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Jin X, Gou Y, Xin Y, Li J, Sun J, Li T, Feng J. Advancements in understanding the molecular and immune mechanisms of Bartonella pathogenicity. Front Microbiol 2023; 14:1196700. [PMID: 37362930 PMCID: PMC10288214 DOI: 10.3389/fmicb.2023.1196700] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 05/23/2023] [Indexed: 06/28/2023] Open
Abstract
Bartonellae are considered to be emerging opportunistic pathogens. The bacteria are transmitted by blood-sucking arthropods, and their hosts are a wide range of mammals including humans. After a protective barrier breach in mammals, Bartonella colonizes endothelial cells (ECs), enters the bloodstream, and infects erythrocytes. Current research primarily focuses on investigating the interaction between Bartonella and ECs and erythrocytes, with recent attention also paid to immune-related aspects. Various molecules related to Bartonella's pathogenicity have been identified. The present review aims to provide a comprehensive overview of the newly described molecular and immune responses associated with Bartonella's pathogenicity.
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Affiliation(s)
- Xiaoxia Jin
- Gansu Provincial Key Laboratory of Evidence Based Medicine and Clinical Translation and Lanzhou Center for Tuberculosis Research, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China
| | - Yuze Gou
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, School of Basic Medical Sciences, Lanzhou, China
| | - Yuxian Xin
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, School of Basic Medical Sciences, Lanzhou, China
| | - Jingwei Li
- Gansu Provincial Key Laboratory of Evidence Based Medicine and Clinical Translation and Lanzhou Center for Tuberculosis Research, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China
| | - Jingrong Sun
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, School of Basic Medical Sciences, Lanzhou, China
| | - Tingting Li
- Gansu Provincial Key Laboratory of Evidence Based Medicine and Clinical Translation and Lanzhou Center for Tuberculosis Research, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China
| | - Jie Feng
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, School of Basic Medical Sciences, Lanzhou, China
- State Key Laboratory of Veterinary Etiological Biology, College of Veterinary Medicine, Lanzhou University, Lanzhou, China
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2
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Mullins K, Canal E, Ouch P, Prasetyo D, Tagoe J, Attram N, Yeboah C, Kumordjie S, Fox A, Letizia AG, Rachlin A, Nguyen HM, Robinson MT, Vongsouvath M, Davong V, Maxay M, Simons MP, Caranci A, Newton PN, Richards AL, Farris CM. Bartonella Species in Cambodia, Ghana, Laos, and Peru: Results from Vector and Serosurveys. Vector Borne Zoonotic Dis 2023; 23:9-17. [PMID: 36633562 PMCID: PMC7614129 DOI: 10.1089/vbz.2021.0090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Background: Bartonella species are fastidious gram-negative vector-borne bacteria with a wide range of mammalian reservoirs. While it is understood that some species of Bartonella are human pathogens, the extent of human exposure to Bartonella species (both pathogenic and nonpathogenic) is yet to be fully understood. Materials and Methods: To this end, residual sera from participants enrolled in undifferentiated fever studies in Cambodia, Ghana, Laos, and Peru were screened for the presence of IgG antibodies against Bartonella quintana and Bartonella henselae, using the FOCUS diagnostics Dual Spot- Bartonella IgG Immunofluorescence assay. Forty-eight patients with suspected or confirmed Bartonella bacilliformis exposure or infection in Peru were screened to assess cross-reactivity of the FOCUS assay for IgG against other Bartonella species. Results: Ten of 13 patients with confirmed B. bacilliformis infection were Bartonella-specific IgG positive, and overall, 36/48 of the samples were positive. In addition, 79/206, 44/200, 101/180, and 57/100 of the samples from Peru, Laos, Cambodia, and Ghana, respectively, were Bartonella-specific IgG positive. Furthermore, ectoparasite pools from Cambodia, Laos, and Peru were tested using quantitative real-time PCR (qPCR) for the presence of Bartonella DNA. Of the sand fly pools collected in Peru, 0/196 were qPCR positive; 15/140 flea pools collected in Cambodia were qPCR positive; while 0/105 ticks, 0/22 fleas, and 0/3 louse pools collected in Laos tested positive for Bartonella DNA. Conclusion: Evidence of Bartonella in fleas from Cambodia supports the possibility that humans are exposed to Bartonella through this traditional vector. However, Bartonella species were not found in fleas, ticks, or lice from Laos, or sand flies from Peru. This could account for the lower positive serology among the population in Laos and the strictly localized nature of B. bacilliformis infections in Peru. Human exposure to the Bartonella species and Bartonella as a human pathogen warrants further investigation.
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Affiliation(s)
- Kristin Mullins
- University of Maryland School of Medicine, Baltimore, Maryland, USA
- Naval Medical Research Center, Silver Spring, Maryland, USA
| | | | - Pidor Ouch
- Naval Medical Research Unit-2, Phnom Penh, Cambodia
| | | | - Janice Tagoe
- Naval Medical Research Unit-3 Ghana Detachment, Accra, Ghana
| | - Naiki Attram
- Naval Medical Research Unit-3 Ghana Detachment, Accra, Ghana
| | - Clara Yeboah
- Naval Medical Research Unit-3 Ghana Detachment, Accra, Ghana
| | | | - Anne Fox
- Naval Medical Research Unit-3 Ghana Detachment, Accra, Ghana
| | | | - Audrey Rachlin
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
| | - Hung Manh Nguyen
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
| | - Matthew T Robinson
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
- Center for Tropical Medicine & Global Health, Nuffield Department of Medicine, Oxford University, Oxford, United Kingdom
| | - Manivanh Vongsouvath
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
- Microbiology Laboratory, Mahosot Hospital, Qua Fa Ngum, Vientiane, Lao PDR
| | - Viengmon Davong
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
- Microbiology Laboratory, Mahosot Hospital, Qua Fa Ngum, Vientiane, Lao PDR
| | - Mayfong Maxay
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
- Center for Tropical Medicine & Global Health, Nuffield Department of Medicine, Oxford University, Oxford, United Kingdom
- Institute of Research and Education Development, University of Health Sciences, Ministry of Health, Vientiane, Lao PDR
| | - Mark P Simons
- Naval Medical Research Center, Silver Spring, Maryland, USA
| | - Angela Caranci
- Northwest Mosquito and Vector Control District, Corona, California, USA
| | - Paul N Newton
- Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
- Center for Tropical Medicine & Global Health, Nuffield Department of Medicine, Oxford University, Oxford, United Kingdom
| | - Allen L Richards
- Naval Medical Research Center, Silver Spring, Maryland, USA
- Uniformed Services University, Bethesda, Maryland, USA
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3
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Abstract
Bartonella bacilliformis causes Carrión's disease, an infectious disease present in rural Andean areas of Peru and Ecuador. The disease has an acute and a chronic phase called Oroya fever and Peruvian wart, respectively. Oroya fever is potentially fatal if treated inadequately. Female Lutzomyia verrucarum, a phlebotomine sand fly endemic to South America, is the major vector. B. bacilliformis exhibits high susceptibility levels to a variety of antibacterial agents. B. bacilliformis is difficult to culture. Most endemic areas are remote with fragile health systems and poor communication. Thus, the true burden of the disease is difficult to ascertain.
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Affiliation(s)
- Joaquim Ruiz
- Grupo de Enfermedades Emergentes y Reemergentes, Universidad Científica del Sur, Lima, Peru
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4
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Dichter AA, Schultze TG, Wenigmann A, Ballhorn W, Latz A, Schlüfter E, Ventosilla P, Guerra Allison H, Ugarte-Gil C, Tsukayama P, Kempf VAJ. Identification of immunodominant Bartonella bacilliformis proteins: a combined in-silico and serology approach. THE LANCET MICROBE 2021; 2:e685-e694. [DOI: 10.1016/s2666-5247(21)00184-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 06/30/2021] [Accepted: 07/09/2021] [Indexed: 11/15/2022] Open
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Immunogenic Peptides from Pap31 and SCS-α of Bartonella bacilliformis: One Step Closer to a Rapid Diagnostic Tool for Carrion's Disease. Pathogens 2021; 10:pathogens10080917. [PMID: 34451381 PMCID: PMC8400886 DOI: 10.3390/pathogens10080917] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 07/16/2021] [Accepted: 07/17/2021] [Indexed: 11/17/2022] Open
Abstract
Bartonella bacilliformis is the causal agent of Carrion’s disease, an overlooked illness endemic in the Andean Mountains with Peru being the most affected country. The diagnostic of this illness is a challenge due to the limited resources and the common symptomatology with other infectious diseases. The goal of this study was to identify immunogenic peptides from Pap31 and succinyl-CoA synthetase α (SCS-α) of B. bacilliformis that might be suitable for developing a serologic tool. The immunodominant character of Pap31 and SCS-α was determined by Western blotting and in-silico analysis. Subsequently, 35 peptides were selected for epitope mapping and their immunoreactivity was tested by enzyme-linked immunosorbent assay (ELISA). A total of 30 sera were tested including pre-exposed people with high IgM levels for Pap31/SCS-α (23 sera), patients (2 sera) as well as 5 sera with no reactivity to Pap31/SCS-α. The results indicate that Pap31-8 (187QAIGSAILKGTKDTGT202) and SCS-α-12 (59IFASVAEGKEKTGANA74) are the most immunogenic peptides, with Pap31-8 showing potential to discriminate between B. bacilliformis and the remaining Bartonella spp., and SCS-α-12 differentiating Bartonella spp. from other microorganisms.
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6
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Molecular Characterization of Fluoroquinolone-Resistant Bartonella bacilliformis. Pathogens 2021; 10:pathogens10070876. [PMID: 34358026 PMCID: PMC8308817 DOI: 10.3390/pathogens10070876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 06/28/2021] [Accepted: 07/07/2021] [Indexed: 11/17/2022] Open
Abstract
The presence of amino acid changes in GyrA, GyrB, ParC, ParE, and in a proposed chromosomal chloramphenicol acetyl transferase (CAT), as well as mutations at 23S rRNA, were established by PCR and sequencing in 38 B. bacilliformis clinical isolates from four different areas in Peru. Eighteen out of 24 (75%) isolates showing ciprofloxacin resistance for both disk-diffusion and e-test presented amino acid substitutions in GyrA (G89C, six isolates, A91V, 1 isolate) GyrB (S474F, 10 isolates) or both (GyrA D95N and GyrB S474F, one isolate). Two out of 14 susceptible isolates presented amino acid substitutions at GyrB (S474F) or a double substitution GyrA D95N and GyrB S474F. Of note, ciprofloxacin-resistant isolates were recovered in the four areas studied. No amino acid change was observed at ParC or ParE. Only one isolate showed chloramphenicol resistance, but no alteration was present in either 23S rRNA or CAT. B. bacilliformis resistant to quinolones are extended throughout Peru, with amino acid substitutions at GyrA or GyrB as the main, albeit not exclusive, cause. B. bacilliformis seems to have an apparent facility to develop mutations on GyrB outside the classical positions 91, 95 of GyrA and 85, 88 of ParC.
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7
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Ruiz J, Gomes C. In silico analysis of Pap31 from Bartonella bacilliformis and other Bartonella spp. INFECTION GENETICS AND EVOLUTION 2020; 84:104482. [PMID: 32738366 DOI: 10.1016/j.meegid.2020.104482] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2020] [Revised: 07/18/2020] [Accepted: 07/23/2020] [Indexed: 01/01/2023]
Abstract
Pap31 is an outer membrane protein of Bartonella bacilliformis which is considered to be a potential antigenic candidate for the development of diagnostic tools. The present study aimed to compare Pap31 from B. bacilliformis with that of other Bartonella spp. The results showed the presence of at least 5 different B. bacilliformis Pap31 alleles, with the strain Ver097 being the most divergent (89.7% of identity with the reference strain KC583). The most significant finding was the presence of a variable number (1 to 3) of 6 amino acid tandem repeats (GTEGGG) in the different B. bacilliformis Pap31 alleles, with no similar structure in other established Bartonella spp., except for Bartonella ancashensis, another Bartonella spp. isolated from chronic cases of Carrion's disease. In both B. bacilliformis and B. ancashensis this repetitive region was coincident with the most predicted immunogenic region of the protein. In other microorganisms, the presence of amino acid tandem repeats has been related to the development of poorly functional antibodies. The findings of this study also suggest a utility of Pap31 amino acid tandem repeats as potential contributors to the immune evasion of Carrion's disease-related Bartonella spp. and the establishment of asymptomatic B. bacilliformis / B. ancashensis infections.
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Affiliation(s)
- Joaquim Ruiz
- Laboratorio de Microbiología Molecular y Genómica Bacteriana, Universidad Científica del Sur, Lima, Peru.
| | - Cláudia Gomes
- ISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain
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8
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Ulloa GM, Vásquez-Achaya F, Gomes C, Del Valle LJ, Ruiz J, Pons MJ, Del Valle Mendoza J. Molecular Detection of Bartonella bacilliformis in Lutzomyia maranonensis in Cajamarca, Peru: A New Potential Vector of Carrion's Disease in Peru? Am J Trop Med Hyg 2019; 99:1229-1233. [PMID: 30226144 DOI: 10.4269/ajtmh.18-0520] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Carrion's disease is a neglected, vector-borne illness that affects Colombia, Ecuador, and especially Peru. The phlebotomine sand flies Lutzomyia verrucarum and Lutzomyia peruensis are the main illness vectors described, although other species may be implicated in endemic areas such as some northern Peruvian regions, in which Carrion's disease vector has not been established. The aim of this study was to evaluate the presence of Bartonella bacilliformis DNA in Lutzomyia maranonensis from Cajamarca, northern Peru. This sand fly has not been defined as a vector yet. Centers for Disease Control and Prevention light traps were used to collect adult phlebotomine sand flies from 2007 to 2008 in the Cajamarca department. Female specimens were identified using morphological keys and were grouped into pools of five sand flies, taking into account district and sampling site (intradomicile or peridomicile). DNA was extracted, and then conventional and real-time polymerase chain reaction (RT-PCR) were performed to detect B. bacilliformis and subsequently confirmed by sequencing. A total of 383 specimens of L. maranonensis species were analyzed. Two of 76 pools were positive for B. bacilliformis by sequencing; all positives pools were from Querocotillo district. In addition, Mesorhizobium spp. were identified in two pools of sand flies, which is an α-proteobacteria phylogenetically very close to B. bacilliformis. This study presents molecular evidence that suggests L. maranonensis is naturally infected by B. bacilliformis in the Cajamarca department. Further research should determine if L. maranonensis is a vector and could transmit B. bacilliformis.
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Affiliation(s)
- Gabriela M Ulloa
- Emerge, Emerging Diseases and Climate Change Research Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.,Centro de Investigación e Innovación, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
| | - Fernando Vásquez-Achaya
- Centro de Investigación e Innovación, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
| | - Cláudia Gomes
- ISGlobal, Hospital Clínic-Universitat de Barcelona, Barcelona, Spain
| | - Luis J Del Valle
- Centre de Recerca en Ciència i Enginyeria Multiescala de Barcelona, Departament d'Enginyeria Química, Escuela de Ingeniería de Barcelona Este (EEBE), Universitat Politècnica de Catalunya (UPC) BarcelonaTech, Barcelona, Spain
| | - Joaquim Ruiz
- ISGlobal, Hospital Clínic-Universitat de Barcelona, Barcelona, Spain
| | - Maria J Pons
- Centro de Investigación e Innovación, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru.,Laboratorio de Microbiología y Genómica Bacteriana, Universidad Científica del Sur, Lima, Peru
| | - Juana Del Valle Mendoza
- Centro de Investigación e Innovación, Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
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9
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Ruiz J. Dubious presence of Bartonella bacilliformis in ticks from Madre de Dios, Peru. BMC Res Notes 2019; 12:539. [PMID: 31443674 PMCID: PMC6708141 DOI: 10.1186/s13104-019-4528-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Accepted: 07/30/2019] [Indexed: 11/10/2022] Open
Abstract
Bartonella bacilliformis has recently been described in Amblyomma scalpturatum, Amblyomma ovale and Rhipicephalus microplus collected from wild animals in the Peruvian region of Madre de Dios. In this communication, I will discuss the results of a recent study by del Valle-Mendoza et al. together with the B. bacilliformis epidemiology. Following my argumentation, I consider the presence of this microorganism in the above ticks improbable.
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Affiliation(s)
- Joaquim Ruiz
- Independent Researcher, P.O.Box 16, 08214, Badia del Valles, Spain.
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10
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Garcia-Quintanilla M, Dichter AA, Guerra H, Kempf VAJ. Carrion's disease: more than a neglected disease. Parasit Vectors 2019; 12:141. [PMID: 30909982 PMCID: PMC6434794 DOI: 10.1186/s13071-019-3390-2] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Accepted: 03/07/2019] [Indexed: 01/30/2023] Open
Abstract
Infections with Bartonella bacilliformis result in Carrion's disease in humans. In the first phase of infection, the pathogen causes a hemolytic fever ("Oroya fever") with case-fatality rates as high as ~90% in untreated patients, followed by a chronical phase resulting in angiogenic skin lesions ("verruga peruana"). Bartonella bacilliformis is endemic to South American Andean valleys and is transmitted via sand flies (Lutzomyia spp.). Humans are the only known reservoir for this old disease and therefore no animal infection model is available. In the present review, we provide the current knowledge on B. bacilliformis and its pathogenicity factors, vectors, possible unknown reservoirs, established and potential infection models and immunological aspects of the disease.
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Affiliation(s)
- Meritxell Garcia-Quintanilla
- University Hospital, Goethe-University, Institute for Medical Microbiology and Infection Control, Frankfurt am Main, Germany
| | - Alexander A Dichter
- University Hospital, Goethe-University, Institute for Medical Microbiology and Infection Control, Frankfurt am Main, Germany
| | - Humberto Guerra
- Universidad Peruana Cayetano Heredia and the Instituto de Medicina Tropical Alexander von Humboldt, Lima, Peru
| | - Volkhard A J Kempf
- University Hospital, Goethe-University, Institute for Medical Microbiology and Infection Control, Frankfurt am Main, Germany.
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11
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Shi Y, Yue T, Zhang Y, Wei J, Yuan Y. Surface Immunoproteomics Reveals Potential Biomarkers in Alicyclobacillus acidoterrestris. Front Microbiol 2018; 9:3032. [PMID: 30564227 PMCID: PMC6288362 DOI: 10.3389/fmicb.2018.03032] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Accepted: 11/23/2018] [Indexed: 11/21/2022] Open
Abstract
Alicyclobacillus acidoterrestris is a major putrefying bacterium that can cause pecuniary losses in the global juice industry. Current detection approaches are time-consuming and exhibit reduced specificity and sensitivity. In this study, an immunoproteomic approach was utilized to identify specific biomarkers from A. acidoterrestris for the development of new detection methods. Cell surface-associated proteins were extracted and separated by 2-D (two-dimensional) gel electrophoresis. Immunogenic proteins were detected by Western blot analysis using antisera against A. acidoterrestris. Twenty-two protein spots exhibiting immunogenicity were excised and eighteen of the associated spots were successfully identified by matrix-assisted laser desorption/ionization time-of-flight tandem mass spectrometry (MALDI-TOF/TOF MS). These proteins were observed to be involved in energy and carbohydrate metabolism, transmembrane transport, response to oxidative stress, polypeptide biosynthesis, and molecule binding activity. This is the first report detailing the identification of cell surface-associated antigens of A. acidoterrestris. The identified immunogenic proteins could serve as potential targets for the development of novel detection methods.
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Affiliation(s)
- Yiheng Shi
- College of Food Science and Engineering, Northwest A&F University, Yangling, China.,Laboratory of Quality and Safety Risk Assessment for Agro-Products, Ministry of Agriculture, Yangling, China.,National Engineering Research Center of Agriculture Integration Test, Yangling, China
| | - Tianli Yue
- College of Food Science and Engineering, Northwest A&F University, Yangling, China.,Laboratory of Quality and Safety Risk Assessment for Agro-Products, Ministry of Agriculture, Yangling, China.,National Engineering Research Center of Agriculture Integration Test, Yangling, China
| | - Yipei Zhang
- College of Food Science and Engineering, Northwest A&F University, Yangling, China.,Laboratory of Quality and Safety Risk Assessment for Agro-Products, Ministry of Agriculture, Yangling, China.,National Engineering Research Center of Agriculture Integration Test, Yangling, China
| | - Jianping Wei
- College of Food Science and Engineering, Northwest A&F University, Yangling, China.,Laboratory of Quality and Safety Risk Assessment for Agro-Products, Ministry of Agriculture, Yangling, China.,National Engineering Research Center of Agriculture Integration Test, Yangling, China
| | - Yahong Yuan
- College of Food Science and Engineering, Northwest A&F University, Yangling, China.,Laboratory of Quality and Safety Risk Assessment for Agro-Products, Ministry of Agriculture, Yangling, China.,National Engineering Research Center of Agriculture Integration Test, Yangling, China
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12
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Lydy SL, Lascano MS, Garcia-Perez JE, Williams-Newkirk AJ, Grijalva MJ. Seroprevalence and risk factors for infection with Bartonella bacilliformis in Loja province, Ecuador. Emerg Microbes Infect 2018; 7:115. [PMID: 29941982 PMCID: PMC6018114 DOI: 10.1038/s41426-018-0110-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Revised: 04/23/2018] [Accepted: 04/25/2018] [Indexed: 11/28/2022]
Abstract
The seroprevalence and epidemiology of Bartonella bacilliformis infection in the Andean highlands of Ecuador is largely unknown. We conducted a sero-epidemiologic survey of 319 healthy children aged 1-15 years living in six rural, mountain communities in Loja Province, Ecuador. Blood was collected by finger stick onto filter paper and dried, and the eluted sera analyzed for antibodies to B. bacilliformis by rPap31 ELISA. Demographic, entomologic, and household variables were assessed to investigate associated risk factors for antibody seropositivity to B. bacilliformis. Seroprevalence of 28% was found among children in the study communities. Increased risk of seropositivity was associated with the presence of lumber piles near houses. Decreased risk of seropositivity was observed with the presence of animal waste and incremental 100 meter increases in elevation. Although investigation of clinical cases of Carrion's disease was not within the scope of this study, our serology data suggest that infection of children with B. bacilliformis is prevalent in this region of Ecuador and is largely unrecognized and undiagnosed. This study highlights the need to further investigate the prevalence, pathogenesis, epidemiology, and disease impact of this pathogen in Ecuador.
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Affiliation(s)
- Shari L Lydy
- Centers for Disease Control and Prevention, Division of Vector-Borne Diseases, Rickettsial Zoonoses Branch, Atlanta, GA, USA.
| | - Mauricio S Lascano
- Department of Biomedical Sciences, Ohio University, Heritage College of Osteopathic Medicine, Infectious and Tropical Disease Institute, Athens, OH, USA
- Pontificia Universidad Católica del Ecuador, Centro de Investigación para la Salud en América Latina, Escuela de Ciencias Biológicas, Quito, Ecuador
- Organization for Tropical Studies-North American Branch, Tropical Diseases, Environmental Change and Human Health Program, Durham, NC, USA
| | - Josselyn E Garcia-Perez
- Pontificia Universidad Católica del Ecuador, Centro de Investigación para la Salud en América Latina, Escuela de Ciencias Biológicas, Quito, Ecuador
- School of Medicine, Department of Microbiology and Immunology, University of Colorado, Denver, CO, USA
| | - Amanda J Williams-Newkirk
- Centers for Disease Control and Prevention, Division of Vector-Borne Diseases, Rickettsial Zoonoses Branch, Atlanta, GA, USA
- Centers for Disease Control and Prevention, Division of Foodborne, Waterborne, and Environmental Diseases, Enteric Disease Laboratory Branch, Atlanta, GA, USA
| | - Mario J Grijalva
- Department of Biomedical Sciences, Ohio University, Heritage College of Osteopathic Medicine, Infectious and Tropical Disease Institute, Athens, OH, USA
- Pontificia Universidad Católica del Ecuador, Centro de Investigación para la Salud en América Latina, Escuela de Ciencias Biológicas, Quito, Ecuador
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13
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Abstract
Carrion's disease (CD) is a neglected biphasic vector-borne illness related to Bartonella bacilliformis. It is found in the Andean valleys and is transmitted mainly by members of the Lutzomyia genus but also by blood transfusions and from mother to child. The acute phase, Oroya fever, presents severe anemia and fever. The lethality is high in the absence of adequate treatment, despite the organism being susceptible to most antibiotics. Partial immunity is developed after infection by B. bacilliformis, resulting in high numbers of asymptomatic carriers. Following infection there is the chronic phase, Peruvian warts, involving abnormal proliferation of the endothelial cells. Despite potentially being eradicable, CD has been expanded due to human migration and geographical expansion of the vector. Moreover, in vitro studies have demonstrated the risk of the development of antimicrobial resistance. These findings, together with the description of new Bartonella species producing CD-like infections, the presence of undescribed potential vectors in new areas, the lack of adequate diagnostic tools and knowledge of the immunology and bacterial pathogenesis of CD, and poor international visibility, have led to the risk of increasing the potential expansion of resistant strains which will challenge current treatment schemes as well as the possible appearance of CD in areas where it is not endemic.
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Affiliation(s)
- Cláudia Gomes
- Institute for Global Health, Barcelona Centre for International Health Research, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain
| | - Joaquim Ruiz
- Institute for Global Health, Barcelona Centre for International Health Research, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain
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14
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Pons MJ, Gomes C, Aguilar R, Barrios D, Aguilar-Luis MA, Ruiz J, Dobaño C, del Valle-Mendoza J, Moncunill G. Immunosuppressive and angiogenic cytokine profile associated with Bartonella bacilliformis infection in post-outbreak and endemic areas of Carrion's disease in Peru. PLoS Negl Trop Dis 2017. [PMID: 28628613 PMCID: PMC5491314 DOI: 10.1371/journal.pntd.0005684] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Analysis of immune responses in Bartonella bacilliformis carriers are needed to understand acquisition of immunity to Carrion's disease and may allow identifying biomarkers associated with bacterial infection and disease phases. Serum samples from 144 healthy subjects from 5 villages in the North of Peru collected in 2014 were analyzed. Four villages had a Carrion's disease outbreak in 2013, and the other is a traditionally endemic area. Thirty cytokines, chemokines and growth factors were determined in sera by fluorescent bead-based quantitative suspension array technology, and analyzed in relation to available data on bacteremia quantified by RT-PCR, and IgM and IgG levels measured by ELISA against B. bacilliformis lysates. The presence of bacteremia was associated with low concentrations of HGF (p = 0.005), IL-15 (p = 0.002), IL-6 (p = 0.05), IP-10 (p = 0.008), MIG (p = 0.03) and MIP-1α (p = 0.03). In multi-marker analysis, the same and further TH1-related and pro-inflammatory biomarkers were inversely associated with infection, whereas angiogenic chemokines and IL-10 were positively associated. Only EGF and eotaxin showed a moderate positive correlation with bacteremia. IgM seropositivity, which reflects a recent acute infection, was associated with lower levels of eotaxin (p = 0.05), IL-6 (p = 0.001), and VEGF (p = 0.03). Only GM-CSF and IL-10 concentrations were positively associated with higher levels of IgM (p = 0.01 and p = 0.007). Additionally, IgG seropositivity and levels were associated with high levels of angiogenic markers VEGF (p = 0.047) and eotaxin (p = 0.006), respectively. Our findings suggest that B. bacilliformis infection causes immunosuppression, led in part by overproduction of IL-10. This immunosuppression probably contributes to the chronicity of asymptomatic infections favoring B. bacilliformis persistence in the host, allowing the subsequent transmission to the vector. In addition, angiogenic markers associated with bacteremia and IgG levels may be related to the induction of endothelial cell proliferation in cutaneous lesions during chronic infections, being possible candidate biomarkers of asymptomatic infections.
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Affiliation(s)
- Maria J. Pons
- Centro de Investigación e Innovación de la Facultad de Ciencias de la Salud de la Universidad Peruana de Ciencias Aplicadas, Lima, Perú
- Instituto de Investigación Nutricional, Lima, Perú
| | - Cláudia Gomes
- ISGlobal, Barcelona Centre for International Health Research, Hospital Clínic - Universitat de Barcelona, Catalonia, Spain
| | - Ruth Aguilar
- ISGlobal, Barcelona Centre for International Health Research, Hospital Clínic - Universitat de Barcelona, Catalonia, Spain
| | - Diana Barrios
- ISGlobal, Barcelona Centre for International Health Research, Hospital Clínic - Universitat de Barcelona, Catalonia, Spain
| | - Miguel Angel Aguilar-Luis
- Centro de Investigación e Innovación de la Facultad de Ciencias de la Salud de la Universidad Peruana de Ciencias Aplicadas, Lima, Perú
- Instituto de Investigación Nutricional, Lima, Perú
| | - Joaquim Ruiz
- ISGlobal, Barcelona Centre for International Health Research, Hospital Clínic - Universitat de Barcelona, Catalonia, Spain
| | - Carlota Dobaño
- ISGlobal, Barcelona Centre for International Health Research, Hospital Clínic - Universitat de Barcelona, Catalonia, Spain
| | - Juana del Valle-Mendoza
- Centro de Investigación e Innovación de la Facultad de Ciencias de la Salud de la Universidad Peruana de Ciencias Aplicadas, Lima, Perú
- Instituto de Investigación Nutricional, Lima, Perú
- * E-mail: (GM); (JdV)
| | - Gemma Moncunill
- ISGlobal, Barcelona Centre for International Health Research, Hospital Clínic - Universitat de Barcelona, Catalonia, Spain
- * E-mail: (GM); (JdV)
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