1
|
Zhang Q, Alter T, Strauch E, Eichhorn I, Borowiak M, Deneke C, Fleischmann S. German coasts harbor non-O1/non-O139 Vibrio cholerae with clinical virulence gene profiles. INFECTION, GENETICS AND EVOLUTION : JOURNAL OF MOLECULAR EPIDEMIOLOGY AND EVOLUTIONARY GENETICS IN INFECTIOUS DISEASES 2024; 120:105587. [PMID: 38518953 DOI: 10.1016/j.meegid.2024.105587] [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: 01/15/2024] [Revised: 03/05/2024] [Accepted: 03/19/2024] [Indexed: 03/24/2024]
Abstract
Non-O1/non-O139 Vibrio cholerae (NOVC) are ubiquitous in aquatic ecosystems. In rare cases, they can cause intestinal and extra-intestinal infections in human. This ability is associated with various virulence factors. The presence of NOVC in German North Sea and Baltic Sea was observed in previous studies. However, data on virulence characteristics are still scarce. Therefore, this work aimed to investigating the virulence potential of NOVC isolated in these two regions. In total, 31 NOVC strains were collected and subjected to whole genome sequencing. In silico analysis of the pathogenic potential was performed based on the detection of genes involved in colonization and virulence. Phenotypic assays, including biofilm formation, mobility and human serum resistance assays were applied for validation. Associated toxin genes (hlyA, rtxA, chxA and stn), pathogenicity islands (Vibrio pathogenicity island 2 (VPI-II) and Vibrio seventh pathogenicity island 2 (VSP-II)) and secretion systems (Type II, III and VI secretion system) were observed. A maximum likelihood analysis from shared core genes revealed a close relationship between clinical NOVCs published in NCBI and environmental strains from this study. NOVC strains are more mobile at 37 °C than at 25 °C, and 68% of the NOVC strains could form strong biofilms at both temperatures. All tested strains were able to lyse erythrocytes from both human and sheep blood. Additionally, one strain could survive up to 60% and seven strains up to 40% human serum at 37 °C. Overall, the genetic virulence profile as well as the phenotypic virulence characteristics of the investigated NOVC from the German North Sea and Baltic Sea suggest potential human pathogenicity.
Collapse
Affiliation(s)
- Quantao Zhang
- School of Veterinary Medicine, Institute of Food Safety and Food Hygiene, Freie Universität Berlin, Königsweg 69, 14163 Berlin, Germany.
| | - Thomas Alter
- School of Veterinary Medicine, Institute of Food Safety and Food Hygiene, Freie Universität Berlin, Königsweg 69, 14163 Berlin, Germany.
| | - Eckhard Strauch
- Department of Biological Safety, German Federal Institute for Risk Assessment, Diedersdorfer Weg 1, 12277 Berlin, Germany.
| | - Inga Eichhorn
- School of Veterinary Medicine, Institute of Microbiology and Epizootics, Freie Universität Berlin, Robert-von-Ostertag-Straße 7-13, 14163 Berlin, Germany; Robert Koch Institute, Genome Competence Centre (MF1), Seestraße 10, 13353 Berlin, Germany.
| | - Maria Borowiak
- Department of Biological Safety, German Federal Institute for Risk Assessment, Diedersdorfer Weg 1, 12277 Berlin, Germany.
| | - Carlus Deneke
- Department of Biological Safety, German Federal Institute for Risk Assessment, Diedersdorfer Weg 1, 12277 Berlin, Germany.
| | - Susanne Fleischmann
- School of Veterinary Medicine, Institute of Food Safety and Food Hygiene, Freie Universität Berlin, Königsweg 69, 14163 Berlin, Germany.
| |
Collapse
|
2
|
Gu CJ, Ding MD, Zhou DM, Li J, Yu WQ, Yang YL. Non-O1, Non-O139 Vibrio cholerae Bacteremia in an Autoimmune Pancreatitis Patient. Case Rep Infect Dis 2024; 2024:7219952. [PMID: 38737750 PMCID: PMC11087146 DOI: 10.1155/2024/7219952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 04/20/2024] [Accepted: 04/25/2024] [Indexed: 05/14/2024] Open
Abstract
Over 200 different serogroups of Vibrio cholerae based on O-polysaccharide specificity have been described worldwide, including the two most important serogroups, O1 and O139. Non-O1/non-O139 V. cholerae serogroups generally do not produce the cholera-causing toxin but do sporadically cause gastroenteritis and extra-intestinal infections. Recently, however, bloodstream infections caused by non-O1/non-O139 V. cholerae are being increasingly reported, and these infections are associated with high mortality in immunocompromised hosts. We describe a case of non-O1/non-O139 V. cholerae bacteremia in a patient with autoimmune pancreatitis and stenosis of the intra- and extrahepatic bile ducts. The clinical manifestations of bacteremia were fever and mild digestive symptoms. The blood cultures showed V. cholerae, which was identified as a non-O1, non-O139 serogroup by slide agglutination tests and PCR. The bloodstream infection of the patient was likely caused by the consumption of contaminated seafood at a banquet. The patient recovered after the administration of a third-generation cephalosporin. Non-O1/non-O139 V. cholerae infection presents with or without gastrointestinal manifestations; close attention should be paid to the possibility of disseminated non-O1/non-O139 V. cholerae infection in high-risk patients.
Collapse
Affiliation(s)
- Cheng-Jing Gu
- Department of Pharmacy, Taizhou People's Hospital Affiliated to Nanjing Medical University, The Fifth Affiliated Hospital of Nantong University, Jiangsu 225300, China
| | - Ming-Dong Ding
- Department of Infectious Diseases, Taizhou People's Hospital Affiliated to Nanjing Medical University, The Fifth Affiliated Hospital of Nantong University, Nantong, Jiangsu 225300, China
| | - Da-Ming Zhou
- Department of Infectious Diseases, Taizhou People's Hospital Affiliated to Nanjing Medical University, The Fifth Affiliated Hospital of Nantong University, Nantong, Jiangsu 225300, China
| | - Jie Li
- Department of Gastroenterology, Taizhou People's Hospital Affiliated to Nanjing Medical University, The Fifth Affiliated Hospital of Nantong University, Nantong, Jiangsu 225300, China
| | - Wen-Qing Yu
- Department of Infectious Diseases, Taizhou People's Hospital Affiliated to Nanjing Medical University, The Fifth Affiliated Hospital of Nantong University, Nantong, Jiangsu 225300, China
| | - Yong-Lin Yang
- Department of Infectious Diseases, Taizhou People's Hospital Affiliated to Nanjing Medical University, The Fifth Affiliated Hospital of Nantong University, Nantong, Jiangsu 225300, China
| |
Collapse
|
3
|
Agyei FK, Scharf B, Duodu S. Vibrio cholerae Bacteremia: An Enigma in Cholera-Endemic African Countries. Trop Med Infect Dis 2024; 9:103. [PMID: 38787036 PMCID: PMC11125774 DOI: 10.3390/tropicalmed9050103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Revised: 03/06/2024] [Accepted: 03/08/2024] [Indexed: 05/25/2024] Open
Abstract
Cholera is highly endemic in many sub-Saharan African countries. The bacterium Vibrio cholerae is responsible for this severe dehydrating diarrheal disease that accounts for over 100,000 deaths each year globally. In recent years, the pathogen has been found to invade intestinal layers and translocate into the bloodstream of humans. The non-toxigenic strains of V. cholerae (non-O1/O139), also known as NOVC, which do not cause epidemic or pandemic cases of cholera, are the major culprits of V. cholerae bacteremia. In non-cholera-endemic regions, clinical reports on NOVC infection have been noted over the past few decades, particularly in Europe and America. Although low-middle-income countries are most susceptible to cholera infections because of challenges with access to clean water and inappropriate sanitation issues, just a few cases of V. cholerae bloodstream infections have been reported. The lack of evidence-based research and surveillance of V. cholerae bacteremia in Africa may have significant clinical implications. This commentary summarizes the existing knowledge on the host risk factors, pathogenesis, and diagnostics of NOVC bacteremia.
Collapse
Affiliation(s)
- Foster K. Agyei
- West African Centre for Cell Biology of Infectious Pathogens, University of Ghana, Accra LG54, Ghana;
- Department of Biological Sciences, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA;
| | - Birgit Scharf
- Department of Biological Sciences, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, USA;
| | - Samuel Duodu
- West African Centre for Cell Biology of Infectious Pathogens, University of Ghana, Accra LG54, Ghana;
- Department of Biochemistry, Cell and Molecular Biology, University of Ghana, Accra LG54, Ghana
| |
Collapse
|
4
|
Sacheli R, Philippe C, Meex C, Mzougui S, Melin P, Hayette MP. Occurrence of Vibrio spp. in Selected Recreational Water Bodies in Belgium during 2021 Bathing Season. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6932. [PMID: 37887670 PMCID: PMC10606296 DOI: 10.3390/ijerph20206932] [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: 08/18/2023] [Revised: 10/11/2023] [Accepted: 10/12/2023] [Indexed: 10/28/2023]
Abstract
In recent years, a global increase in the number of reports of human vibriosis involving V. cholerae non-O1/O139 (NOVC) and other Vibrio spp. has been observed. In this context, the Belgian National Reference Center for Vibrio conducted an assessment of the presence of Vibrio spp. in recreational waters. Water sampling was performed monthly in different lakes in Wallonia and Flanders, including the North Sea. The collected water was then filtrated and cultured, and Vibrio spp. was quantified according to the Most Probable Number (MPN). Presumptive colonies were confirmed via MALDI-TOF, and PCR for virulence genes was applied if justified. No Vibrio spp. was found in the analyzed water bodies in Wallonia. However, NOVC was isolated from three different lakes in Flanders and from coastal water. In addition, V. alginolyticus and V. parahaemolyticus were also detected in coastal water. No clear impact of the pH and temperature was observed on Vibrio spp. occurrence. Our study demonstrates the presence of Vibrio spp. in different bathing water bodies, mostly in the north of Belgium, and supports the recommendation to include Vibrio spp. as a water quality indicator for bathing water quality assessment to ensure the safety of water recreational users in Belgium.
Collapse
Affiliation(s)
- Rosalie Sacheli
- Department of Clinical Microbiology, Belgian National Reference Center Vibrio cholerae and Vibrio parahaemolyticus, Center for Interdisciplinary Research on Medicines (CIRM), University Hospital of Liege, 4000 Liège, Belgium; (C.P.); (C.M.); (S.M.); (P.M.); (M.-P.H.)
| | | | | | | | | | | |
Collapse
|
5
|
Rodríguez JY, Duarte C, Rodríguez GJ, Montaño LA, Benítez-Peñuela MA, Díaz P, López O, Álvarez-Moreno CA. Bacteremia by non-O1/non-O139 Vibrio cholerae: Case description and literature review. BIOMEDICA : REVISTA DEL INSTITUTO NACIONAL DE SALUD 2023; 43:323-329. [PMID: 37871571 PMCID: PMC10615443 DOI: 10.7705/biomedica.6716] [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: 09/04/2022] [Accepted: 08/29/2023] [Indexed: 10/25/2023]
Abstract
Bacteremia by non-O1/non-O139 Vibrio cholerae is a rare entity associated with high mortality rates. We report a case of non-O1/non-O139 V. cholerae bacteremia confirmed by polymerase chain reaction and agglutination tests. The clinicoepidemiological characteristics and therapeutic options for this infection are also described.
Collapse
Affiliation(s)
- José Y Rodríguez
- Grupo de Infectología, Centro de Investigaciones Microbiológicas del Cesar, Valledupar, Colombia; Departamento de Medicina Interna, Facultad de Medicina, Universidad Cooperativa de Colombia, Santa Marta, Colombia; Grupo de Microbiología, Clínica Alta Complejidad del Caribe, Valledupar, Colombia.
| | - Carolina Duarte
- Grupo de Microbiología, Instituto Nacional de Salud, Bogotá, D.C., Colombia.
| | - Gerson J Rodríguez
- Grupo de Infectología, Centro de Investigaciones Microbiológicas del Cesar, Valledupar, Colombia.
| | | | - Miguel A Benítez-Peñuela
- Grupo de Infectología, Centro de Investigaciones Microbiológicas del Cesar, Valledupar, Colombia.
| | - Paula Díaz
- Grupo de Microbiología, Instituto Nacional de Salud, Bogotá, D.C., Colombia.
| | - Olga López
- Grupo de Microbiología, Clínica Alta Complejidad del Caribe, Valledupar, Colombia.
| | - Carlos A Álvarez-Moreno
- Programa de Infectología, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá,D.C., Colombia; Grupo de Infectología, Clínica Universitaria Colombia, Clínica Colsanitas, Bogotá, D.C., Colombia.
| |
Collapse
|
6
|
Stolaj E, Belfiori B, Mercuri A, Papili R, Rosignoli D, Albagini M, Genga G, Tommasi A, Veramonti D, Pallotto C, Francisci D. Acute gastroenteritis due to Vibrio cholerae biovar albensis infection: A case report. IDCases 2023; 33:e01878. [PMID: 37680213 PMCID: PMC10480522 DOI: 10.1016/j.idcr.2023.e01878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 08/16/2023] [Accepted: 08/17/2023] [Indexed: 09/09/2023] Open
Abstract
Vibrio cholerae represents diverse species and includes pathogenic and non-pathogenic variants. Particularly serogroups O1 and O139 are related to cholera epidemics, while non-O1/O139 serogroups (NOVC) in general are non-pathogenic or asymptomatic colonizers in humans, but also can cause different diseases. Vibrio albensis, a non-O1/non-O-139 serogroup, is rarely implicated in human infections. Only a few cases of human pathology related to this species are described in the literature. We present the menagement of V. albensis gastroenteritis in a a 47-year-old woman and discuss clinical presentation, diagnosis and treatement.
Collapse
Affiliation(s)
- Elisa Stolaj
- Infectious Diseases Clinic, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
| | - Barbara Belfiori
- Infectious Diseases Clinic, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
| | - Alessandra Mercuri
- Infectious Diseases Clinic, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
| | - Rita Papili
- Infectious Diseases Clinic, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
| | - Daniele Rosignoli
- Infectious Diseases Clinic, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
| | - Margherita Albagini
- Infectious Diseases Clinic, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
| | - Giovanni Genga
- Infectious Diseases Clinic, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
| | - Andrea Tommasi
- Infectious Diseases Clinic, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
| | - Dante Veramonti
- Infectious Diseases Clinic, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
| | - Carlo Pallotto
- Infectious Diseases Clinic, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
| | - Daniela Francisci
- Infectious Diseases Clinic, Department of Medicine and Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
| |
Collapse
|
7
|
He T, Tu B, Jiang J, Mao X, Zhen Q, Jiang X, Wang F, Wang M, Wang Y, Sun H. Death in a farmer with underlying diseases carrying Vibrio cholerae non-O1/non-O139 producing Zonula occludens toxin. Int J Infect Dis 2022; 120:83-87. [DOI: 10.1016/j.ijid.2022.04.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 04/07/2022] [Accepted: 04/08/2022] [Indexed: 10/18/2022] Open
|
8
|
Ahmed AO, Ali GA, Hassen SS, Goravey W. Vibrio albensis bacteremia: A case report and systematic review. IDCases 2022; 29:e01551. [PMID: 35845827 PMCID: PMC9283503 DOI: 10.1016/j.idcr.2022.e01551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 06/23/2022] [Indexed: 10/27/2022] Open
|
9
|
Wu M, Zhou L, Cao L. Acute hemorrhagic necrotizing enterocolitis caused by non-O1/non-O139 Vibrio cholerae infection: A case report. Medicine (Baltimore) 2021; 100:e26460. [PMID: 34160447 PMCID: PMC8238361 DOI: 10.1097/md.0000000000026460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Accepted: 06/07/2021] [Indexed: 01/04/2023] Open
Abstract
RATIONALE Acute hemorrhagic necrotizing enterocolitis (AHNE) is a rapidly progressive and extremely dangerous disease. Here we report a rare case caused by Vibrio cholerae (V cholerae). PATIENT CONCERNS A 70-year-old man was admitted to our emergency department because of a sudden loss of consciousness. DIAGNOSES On admission with severe toxic shock, the patient presented with elevated body temperature, decreased blood pressure, abdominal tenderness and rebound pain, predominantly on the right side. Computed tomography showed swelling and thickening of the right colon and peritoneal effusion. Necrosis was found in the hepatic flexure of the colon. On the basis of these results, the patient was diagnosed with AHNE. INTERVENTIONS AND OUTCOMES After fluid resuscitation, an exploratory laparotomy was performed immediately. The procedure was successful. Despite antibiotic therapy, the patient's clinical condition progressively deteriorated and he died of multi-organ failure on day 3 after admission. LESSONS AHNE is a rapidly progressive and extremely dangerous disease. Here we report a case of AHNE caused by non-O1/non-O139 V cholerae infection. The clinical features, phenotypic analyses and the presence of a panel of known virulence genes in the isolated strain are described. To the best of our knowledge, this is the first report of V cholerae causing severe AHNE, which is of profound pedagogical significance.
Collapse
|
10
|
Zhang X, Lu Y, Qian H, Liu G, Mei Y, Jin F, Xia W, Ni F. Non-O1, Non-O139 Vibrio cholerae (NOVC) Bacteremia: Case Report and Literature Review, 2015-2019. Infect Drug Resist 2020; 13:1009-1016. [PMID: 32308442 PMCID: PMC7156264 DOI: 10.2147/idr.s245806] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Accepted: 03/22/2020] [Indexed: 12/22/2022] Open
Abstract
Non-O1, non-O139 Vibrio cholerae (NOVC) does not agglutinate with O1 and O139 antisera and can cause intestinal and extraintestinal infections in immunocompromised individuals. NOVC bacteremia has the highest mortality among NOVC infections, and the number of reports has increased in recent years. Nevertheless, some clinicians are poorly informed about this disease. Herein, we describe a documented case of NOVC bacteremia in a male patient with impaired liver function. Blood cultures revealed the presence of V. cholerae, but this strain showed self-coagulation on the serum agglutination test. To our knowledge, this phenomenon is unreported among cases of NOVC infections. This pathogen was finally confirmed as NOVC via PCR. Because the patient worked as a garbage transporter, he was likely infected after contact with contaminated water through a foot wound. The patient developed septic shock shortly after admission and ultimately died from the illness. This paper reviews 23 cases of NOVC bacteremia from 2015 to 2019. To improve the accuracy of identifying NOVC and analyze its virulence factors, relevant detection methods were reviewed and analyzed.
Collapse
Affiliation(s)
- Xiaohui Zhang
- Department of Laboratory Medicine, Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, People's Republic of China.,National Key Clinical Department of Laboratory Medicine, Nanjing, People's Republic of China
| | - Yanfei Lu
- Department of Laboratory Medicine, Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, People's Republic of China.,National Key Clinical Department of Laboratory Medicine, Nanjing, People's Republic of China
| | - Huimin Qian
- Key Laboratory of Enteric Pathogenic Microbiology of Ministry of Health, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, People's Republic of China
| | - Genyan Liu
- Department of Laboratory Medicine, Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, People's Republic of China.,National Key Clinical Department of Laboratory Medicine, Nanjing, People's Republic of China
| | - Yaning Mei
- Department of Laboratory Medicine, Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, People's Republic of China.,National Key Clinical Department of Laboratory Medicine, Nanjing, People's Republic of China
| | - Fei Jin
- Department of Laboratory Medicine, Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, People's Republic of China.,National Key Clinical Department of Laboratory Medicine, Nanjing, People's Republic of China
| | - Wenying Xia
- Department of Laboratory Medicine, Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, People's Republic of China.,National Key Clinical Department of Laboratory Medicine, Nanjing, People's Republic of China
| | - Fang Ni
- Department of Laboratory Medicine, Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Nanjing, People's Republic of China.,National Key Clinical Department of Laboratory Medicine, Nanjing, People's Republic of China
| |
Collapse
|
11
|
Yahiro K, Ogura K, Terasaki Y, Satoh M, Miyagi S, Terasaki M, Yamasaki E, Moss J. Cholix toxin, an eukaryotic elongation factor 2 ADP-ribosyltransferase, interacts with Prohibitins and induces apoptosis with mitochondrial dysfunction in human hepatocytes. Cell Microbiol 2019; 21:e13033. [PMID: 31009148 PMCID: PMC9986844 DOI: 10.1111/cmi.13033] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2018] [Accepted: 04/16/2019] [Indexed: 12/12/2022]
Abstract
Vibrio cholerae produced-Cholix toxin (Cholix) is a cytotoxin that ADP-ribosylates eukaryotic elongation factor 2, inhibiting protein synthesis, and inducing apoptosis. Here, we identified prohibitin (PHB) 1 and 2 as novel Cholix-interacting membrane proteins in immortalised human hepatocytes and HepG2 cells by Cholix immunoprecipitation assays. The expression level of PHB1 was decreased by Cholix after a 12hr incubation. Cholix-induced poly (ADP-ribose) polymerase (PARP) cleavage was significantly enhanced in PHB (PHB1 or PHB2) knockdown cells. In contrast, transiently overexpressed PHB in hepatocytes attenuated Cholix-induced Bax/Bak conformational changes and PARP cleavage. In addition, Cholix-induced reactive oxygen species production and accumulation of fragmented mitochondria were enhanced in PHB-knockdown cells. Furthermore, Cholix induced activation of Rho-associated coiled coil-containing protein kinase 1 (ROCK1), which was enhanced in PHB-knockdown cells, followed by actin filament depolymerisation and accumulation of tubulin in the blebbing cells. Inhibition of ROCK1 by siRNA or its inhibitor suppressed Cholix-induced PARP cleavage and reactive oxygen species generation. Our findings identify PHB as a new protein that interacts with Cholix and is involved in Cholix-induced mitochondrial dysfunction and cytoskeletal rearrangement by ROCK1 activation during apoptosis.
Collapse
Affiliation(s)
- Kinnosuke Yahiro
- Department of Molecular Infectiology, Graduate School of Medicine, Chiba University, Chiba, Japan
| | - Kohei Ogura
- Advanced Health Care Science Research Unit, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Japan
| | - Yasuhiro Terasaki
- Department of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan
| | - Mamoru Satoh
- Division of Clinical Mass Spectrometry, Chiba University Hospital, Chiba, Japan
| | - Satoru Miyagi
- Department of Life Science, Faculty of Medicine, Shimane University, Izumo, Japan
| | - Mika Terasaki
- Department of Analytic Human Pathology, Nippon Medical School, Tokyo, Japan
| | - Eiki Yamasaki
- Diagnostic Center for Animal Health and Food Safety, Obihiro University of Agriculture and Veterinary Medicine, Hokkaido, Japan
| | - Joel Moss
- Pulmonary Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA
| |
Collapse
|
12
|
Non-O1, non-O139 Vibrio cholerae bacteremia in an urban academic medical center in the United States. IDCases 2019; 15:e00527. [PMID: 30989053 PMCID: PMC6447745 DOI: 10.1016/j.idcr.2019.e00527] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Revised: 03/19/2019] [Accepted: 03/19/2019] [Indexed: 11/22/2022] Open
Abstract
Non-O1, non-O139 Vibrio cholerae (NOVC) are genetically diverse strains that are generally non-pathogenic in healthy hosts. In immunocompromised patients or those with liver disease, NOVC have been shown to cause gastroenteritis, wound infections or sepsis and are often associated with high mortality rates. We report a case of a patient with liver cirrhosis and chronic venous insufficiency who was found to have NOVC bacteremia. The patient had recently visited Florida, USA but had no seafood consumption or exposure to aquatic environments. The patient was managed with antimicrobials, with a favorable outcome.
Collapse
|
13
|
De Keukeleire S, Hoste P, Crivits M, Hammami N, Piette A. Atypical manifestation of Vibrio cholerae: fear the water! Acta Clin Belg 2018; 73:462-464. [PMID: 29916306 DOI: 10.1080/17843286.2018.1483563] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
BACKGROUND In recent years, there has been an universal increase in number of reports of infections involving non-O1, non-O139 V. cholerae (NOVC). NOVC infection is only rarely complicated by septicaemia or invasive extra-intestinal infection. CASE SUMMARY We report the first documented case of NOVC bacteraemia in a Belgian immunocompetent male after ingestion of water when paddling in a creek. CONCLUSION Clinicians should include V. cholerae in their differential diagnosis in patients presenting with a self-limiting gastroenteritis after ingestion of raw and undercooked seafood or bathing in potentially contaminated recreational waters during warm summers.
Collapse
Affiliation(s)
| | - Paul Hoste
- Department of Gastro Enterology, AZ Alma, Eeklo, Belgium
| | - Mies Crivits
- Department of Intensive Care, AZ Alma, Eeklo, Belgium
| | - Naïma Hammami
- Public Health and Surveillance Department, Zorg en Gezondheid Vlaanderen, Ghent, Belgium
| | - Anne Piette
- Department of Laboratory Medicine, AZ Alma, Eeklo, Belgium
| |
Collapse
|
14
|
Jiang F, Bi R, Deng L, Kang H, Gu B, Ma P. Virulence-associated genes and molecular characteristics of non-O1/non-O139 Vibrio cholerae isolated from hepatitis B cirrhosis patients in China. Int J Infect Dis 2018; 74:117-122. [PMID: 29969728 DOI: 10.1016/j.ijid.2018.06.021] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Revised: 06/24/2018] [Accepted: 06/26/2018] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVES We aimed to report virulence-associated genes and molecular characteristics of non-O1/non-O139 Vibrio cholerae isolated from hepatitis B cirrhosis patients in China. METHODS Patient clinical data including course of disease, laboratory tests, antibiotic treatment and outcomes were collected. Antimicrobial susceptibility testing was performed and virulence-associated genes were detected by PCR. Genetic relatedness among non-O1/non-O139 V. cholerae strains was investigated by pulsed field gel electrophoresis (PFGE) and multilocus sequence typing (MLST). RESULTS All three strains in this study harbored pathogenicity related genes like rtxA, rtxC, toxR, hapA, hlyA and ompW whereas they lacked ctxA, ctxB, tcpA, ompU and zot genes. None of them showed resistance to any antibiotic detected. A new allele of gyrB was submitted to the MLST database and designated as 97. Two novel sequence types (ST518 and ST519) and ST271 were identified by multilocus sequence typing (MLST). PFGE indicated considerable diversity among three non-O1/non-O139 V. cholerae strains. CONCLUSIONS Three sporadic cases highlight that non-O1/non-O139 V. cholerae can cause opportunistic invasiveness infection in cirrhosis patients. Pathogenicity may be related to virulence-associated genes. Timely detection and antibiotic therapy should be paid more attention to in clinic.
Collapse
Affiliation(s)
- Fei Jiang
- Department of Laboratory Medicine, The Affiliated Hospital of Xuzhou Medical University, No. 99 West Huaihai Road, Xuzhou, 221002, China
| | - RuRu Bi
- Medical Technology Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, 221004, China
| | - LiHua Deng
- Department of Laboratory Medicine, The Affiliated Hospital of Xuzhou Medical University, No. 99 West Huaihai Road, Xuzhou, 221002, China
| | - HaiQuan Kang
- Department of Laboratory Medicine, The Affiliated Hospital of Xuzhou Medical University, No. 99 West Huaihai Road, Xuzhou, 221002, China
| | - Bing Gu
- Department of Laboratory Medicine, The Affiliated Hospital of Xuzhou Medical University, No. 99 West Huaihai Road, Xuzhou, 221002, China; Medical Technology Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, 221004, China.
| | - Ping Ma
- Department of Laboratory Medicine, The Affiliated Hospital of Xuzhou Medical University, No. 99 West Huaihai Road, Xuzhou, 221002, China; Medical Technology Institute, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, 221004, China.
| |
Collapse
|
15
|
Fernández-Ruiz M, Carretero O, Orellana MÁ. Bacteraemia due to non-toxigenic Vibrio cholerae: The risks of eating seafood in a cirrhotic patient. GASTROENTEROLOGIA Y HEPATOLOGIA 2017; 40:358-360. [PMID: 27242157 DOI: 10.1016/j.gastrohep.2016.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2016] [Revised: 04/21/2016] [Accepted: 04/21/2016] [Indexed: 06/05/2023]
Affiliation(s)
- Mario Fernández-Ruiz
- Unidad de Enfermedades Infecciosas, Hospital Universitario 12 de Octubre, Instituto de Investigación Hospital 12 de Octubre (i+12), Madrid, España.
| | - Octavio Carretero
- Servicio de Microbiología, Hospital Universitario 12 de Octubre, Instituto de Investigación Hospital 12 de Octubre (i+12), Madrid, España
| | - María Ángeles Orellana
- Servicio de Microbiología, Hospital Universitario 12 de Octubre, Instituto de Investigación Hospital 12 de Octubre (i+12), Madrid, España
| |
Collapse
|
16
|
Kaki R, El-Hossary D, Jiman-Fatani A, Al-Ghamdi R. Non-O1/non-O139 Vibrio cholerae septicaemia in a Saudi man: a case report. JMM Case Rep 2017; 4:e005077. [PMID: 28348803 PMCID: PMC5361633 DOI: 10.1099/jmmcr.0.005077] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Accepted: 12/12/2016] [Indexed: 01/19/2023] Open
Abstract
Background. The non-O1/non-O139 serogroups of Vibrio cholerae occur in diverse natural niches, and usually cause mild and self-limiting gastrointestinal illness. However, they have well-documented potential to cause invasive and extra-intestinal infections among immunocompromised patients. Furthermore, their ability to grow in low-salinity surface water, and the existence of asymptomatic human carriers, suggest novel acquisition routes for this unusual infection, even in people without obvious risk factors. Case presentation. A 62-year-old man presented with epigastric pain, vomiting and fever. The patient had a history of diabetes and cholecystectomy, although our initial examination did not reveal any significant findings that might indicate V. cholerae infection. However, blood cultures subsequently revealed the presence of V. cholerae, which was positively identified using both conventional and modern non-conventional technologies. The identity of the V. cholerae isolate was confirmed using Vitek MS (matrix–assisted laser desorption ionization-time of flight MS) and the FilmArray system, in addition to its initial identification using the Vitek 2 system. The septicaemia was successfully treated using a 14 day course of ciprofloxacin. Conclusion. The present case highlights the need to remain highly suspicious of non-O1/non-O139 V. cholerae infections in patients with known risk factors, as well as in healthy individuals with epidemiological exposure and compatible clinical symptoms. Special care should be taken to avoid false-positive results from confirmatory laboratory tests, as the organism can grow in fresh water, and the results should be verified using multiple methods.
Collapse
Affiliation(s)
- Reham Kaki
- Department of Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia; Department of Infection Control and Environmental Health, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
| | - Dalia El-Hossary
- Clinical and Molecular Microbiology Laboratory, King Abdulaziz University Hospital, Jeddah, Saudi Arabia; Department of Medical Microbiology and Immunology, Faculty of Medicine, Zagazig University, Zagazig, Egypt
| | - Asif Jiman-Fatani
- Clinical and Molecular Microbiology Laboratory, King Abdulaziz University Hospital, Jeddah, Saudi Arabia; Department of Medical Microbiology and Parasitology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Rahaf Al-Ghamdi
- Department of Medicine, Faculty of Medicine, King Abdulaziz University , Jeddah , Saudi Arabia
| |
Collapse
|
17
|
Ran BC, Liu JB, Hu RJ, Hu XC. Non-O1/non-O139 Vibrio cholerae septicemia in patients with liver cirrhosis and ascites. Shijie Huaren Xiaohua Zazhi 2017; 25:420-425. [DOI: 10.11569/wcjd.v25.i5.420] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM To conduct laboratory identification and drug sensitivity testing of suspected Vibrio cholerae isolated from a patient with liver cirrhosis and ascites.
METHODS By reviewing the patient's clinical symptoms, primary disease, laboratory results, treatment, and prognosis, the bacteria were identified using the Vitek 2 Compact automatic microbial analysis system, manual micro-tube biochemical reaction, and polymerase chain reaction. Drug susceptibility was determined by the K-B paper method, and serum virulence was determined by the slide agglutination method.
RESULTS After a series of tests, the bacteria were identified as Vibrio cholerae non-O1 non-O139. Drug sensitivity testing showed that the bacteria were sensitive to many antibiotics such as ampicillin, piperacillin, ceftazidime, cefoperazone, shubatan, ceftriaxone, cefepime, imipenem, amikacin, aztreonam,levofloxacin, gatifloxacin, and compound sulfamethoxazole.
CONCLUSION The bacteria isolated from the patient with liver cirrhosis and ascites were identified as non-O1 non-O139 Vibrio cholerae, which does not produce cholera toxin and is sensitive to common antibiotics.
Collapse
|
18
|
Chowdhury G, Joshi S, Bhattacharya S, Sekar U, Birajdar B, Bhattacharyya A, Shinoda S, Ramamurthy T. Extraintestinal Infections Caused by Non-toxigenic Vibrio cholerae non-O1/non-O139. Front Microbiol 2016; 7:144. [PMID: 26904017 PMCID: PMC4749697 DOI: 10.3389/fmicb.2016.00144] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Accepted: 01/25/2016] [Indexed: 12/03/2022] Open
Abstract
Vibrio cholerae is an aerobic, sucrose fermentative Gram-negative bacterium that generally prevails in the environment. Pathogenic V. cholerae is well-known as causative agent of acute diarrhea. Apart from enteric infections, V. cholerae may also cause other diseases. However, their role in causing extraintestinal infections is not fully known as it needs proper identification and evaluation. Four cases of extraintestinal infections due to V. cholerae non-O1/non-O139 have been investigated. The isolates were screened for phenotypic and genetic characteristics with reference to their major virulence genes. Serologically distinct isolates harbored rtx, msh, and hly but lacked enteric toxin encoding genes that are generally present in toxigenic V. cholerae. Timely detection of this organism can prevent fatalities in hospital settings. The underlying virulence potential of V. cholerae needs appropriate testing and intervention.
Collapse
Affiliation(s)
- Goutam Chowdhury
- Department of Bacteriology, National Institute of Cholera and Enteric Diseases Kolkata, India
| | | | | | - Uma Sekar
- Sri Ramachandra Medical Centre Chennai, India
| | | | | | - Sumio Shinoda
- Collaborative Research Centre of Okayama University for Infectious Diseases in India, National Institute of Cholera and Enteric Diseases Kolkata, India
| | - Thandavarayan Ramamurthy
- Translational Health Science and Technology Institute, NCR Biotech Science Cluster Faridabad, India
| |
Collapse
|
19
|
Deshayes S, Daurel C, Cattoir V, Parienti JJ, Quilici ML, de La Blanchardière A. Non-O1, non-O139 Vibrio cholerae bacteraemia: case report and literature review. SPRINGERPLUS 2015; 4:575. [PMID: 26543710 PMCID: PMC4627963 DOI: 10.1186/s40064-015-1346-3] [Citation(s) in RCA: 72] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/10/2015] [Accepted: 09/16/2015] [Indexed: 01/12/2023]
Abstract
Non-O1, non-O139 Vibrio cholerae (NOVC) are increasingly frequently observed ubiquitous microorganisms occasionally responsible for intestinal and extra-intestinal infections. Most cases involve self-limiting gastroenteritis or ear and wound infections in immunocompetent patients. Bacteraemia, which have been described in patients with predisposing factors, are rare and poorly known, both on the clinical and therapeutic aspects. We describe a case of NOVC bacteraemia and a systematic literature review in PubMed conducted up to November 2014 using a combination of the following search terms: “Vibrio cholerae non-O1” and “bacter(a)emia”. The case was a 70 year-old healthy male subject returning from Senegal and suffering from NOVC bacteraemia associated with liver abscesses. Disease evolution was favourable after 2 months’ therapy (ceftriaxone then ciprofloxacin). Three hundred and fifty cases of NOVC bacteraemia have been identified in the literature. The majority of patients were male (77 %), with a median age of 56 years and presenting with predisposing conditions (96 %), such as cirrhosis (55 %) or malignant disease (20 %). Diarrhoea was inconstant (42 %). Mortality was 33 %. The source of infection, identified in only 25 % of cases, was seafood consumption (54 %) or contaminated water (30 %). Practitioners should be aware of these infections, in order to warn patients with predisposing conditions, on the risk of ingesting raw or undercooked seafood or bathing in potentially infected waters.
Collapse
Affiliation(s)
- S Deshayes
- Service des Maladies Infectieuses et Tropicales, CHU Côte de Nacre, avenue Côte de Nacre, 14033 Caen Cedex 9, France
| | - C Daurel
- Service de Microbiologie, CHU Côte de Nacre, avenue Côte de Nacre, 14033 Caen Cedex 9, France
| | - V Cattoir
- Service de Microbiologie, CHU Côte de Nacre, avenue Côte de Nacre, 14033 Caen Cedex 9, France
| | - J-J Parienti
- Service des Maladies Infectieuses et Tropicales, CHU Côte de Nacre, avenue Côte de Nacre, 14033 Caen Cedex 9, France ; Unité de Biostatistiques, CHU Côte de Nacre, avenue Côte de Nacre, 14033 Caen Cedex 9, France
| | - M-L Quilici
- Centre National de Référence des Vibrions et du Choléra, Institut Pasteur, 28 rue du Docteur Roux, 75724 Paris Cedex 15, France
| | - A de La Blanchardière
- Service des Maladies Infectieuses et Tropicales, CHU Côte de Nacre, avenue Côte de Nacre, 14033 Caen Cedex 9, France
| |
Collapse
|