Resources (WAAR), School of Veterinary Medicine and Animal Resources (SVAR), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda.
| | - Joseph Erume
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda
| | - Irene Naigaga
- Department of Wildlife and Aquatic Animal Resources (WAAR), School of Veterinary Medicine and Animal Resources (SVAR), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda
| | - Julius Mulindwa
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda.,Department of Biochemistry and Sports Science (BSS), College of Natural Sciences (CONAS), Makerere University, P.O. Box 7062, Kampala, Uganda
| | - Sylvester Ochwo
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda
| | - Phillip Kimuda Magambo
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda
| | - Benigna Gabriela Namara
- Medical Research Council (MRC)/Uganda Virus Research Institute (UVRI), Research Unit on AIDS, P.O.Box 49, Entebbe, Uganda
| | - Charles Drago Kato
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda
| | - George Sebyatika
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda.,Department of Molecular Biology, Vrije Universiteit, Pleinlaan 21050, Brussels, Belgium
| | - Kevin Muwonge
- Department of Biomolecular Resources and Biolab Sciences, School of Bio-security, Biotechnical and Laboratory Sciences (SBLS), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda.,Department of Molecular Biology, Vrije Universiteit, Pleinlaan 21050, Brussels, Belgium
| | - Michael Ocaido
- Department of Wildlife and Aquatic Animal Resources (WAAR), School of Veterinary Medicine and Animal Resources (SVAR), College of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, P.O.Box 7062, Kampala, Uganda
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Martínez-Castillo M, Cárdenas-Zúñiga R, Coronado-Velázquez D, Debnath A, Serrano-Luna J, Shibayama M. Naegleria fowleri after 50 years: is it a neglected pathogen? J Med Microbiol 2016; 65:885-896. [PMID: 27381464 DOI: 10.1099/jmm.0.000303] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
It has been 50 years since the first case of primary amoebic meningoencephalitis (PAM), an acute and rapidly fatal disease of the central nervous system (CNS), was reported in Australia. It is now known that the aetiological agent of PAM is Naegleria fowleri, an amoeba that is commonly known as 'the brain-eating amoeba'. N. fowleri infects humans of different ages who are in contact with water contaminated with this micro-organism. N. fowleri is distributed worldwide and is found growing in bodies of freshwater in tropical and subtropical environments. The number of PAM cases has recently increased, and the rate of recovery from PAM has been estimated at only 5 %. Amphotericin B has been used to treat patients with PAM. However, it is important to note that there is no specific treatment for PAM. Moreover, this amoeba is considered a neglected micro-organism. Researchers have exerted great effort to design effective drugs to treat PAM and to understand the pathogenesis of PAM over the past 50 years, such as its pathology, molecular and cellular biology, diagnosis and prevention, and its biological implications, including its pathogenic genotypes, its distribution and its ecology. Given the rapid progression of PAM and its high mortality rate, it is important that investigations continue and that researchers collaborate to gain better understanding of the pathogenesis of this disease and, consequently, to improve the diagnosis and treatment of this devastating infection of the CNS.
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Affiliation(s)
- Moisés Martínez-Castillo
- Department of Infectomics and Molecular Pathogenesis, Center for Research and Advanced Studies of the National Polytechnic Institute, Av. IPN 2508, Mexico City 07360, Mexico
| | - Roberto Cárdenas-Zúñiga
- Department of Infectomics and Molecular Pathogenesis, Center for Research and Advanced Studies of the National Polytechnic Institute, Av. IPN 2508, Mexico City 07360, Mexico
| | - Daniel Coronado-Velázquez
- Department of Infectomics and Molecular Pathogenesis, Center for Research and Advanced Studies of the National Polytechnic Institute, Av. IPN 2508, Mexico City 07360, Mexico
| | - Anjan Debnath
- Center for Discovery and Innovation in Parasitic Diseases, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA, USA
| | - Jesús Serrano-Luna
- Department of Cell Biology, Center for Research and Advanced Studies of the National Polytechnic Institute, Av. IPN 2508, Mexico City 07360, Mexico
| | - Mineko Shibayama
- Department of Infectomics and Molecular Pathogenesis, Center for Research and Advanced Studies of the National Polytechnic Institute, Av. IPN 2508, Mexico City 07360, Mexico
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23
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Morgan MJ, Halstrom S, Wylie JT, Walsh T, Kaksonen AH, Sutton D, Braun K, Puzon GJ. Characterization of a Drinking Water Distribution Pipeline Terminally Colonized by Naegleria fowleri. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2016; 50:2890-2898. [PMID: 26853055 DOI: 10.1021/acs.est.5b05657] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Free-living amoebae, such as Naegleria fowleri, Acanthamoeba spp., and Vermamoeba spp., have been identified as organisms of concern due to their role as hosts for pathogenic bacteria and as agents of human disease. In particular, N. fowleri is known to cause the disease primary amoebic meningoencephalitis (PAM) and can be found in drinking water systems in many countries. Understanding the temporal dynamics in relation to environmental and biological factors is vital for developing management tools for mitigating the risks of PAM. Characterizing drinking water systems in Western Australia with a combination of physical, chemical and biological measurements over the course of a year showed a close association of N. fowleri with free chlorine and distance from treatment over the course of a year. This information can be used to help design optimal management strategies for the control of N. fowleri in drinking-water-distribution systems.
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Affiliation(s)
- Matthew J Morgan
- CSIRO Land and Water , Black Mountain Laboratories, P.O. Box 1700, Canberra, ACT, 2601, Australia
| | - Samuel Halstrom
- CSIRO Land and Water , Centre for Environment and Life Sciences, Private Bag No. 5, Wembley, Western Australia 6913, Australia
- School of Pathology and Laboratory Medicine and Oceans Institute, University of Western Australia , 35 Stirling Highway, Crawley, Western Australia 6009, Australia
| | - Jason T Wylie
- CSIRO Land and Water , Centre for Environment and Life Sciences, Private Bag No. 5, Wembley, Western Australia 6913, Australia
| | - Tom Walsh
- CSIRO Land and Water , Black Mountain Laboratories, P.O. Box 1700, Canberra, ACT, 2601, Australia
| | - Anna H Kaksonen
- CSIRO Land and Water , Centre for Environment and Life Sciences, Private Bag No. 5, Wembley, Western Australia 6913, Australia
- School of Pathology and Laboratory Medicine and Oceans Institute, University of Western Australia , 35 Stirling Highway, Crawley, Western Australia 6009, Australia
| | - David Sutton
- School of Pathology and Laboratory Medicine and Oceans Institute, University of Western Australia , 35 Stirling Highway, Crawley, Western Australia 6009, Australia
| | - Kalan Braun
- Water Corporation of Western Australia , 629 Newcastle Street, Leederville, Western Australia 6007, Australia
| | - Geoffrey J Puzon
- CSIRO Land and Water , Centre for Environment and Life Sciences, Private Bag No. 5, Wembley, Western Australia 6913, Australia
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Kang H, Seong GS, Sohn HJ, Kim JH, Lee SE, Park MY, Lee WJ, Shin HJ. Effective PCR-based detection of Naegleria fowleri from cultured sample and PAM-developed mouse. Eur J Protistol 2015; 51:401-8. [PMID: 26322498 DOI: 10.1016/j.ejop.2015.07.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2015] [Revised: 07/16/2015] [Accepted: 07/17/2015] [Indexed: 10/23/2022]
Abstract
Increasing numbers of Primary Amoebic Meningoencephalitis (PAM) cases due to Naegleria fowleri are becoming a serious issue in subtropical and tropical countries as a Neglected Tropical Disease (NTD). To establish a rapid and effective diagnostic tool, a PCR-based detection technique was developed based on previous PCR methods. Four kinds of primer pairs, Nfa1, Nae3, Nf-ITS, and Naegl, were employed in the cultured amoebic trophozoites and a mouse with PAM experimentally developed by N. fowleri inoculation (PAM-mouse). For the extraction of genomic DNA from N. fowleri trophozoites (1×10(6)), simple boiling with 10μl of PBS (pH 7.4) at 100°C for 30min was found to be the most rapid and efficient procedure, allowing amplification of 2.5×10(2) trophozoites using the Nfa-1 primer. The primers Nfa1 and Nae3 amplified only N. fowleri DNA, whereas the ITS primer detected N. fowleri and N. gruberi DNA. Using the PAM-mouse brain tissue, the Nfa1 primer was able to amplify the N. fowleri DNA 4 days post infection with 1ng/μl of genomic DNA being detectable. Using the PAM-mouse CSF, amplification of the N. fowleri DNA with the Nae3 primer was possible 5 days post infection showing a better performance than the Nfa1 primer at day 6.
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Affiliation(s)
- Heekyoung Kang
- Department of Microbiology, Ajou University School of Medicine, Suwon 443-721, Republic of Korea; Department of Biomedical Science, Graduate School of Ajou University, Suwon 443-721, Republic of Korea
| | - Gi-Sang Seong
- Department of Microbiology, Ajou University School of Medicine, Suwon 443-721, Republic of Korea; Department of Biomedical Science, Graduate School of Ajou University, Suwon 443-721, Republic of Korea
| | - Hae-Jin Sohn
- Department of Microbiology, Ajou University School of Medicine, Suwon 443-721, Republic of Korea; Department of Biomedical Science, Graduate School of Ajou University, Suwon 443-721, Republic of Korea
| | - Jong-Hyun Kim
- Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University, Jinju 660-701, Republic of Korea
| | - Sang-Eun Lee
- Division of Malaria and Parasitic Disease, Korea National Institute of Health, Osong 363-951, Republic of Korea
| | - Mi Yeoun Park
- Division of Malaria and Parasitic Disease, Korea National Institute of Health, Osong 363-951, Republic of Korea
| | - Won-Ja Lee
- Division of Malaria and Parasitic Disease, Korea National Institute of Health, Osong 363-951, Republic of Korea
| | - Ho-Joon Shin
- Department of Microbiology, Ajou University School of Medicine, Suwon 443-721, Republic of Korea; Department of Biomedical Science, Graduate School of Ajou University, Suwon 443-721, Republic of Korea.
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Haas CN. Microbial dose response modeling: past, present, and future. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2015; 49:1245-59. [PMID: 25545032 DOI: 10.1021/es504422q] [Citation(s) in RCA: 65] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
The understanding of the risk to humans from exposure to pathogens has been firmly put into a risk assessment framework. A key element of applying this approach is the understanding of the relationship between dose and response for particular pathogens. This understanding has progressed from early use of threshold concepts ("minimal infectious dose") thru multiple generations of models. Generation 1 models describe probability of response to exposed dose. Generation 2 models incorporate host factors (e.g., age) and/or pathogen factors (e.g., particle size of inhaled agents). Generation 3 models describe the rate at which effects develop, i.e. the epidemic curve. These (generation 1 through three models) have been developed and used in multiple contexts. Beyond Generation 3 lies an opportunity for the deep incorporation of in vivo physiological responses and the coupling of the individual host dynamics to the dynamics of spread of contagious diseases in the population. This would enable more direct extrapolation from controlled dosing studies to estimate population level effects. There remain also needs to understand broader categories of infectious agents, including pathogenic amoebae and fungi. More advanced models need to be validated against well-characterized human outbreak data.
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Affiliation(s)
- Charles N Haas
- Department of Civil, Architectural & Environmental Engineering Drexel University Philadelphia, Pennsylvania 19104, United States
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26
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Bartrand TA, Causey JJ, Clancy JL. Naegleria fowleri:An emerging drinking water pathogen. ACTA ACUST UNITED AC 2014. [DOI: 10.5942/jawwa.2014.106.0140] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
| | - Jonathan Jake Causey
- DHH-OPH Engineering Services, Louisiana Department of Health and Hospitals, Office of Public Health
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