Mycobacterium Avium Species by Accu-Probes, Serotyping, and Single IS900,IS901, IS1245 and IS901-Flanking Region PCR with Internal Standards

Total Page:16

File Type:pdf, Size:1020Kb

Mycobacterium Avium Species by Accu-Probes, Serotyping, and Single IS900,IS901, IS1245 and IS901-Flanking Region PCR with Internal Standards Journal of Microbiological Methods 64 (2006) 333–345 www.elsevier.com/locate/jmicmeth Identification of members of Mycobacterium avium species by Accu-Probes, serotyping, and single IS900,IS901, IS1245 and IS901-flanking region PCR with internal standards Milan Bartos a,*, Pavel Hlozek a, Petra Svastova a, Lenka Dvorska a, Tim Bull b, Ludmila Matlova a, Ilona Parmova a,c, Isolde Kuhn a, Janine Stubbs a, Monika Moravkova a, Jaromir Kintr a, Vladimir Beran a, Ivan Melicharek d, Matjaz Ocepek e, Ivo Pavlik a aVeterinary Research Institute, Hudcova 70, 621 32 Brno, Czech Republic bSt. George’s Hospital, Medical School, Cranmer Terrace, London, United Kingdom cState Veterinary Diagnostic Institute, Sidlistni 24, 165 03 Prague-Lysolaje, Czech Republic dState Veterinary Diagnostic Institute, Akademicka 3, 949 01 Nitra, Slovakia eVeterinary Faculty, University of Ljubljana, Gerbiceva 60, 61 000 Ljulbljana, Slovenia Received 5 January 2005; received in revised form 11 May 2005; accepted 24 May 2005 Available online 2 August 2005 Abstract From Mycobacterium avium species Mycobacterium avium subsp. paratuberculosis (n =961), Mycobacterium a. avium (n =677), Mycobacterium a. silvaticum (n =5), and Mycobacterium a. hominissuis (n =1566) were examined, and from Mycobacterium tuberculosis complex M. tuberculosis (n =2), Mycobacterium bovis (n =13), M. bovis BCG (n =4), and Mycobacterium caprae (n =10) were examined. From other mycobacterial species Mycobacterium intracellulare (n =60) and atypical mycobacteria (n =256) including Mycobacterium fortuitum, Mycobacterium chelonae, Mycobacterium scroful- aceum, Mycobacterium gastri and other species of conditionally pathogenic mycobacteria were analysed. The internal standard molecules corresponding to insertion sequences IS900,IS901,IS1245, and flanking region (FR300)ofIS901 were produced by PCR of alfalfa genome segment and inserted into plasmid vector. The resulting recombinant plasmid molecules were used as internal standards in coamplification with a total of 4729 mycobacterial collection strains and field isolates between 1996 and 2003. The size differences between amplicons obtained from IS900 (258 bp), IS901 (1108 bp), IS1245 (427 bp), and FR300 (300 bp) and from corresponding internal standard molecules ISIS900 (591 bp), ISIS901 (1 336 bp), ISIS1245 (583 bp), and IS901 flanking region of 300 bp ISFR300 (488 bp), respectively, allowed easy discrimination. The internal amplicons were visible by naked aye on agarose gel when 101,103,102, and 102 molecules for ISIS900, ISIS901, ISIS1245, and ISFR300 were * Corresponding author. Tel.: +420 5 3333 1615; fax: +420 5 4121 1229. E-mail address: [email protected] (M. Bartos). URL: http://www.vri.cz (M. Bartos). 0167-7012/$ - see front matter D 2005 Elsevier B.V. All rights reserved. doi:10.1016/j.mimet.2005.05.009 334 M. Bartos et al. / Journal of Microbiological Methods 64 (2006) 333–345 used in the PCR, respectively, when no bacterial DNA was added to the reaction. The system was tested to define the amount of internal standards that could be used in the PCR without affecting the amplification of the specific segment. Non-specific amplifications were observed in M. fortuitum with IS1245 PCR and mixed infections with M. a. avium and M. a. hominissuis from pigs and cattle were found. PCR results of typing were compared with serotyping and Accu-Probes analyses in selected field isolates. D 2005 Elsevier B.V. All rights reserved. Keywords: Avian tuberculosis; Bovine tuberculosis; Crohn’s disease; Human tuberculosis; Johne’s disease; Mycobacteriosis 1. Introduction of M. avium species over the two past decades (Pavlik et al., 2000b; Dvorska et al., 2001; Svastova Mycobacterial infections of farm animals in Cen- et al., 2002). tral Europe cause considerable economic losses Commercially available radioactively labelled despite programmes attempting to eradicate bovine probes 125I and 32P Gen-Probe (Gen-Probe Inc., San tuberculosis (Pavlik et al., 1998, 2002b, 2003). Diego, California, USA) and a non-radioactive Accu- Since 1990s, members of Mycobacterium avium Probe series (San Diego, California, USA) kits for species have been frequently isolated from infected rapid diagnosis of mycobacteria were methods initial- cattle (Pavlik et al., 2002b), domestic pigs (Pavlik ly used for rapid identification of MAC and MTC et al., 2000c, 2003; Matlova et al., 2005), wild isolates. MAC probe was suitable for identification birds (Pavlik et al., 2000c), and wild ruminants of isolates of all 28 serotypes. (Pavlik et al., 2000a; Machackova et al., 2003, However subsequent experience with these sys- 2004a,b). tems has shown that MAC and MA probes positively All subspecies of M. avium species are pathogens reacted with some isolates of M. a. paratuberculosis causing serious disease. Mycobacterium avium and the MA probe does not allow differentiation of subsp. paratuberculosis particularly causes paratu- serotypes 1, 2, and 3 of subspecies M. a. avium, berculosis in ruminants, affecting digestive tract from serotypes 4 to 6, 8 to 11 and 21 of subspecies (Ayele et al., 2001; Amemori et al., 2004), reproduc- M. a. hominissuis (Saito et al., 1989, 1990; Thoresen tive organs or mammary gland (Ayele et al., 2005). and Saxegaard, 1991). Therefore, in veterinary labo- Mycobacterium a. avium (serotypes 1, 2 and 3) and ratories in the Czech Republic MA probe was Mycobacterium a. silvaticum primarily cause avian replaced in the mid-1990s with the IS901 PCR tuberculosis in birds (Pavlik et al., 2000c; Thorel et system for identification of serotypes 1, 2, and 3 al., 2001; Dvorska et al., 2003). Mycobacterium a. of M. a. avium which are fully virulent for birds hominissuis (serotypes 4 to 6, 8 to 11, and 21) (Pavlik et al., 2000c); that method has been used predominates in external environment and causes since 1996 in all accredited laboratories of the Czech mycobacteriosis in animals (Mijs et al., 2002; Republic (according to ISO/IEC 17025) and autho- Matlova et al., 2005) and in humans. Mycobacterium rized veterinary laboratories of the State Veterinary intracellulare (remaining serotypes 7, 12 to 20, and Administration of the Czech Republic (Anonymous, 22 to 28) is the remaining member among 28 MAC 1996, 1997a). Similarly, IS900 PCR method has serotypes and has been occasionally isolated from been used for identification of the causative agent the animals in the Czech Republic (Pavlik et al., of paratuberculosis in those laboratories since 1997 2002, 2003; Matlova et al., 2003). (Anonymous, 1997b). Culture detection of these pathogens using various The introduction of PCR and RFLP methods into solid and liquid culture media is the most common diagnostic laboratories for mycobacterial infections diagnostic method of these diseases (Kubin et al., was possible due to the discovery of specific insertion 1986; Pavlik et al., 2000b). However, molecular– sequences (IS) for each significant mycobacterial biological methods have been frequently employed pathogen in animals (Dvorska et al., 1999). These for identification and differentiation of the members include IS900 for M. a. paratuberculosis (Green et Table 1 Examined collection strains and field isolates of Mycobacterium avium: M. a. paratuberculosis (MAP), M. a. silvaticum (MAS), M. a. avium (MAA) and M. a. hominissuis (MAH) Collection and serotype strains of M. avium species Field isolates Total collection strains and field isolates examined by PCR Subsp. (serotype) Designation and origin of collection strains No. Environment Birds Pigs Cattle Others No. No. IS900 IS901 IS1245 FR300 MAP ATCC 19068, Linda, Ben, Dominic, EII, 316Fa 6750 2b 755 123c 955 961 + ÀÀ + MAS 6861d, 5329e, 3135e,Ti94f, T93/94f 50 0 000 05À ++ À MAA (1) 2827, 14141-139, ATCC 35716h, TMC 715g 4 5 28 10 3 0 46 50 À ++ À/+3 (2) 6194i,j, B-92i 2 15 37 452 15 5 524 526 À ++ À/+3 (3) 6195 (I0WGMT 26)I,k, 19.88g, 128 Germanyi, 41 1 41424953À ++ À/+3 ST18 (ATCC 12227)l 1 2 3 (Cross reactions) Nt 3 4 35 4 2 48 48 À ++ À/+ M. Bartos et al. / Journal of Microbiological Methods 64 (2006) 333–345 Subtotal (MAA) 10 24 70 538 26 9 667 677 À ++ À MAH (4) 13528-1079 (IWGTM 62)i,k 11 0 14101617ÀÀ++ (5) 3259-685m 11 0 000 12ÀÀ++ (6) 41258g 14 0 26223435ÀÀ++ (8) Davis 13628, Davis 14658-1686g, SJB#2 3 179 2 878 157 9 1225 1228 ÀÀ++ (IWGTM 29)i,k (9) Watson12306g 1 35 1 137 24 7 204 205 ÀÀ++ (10) IIIa1062-1695g, IIIa1602-1695g,i, TMC1461i,n 30 0 100 14ÀÀ++ (11) 14186-1424 (ATCC 35766, TMC 1462)g,i,n 11 0 000 12ÀÀ++ (21) T77g,i,,o, 5154 O’Connorg,i,n 21 0 200 35ÀÀ++ (Cross reactions)1 Nt2 2 0 60 0 6 68 68 ÀÀ++ Subtotal (MAH) 13 224 3 1118 184 24 1553 1566 ÀÀ++ Total No. of M. avium 34 323 73 1658 965 156 3175 3209 strains and field isolates aType strain ATCC 19068 (Merkal, 1979) and collection Strains Linda ATCC 43015, Ben (ATCC 43544) and Dominic (ATCC 43545) provided by R. J. Chiodini, Rehoboth, Mass., and vaccine Mycobactin J non-dependent Strains EII and 316F were kindly provided by John Hermon-Taylor, John Ford and Tim Bull (University of London, St George’s Hospital, UK). bOne isolate from wild boar (Sus scrofa) described in previous study (Machackova et al., 2003) and one isolate from domestic pig (Sus scrofa f. domestica) kindly provided by Goran Bo¨lske and Stina Englund (National Veterinary Institute, Uppsala, Sweden). cSome isolates described in papers dealing with non-vertebrates as potential vectors of causal agent of paratuberculosis (Fischer et al., 2001, 2003, 2004a,b; Machackova et al., 2004a,b). dStrain used in the papers of Thorel and Desmettre (1982) and Thorel and Haagsma (1987). eStrains used in the paper of Thorel and Haagsma (1987). fStrain submitted as M. a. silvaticum by Finn Saxegaard (Central Veterinary Laboratory, Oslo, Norway) and used in the paper of Dvorska et al. (2003). gProvided by Sabine Ru¨sch-Gerdes (Reference Laboratory for Mycobacteria, Borstel, Germany).
Recommended publications
  • Mycobacterium Chelonae Complex Bacteremia from a Post-Renal
    Jpn. J. Infect. Dis., 63, 61-64, 2010 Short Communication Mycobacterium chelonae Complex Bacteremia from a Post-Renal Transplant Patient: Case Report and Literature Review Ali Mohammed Somily*, Awadh Raheel AL-Anazi1, Hanan Ahmed Babay, Abdulkarim Ibraheem AL-Aska1, Mugbil Ahmed AL-Hedaithy1, Waleed Khalid Al-Hamoudi1, Ahmad Amer Al Boukai2, Mohammed Sarwar Sabri, Sahar Isa AlThawadi3, and Abdelmageed Mohamed Kambal Department of Pathology, Microbiology Unit, 1Department of Medicine, and 2Department of Radiology, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh; and 3Microbiology Section, Department of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia (Received August 5, 2009. Accepted December 2, 2009) SUMMARY: In this report we present a case of a young lady with abdominal abscesses and septicemia caused by Mycobacterium chelonae complex. Identification of the organism and initiation of the appropriate antimicrobial therapy was delayed, resulting in significant morbidity and multiple hospital admissions. Gram staining of these organisms from blood culture can be easily overlooked or confused with either debris or diptheroids. We concluded that detection of Gram-positive rod colonies should prompt an acid-fast stain to distinguish diphtheroids from rapidly growing mycobacteria in immunosuppressed patients. Non-tuberculous Mycobacterium (NTM), which are rap- mal. Blood cultures were collected on the 11th, 14th, and idly growing mycobacteria, were
    [Show full text]
  • Piscine Mycobacteriosis
    Piscine Importance The genus Mycobacterium contains more than 150 species, including the obligate Mycobacteriosis pathogens that cause tuberculosis in mammals as well as environmental saprophytes that occasionally cause opportunistic infections. At least 20 species are known to Fish Tuberculosis, cause mycobacteriosis in fish. They include Mycobacterium marinum, some of its close relatives (e.g., M. shottsii, M. pseudoshottsii), common environmental Piscine Tuberculosis, organisms such as M. fortuitum, M. chelonae, M. abscessus and M. gordonae, and Swimming Pool Granuloma, less well characterized species such as M. salmoniphilum and M. haemophilum, Fish Tank Granuloma, among others. Piscine mycobacteriosis, which has a range of outcomes from Fish Handler’s Disease, subclinical infection to death, affects a wide variety of freshwater and marine fish. It Fish Handler’s Nodules has often been reported from aquariums, research laboratories and fish farms, but outbreaks also occur in free-living fish. The same organisms sometimes affect other vertebrates including people. Human infections acquired from fish are most often Last Updated: November 2020 characterized by skin lesions of varying severity, which occasionally spread to underlying joints and tendons. Some lesions may be difficult to cure, especially in those who are immunocompromised. Etiology Mycobacteriosis is caused by members of the genus Mycobacterium, which are Gram-positive, acid fast, pleomorphic rods in the family Mycobacteriaceae and order Actinomycetales. This genus is traditionally divided into two groups: the members of the Mycobacterium tuberculosis complex (e.g., M. tuberculosis, M. bovis, M. caprae, M. pinnipedii), which cause tuberculosis in mammals, and the nontuberculous mycobacteria. The organisms in the latter group include environmental saprophytes, which sometimes cause opportunistic infections, and other species such as M.
    [Show full text]
  • Accepted Manuscript
    Genome-based taxonomic revision detects a number of synonymous taxa in the genus Mycobacterium Item Type Article Authors Tortoli, E.; Meehan, Conor J.; Grottola, A.; Fregni Serpini, J.; Fabio, A.; Trovato, A.; Pecorari, M.; Cirillo, D.M. Citation Tortoli E, Meehan CJ, Grottola A et al (2019) Genome-based taxonomic revision detects a number of synonymous taxa in the genus Mycobacterium. Infection, Genetics and Evolution. 75: 103983. Rights © 2019 Elsevier. Reproduced in accordance with the publisher's self-archiving policy. This manuscript version is made available under the CC-BY-NC-ND 4.0 license (http:// creativecommons.org/licenses/by-nc-nd/4.0/) Download date 29/09/2021 07:10:28 Link to Item http://hdl.handle.net/10454/17474 Accepted Manuscript Genome-based taxonomic revision detects a number of synonymous taxa in the genus Mycobacterium Enrico Tortoli, Conor J. Meehan, Antonella Grottola, Giulia Fregni Serpini, Anna Fabio, Alberto Trovato, Monica Pecorari, Daniela M. Cirillo PII: S1567-1348(19)30201-1 DOI: https://doi.org/10.1016/j.meegid.2019.103983 Article Number: 103983 Reference: MEEGID 103983 To appear in: Infection, Genetics and Evolution Received date: 13 June 2019 Revised date: 21 July 2019 Accepted date: 25 July 2019 Please cite this article as: E. Tortoli, C.J. Meehan, A. Grottola, et al., Genome-based taxonomic revision detects a number of synonymous taxa in the genus Mycobacterium, Infection, Genetics and Evolution, https://doi.org/10.1016/j.meegid.2019.103983 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript.
    [Show full text]
  • Case Series and Review of the Literature of Mycobacterium Chelonae Infections of the Lower Extremities
    CHAPTER 10 Case Series and Review of the Literature of Mycobacterium chelonae Infections of the Lower Extremities Edmund Yu, DPM Patricia Forg, DPM Nancy F. Crum-Cianflone, MD, MPH INTRODUCTION outbreaks of rapid growing NTM infections (M chelonae, M abscessus) linked to water exposure in the context of pedicures Mycobacterial infections include Mycobacterium tuberculosis or recent surgery/trauma (10-13). complex (e.g., M tuberculosis, Mycobacterium bovis, Mycobacterium The clinical manifestations of M chelonae infections include leprae), Mycobacterium avium complex (MAC), and other skin/soft tissue or skeletal (tendon, joint, bone) infections non-tuberculosis mycobacteria (NTM), the latter of which after local inoculation of the organism. Examination findings includes over 150 diverse species. NTM are differentiated can resemble cellulitis, subcutaneous abscesses, or multiple from mycobacteria that cause tuberculosis because they are vesicular lesions (1), however there are no pathognomonic not spread by human-to-human transmission, rather are signs to differentiate it from other microbiologic causes ubiquitous in the environment including water, soil, and (6,14). Their proliferation can be masked within a chronic plant material, with tap water being considered the major non-healing wound or a prior non-healing surgical site. The reservoir for human infections (1). Routes of infection include non-pathognomonic and often indolent findings associated cutaneous inoculation including in the setting of open wounds. with M chelonae infections signify the need for a thorough Organisms are identified as acid-fast bacilli (AFB) positive on clinical and diagnostic work-up for their identification. This staining and subsequent growth on specialized mycobacterium includes early clinical suspicion and collection of mycobacterial culture media (2,3).
    [Show full text]
  • Identification Mycobacterium Spp. in the Natural Water of Two Austrian
    microorganisms Article Identification Mycobacterium spp. in the Natural Water of Two Austrian Rivers Mohammad Reza Delghandi , Karoline Waldner, Mansour El-Matbouli and Simon Menanteau-Ledouble * Clinical Division of Fish Medicine, University of Veterinary Medicine, 1210 Vienna, Austria; delghandim@staff.vetmeduni.ac.at (M.R.D.); waldnerk@staff.vetmeduni.ac.at (K.W.); [email protected] (M.E.-M.) * Correspondence: menanteaus@staff.vetmeduni.ac.at Received: 11 August 2020; Accepted: 25 August 2020; Published: 27 August 2020 Abstract: Nontuberculous mycobacteria constitute a subgroup among the Mycobacterium genus, a genus of Gram-positive bacteria that includes numerous pathogenic bacteria. In the present study, Mycobacterium spp. were detected in natural water samples from two Austrian rivers (Kamp and Wulka) using three different primers and PCR procedures for the identification of the 16S rRNA and hsp65 genes. Water samples were collected from the Kamp (45 samples) and Wulka (25 samples) in the summer and winter of 2018 and 2019. Molecular evidence showed a high prevalence of Mycobacterium sp. in these rivers with prevalence rates estimated at approximately 94.3% across all rivers. The present study represents the first survey into the prevalence of Mycobacterium sp. in natural water in Austria. Because nontuberculous mycobacteria have known pathogenic potential, including zoonotic, these findings may have implications for health management and public health. Keywords: molecular epidemiology; nested PCR; environmental mycobacteria 1. Introduction Mycobacterium spp. belong to the family Mycobacteriaceae and are Gram-positive, nonmotile, facultative aerobic acid fast bacilli [1]. This genus is found under a wide geographical area, encompassing a wide range of optimal growing temperatures (25–35 ◦C) [2,3].
    [Show full text]
  • Diagnosis, Treatment, and Prevention of Nontuberculous Mycobacterial Diseases
    American Thoracic Society Documents An Official ATS/IDSA Statement: Diagnosis, Treatment, and Prevention of Nontuberculous Mycobacterial Diseases David E. Griffith, Timothy Aksamit, Barbara A. Brown-Elliott, Antonino Catanzaro, Charles Daley, Fred Gordin, Steven M. Holland, Robert Horsburgh, Gwen Huitt, Michael F. Iademarco, Michael Iseman, Kenneth Olivier, Stephen Ruoss, C. Fordham von Reyn, Richard J. Wallace, Jr., and Kevin Winthrop, on behalf of the ATS Mycobacterial Diseases Subcommittee This Official Statement of the American Thoracic Society (ATS) and the Infectious Diseases Society of America (IDSA) was adopted by the ATS Board Of Directors, September 2006, and by the IDSA Board of Directors, January 2007 CONTENTS Health Care– and Hygiene-associated Disease and Disease Prevention Summary NTM Species: Clinical Aspects and Treatment Guidelines Diagnostic Criteria of Nontuberculous Mycobacterial M. avium Complex (MAC) Lung Disease Key Laboratory Features of NTM M. kansasii Health Care- and Hygiene-associated M. abscessus Disease Prevention M. chelonae Prophylaxis and Treatment of NTM Disease M. fortuitum Introduction M. genavense Methods M. gordonae Taxonomy M. haemophilum Epidemiology M. immunogenum Pathogenesis M. malmoense Host Defense and Immune Defects M. marinum Pulmonary Disease M. mucogenicum Body Morphotype M. nonchromogenicum Tumor Necrosis Factor Inhibition M. scrofulaceum Laboratory Procedures M. simiae Collection, Digestion, Decontamination, and Staining M. smegmatis of Specimens M. szulgai Respiratory Specimens M. terrae
    [Show full text]
  • Repurposing Avermectins and Milbemycins Against Mycobacteroides Abscessus and Other Nontuberculous Mycobacteria
    antibiotics Article Repurposing Avermectins and Milbemycins against Mycobacteroides abscessus and Other Nontuberculous Mycobacteria Lara Muñoz-Muñoz 1,2,*, Carolyn Shoen 3, Gaye Sweet 4, Asunción Vitoria 1,2, Tim J. Bull 5 , Michael Cynamon 3, Charles J. Thompson 4 and Santiago Ramón-García 1,6,7,* 1 Department of Microbiology, Faculty of Medicine, University of Zaragoza, 50009 Zaragoza, Spain; [email protected] 2 Microbiology Unit, Clinical University Hospital Lozano Blesa, 50009 Zaragoza, Spain 3 State University of New York Upstate Medical Center, Syracuse, NY 13210, USA; [email protected] (C.S.); [email protected] (M.C.) 4 Department of Microbiology and Immunology, Centre for Tuberculosis Research, Life Sciences Institute, University of British Columbia, Vancouver, BC V6T 1Z3, Canada; [email protected] (G.S.); [email protected] (C.J.T.) 5 Institute for Infection & Immunity, St. George’s University of London, London SW17 0RE, UK; [email protected] 6 Research & Development Agency of Aragón (ARAID) Foundation, 50018 Zaragoza, Spain 7 CIBER Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, 28029 Madrid, Spain * Correspondence: [email protected] (L.M.-M.); [email protected] (S.R.-G.) Citation: Muñoz-Muñoz, L.; Shoen, Abstract: Infections caused by nontuberculous mycobacteria (NTM) are increasing worldwide, C.; Sweet, G.; Vitoria, A.; Bull, T.J.; resulting in a new global health concern. NTM treatment is complex and requires combinations of Cynamon, M.; Thompson, C.J.; several drugs for lengthy periods. In spite of this, NTM disease is often associated with poor treatment Ramón-García, S. Repurposing outcomes. The anti-parasitic family of macrocyclic lactones (ML) (divided in two subfamilies: Avermectins and Milbemycins avermectins and milbemycins) was previously described as having activity against mycobacteria, against Mycobacteroides abscessus and including Mycobacterium tuberculosis, Mycobacterium ulcerans, and Mycobacterium marinum, among Other Nontuberculous Mycobacteria.
    [Show full text]
  • Mycobacterium Chelonae JUN Liu, EMIKO Y
    Proc. Natl. Acad. Sci. USA Vol. 92, pp. 11254-11258, November 1995 Biochemistry Fluidity of the lipid domain of cell wall from Mycobacterium chelonae JUN Liu, EMIKO Y. ROSENBERG, AND HIROSHI NIKAIDO* Department of Molecular and Cell Biology, University of California, Berkeley, CA 94720-3206 Communicated by Mary Jane Osborn, University of Connecticut Health Center, Farmington, CT, August 18, 1995 ABSTRACT The mycobacterial cell wall contains large arabinose residues of arabinogalactan are in turn substituted amounts of unusual lipids, including mycolic acids that are by mycolic acids, producing the covalently connected structure covalently linked to the underlying arabinogalactan- of the cell wall (4). The cell wall also contains several types of peptidoglycan complex. Hydrocarbon chains of much of these "extractable lipids" that are not covalently linked to this basal lipids have been shown to be packed in a direction perpen- skeleton; these include trehalose-containing glycolipids, phe- dicular to the plane of the cell surface. In this study we nol-phthiocerol glycosides, and glycopeptidolipids (5). The examined the dynamic properties of the organized lipid do- chemistry and immunology of the various components of the mains in the cell wall isolated from Mycobacterium chelonae mycobacterial cell wall have been studied extensively. How- grown at 30°C. Differential scanning calorimetry showed that ever, far less information is available about the physical much of the lipids underwent major thermal transitions properties ofmycobacterial cell wall. Without such knowledge, between 30°C and 65°C, that is at temperatures above the it is not possible to understand their function as a permeability growth temperature, a result suggesting that a significant barrier and, consequently, to design agents that could over- portion of the lipids existed in a structure of extremely low come this barrier.
    [Show full text]
  • Current Significance of the Mycobacterium Chelonae
    Diagnostic Microbiology and Infectious Disease 94 (2019) 248–254 Contents lists available at ScienceDirect Diagnostic Microbiology and Infectious Disease journal homepage: www.elsevier.com/locate/diagmicrobio Mycobacteriology Current significance of the Mycobacterium chelonae-abscessus group Robert S. Jones, Kileen L. Shier, Ronald N. Master, Jian R. Bao, Richard B. Clark ⁎ Infectious Disease Department, Quest Diagnostics Nichols Institute, Chantilly, VA 20131 article info abstract Article history: Organisms of the Mycobacterium chelonae-abscessus group can be significant pathogens in humans. They produce Received 19 April 2018 a number of diseases including acute, invasive and chronic infections, which may be difficult to diagnose cor- Received in revised form 30 January 2019 rectly. Identification among members of this group is complicated by differentiating at least eleven (11) Accepted 31 January 2019 known species and subspecies and complexity of identification methodologies. Treatment of their infections Available online 10 February 2019 may be problematic due to their correct species identification, antibiotic resistance, their differential susceptibil- ity to the limited number of drugs available, and scarcity of susceptibility testing. Keywords: Mycobacterium chelonae-abscessus group © 2019 Elsevier Inc. All rights reserved. Mycobacterium abscessus group Infections produced by Mycobacterium chelonae-abscessus group 1. Introduction 2. Taxonomy The Mycobacterium chelonae-abscessus group (MC-AG) is composed The taxonomy of the MC-AG has undergone a number of revisions of a group of organisms that continue to gain notoriety by producing over recent years with at least 11 species and subspecies recognized disease in humans. The spectrum of individual species and subspecies (Table 1). M. chelonae was first recognized as a species in 1923 producing increased types and numbers of infections is predominately (Bergey, 1923) and was described in more detail in 1972 (Stanford due both to greater awareness and to more accurate methods of identi- et al., 1972), while M.
    [Show full text]
  • Non-Tuberculous Mycobacteria: Molecular and Physiological Bases of Virulence and Adaptation to Ecological Niches
    microorganisms Review Non-Tuberculous Mycobacteria: Molecular and Physiological Bases of Virulence and Adaptation to Ecological Niches André C. Pereira 1,2 , Beatriz Ramos 1,2 , Ana C. Reis 1,2 and Mónica V. Cunha 1,2,* 1 Centre for Ecology, Evolution and Environmental Changes (cE3c), Faculdade de Ciências da Universidade de Lisboa, 1749-016 Lisboa, Portugal; [email protected] (A.C.P.); [email protected] (B.R.); [email protected] (A.C.R.) 2 Biosystems & Integrative Sciences Institute (BioISI), Faculdade de Ciências da Universidade de Lisboa, 1749-016 Lisboa, Portugal * Correspondence: [email protected]; Tel.: +351-217-500-000 (ext. 22461) Received: 26 August 2020; Accepted: 7 September 2020; Published: 9 September 2020 Abstract: Non-tuberculous mycobacteria (NTM) are paradigmatic colonizers of the total environment, circulating at the interfaces of the atmosphere, lithosphere, hydrosphere, biosphere, and anthroposphere. Their striking adaptive ecology on the interconnection of multiple spheres results from the combination of several biological features related to their exclusive hydrophobic and lipid-rich impermeable cell wall, transcriptional regulation signatures, biofilm phenotype, and symbiosis with protozoa. This unique blend of traits is reviewed in this work, with highlights to the prodigious plasticity and persistence hallmarks of NTM in a wide diversity of environments, from extreme natural milieus to microniches in the human body. Knowledge on the taxonomy, evolution, and functional diversity of NTM is updated, as well as the molecular and physiological bases for environmental adaptation, tolerance to xenobiotics, and infection biology in the human and non-human host. The complex interplay between individual, species-specific and ecological niche traits contributing to NTM resilience across ecosystems are also explored.
    [Show full text]
  • Abscesses Due to Mycobacterium Abscessus Linked to Injection of Unapproved Alternative Medication
    Research Abscesses due to Mycobacterium abscessus Linked to Injection of Unapproved Alternative Medication Karin Galil,* Lisa A. Miller, Mitchell A. Yakrus,* Richard J. Wallace Jr., David G. Mosley,§ Bob England,§ Gwen Huitt,¶ Michael M. McNeil,* and Bradley A. Perkins* *Centers for Disease Control and Prevention, Atlanta, Georgia, USA; Colorado Department of Public Health and Environment, Denver, Colorado, USA; University of Texas Health Center, Tyler, Texas, USA; §Arizona Department of Health Services, Phoenix, Arizona, USA; and ¶National Jewish Medical and Research Center, Denver, Colorado, USA An unlicensed injectable medicine sold as adrenal cortex extract (ACE*) and distributed in the alternative medicine community led to the largest outbreak of Mycobacterium abscessus infections reported in the United States. Records from the implicated distributor from January 1, 1995, to August 18, 1996, were used to identify purchasers; purchasers and public health alerts were used to identify patients. Purchasers and patients were interviewed, and available medical records were reviewed. Vials of ACE* were tested for mycobacterial contamination, and the product was recalled by the U.S. Food and Drug Administration. ACE* had been distributed to 148 purchasers in 30 states; 87 persons with postinjection abscesses attributable to the product were identified. Patient and vial cultures contained M. abscessus identical by enzymatic and molecular typing methods. Unusual infectious agents and alternative health practices should be considered in the diagnosis of infections that do not respond to routine treatment. Almost half of the U.S. population uses some treatment of Addison disease (2). In the 1930s, form of unconventional therapy, most without ACE became commercially available for the the knowledge of their physician (1).
    [Show full text]
  • Nontuberculous Mycobacterial Endophthalmitis: Case Series And
    Pinitpuwadol et al. BMC Infectious Diseases (2020) 20:877 https://doi.org/10.1186/s12879-020-05606-2 RESEARCH ARTICLE Open Access Nontuberculous mycobacterial endophthalmitis: case series and review of literature Warinyupa Pinitpuwadol, Nattaporn Tesavibul, Sutasinee Boonsopon, Darin Sakiyalak, Sucheera Sarunket and Pitipol Choopong* Abstract Background: To report three cases of nontuberculous mycobacterial (NTM) endophthalmitis following multiple ocular surgeries and to review previous literature in order to study the clinical profile, treatment modalities, and visual outcomes among patients with NTM endophthalmitis. Methods: Clinical manifestation and management of patients with NTM endophthalmitis in the Department of Ophthalmology, Faculty of Medicine, Siriraj hospital, Mahidol University, Bangkok, Thailand were described. In addition, a review of previously reported cases and case series from MEDLINE, EMBASE, and CENTRAL was performed. The clinical information and type of NTM from the previous studies and our cases were summarized. Results: We reported three cases of NTM endophthalmitis caused by M. haemophilum, M. fortuitum and M. abscessus and a summarized review of 112 additional cases previously published. Of 115 patients, there were 101 exogenous endophthalmitis (87.8%) and 14 endogenous endophthalmitis (12.2%). The patients’ age ranged from 13 to 89 years with mean of 60.5 ± 17.7 years with no gender predominance. Exogenous endophthalmitis occurred in both healthy and immunocompromised hosts, mainly caused by cataract surgery (67.3%). In contrast, almost all endogenous endophthalmitis patients were immunocompromised. Among all patients, previous history of tuberculosis infection was identified in 4 cases (3.5%). Rapid growing NTMs were responsible for exogenous endophthalmitis, while endogenous endophthalmitis were commonly caused by slow growers.
    [Show full text]