In vivo behavior of revertants from Stahylococcus aureus L-phase variants compared with the parent strain

Adhesion and phagocytosis of Staphylococcus aureus L-forms

Electron microscopical investigations on in vitro and in vivo interactions of normal Staphylococcus aureus cells with rat peritoneal macrophages showed that these bacteria were rapidly endocytosed and digested even in the absence of specific antibodies. In contrast to the parental strains oxacilin-induced and stable variante lacking a cell wall (L-forms) were ingested without subsequent formation of phagolysomes and digestive vacuoles. The intracytoplasmic L-form bodies retained their characteristic ultrastructure, i.e. no visible alterations occurred. Some morphological aspects of the L-forms and their persistence in macrophages 7 days after intraperitoneal administration of L-form to rats, suggest the possibility of their intracellular survival.

Demonstration of pathogenic bacteria in "sterile" inflammatory exudates

One hundred and twenty-seven exudates from inflammatory processes, judged sterile after incubation on standard isolation media, were further investigated. This involved the exclusion of slow-growing strains by a further 48 hours incubation of the primary plates and subcultures from hypertonic broth that had been inoculated concurrently with the initial cultures. Over 80% of otherwise sterile exudates grew presumptive pathogens only after passage through the hypertonic broth and no further isolations resulted from extended incubation of the primary cultures. A history of current, or recent, antibiotic therapy commonly accompanied the demonstration of these aberrant strains and clinical remission of symptoms usually followed fresh antibiotic therapy directed solely against the revertant isolates.

Parental and revertant Brucella canis induced changes in the rabbit

Chronic brucellosis was produced in the rabbit by parental and penicillin-induced L-phase revertant of Brucella canis. Animals in the experimental groups were injected with 1.2 x 10(8) organisms/ml of appropriate strains by specified routes at intervals. At a maximum of 12 weeks postinfection, animals were killed and samples were taken for bacteriology, serology, histology, immunofluorescent and electron microscopy. Results revealed faecal shedding in some animals from 72 hours up to three weeks postinfection. High agglutinating antibody titres of 1:1280 were sustained in all infected animals. Histopathological and ultrastructural changes attributed to the invading organisms were apparent and evidence of mitochrondriopathic changes are provided. The implication and indirect role of L-phase in brucellosis are discussed.