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In vitro and in vivo analyses of mono- and mixed-species biofilms formed by microbial pathogens
(2022)
Microbial biofilms can be defined as multicellular clusters of microorganisms embedded in a self-produced extracellular matrix (ECM), which is primarily composed of polymeric biomolecules. Biofilms represent one of the most severe burdens in both industry and healthcare worldwide, causing billions of dollars of treatment costs annually because biofilms are inherently difficult to prevent, treat, and eradicate. In health care settings, patients suffering from cystic fibrosis, or patients with medical implants are highly susceptible to biofilm infections. Once a biofilm is formed, it is almost impossible to quantitatively eradicate it by mechanical, enzymatical, chemical, or antimicrobial treatment. Often the only remaining option to fully eradicate the biofilm is removing of the infected implant or body part. The primary reasons for the inherent resistance of biofilms against all forms of antimicrobial treatment are (I) a reduced metabolic activity of biofilm-embedded cells climaxing in the presence of metabolic inactive persister cells, as well as (II) the protective nature of the biofilm matrix acting as a (diffusion) barrier against antimicrobials and the host immune system. Consequently, there is an urgent need to better understand microbial biofilms from a structural and (patho-) physiological point of view in order to be able to develop new treatment strategies.
Therefore, the aims of this study were to investigate fundamental physiological properties of different clinically relevant single and multi-species biofilms, both in vitro and in vivo. Furthermore, the effectiveness of a novel treatment strategy using cold atmospheric pressure plasma was evaluated in vitro to treat biofilms of the pathogenic fungus C. albicans.
In article I, the intracellular and ECM protein inventory of Staphylococcus aureus during in vitro biofilm growth in a flow reactor was analyzed by liquid-chromatography coupled to tandem mass-spectrometry (LC-MS/MS) analysis combined with metabolic footprint analysis. This analysis showed that anaerobiosis within biofilms releases organic acids lowering the ECM pH. This, in turn, leads to protonation of alkaline proteins – mostly ribosomal proteins originating from cell lysis as well as actively secreted virulence factors – resulting in a positive net charge of these proteins. As a consequence, these proteins accumulate within the ECM and form an electrostatic network with negatively charged cell surfaces, eDNA, and metabolites contributing to the overall biofilm stability.
In article II, the in vivo metaproteome of the multi-species biofilm community in cystic fibrosis sputum was investigated. To this end, an innovative protocol was developed allowing the enrichment of microbial cells, the extraction of proteins from a small amount of cystic fibrosis sputum, and subsequent metaproteome analysis. This protocol also allows 16S sequencing, metabolic footprint analysis, and microscopy of the same sample to complement the metaproteome data. Applying this protocol, we were able to significantly enhance microbial protein coverage providing first insights into important physiological pathways during CF lung infection. A key finding was that the arginine deaminase pathway as well as microbial proteases play a so far underappreciated role in CF pathophysiology.
In articles III and IV, a novel treatment strategy for biofilms formed by the important fungal pathogen Candida albicans was evaluated in vitro. Biofilms were treated with two different sources of nonthermal plasma (with the Nonthermal Plasma Jet “kINPen09” as well as with the Microwave-induced plasma torch “MiniMIP”) and the effect on growth, survival, and viability was assessed by counting colony-forming units (CFU), by cell proliferation assays, as well as by live/dead staining combined with fluorescence microscopy, confocal laser scanning microscopy, (CLSM) and atomic force microscopy (AFM). These tests revealed that biofilms were effectively inactivated mostly on the bottom side of biofilms, indicating a great potential of these two plasma sources to fight biofilms.
Compared to other human pathogens, S. aureus outstands with a remarkably broad spectrum of deseases: from minor skin infections over endocarditis, pneumoniae, and osteomyelitis, to septic shock. The prerequisite is an arsenal of adaptation strategies, encoded in the core and variable genome. It includes the coordinated expression of adhesins and toxins, evasion of the immune system, response to stress and starvation, adaptation of the metabolism, formation of biofilms and capsules, antibiotic resistance, and persistence on the skin, in nasal epithelial cells, and even in the inner of macrophages after phagocytosis. All these adaptation strategies enable S. aureus to colonize a diversity of niches within the human host. The inevitable requirement is the ability to activate the appropriate adaptation strategy at the right time and at the right place. S. aureus overcomes this challenge with a sophisticated regulatory network. This PhD thesis covers a broad spectrum of transcriptional regulators, involved in S. aureus pathogenesis: (1) the quorum sensing system Agr (regulation of early- and late stage virulence factors), (2) the Sar family (regulation of early- and late stage virulence factors), (3) SaeRS (regulation of accessory exotoxins and adhesins), (4) CodY (response to amino acid starvation, including extracellular proteases), (5) Sigma B (general stress response, including virulence factors), (6) Rex (anaerobic energy metabolism), (7) CtsR and HrcA (protein quality control), (8) PerR and Fur (oxidative stress response), and (9) antibiotic resistance. Traditionally, Proteomics constitute the long-lasting reputation of the Institute. In fact, the majority of investigations presented in this PhD thesis was initialized by proteomic analyses as the ultimate starting point. From the first day, a major goal of this PhD thesis was to add regulator-promoter interaction studies to the methodical spectrum. In particular, to complement transcriptomic and proteomic results by answering the logical follow-up question: Which regulator is responsible for the observed changes in gene expression and protein synthesis after application of a specific stimulus?
The first chapter provides specific analyses for three major regulators: Rex, CodY, and SarA. Publications were achieved for Rex (Hecker et al., 2009; Pagels et al., 2010). Results were mainly achieved by establishing regulator-promoter interaction methods (in particular EMSA and “footprinting”). Additionally, this chapter describes method development of a novel easy-to-apply method, named REPA (restriction endonuclease protection assay).
The second chapter presents method development for the genome-wide identification of regulator-promoter interactions, named “global footprinting”. This approach combines two already well-established methods: (A) Purification of a recombinant Strep-tagged regulator via Strep-tag affinity chromatography. The modification in “global footprinting” is to incubate the regulator with fragmented genomic S. aureus DNA, resulting in co-purification and enrichment of DNA streches with specific regulator binding sites. (B) Identification and quantification of these DNA streches via “next generation sequencing” (NGS). Using this combined approach, this PhD thesis was able to localize the most affine promoter binding site for the regulator Rex precisely down to one single base pair across the whole S. aureus genome.
The third chapter describes the assembly of a data library, collecting the majority of DNA microarray data and regulator-promoter interaction studies from the worldwide literature. This data library summarizes more than 50,000 regulatory events and more than 2,000 regulator binding sites. As published in the perspectives in Fuchs et al. (2018), this data library can be incorporated into the free-accessible online data base “Aureowiki” (provided and maintained by the Department of Functional Genomics, University of Greifswald). The major effort is the consolidation of these “big data” via in silico cluster analysis, comparing 282 different experimental conditions at once. The major finding of this analysis is the identification of seven functional and regulatory gene clusters in S. aureus pathogenesis that are conserved across S. aureus strain diversity. These findings allowed the creation of a prediction tool, to provide novel experimental starting points for the worldwide S. aureus research community. This prediction tool was successfully applied on several topics, and partially published: functional and regulatory prediction for a set of 20 selected lipoproteins as potential virulence factors (Graf et al., 2018), and prediciton of protein complexes (Liang et al., 2016).
Alltogether, this PhD thesis provides new insights into the molecular mechanisms of three pathogenesis-relevant regulators: Rex, CodY, and SarA. It describes the development of three novel experimental methods for wet and dry lab applications that can be used on research topics beyond S. aureus: REPA, “global footprinting”, and cluster analysis. Finally, cluster analysis identifies seven conserved fuctional and regulatory gene clusters, involved in S. aureus pathogenesis. This cluster anaysis is used as a prediction tool to provide novel experimental starting points, and to predict the physiological mode of action of newly discovered anti-staphylococcal agents.
A significant fraction of the decaying algal biomass in marine ecosystems is expected to be mineralized by particle-associated (PA) heterotrophic bacterial communities, which are thus greatly contributing to large-scale carbon fluxes. Whilst numerous studies have investigated the succession of free-living (FL) marine bacteria, the community structure and functionality of PA bacterial communities remained largely unexplored and knowledge on specific contributions of these microorganisms to carbon cycling is still surprisingly limited. This has mostly been due to technical problems, i.e., caused by the enormous complexity of marine particles and the high abundance of eukaryotic microorganisms within these particles. This thesis presents (a) an optimized metaproteomics protocol for an in-depth characterization of marine PA bacteria, (b) an application example with FL and PA communities sampled during a spring phytoplankton bloom in 2009 in the North Sea, which confirmed the reliability of the optimized metaproteomic workflow, (c) the metaproteomic analysis of particulate communities sampled during a spring phytoplankton bloom in 2018, resulting in an as yet unprecedented number of identified protein groups of the bacterial response bloom and (d) a proteomic analysis of a PA bacterial isolate grown on the two naturally abundant marine polysaccharides laminarin and alginate. The observed succession of bacterial clades during metaproteomic analyses of the investigated blooms highlights individual niche occupations, also visible on genus level. Additionally, functional data shows evidence for the degradation of different marine polysaccharides e.g., laminarin, alginate and xylan supporting the important role of PA bacteria during the turnover of oceanic organic matter. Furthermore, most of the identified functions fit well with the current understanding of the ecology of an algal- or surface-associated microbial community, additionally highlighting the importance of phytoplankton-bacterial interactions in the oceans. More detailed insights into the metabolism of PA bacteria were gained by the proteomic characterization of a selected PA bacterial isolate grown on laminarin and alginate. Functional analyses of the identified proteins suggested that PA bacteria employ more diverse degradation systems partially different from the strategies used by FL bacteria.
Gram-negative bacteria are known to naturally produce outer membrane vesicles (OMVs), which are closed nanoparticles (10 to 450 nm) containing virulence factors and pathogen associated molecular patterns (PAMPs). For over 20 years, OMVs of Neisseria meningitidis (N. meningitidis), in combination with three purified outer membrane proteins, have been successfully used as parts of human vaccines which illustrates the safety and potential of OMV based vaccines. So far only little is known about the OMVs of fish pathogenic bacteria. The production of OMVs has been described for the fish pathogenic gram-negative bacterium Aeromonas salmonicida (A. salmonicida) which is the causative agent of furunculosis resulting in high morbidity and mortality of salmonid fish. The immunostimulatory potential of OMVs derived from A. salmonicida as well as the possibility of establishing an oral vaccine model in Oncorhynchus mykiss (O.mykiss) (Rainbow trout) has been investigated in this study by conducting in vitro and in vivo experiments. Innate immune cells such as macrophages are one of the first cells to respond to pathogens once they breach the skin barrier, therefore the monocyte/macrophage cell line RTS-11 as well as leukocytes from the head kidney, consisting of a high percentage of phagocytic cells have been investigated. Additionally, leukocytes isolated from the peritoneal cavity as the main target for injectable vaccines have been studied in the in vitro experiments. These experiments indicate that OMVs derived from A. salmonicida are recognized by the monocyte/macrophage cell line RTS-11 as well as by leukocytes from the head kidney resulting in significant changes of the mRNA expression pattern of early inflammatory markers (IL-1β, IL-6, IL-8, IL-10, TGFβ). Having used the established peritoneal inflammation model of rainbow trout it could be shown that intraperitoneal (i.p.) vaccination of rainbow trout with OMVs results in a similar local immune response, especially in the recruitment of myeloid cells, compared to the injection of inactivated bacteria. The systemic cellular immune response differed between the two vaccine groups, even though a similar humoral immune response could be observed. Interestingly, i.p.vaccination with 10 µg of OMVs resulted in similar antibody titers as observed for fish, that were i.p. vaccinated with 108 CFU of inactivated A. salmonicida. The similar antibody titers after vaccination with OMVs might be explained by a stronger activation of CD8- T cells (likely CD4+ T cells) in the head kidney as well as in the blood in the OMV vaccinated group alone, which might result in an increased stimulation of B cells to produce antibodies.
Oral vaccination has been described as the ideal vaccination method for fish, but only few vaccines for oral application are licensed. Therefore, the established oral model for vaccination of rainbow trout with attenuated viral hemorrhagic septicemia virus (VHSV) was adapted to be used for inactivated A. salmonicida, even though initial trials indicated great similarities in the cellular response after i.p. and oral vaccination with inactivated strains of A. salmonicida, particularly in the response of the myeloid cells and lymphocytes in the target organs as well as the thrombocytes in the spleen. This could not be confirmed in a second oral vaccination trial. These results show how challenging the development of oral vaccines for fish is. The main challenge is the reproducibility of reliable results, since this is influenced by the difference in uptake of vaccine pellets or antigen degradation in the gut. Future oral vaccine trials should investigate different vaccination regimes, e.g., consecutive feeding, or a different composition of vaccine pellets, in order to further investigate the possibility of establishing an oral vaccine model for trout and so that future vaccine candidates, like OMVs, can be reliably tested in fish.
Infectious diseases remain a significant threat to the wellbeing of humans and animals
worldwide. Thus, infectious disease outbreaks should be investigated to understand the
emergence of these pathogens, leading to prevention and mitigation strategies for future
outbreaks. High-throughput sequencing (HTS) and bioinformatic analysis tools are reshaping
the surveillance of viral infectious diseases through genome-based outbreak investigations. In
particular, analyzing generic HTS datasets using a metagenomic analysis pipeline enable
simultaneous identification, characterization, and discovery of pathogens.
In this thesis, generic HTS datasets derived from the 2018-19 WNV epidemic and USUV
epizooty in Germany were evaluated using a unified pipeline for outbreak investigation and an
early warning system (EWS). This pipeline obtained 34 West Nile virus (WNV) whole-genome
sequences and detected several sequences of Usutu virus (USUV) and other potential
pathogens. A few WNV and USUV genome sequences were completed using targeted HTS
approaches. Phylogenetic and phylogeographic inferences, reconstructed using WNV wholegenome sequences, revealed that Germany experienced at least six WNV introduction events.
The majority of WNV German variants clustered into the so-called “Eastern German clade
(EGC),” consisting of variants derived from birds, mosquitoes, a horse, and human cases. The
progenitors of the EGC subclade probably circulated within Eastern Europe around 2011. These
flavivirus genome sequences also provided substantial evidence for the first reported cases of
WNV and USUV co-infection in birds. Phylogenetic inferences of USUV genome sequences
showed the further spread of the USUV lineage Africa 3 and might indicate the overwintering
of the USUV lineage Europe 2 in Germany. Among viral sequences reported in the EWS, Hedwig
virus (HEDV; a novel peribunyavirus) and Umatilla virus (UMAV; detected in Europe for the
first time) were investigated using genome characterization, molecular-based screening, and
virus cultivation since these viruses were suspected of causing co-infections in WNV-infected
birds. The EWS detected overall 8 HEDV-positive and 15 UMAV-positive birds in small sets of
samples, and UMAV could be propagated in a mosquito cell culture Future studies are necessary
to investigate the pathogenicity of these viruses and their role in the health of wild and captive
birds.
In conclusion, this study provided a proof-of-concept that the developed unified and
generic pipeline is an effective tool for outbreak investigation and pathogen discovery using the
same generic HTS datasets derived from outbreak and surveillance samples. Therefore, this
thesis recommends incorporating the unified pipeline in the key response to viral outbreaks to
enhance outbreak preparedness and response.
Permafrost-affected soil stores a significant amount of organic carbon. Identifying the biological constraints of soil organic matter transformation, e.g., the interaction of major soil microbial soil organic matter decomposers, is crucial for predicting carbon vulnerability in permafrost-affected soil. Fungi are important players in the decomposition of soil organic matter and often interact in various mutualistic relationships during this process. We investigated four different soil horizon types (including specific horizons of cryoturbated soil organic matter (cryoOM)) across different types of permafrost-affected soil in the Western Canadian Arctic, determined the composition of fungal communities by sequencing (Illumina MPS) the fungal internal transcribed spacer region, assigned fungal lifestyles, and by determining the co-occurrence of fungal network properties, identified the topological role of keystone fungal taxa. Compositional analysis revealed a significantly higher relative proportion of the litter saprotroph Lachnum and root-associated saprotroph Phialocephala in the topsoil and the ectomycorrhizal close-contact exploring Russula in cryoOM, whereas Sites 1 and 2 had a significantly higher mean proportion of plant pathogens and lichenized trophic modes. Co-occurrence network analysis revealed the lowest modularity and average path length, and highest clustering coefficient in cryoOM, which suggested a lower network resistance to environmental perturbation. Zi-Pi plot analysis suggested that some keystone taxa changed their role from generalist to specialist, depending on the specific horizon concerned, Cladophialophora in topsoil, saprotrophic Mortierella in cryoOM, and Penicillium in subsoil were classified as generalists for the respective horizons but specialists elsewhere. The litter saprotrophic taxon Cadophora finlandica played a role as a generalist in Site 1 and specialist in the rest of the sites. Overall, these results suggested that fungal communities within cryoOM were more susceptible to environmental change and some taxa may shift their role, which may lead to changes in carbon storage in permafrost-affected soil.
Out of Control: The Role of the Ubiquitin Proteasome System in Skeletal Muscle during Inflammation
(2021)
The majority of critically ill intensive care unit (ICU) patients with severe sepsis develop ICU-acquired weakness (ICUAW) characterized by loss of muscle mass, reduction in myofiber size and decreased muscle strength leading to persisting physical impairment. This phenotype results from a dysregulated protein homeostasis with increased protein degradation and decreased protein synthesis, eventually causing a decrease in muscle structural proteins. The ubiquitin proteasome system (UPS) is the predominant protein-degrading system in muscle that is activated during diverse muscle atrophy conditions, e.g., inflammation. The specificity of UPS-mediated protein degradation is assured by E3 ubiquitin ligases, such as atrogin-1 and MuRF1, which target structural and contractile proteins, proteins involved in energy metabolism and transcription factors for UPS-dependent degradation. Although the regulation of activity and function of E3 ubiquitin ligases in inflammation-induced muscle atrophy is well perceived, the contribution of the proteasome to muscle atrophy during inflammation is still elusive. During inflammation, a shift from standard- to immunoproteasome was described; however, to which extent this contributes to muscle wasting and whether this changes targeting of specific muscular proteins is not well described. This review summarizes the function of the main proinflammatory cytokines and acute phase response proteins and their signaling pathways in inflammation-induced muscle atrophy with a focus on UPS-mediated protein degradation in muscle during sepsis. The regulation and target-specificity of the main E3 ubiquitin ligases in muscle atrophy and their mode of action on myofibrillar proteins will be reported. The function of the standard- and immunoproteasome in inflammation-induced muscle atrophy will be described and the effects of proteasome-inhibitors as treatment strategies will be discussed.
Over thirty years have passed since the first description of ubiquitin-positive structures in the brain of patients suffering from Alzheimer’s disease. Meanwhile, the intracellular accumulation of ubiquitin-modified insoluble protein aggregates has become an indisputable hallmark of neurodegeneration. However, the role of ubiquitin and a fortiori the ubiquitin-proteasome system (UPS) in the pathogenesis of neurodevelopmental disorders (NDD) is much less described. In this article, we review all reported monogenic forms of NDD caused by lesions in genes coding for any component of the UPS including ubiquitin-activating (E1), -conjugating (E2) enzymes, ubiquitin ligases (E3), ubiquitin hydrolases, and ubiquitin-like modifiers as well as proteasome subunits. Strikingly, our analysis revealed that a vast majority of these proteins have a described function in the negative regulation of the innate immune response. In this work, we hypothesize a possible involvement of autoinflammation in NDD pathogenesis. Herein, we discuss the parallels between immune dysregulation and neurodevelopment with the aim at improving our understanding the biology of NDD and providing knowledge required for the design of novel therapeutic strategies.
An Innovative Protocol for Metaproteomic Analyses of Microbial Pathogens in Cystic Fibrosis Sputum
(2021)
Hallmarks of cystic fibrosis (CF) are increased viscosity of mucus and impaired mucociliary clearance within the airways due to mutations of the cystic fibrosis conductance regulator gene. This facilitates the colonization of the lung by microbial pathogens and the concomitant establishment of chronic infections leading to tissue damage, reduced lung function, and decreased life expectancy. Although the interplay between key CF pathogens plays a major role during disease progression, the pathophysiology of the microbial community in CF lungs remains poorly understood. Particular challenges in the analysis of the microbial population present in CF sputum is (I) the inhomogeneous, viscous, and slimy consistence of CF sputum, and (II) the high number of human proteins masking comparably low abundant microbial proteins. To address these challenges, we used 21 CF sputum samples to develop a reliable, reproducible and widely applicable protocol for sputum processing, microbial enrichment, cell disruption, protein extraction and subsequent metaproteomic analyses. As a proof of concept, we selected three sputum samples for detailed metaproteome analyses and complemented and validated metaproteome data by 16S sequencing, metabolomic as well as microscopic analyses. Applying our protocol, the number of bacterial proteins/protein groups increased from 199-425 to 392-868 in enriched samples compared to nonenriched controls. These early microbial metaproteome data suggest that the arginine deiminase pathway and multiple proteases and peptidases identified from various bacterial genera could so far be underappreciated in their contribution to the CF pathophysiology. By providing a standardized and effective protocol for sputum processing and microbial enrichment, our study represents an important basis for future studies investigating the physiology of microbial pathogens in CF in vivo – an important prerequisite for the development of novel antimicrobial therapies to combat chronic recurrent airway infection in CF.
Ebolaviruses are zoonotic pathogens causing severe hemorrhagic fevers in humans
and non-human primates with high case fatality rates. In recent years, the number and
scope of outbreaks has increased, highlighting the importance of better understanding
the molecular aspects of ebolaviral infection and host cell interactions in order to be able to better control this virus.
To facilitate virus genome replication, transcription and protein expression,
ebolaviruses recruit and interact with specific host factors. These interactions play a key role in viral infection and influence virus survival and disease outcome. Based on a genome-wide siRNA screen, the three host factors CAD, NXF1 and UAP56 were
recently identified to be involved in ebolavirus genome replication and/or transcription
and/or mRNA-translation. However, mechanistical details of how these host factors
affect the ebolavirus lifecycle remained elusive.
In this thesis I analyzed the functional interactions between EBOV and these newly
identified host proteins in order to better understand the virus-host interface. To this
end I used siRNA knockdown as well as overexpression of these host proteins in
combination with different reverse-genetics based lifecycle modelling assays to
investigate the influence of CAD, NXF1 and UAP56 on individual aspects of the EBOV
lifecycle. Using these systems in relation with a host factor knockdown I was able to
show that the provision of pyrimidines by CAD plays an important role for both EBOV
genome replication and transcription, whereas NXF1 is predominantly required for
mRNA transport. I furthermore used immunofluorescence analysis to examine whether
these host factors are recruited by one or more EBOV proteins to inclusion bodies,
which represent physical sites of ebolavirus genome replication. During these
experiments, I was able to show that CAD and NXF1, and possibly also UAP56, are
recruited to EBOV inclusion bodies in order to fulfill their individual function for EBOV RNA synthesis or later steps in protein expression. Additionally, I was able to show that the uptake of NXF1 into NP-induced inclusion bodies is most likely mediated via the C-terminal domain of NP, and that the FG-repeat interaction domains of NXF1 are sufficient for recruitment. Further, my data indicate that RNA interaction of both NXF1 and NP is not required for this process, but rather important for exit of NXF1 from inclusion bodies. I therefore suggest that the viral mRNA is transferred in inclusionbodies from NP to NXF1, which leads to a rapid export of the NXF1 packed viral mRNA into the cytosol for mRNA translation.
The exact mechanism of how these host factors are recruited into inclusion bodies and whether they have similar functions in the lifecycle of other negative-sense RNA viruses still needs to be investigated. Nevertheless, this study increases our understanding of virus-host interaction of ebolaviruses, and thus helps to identify targets for the development of novel therapeutics against these viruses.
LPAIV H9N2 and HPAIV H5N8 clade 2.3.4.4 viruses have been frequently isolated from domestic and wild birds in Germany and they are endemic in poultry worldwide. H9N2 is known to donate gene segments to other AIV with high case fatality rate in humans (e.g. H5N1, H7N9). Similarly, H5N8 devastated poultry worldwide since 2014 and has been recently isolated from humans. Therefore, it is important to understand the genetic predisposition for adaptation of H9N2 and H5N8 AIV in poultry and mammals. In the first publication, we focused on the variable hemagglutinin cleavage site (HACS) of European and Non-European H9N2 viruses, since the HACS is a main virulence determinant of AIV in birds. We found a preferential substitution of non-basic amino acids (G, A, N, S, D, K) in the HACS at position 319 of European H9N2 viruses compared to non-European H9N2 viruses. Recombinant viruses carrying different non-basic amino acids in the HACS modulated replication in vitro. While these non-basic amino acids did not affect virulence or transmission in chickens, they modulated virulence and replication in turkeys. Moreover, H9N2 viruses with non-basic amino acids in the HACS were able to replicate in mammalian brain cells for multiple cycles even without trypsin. In the second publication, we addressed the question whether reassortment between two recent German H9N2 and H5N8 clade 2.3.4.4. B viruses is possible and analysed the impact on virus fitness in mammals and birds. We found that H9N2 PB1 and NP segments were not compatible to generate infectious H5N8 viruses and this incompatibility was due to mutations outside the packaging region. However, H9N2 NS alone or in combination with PB2 and PA significantly increased replication of H5N8 in human cells. Moreover, H9N2 PB2, PA and/or NS segments increased virulence of H5N8 in mice. Interestingly, in chickens, reassortment with H9N2 gene segments, particularly NS, partially or fully impaired chicken-to-chicken transmission. These results indicate that the evolution of H9N2/H5N8 reassortants showing high virulence for mammals is unlikely to occur in chickens. In the third publication, we focused on the NS1 protein of different HPAIV H5N8 clade 2.3.4.4 viruses from 2013 to 2019 and studied the impact of its C-terminus (CTE) variation on virus fitness in chickens and ducks. Our findings revealed a preferential selection for a certain NS1 CTE length in 2.3.4.4. H5N8 clade A (237 aa) and B (217 aa) viruses over the common length of 230 aa. Indeed, the NS1 CTE can affect virus virulence and pathogenesis in a species and virus clade dependent manner. In chickens, although there was no impact on virulence, NS1 CTE of H5N8-A and H5N8-B, regardless of the length, have evolved towards higher efficiency to block the IFN response. In ducks, NS1 CTE contributed to efficient transmission, replication and high virulence of H5N8-B. In the fourth publication, we assessed the impact of variable length of NS1 on H5N8 virus replication in human cells and virulence in mice. We showed that NS1 of H5N8-B virus unlike the vast majority of NS1 of AIV, shared preferences for short NS1 similar to human and zoonotic influenza viruses. This virus (i) was able to efficiently block IFN and apoptosis induction which might be the first steps for efficient adaptation to human cells and (ii) without prior adaptation replicated at higher levels and was more virulent in mice than H5N8-A. The virulence of the latter virus increased after shortening the NS1 similar to H5N8-B virus. Therefore, it is conceivable that truncation in NS1 is a determinant for adaptation of H5N8 in mammals irrespective of its impact on virus fitness in poultry. Findings in this dissertation indicated that HA mutations in the European H9N2 and NS1 variations in H5N8 viruses play a role in virus fitness in poultry and/or mammals. These results improve our current understanding for AIV adaptation and are useful to assess the potential of these viruses to infect mammals.
The genus Capripoxvirus of the family Poxviridae consists of the species lumpy skin disease virus, sheeppox virus and goatpox virus that affect cattle, sheep and goats, respectively. Whereas lumpy skin disease virus (LSDV) is transmitted mainly mechanically via blood-feeding insects and possibly hard ticks, the major transmission routes of sheeppox virus (SPPV) and goatpox virus (GTPV) are via direct contact and aerosols. Affected animals develop fever and display clinical signs such as ocular and nasal discharge, lymphadenopathy and characteristic lesions of the skin. Severe clinical course, especially in combination with respiratory signs, can result in the death of the affected animals. In endemic regions, mortality of capripox virus-induced diseases is low (1-10%). However, mortalities of up to 75% have been reported for LSDV and up to 100% for SPPV and GTPV in exotic breeds and high-producing dairy or beef animals. The loss of quality of the leather, reduced weight gain and milk yield as well as complete loss of affected animals have severe impact on national and global economies. Therefore, capripox virus-induced diseases have significant impact on both the affected individual animal as well as on the existence of small-scale farmers and large agricultural enterprises. However, until now, only live attenuated vaccines are commercially available. These attenuated vaccines are not authorized in the European Union and their administration would comprise the disease-free status of the respective country. Thus, reliable diagnostic tools for the detection and characterization of capripox viruses as well as safe and efficient control measures are of high importance.
The objectives of the present thesis were the development, validation and comparison of diagnostic tools, the establishment of challenge infection models and the performance of pathogenesis studies for all three capripox virus species, and the development and testing of different inactivated prototype vaccine candidates against LSDV.
First, new real-time quantitative polymerase chain reaction (qPCR) assays for robust detection and differentiation of LSDV field strains, LSDV vaccine strains, SPPV and GTPV were developed and extensively validated. In the following, two single assays were combined to duplex assays, one for the differentiation between LSDV field strains and LSDV vaccine strains, and the second for discrimination of SPPV and GTPV. Finally, a diagnostic workflow based on these new duplex assays in combination with already published methods was established. This workflow enables time-saving, robust and reliable detection, species-specific identification and genetic and phylogenetic characterization of all three capripox virus species. In addition, already existing serological examination methods (serum neutralization assay and commercial enzyme-linked immunosorbent assay) were compared regarding their sensitivity and specificity. Furthermore, pathogenesis studies with different capripox virus isolates were performed in the respective target species, and the suitability of selected virus isolates as challenge viruses for future vaccine studies was analyzed. Pathogenesis studies with isolates GTPV-“V/103” and LSDV-“Macedonia2016” revealed that both are proper candidates for challenge models. Finally, three different SPPV isolates (SPPV-“V/104”, SPPV-“India/2013/Surankote” and SPPV-“Egypt/2018”) were tested in sheep regarding their virulence to find a suitable challenge model for SPPV, and SPPV-“India/2013/Surankote” was chosen for future vaccine studies.
Once appropriate challenge models were established, different inactivated prototype vaccines against LSDV were developed, and vaccine safety as well as vaccine efficacy were tested in cattle. Eventually, a Polygen-adjuvanted inactivated LSDV-vaccine candidate was selected that is able to fully prevent cattle from any LSDV-related clinical signs after severe challenge infection. Furthermore, molecular and serological data indicate that this inactivated prototype vaccine is even able to induce a kind of “sterile immunity” against LSDV in those cattle. It has to be mentioned that a commercially available vaccine similar to this prototype vaccine would be a great advance for the control of LSDV.
In the future, additional studies addressing diagnostics and optimized control of capripox viruses should be performed. Firstly, probe-based real-time qPCR assays for the differentiation of SPPV and GTPV vaccine strains from their respective virulent field strains should be developed and included into the diagnostic workflow. Secondly, further tests of the inactivated prototype vaccine, e.g. determination of the minimum protective dose and the possibility of cross-protection in sheep and goats against SPPV and GTPV, respectively, should be performed.
Primary producers, alongside heterotrophic bacteria and viruses, modulate the essential global carbon cycle. About half of the Earth’s net primary production originates in the marine environment. By effecting these systems and the burial of carbon, bacteria play a significant role in the world’s climate, especially with regard to rising temperatures and increasing anthropogenic carbon dioxide production.
Particles present substrate-rich niches for particle-associated bacteria, but are rare in the marine system. Particle-associated bacteria, comprising of chemotactic motile free-living and particle-attached bacteria, were shown to have higher respiration rates, were larger in cell and genome size and showed a higher hydrolytic activity of extracellular enzymes compared to the free-living fraction.
Understanding the contribution of particle-associated bacteria to the degradation of algal biomass is essential to understand the marine carbon cycle. However, the identification of this group is difficult and required refinement.
Sequential filtration, the most commonly used technique for the separation of bacterial fractions, provides only access to a part of the particle-associated microbiome, and includes with large and clustered bacteria undesired false-positives. To overcome these limitations, separation by gravity in Imhoff sedimentation cones was explored in this thesis to access, identify and define particle-associated microbiomes, in comparison and conjunction with the established separation techniques like sequential filtration and centrifugation.
The cultivability on agar plates was assessed, aiming at the question which portion of the colony-forming bacteria belong to free-living non-motile or motile bacteria or to particle-attached bacteria. As continuous cultivation on plates often involves loss of cultures, colonies of the original plate were used to obtain partial 16S rRNA sequences of individual colonies and of plate microbiomes.
For future studies on particle-associated bacteria, a representative strain collection was established from particle-attached bacteria retained on 3 μm filters and from particle-associated bacteria collected together with settled algae in sedimentation cones.
To understand the contribution of top-down selection to a yearly recurring bacterioplankton bloom at our sampling site Helgoland, particle-associated strains were included in isolation experiments for flavophages, since Flavobacteriia are among the most important responder to the yearly observed blooms.
Overall, this thesis provides new insights into the isolation and cultivation of particle-associated bacteria – an important, but currently not fully understood fraction of organisms within the marine system.
The here presented dissertation investigated the molecular mechanisms, by which the food industry model bacteria Pseudomonas fluorescens and Listeria monocytogenes, grown either as planktonic cultures, were inhibited by plasma treated water (PTW) produced by a microwave-induced plasma source (MidiPLexc). As a starting point, optimal operating parameters were determined with 5 standard liters per minutes(slm)compressed air during the treatment of 10 ml deionized water within a treatment time of up to 15 min (pre-treatment time). Treatment times of 1, 3 and 5 min were selected (post-treatment time). In addition to physical parameters, i.e. temperature measurements at different spots at the plasma source during the production of the PTW, the chemical composition of PTW was determined by pH measurements, chronoamperometry (determination of the H2O2 concentration), ion chromatography (determination of the NO2-, NO3- and ONOO- concentrations) and mass spectrometry (qualitative determination of the molecules). In addition, concentration changes of reactive species over a period of 3 h indicated a decrease of the NO2- concentration as well as an increase of the NO3- and ONOO- concentration in the PTW. Microbiological assays, i.e. quantification of colony-forming units (CFU), fluorescence and XTT assays, revealed a significant reduction of the proliferation ability of the cells, membrane damages and metabolic activity have been demonstrated for planktonic cultures as well as mono- and multispecies biofilms. PTW effects on biofilm structures were investigated using microscopic methods such as fluorescence microscopy, confocal laser scanning microscopy (CLSM), atomic force microscopy (AFM), and scanning electron microscopy (SEM), as well as physical methods such as contact angle measurements. Significant changes in the biofilm structure have been shown, which indicate an ablation of the biofilm mass from top to bottom by approximately 2/3 of the biofilm mass and a destruction of the extracellular matrix (ECM) by the reactive species within the PTW. Subsequently, fresh-cut lettuce has been treated with PTW produced by up-scaled plasma sources. Apart from qualitative parameters of the lettuce after PTW treatment such as texture and color, the concentration of PTW reactive species have been determined. These experiments showed that the composition of the reactive species were slightly different from that of the laboratory-scaled plasma source MidiPLexc. Notably, the PTW treatment did not cause significant changes in texture and color of the fresh-cut lettuce. Finally, a synergistic effect of PTW treatment followed by plasma-processed air (PPA) drying was demonstrated application-specific.
Lyssaviruses, the causative agents of rabies, are a long-known threat for animals and humans. To date, terrestrial rabies still accounts for tens of thousands of human deaths annually, notwithstanding ambitious vaccination campaigns targeting susceptible dog and wildlife populations that act as reservoirs for the prototypic rabies virus. Moreover, the continuing discovery of newly emerging virus species in hitherto unconcerned chiropteran hosts and geographic regions drive the expansion of the Lyssavirus genus by unveiling its actual variety, host range and distribution.In this work, the genetic diversity of three distinct lyssaviruses, namely EBLV-1, KBLV and RABV, was elucidated by in-depth genomic analyses to provide further insight into lyssavirus evolution. The generation of full-genome sequences from primarily bat-associated Danish EBLV-1 samples significantly increased the number of available Danish EBLV-1 genome sequences while phylogenetic and phylogeographic analysis revealed a stronger phylogeographic structure for the cluster A1 of the sublineage EBLV-1a than it was postulated in previous studies. In addition, the acquisition of a nearly complete genome sequence for the Kotalahti bat lyssavirus provided the basis for the classification of this putative new lyssavirus species as a recognized member of the genus. Furthermore, phylogenetic analysis revealed the affiliation of KBLV to a group of Myotis-associated lyssaviruses giving a deeper insight into the shared evolutionary history of lyssaviruses co-evolving with particular bat species. Moreover, a deep-sequencing approach was utilized to assess the high genetic diversity of vaccine virus populations, uncovering three independent patterns of single nucleotide variants (SNVs) that became selected in ERA-related vaccine-induced cases. However, no apparent influence of the genetic diversity of vaccine viruses on microevolutionary processes like a potential reversion to virulence or a species-specific adaptation of the vaccine virus strains could be detected, leaving the question for the cause of rabies induction in the affected animals unanswered. Lastly, the successful implementation of a hybridization capturing system for the generation of full-genome sequences and deep-sequencing variant analyses of RABV and KBLV samples was demonstrated for a diagnostic bait set, highlighting the versatility and consistency of this approach to assess the genetic spectrum of known and novel lyssavirus species while setting the basis for its application and optimization in upcoming projects.In conclusion, as shown by the studies in this work, the investigation of lyssavirus genomes at the sub-consensus, full-genome and population level remains crucial to assess the complexity of lyssavirus evolution, as it provides an indispensable source of information to cover the diversity of the genus and understand evolutionary dynamics on a long-term and microevolutionary scale.
More than half of the infectious diseases in humans are caused by zoonotic pathogens or pathogens of animal origin that were transmitted to humans a long time ago. Two important rodent-associated zoonotic pathogens are hantaviruses and human-pathogenic Leptospira spp. Both pathogens induce lifelong infection in the rodent hosts that shed the pathogen. Infection with these zoonotic pathogens in humans can cause clinical symptoms. Since some rodents, like the common vole (Microtus arvalis) and the bank vole (Clethrionomys glareolus syn. Myodes glareolus), have cyclic mass reproduction, this can result in years of population outbreaks in an increased number of disease cases in humans. This was found to be the case with the leptospirosis outbreaks in Germany and tularemia outbreaks in Spain, which were traced back to increased common vole density, as well as with the hantavirus disease outbreaks in several European countries, which were associated with bank vole population outbreaks.
The aim of this work was to define the distribution and prevalence of different hantaviruses and leptospires as well as their coinfection in different European rodents, with a focus on voles from the genus Microtus and the identification of factors that affect the pathogen prevalence in rodent hosts. Therefore, common voles, bank voles, striped field mice (Apodemus agrarius) and other rodents were screened by molecular methods for the presence and prevalence of Leptospira spp. and different hantaviruses. Additionally, in selected studies, the presence of anti-hantavirus antibodies was screened by enzyme-linked immunosorbent assay (ELISA) using recombinant hantavirus-nucleocapsid proteins. The prevalence of hantavirus, Leptospira spp. and double-infections with both pathogens was analyzed using individual and population-based factors. Small mammals from four different European countries, Spain in the West, Germany and Austria in Central and Lithuania in Northeastern Europe, were included in the studies.
With the molecular screenings, two new hantavirus strains were detected in continental Europe and were named Traemmersee hantavirus (TRAV) and Rusne hantavirus (RUSV) after the trapping locations in Germany and Lithuania, respectively. TRAV was detected in a field vole (Microtus agrestis) from the federal state of Brandenburg, Germany, while RUSV was detected in root voles (Microtus oeconomus) from Lithuania. Phylogenetic analysis of both hantaviruses indicates their close relation to Tatenale hantavirus and Kielder hantavirus, which were discovered in field voles in Great Britain. A pairwise evolutionary distance (PED) analysis showed that all four hantaviruses belong to the same hantavirus species, for which the putative name “Tatenale orthohantavirus” was proposed. Additionally, a recombinant RUSV antigen was generated and used successfully in ELISA for the detection of RUSV-specific antibodies and for the analysis of the cross-reactivity of monoclonal and polyclonal antibodies.
In Germany, Tula orthohantavirus (TULV) was foremost detected in common voles in Thuringia and Brandenburg but was also detected in field voles in Brandenburg. Puumala orthohantavirus (PUUV) was detected in Thuringia at the virus distribution border, but sequences differed strongly from known sequences from another neighboring trapping location. While in Austria Dobrava-Belgrade orthohantavirus (DOBV), genotype Kurkino, was detected for the first time in striped field mice, no hantavirus RNA was detected in common voles from Spain. The cause of this absence in the Iberian common vole population might be its long-term isolation from the common vole populations more to the east. The TULV prevalence in Germany in this study was dependent on the season and on the prior growth of the reservoir population. An individual factor that affected the hantavirus prevalence, was the increasing age of the common vole.
Leptospira spp.-DNA was detected in common voles from Spain and Germany, as well as in one striped field mouse from Austria. Except for the two detections of L. borgpetersenii in Spain, which were probably the result of spillover infections, only the genomospecies L. kirschneri was detected in common voles from Spain and Germany. The high prevalence of Leptospira spp., as well as the detection of only one genomospecies, confirm that L. kirschneri is the genomospecies for which the common vole is the main reservoir. Important factors for the Leptospira spp. prevalence were found to be, in addition to temperature and rainfall, the season and the preceding common vole density. Like the case with hantavirus, the age of the vole was found to be an influencing factor.
In Germany, coinfections of TULV and Leptospira spp. were detected. These were associated with high common vole density and increased with the age of the common vole. Furthermore, the incidence of coinfections seems to be impacted more by the Leptospira spp. than by the hantavirus prevalence.
As part of this thesis, TULV and PUUV were detected in previously untested regions in Germany, DOBV was detected for the first time in Austria and the distribution range of the putative species “Tatenale orthohantavirus” was extended to continental Europe for the first time with detection in two countries. Screenings in Spain indicate that certain common vole populations can be free from TULV infection. Furthermore, leptospires were detected in rodents from Spain, Germany and Austria. It was verified that certain Leptospira genomospecies are host-specific. Factors that influence the prevalence of infection or coinfection by hantaviruses and leptospires were determined.
The origin and hosts associated with the Tatenale orthohantavirus should be clarified in further studies including the field vole and the root vole as well as other members of the genus Microtus in Europe and Asia. The development of a RUSV-antigen-based ELISA will enable future screening in humans and therefore might provide information about the human pathogenicity of this pathogen. For final confirmation of the zoonotic potential, isolation of the virus and development of a focus reduction neutralization test are necessary. The expansion of the striped field mouse to Austria and the detectable carryover of DOBV associated with this implies that further screening studies to more precisely characterize the distribution of DOBV (and other pathogens) are needed. The studies of DOBV spread in Austria as well as PUUV spread in Germany could help to better understand the emergence of zoonotic pathogens in new regions. The here described hantavirus-Leptospira spp. and Neoehrlichia mikurensis-Bartonella spp. coinfections should be further analyzed to characterize the interactions of the pathogens in the context of a microbiome and their influence on epidemiological aspects of the involved pathogens. The here identified individual and population-based impact factors for the TULV and Leptospira spp. prevalence should support the development and optimization of prediction models.
Bisherige Analysen von RABV-Pathogenitätsdeterminanten wurden mit laboradaptierten, teils attenuierten Viren durchgeführt. Es ist unklar, ob bisher untersuchte Faktoren auch für hoch virulente RABV-Feldviren relevant sind. Der hier durchgeführte systematische Vergleich von Feldviren und Laborstämmen im infizierten Tier konnte Unterschiede hinsichtlich der Fähigkeit immunkompetente Neuroglia des ZNS zu infizieren als mögliche Pathogenitätsdeterminante aufzeigen. Darüber hinaus wurden erstmals SZ-Neuroglia peripherer Nerven als Zielzellen für die RABV-Infektion identifiziert.
Für die Analyse von RABV-infizierten Geweben wurde ein modernes 3D Imaging-Verfahren angewandt. Gehirne aus experimentell infizierten Mäusen und Frettchen wurden wie in Veröffentlichung 1 beschrieben immunfluoreszenz-gefärbt, optisch geklärt und hochauflösend mit einem konfokalen Laserscan Mikroskop untersucht. RABV N und P Protein konnten dreidimensional in räumlicher Umgebung zu zellulären Strukturen des Wirtes visualisiert werden. Diese Untersuchung bewies die besondere Eignung des Verfahrens zur Identifizierung vereinzelter Zielstrukturen und wurde für nachfolgende systematische Analysen im ZNS und PNS verwendet.
Der RABV-Zelltropismus wurde als vermutlich wichtige Pathogenitätsdeterminante in Veröffentlichung 2 untersucht. RABV Feldviren vom Hund (rRABV Dog), Fuchs (rRABV Fox) und Waschbär (rRABV Rac) konnten im Vergleich zu den laboradaptierten Viren (rCVS-11, SAD L16 und ERA) nicht-neuronale Zellen im ZNS wie Astroglia produktiv infizieren. Der Anteil infizierter Astrozyten ist mit 7-17 % nach i.m. Inokulation vergleichbar mit dem der Neuronen (7-19 %). Interessanterweise wurde eine Inokulationsroutenabhängige Infektion von Astrozyten mit dem moderat virulenten Laborstamm rCVS-11 beobachtet. Diese systematische und quantitative Analyse des RABV-Astrozyten- und Neuronentropismus zeigt, dass mit abnehmender Virulenz die Fähigkeit der Viren produktiv in Astroglia im ZNS zu replizieren abnimmt. Die Fähigkeit eine produktive Infektion in Astrozyten auszubilden, scheint demnach ein grundlegender Unterschied zwischen Feldviren und weniger virulenten Laborstämmen zu sein.
Weiterführend wurde in Veröffentlichung 3 die Virusausbreitung vom ZNS in periphere Nerven untersucht. Hinterbeine, Wirbelsäule inklusive Rückenmark, Gehirn und weitere Kopfbereiche experimentell infizierter Mäuse wurden mittels Lichtblatt- und konfokaler Laserscanmikroskopie analysiert. Zum Ersten Mal konnte eine RABV-Infektion peripherer Neuroglia dargestellt werden. Eine produktive Infektion immunkompetenter SZ im PNS ist also möglicherweise, genauso wie die Infektion von Astrozyten im ZNS, entscheidend für die RABV-Neuropathogenese. Die Detektion von RABV-Antigen im Hinterbein nach i.c. Inokulation beweist eine anterograde axonale Virusausbreitung vom ZNS in periphere Nerven. Interessanterweise konnte das Virus auch in Bereichen des Nasopharynx und des Zungenepithels nachgewiesen werden, worüber möglicherweise zusätzlich zur Speicheldrüse Virus in den Nasenrachenraum ausgeschieden wird. Zusammenfassend konnten mit dieser Arbeit neue Einblicke hinsichtlich des Zelltropismus und der Ausbreitung von RABV in vivo im Modellorganismus Maus gewonnen werden. Die Fähigkeit der untersuchten hoch virulenten Feldviren nicht-neuronale, immunkompetente Neuroglia des ZNS und PNS zu infizieren unterscheidet diese von den weniger virulenten bzw. apathogenen Virusstämmen und könnte ein entscheidender Faktor bei der Ausbildung einer Tollwut-Enzephalitis darstellen.
Infections with bacterial pathogens are a major cause of morbidity and mortality
worldwide. Furthermore, the extensive use of antibiotics increased the frequency of infections with drug-resistant pathogens. Streptococcus pneumoniae, a major cause of
bacterial pneumonia, is among the pathogens that often show resistances. As an
additional side effect, the use of antibiotics can disrupt the patient’s intestinal microbiome, allowing Clostridioides difficile to cause severe, recurring and hard-to-treat
colitis. Hence, new antimicrobials are needed to combat infections caused by these
pathogens. A promising approach is the usage of antimicrobial peptides (AMPs), defense
molecules produced by organisms from all domains of life. AMPs can specifically perforate
bacterial membranes and stimulate the overall immune response of the host.
In this work, the proteomic adaptations of S. pneumoniae to the human antimicrobial
peptides LL-37 and hBD3 were assessed by high-resolution mass spectrometry and
compared to general membrane stress, in order to evaluate the specificity of the bacterial
reactions. Furthermore, C. difficile was challenged with the Lactococcus lactis-derived
AMP nisin, and the proteomic alterations were examined. In essence, application of LL-37
and hBD3 changed the abundance of pneumococcal proteins involved in membrane
transport, including a putative AMP transporter, a protease, virulence proteins and
genetic regulators. Moreover, a challenge with LL-37 caused an increase of proteins
involved in cell surface modifications that alter the bacterial membrane charge and repel cationic molecules such as LL-37. In support of this, mutants unable to express these
proteins were more sensitive to LL-37. In contrast, general membrane stress, induced by
the application of cationic detergents, produced a diverse proteomic adjustment, though the same two-component regulatory system was activated. In C. difficile, levels of flagella proteins were significantly increased shortly after treatment with nisin, being in
accordance with subsequent electron microscopy data and pointing at a role of these
proteins in adaptation to nisin. Interestingly, a flagella-overexpressing mutant showed an
enhanced resistance towards nisin, independent of bacterial motility.
Taken together, the bacterial pathogens under investigation seem to possess
mechanisms to reduce the effect of AMPs on their physiology, a finding that should be
considered developing drugs based on AMPs. Although AMPs exhibit membrane
perturbations as a common mechanism of action, bacterial adaptation to AMPs appear
multifactorial and dependent on the exact pathogen observed and AMP used.
Prothrombotic and Proinflammatory Activities of the β-Hemolytic Group B Streptococcal Pigment
(2019)
A prominent feature of severe streptococcal infections is the profound inflammatory response that contributes to systemic toxicity. In sepsis the dysregulated host response involves both immunological and nonimmunological pathways. Here, we report a fatal case of an immunocompetent healthy female presenting with toxic shock and purpura fulminans caused by group B streptococcus (GBS; serotype III, CC19). The strain (LUMC16) was pigmented and hyperhemolytic. Stimulation of human primary cells with hyperhemolytic LUMC16 and STSS/NF-HH strains and pigment toxin resulted in a release of proinflammatory mediators, including tumor necrosis factor, interleukin (IL)-1β, and IL-6. In addition, LUMC16 induced blood clotting and showed factor XII activity on its surface, which was linked to the presence of the pigment. The expression of pigment was not linked to a mutation within the CovR/S region. In conclusion, our study shows that the hemolytic lipid toxin contributes to the ability of GBS to cause systemic hyperinflammation and interferes with the coagulation system.
Technological advances in light microscopy have always gone hand in hand with unprecedented biological insight. For microbiology, light microscopy even played a founding role in the conception of the entire discipline. The ability to observe pathogens that would otherwise evade human observation makes it a critical necessity and an indispensable tool to infectious disease research. Thus, the aim of this thesis was to optimize, extend, and functionally apply advanced light microscopy techniques to elucidate spatio-temporal and spatio-morphological components of bacterial and viral infection in vitro and in vivo.
Pathogens are in a constant arms race with the host’s immune system. By finding ways to circumvent host-mediated immune responses, they try to evade elimination and facilitate their own propagation. The first study (publication I) demonstrated that the obligate intracellular pathogen Coxiella burnetii is not just able to infect natural killer (NK) cells, but is actually capable of surviving the harsh degradative conditions in the cytotoxic lymphocyte’s granules. Using live-cell imaging of reporter-expressing Coxiella burnetii, the transient NK cell passage was closely monitored to provide detailed spatio-temporal information on this dynamic process in support of a range of static analyses. Bacterial release from NK cells was pinpointed to a time frame between 24 to 48 hours post-infection and the duration of release to about 15 minutes.
The second approach (publications II-V) aimed at shedding light on the greater spatio-morphological context of virus infection. Thus far, most studies investigating the distribution or tropism of viruses in vivo have used conventional immunohistochemistry in thin sections. Omitting the native spatial context of the infection site in vivo inherently bears the risk of incomplete description. While the microscopic tools and sample preparation protocols needed for volumetric 3D immunofluorescence imaging have recently been made available, they had not gained a foothold in virus research yet. An integral part of this thesis was concerned with the assessment and optimization of available tissue optical clearing protocols to develop an immunofluorescence-compatible 3D imaging pipeline for the investigation of virus infection inside its intact spatio-morphological environment (publication II). This formed the basis for all subsequent volumetric analyses of virus infection in vivo presented here. Consequently, this thesis provided a valuable proof of concept and blueprints for future virus research on the mesoscopic scale of host-pathogen interactions in vivo (publications II-V), using rabies virus (RABV; publications II-IV) and the newly-emerged severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; publication V) as infection models for the nervous system and the respiratory tract, respectively.
Applying and further improving this volumetric 3D imaging workflow enabled unprecedented insights into the comprehensive in vivo cell tropism of RABV in the central (CNS) (publication III) and peripheral nervous system (PNS) (publication IV). Accordingly, differential infection of CNS-resident astrocytes by pathogenic and lab-attenuated RABV was demonstrated (publication III). While either virus variant showed equal capacity to infect neurons, as demonstrated by quantitative image analysis, only pathogenic field RABVs were able to establish non-abortive infection of astrocytes via the natural intramuscular inoculation route. A combined 3D LSFM-CLSM workflow further identified peripheral Schwann cells as a relevant target cell population of pathogenic RABV in the PNS (publication IV). This suggested that non-abortive infection of central and peripheral neuroglia by pathogenic RABV impairs their immunomodulatory function and thus represents a key step in RABV pathogenesis, which may contribute significantly to the establishment of lethal rabies disease.
Finally, utilizing the full volumetric acquisition power of LSFM, a further refined version of the established 3D imaging pipeline facilitated a detailed mesoscopic investigation of the distribution of SARS-CoV-2 in the respiratory tract of the ferret animal model (publication V). Particularly for this newly-emerged pathogen of global concern, in-depth knowledge of host-pathogen interactions is critical. By preserving the complete spatio-morphological context of virus infection in the ferret respiratory tract, this thesis provided the first specific 3D reconstruction of SARS-CoV-2 infection and the first report of 3D visualization of respiratory virus infection in nasal turbinates altogether. 3D object segmentation of SARS-CoV-2 infection in large tissue volumes identified and emphasized a distinct oligofocal infection pattern in the upper respiratory tract (URT) of ferrets. Furthermore, it corroborated a preferential replication of SARS-CoV-2 in the ferret URT, as only debris-associated virus antigen was detected in the lower respiratory tract of ferrets, thus providing crucial information on the spatial distribution of SARS-CoV-2.