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Applied and Environmental Microbiology, April 2008, p. 2187-2199, Vol. 74, No. 7
0099-2240/08/$08.00+0 doi:10.1128/AEM.01214-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Center for the Management, Utilization and Protection of Water Resources, Tennessee Technological University, Cookeville, Tennessee,1 Department of Microbiology and Immunology, Dalhousie University, Halifax, Nova Scotia, Canada,2 Instituto de Investigaciones Biomédicas, Universidad Autónoma de México, Mexico City, D.F., Mexico,3 Department of Medicine-Division of Infectious Diseases, Dalhousie University, Halifax, Nova Scotia, Canada4
Received 31 May 2007/ Accepted 25 January 2008
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In contrast to amoebae, the role that ciliates play as natural hosts of L. pneumophila is far from clear and remains controversial. On the one hand, it has been experimentally shown that the freshwater ciliate Tetrahymena pyriformis supports the multiplication of L. pneumophila at 35°C (3, 18, 19), and in fact the ability to grow in T pyriformis at 35°C was considered a marker of L. pneumophila virulence (18). On the other hand, L. pneumophila growth was restricted at 25°C in the same T. pyriformis strain (19) that was permissive at 30 to 35°C. Another study (54) showed that only Legionella longbeachae consistently grew in T. pyriformis at 30°C, whereas several strains of L. pneumophila (among several other Legionella species) showed inconsistent growth. In addition, L. pneumophila did not replicate in the ciliate Cyclidium in axenic culture (3). Finally, Tetrahymena vorax did not support the intracellular growth of L. pneumophila at 20 to 22°C (50). However, in all cases (even when no growth was observed) L. pneumophila ingested by ciliates survived within food vacuoles. For instance, whereas E. coli was digested in T. vorax, ingested L. pneumophila survived at 20 to 22°C, and food vacuoles containing live legionellae were retained for an extended period of several hours (50). In contrast, other Tetrahymena species readily expelled the live undigested legionellae into the extracellular milieu, generating a large number of free legionella-laden vesicles that accumulated as aggregates (38).
Rowbotham originally proposed the idea that legionella-laden vesicles produced by amoebae could constitute a large infectious unit that may be important for the transmission of Legionnaires disease (44). To date, legionella-laden vesicles, as well as legionella-infected amoebae, continue to be considered important epidemiological elements, either as infectious particles or as complex units that offer enhanced environmental survival (7, 8, 10). Given the apparent efficiency at which Tetrahymena sp. generates legionella-laden vesicles (38) and the potentially important role that these vesicles may play in the transmission of Legionnaires disease, the ciliate-mediated process of vesicle production was investigated in detail. We report here that the previously named vesicles are instead clusters of bacteria surrounded by bacterial debris and were thus renamed as pellets. The massive production of legionella-laden pellets by Tetrahymena sp. feeding on virulent L. pneumophila is a rapid process that occurs in the absence of bacterial replication and depends on a Dot/Icm system-mediated mechanism used by L. pneumophila to avoid digestion while in transit through the ciliate. Tetrahymena sp. is thus presented here as an efficient packager of virulent L. pneumophila in freshwater, and an experimental model to study the Dot/Icm-mediated mechanisms used by L. pneumophila to resist digestion in ciliates, in the absence of bacterial replication.
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TABLE 1. Bacterial strains used in this study
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Calcium chloride-treated, competent E. coli DH5
cells (Table 1) were transformed with plasmid pDsRed2 (Clontech), and transformants constitutively expressing the red fluorescent protein were selected and grown at 37°C on LB agar containing 50 µg of ampicillin/ml.
Electrocompetent JV309 cells (prepared as described above for Lp02) were transformed by electroporation (as described above) with 10 µg of the complementing plasmid pKB9 (obtained from R. R. Isberg, Tufts University) carrying dotA (4, 5). The electroporated suspension was placed on ice for 20 min before inoculating 200 µl on a monolayer of L929 cells in a 10-cm-diameter tissue culture dish, to allow the formation of plaques (16). The bacterial inoculum was left overnight on the L929 cells (at 37°C in a humid CO2 incubator) before washing and overlaying the cell monolayer with 10 ml of agarose-solidified minimal essential medium. Three days after the first overlay, a second minimal essential medium overlay containing gentamicin (20 µg/ml) and neutral red (to a final concentration of 0.003%) was added. Two days after the second overlay, plugs of agarose containing bacteria from individual visible plaques were cut with glass Pasteur pipettes and then transferred to wells containing fresh HeLa cell monolayers to confirm the ability to grow intracellularly in the absence of thymidine. Colonies from BCYE plates inoculated with infected HeLa cells were confirmed to carry the pKB9 plasmid by the method of Kado and Liu (31).
Ciliate culture, maintenance, and identification.
Tetrahymena sp. was intentionally isolated from a cooling tower biofilm to test a nonamoebic protozoan model relevant to the ecology of L. pneumophila in man-made aquatic environments. The sampled biofilm was dispersed and cultured in a sterile petri dish containing cereal leaves medium, prepared by boiling 1 g of dehydrated cereal leaves (Sigma [St. Louis, MO] catalogue no. C7141) in 1 liter of distilled water for 15 min, followed by filtration through a 0.45-µm-pore-size membrane and autoclaving. All biofilm protozoa were then grown and maintained in 25-cm2 cell culture flasks (Falcon Plastics) containing 10 ml of cereal leaves medium from which individual cells were captured with fine-bore Pasteur pipettes with the aid of a microscope. Individual cells were successively transferred in depression slides until a single ciliate cell was observed per slide. A clonal isolate of Tetrahymena sp. was expanded and maintained in cereal leaf medium and subsequently made axenic by repeated subculture (three times a week for 2 weeks) in medium supplemented with 200 U of penicillin/ml, 200 µg of streptomycin/ml, and 25 µg of gentamicin/ml. Axenic Tetrahymena sp. was initially maintained in cereal leaves medium without antibiotics at 25°C before adopting the maintenance procedures outlined by Elliot (14) as follows. Line A was maintained at 18°C in tubes containing a biphasic medium consisting of 5 ml of a slanted solid phase (in g/liter: dextrin, 8; sodium acetate trihydrate, 0.6; Autolized Yeast [Difco], 5; liver concentrate [Sigma], 0.6; Bacto Casitone [Difco], 3; Casamino Acids [Difco], 2; agar, 16; pH 7.3) covered with
3 ml of sterile ddH2O. This line was subcultured every 2 to 3 months. Line B was maintained in the described biphasic medium, but was kept at room temperature (22 to 24°C) and subcultured every 2 to 3 weeks. Line C (the working culture) was kept in plate count broth (Difco) at 30°C and subcultured weekly. Every 4 to 6 months (depending on the robustness of its growth) line C was discarded and a new one started from line B. Line A served as a reserve culture of low manipulation and to start new line B cultures.
To confirm the identity of the ciliate as Tetrahymena sp., we opted to sequence the gene encoding the small ribosomal subunit RNA. Total Tetrahymena genomic DNA was purified by using the standard phenol-chloroform extraction method reported by Arroyo et al. for Trichomonas vaginalis (2). The final DNA pellet obtained after cold ethanol precipitation was resuspended in TAE buffer (46) and used as a template for amplification of the 18S rRNA gene by PCR in a Biometra T-Personal instrument using Medlin's universal eukaryotic forward primer 5'-ACCTGGTTGATCCTGCCAGT-3' (39), and the reverse primer reported by Jerome et al., 5'-TTGGTCCGTGTTTCAAGACG-3' (30). The amplification product was sequenced in-house in a Beckman-Coulter CEQ 8000 genetic analysis system (Dalgen; Dalhousie University), in both directions, using the above primers. The obtained sequence was then compared against the NCBI database using BLAST, and the most similar sequences were retrieved. Our isolate clustered in the T. tropicalis-T. mobilis clade, which is evolutionarily distanced from the T. pyriformis and T. vorax clade (the two Tetrahymena species used in previous studies with L. pneumophila [19, 50, 54]), as indicated by the phylogenetic tree constructed by Brandl et al. based on a subset of Tetrahymena 18S rRNA gene sequences (9).
Tetrahymena pyriformis ATCC 30202 was used as a reference ciliate in a few feeding experiments. T. pyriformis was cultured and maintained as described above for Tetrahymena sp.
Feeding experiments.
Before use in feeding experiments, Tetrahymena sp. cells were gradually transferred from their plate count broth growth medium into either raw cooling tower water filtered through a 0.2-µm-pore-size membrane (Millipore) or Tris-buffered Osterhout's solution (41, 51). That is, ciliates were sequentially pelleted at 700 x g for 10 min and resuspended in increasing concentrations (30, 60, and 100%) of filtered cooling tower water at room temperature or Osterhout's solution at 30°C. The use of raw cooling tower water was adopted to initially mimic the environment of isolation and was collected from the basin of the cooling tower from which the Tetrahymena sp. isolate was obtained, during the period of lowest biocide concentration. Due to confidentiality issues, the chemistry of the cooling tower water remained undefined; therefore, the adoption of Osterhout's solution facilitated the standardization of subsequent feeding experiments. Osterhout's solution contained (in mg/liter): NaCl, 420; KCl, 9.2; CaCl2, 4; MgSO4·7H2O, 16; MgCl2·6H2O, 34; and Tris base, 121 (pH 7.0). The solution was sterilized by filtration in a bottle-top filter of 0.45-µm pores (Nalgene). Based on the recorded in situ temperature range of cooling tower waters (6), our feeding experiments were initially set at 25°C in cooling tower water and later standardized to 30°C in Osterhout's solution. Bacteria were also washed and resuspended to an optical density at 620 nm of 1 unit, in either filter-sterilized cooling tower water or Osterhout's solution, before being used as inoculum for feeding experiments.
Plate-grown L. pneumophila strain 33216 and Tetrahymena sp. cells were washed and resuspended in cooling tower water to achieve various bacterium/ciliate ratios. The ciliate concentration (determined by direct microscopy of samples of known volume fixed with Lugol's iodine [1]) was kept constant at 104/ml, and different numbers of bacteria were added to achieve bacterium/ciliate ratios of 100, 1,000, and 10,000. After a 24-h incubation at 25°C, pellets produced were enumerated with a Brightline hemacytometer. Feeding experiments standardized at 30°C in Osterhout's solution were run for 48 h with various L. pneumophila Philadelphia-1 strains in either six-well plates or 25-cm2 cell culture flasks. Samples were taken at different times to microscopically assess the numbers of live ciliates and free bacteria. Typically, the concentration of ciliates was 5 x 104/ml of Osterhout's solution, but feeding experiments with Lp02 dot mutants were done at a concentration of 104 Tetrahymena sp. cells per ml and a bacterium/ciliate ratio of 10,000.
Pulse-chase experiments with fluorescent bacteria.
L. pneumophila Lp02 carrying plasmid pBH6119::htpAB (displaying green fluorescence) and E. coli DH5
carrying plasmid pDsRed2 (displaying red fluorescence) were added to ciliate suspensions according to the following schemes: (i) a 1-h pulse of red fluorescent E. coli DH5
, followed by a chase with nonfluorescent E. coli DH5
; (ii) a 1-h pulse of red fluorescent E. coli, followed by a 3-h chase with green fluorescent L. pneumophila; and (iii) a 1-h pulse of green fluorescent L. pneumophila, followed by a chase with nonfluorescent L. pneumophila Lp02. The total bacterium/ciliate ratio for these experiments was kept at
10,000. The ciliates were separated from free bacteria (between pulse and chase changes) by centrifugation at a low speed (700 x g for 10 min), leaving most bacteria in the supernatant. These feeding experiments were set at 30°C in six-well plates (Falcon Plastics) with
0.5 million ciliates per well in 3 ml of Osterhout's solution.
Production of pellets for morphological characterization.
Tetrahymena cells (1.5 x 106) resuspended in 3 ml of Osterhout's solution were fed with
5 x 108 bacteria (bacterium/ciliate ratio of 333). These ciliate feeding experiments were set in six-well plates (Falcon Plastics) at 30°C. To obtain a sample enriched in pellets for microscopic observations, after an overnight incubation at room temperature (usually 16 to 18 h) the mixture of ciliates, free bacteria, and aggregated pellets was centrifuged at 700 x g for 10 min in 15-ml conical tubes (Falcon Plastics), and the live ciliates were allowed to swim back into suspension before removing the supernatant (containing live ciliates and free bacteria). The recovered pellets were resuspended in fresh Osterhout's solution. This operation was repeated three times before the pellet-enriched samples were prepared for various microscopy observations.
Enumeration of bacterial CFU in ciliate cultures.
A total of 106 ciliates in 25-cm2 cell culture flasks (Falcon) containing 30 ml of Osterhout's solution were fed with
3 x 1010 bacteria (obtained from 40 ml of either Lp1-SVir, Lp02, or JR-32 suspensions with an optical density at 620 nm of 1 unit) to provide a bacterium/ciliate ratio of 30,000. After 3 h at 30°C, the mixed suspension was treated with gentamicin (100 µg/ml) for 30 min, and then the ciliates were separated from the free bacteria and gentamicin by gentle filtration-washing (with Osterhout's solution) through Millipore membranes of 8.0-µm pores. The ciliates remaining on the filter (carrying ingested legionellae) were resuspended in 30 ml of Osterhout's solution by allowing them to freely swim for a few minutes at room temperature, followed by a very gentle agitation, and incubated at 30°C. Then, three 1-ml samples were taken at various times to perform CFU counts. Each 1-ml sample was placed in a 1.5-ml microcentrifuge tube and centrifuged at 10,000 x g for 1 min. The centrifugation pellet was resuspended with vigorous pipetting into 50 µl of 0.5% Triton X-100 in sterile ddH2O, and 450 µl of ddH2O was added, followed by vigorous vortexing for 1 min. The sample was then brought to 1 ml with ddH2O, before 10-fold serial dilutions were performed. Aliquots (100 µl) of the 102 to 106 dilutions were spotted onto BCYE plates and incubated at 37°C for 4 to 5 days before the colonies were counted.
Light microscopy.
Ciliate cultures were routinely monitored by using a CK2 Olympus inverted microscope. Wet mounts of ciliates with ingested legionellae and fluorescent bacteria were observed in an Olympus BX6 upright microscope equipped with differential interference contrast (DIC), epifluorescence, and an Evolution QEi Monochrome digital camera (Media Cibernetics, San Diego, CA). Image capture and analysis (TIFF files) was performed with ImagePro software v.5.0 (Media Cibernetics). Viability of the legionellae within pellets was assessed by the BacLight LIVE/DEAD stain (Molecular Probes, Inc., Eugene, OR) in a Leica TCS-SL confocal microscope with an excitation argon laser of 488 nm and a barrier emission filter for 520 nm. Direct microscopy counts of free bacteria were done by using an internal standard (a suspension of 0.8-µm latex beads at a concentration of 3 x 109 per ml), following the procedures of Mallette (35).
Transmission electron microscopy (TEM).
Samples of Tetrahymena cells and pellets (prepared as described above) were taken at different times postinoculation to be fixed in glutaraldehyde, postfixed in osmium tetroxide, and embedded in epoxy resin for thin sectioning, followed by standard staining in uranium and lead salts, as described previously (15). Stained thin sections were observed in a JEOL JEM-1230 transmission electron microscope equipped with a Hamamatsu ORCA-HR high-resolution (2K by 2K) digital camera, and images were captured as TIFF files.
Immunogold labeling.
Pellets produced by Tetrahymena sp. fed with the Lp02 strain, and its derivatives JV303 (dotB mutant) and JV309 (dotA mutant) were fixed in freshly depolymerized paraformaldehyde, and embedded in LR-White resin as previously reported (23). Thin sections mounted on nickel grids were then immunostained with rabbit polyclonal sera (see below) and goat anti-rabbit secondary antibodies conjugated to 10-nm gold spheres (Sigma Immunochemicals), as follows. Grids were sequentially floated for 10 min on drops of sodium borohydride (1 mg/ml) freshly dissolved in ddH2O and then 10 mM glycine dissolved in 100 mM sodium borate (pH 9). Blocking was done for 1 h on drops of labeling buffer (100 mM Tris, 0.2 M NaCl [pH 8]) containing 1% bovine serum albumin (BSA) and 1% skimmed milk. The grids were then sequentially floated for 1 h on drops of rabbit hyperimmune sera diluted 1:400 in labeling buffer containing 0.2% BSA and on drops of gold-conjugate diluted 1:100 in labeling buffer containing 0.2% BSA. After each antibody incubation, grids were washed three times by floating and rocking them for 10 min on 1-ml aliquots of wash buffer (100 mM Tris, 0.3 M NaCl [pH 8]) in 24-well plates. Finally, the labeled sections were floated on 2.5% glutaraldehyde in wash buffer, thoroughly rinsed in ddH2O, and stained with uranium and lead salts (15). Rabbit sera raised against the major outer membrane protein of L. pneumophila, OmpS, which is highly resistant to proteases (11, 29) or against the Hsp60 chaperonin (28), were obtained from Paul Hoffman (Dalhousie University).
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50 min, as determined by light and fluorescence microscopy (Fig. 1). We also determined that pellets were not exclusively produced by Tetrahymena sp., since T. pyriformis produced pellets in Osterhout's solution at 30°C in a manner similar to that described above for Tetrahymena sp. (data not shown).
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FIG. 1. Early kinetics of L. pneumophila ingestion and pellet production. (A to D) Images of green fluorescent Lp02 overlaid on their corresponding DIC images of Tetrahymena cells. Samples were taken at the indicated times after addition of the bacterial inoculum to show the progressive formation and accumulation of food vacuoles. The arrowhead in panel A points to the clearly seen vestibulum of the cytopharynx, at the end of which a food vacuole seems to be forming. The arrowhead in panel D points to a pellet being expelled. The size bar in panel A represents 10 µm and applies to all panels.
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When ciliates were fed with E. coli strains JM109 or DH5
, no pellets were produced at bacterium/ciliate ratios of <1,000, but a few dispersed pellets were produced at ratios of >1,000, and no pellets were observed in unfed ciliates.
Morphological characterization of food vacuoles.
Tetrahymena sp. samples fixed 0.5, 1, 2.5, 4, 8, 13, or 24 h after inoculation with virulent Philadelphia-1 strains Lp1-Svir or Lp02 depicted similar ultrastructural features (Fig. 2). The number of food vacuoles per ciliate and the number of bacteria per vacuole were similar in all TEM samples, and all vacuoles contained membranous material (e.g., arrow in Fig. 2D). Although the appearance of food vacuoles varied (not all morphologies are shown), vacuoles with virtually identical features (like those shown in Fig. 2) were always found at all sampling times, and except for the 30-min sample, all other ciliate TEM samples depicted the different vacuole morphologies in similar proportions. Noticeably, ultrastructural features typical of bacterial cell division were absent in L. pneumophila cells contained in food vacuoles of different morphology and in samples taken at different feeding times. Collectively, these ultrastructural observations confirmed that a steady state of food vacuole formation and trafficking had been established as early as 0.5 to 1.0 h after inoculation. Unique structural features of the legionella-containing food vacuoles included the juxtaposition and/or warping of the vacuolar membrane to follow the outline of the contained bacteria (e.g., arrow in Fig. 2B) and the tight apposition of mitochondria (e.g., arrowhead in Fig. 2B), two features previously observed in L. pneumophila-infected mammalian cells (15) and in Tetrahymena vorax (50). Although present, these features were not obvious in the 0.5-h sample, confirming that their appearance was time dependent.
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FIG. 2. Examples of ultrastructural similarity between Tetrahymena sp. food vacuoles at different times postinoculation. Electron micrographs of single food vacuoles showing virtually identical features in ciliates fixed after 30 min (A), 4 h (B), 8 h (C), and 13 h (D) of feeding on L. pneumophila strain Lp1-SVir. The arrow in panel B points to a region with a marked warping of the vacuolar membrane (which follows the contour of the contained bacteria), and the arrowhead indicates a mitochondrion in tight apposition to the vacuolar membrane. The arrow in panel C points to a structurally degraded bacterial cell, and that in panel D points to the membranous material present in all food vacuoles. All size bars represent 0.5 µm.
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1 µm, and the largest had a diameter of
8 µm. Only 5% of the pellets were larger than 5 µm, 28% were 5 µm, 46% were 3 to 5 µm, and 21% were 1 to 3 µm in diameter, a size distribution that did not change significantly in pellets produced at different bacterium/ciliate ratios or with different L. pneumophila strains. Inferring a homogeneous width of 0.5 µm and a length of 2.0 µm (with an estimated bacterial cell volume of 0.36 µm3), the average pellet could theoretically accommodate
100 densely packed legionellae. Pellets depicted one of several ultrastructural morphologies (Fig. 3A). Some pellets consisted of tightly packed legionellae with an electron-translucent amorphous material and membrane fragments filling the spaces between bacterial cells (Fig. 3B), whereas other pellets contained fewer bacteria and a more abundant portion of interbacterial membranous material (Fig. 3C). It was observed that none of the pellets had a continuous membrane around them (to suggest that they were vesicles). Instead, pellets either lacked any defined boundary (Fig. 3D) or were bound by stacks of noncontinuous membrane fragments and/or an amorphous material (Fig. 3). The differences observed in pellet ultrastructure suggested that L. pneumophila had followed different intravacuolar fates, but regardless of their fate no TEM evidence of cell division of the legionellae found in the different pellets was forthcoming.
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FIG. 3. Expelled free pellets show one of several morphologies. (A) Low-magnification electron micrograph showing a group of sectioned pellets depicting different ultrastructural features. Features: 1, pellets containing tightly packed Lp02 cells held together by an amorphous material and membrane fragments; 2, pellets with membrane fragments between bacteria and wrapped around the pellet's surface; 3, pellet containing a few bacteria and abundant vesicular and membranous material; 4, pellet with no obvious peripheral or interbacterial binding material. Bar represents 2 µm. (B to D) High-magnification electron micrographs showing ultrastructural detail of a tightly packaged pellet (B), a pellet wrapped in membrane fragments (C), and a pellet lacking any apparent binding material (D). Bars represent 1.0 µm.
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FIG. 4. Pulse-chase experiments suggest a steady and rapid turnover of food vacuoles in feeding ciliates. (A) Overlay images of red fluorescent E. coli DH5 and DIC images of Tetrahymena cells showing the chase phase of fluorescent E. coli with nonfluorescent E. coli at the times shown. Notice the polarized displacement of fluorescent vacuoles. The bar in the 0 h overlay represents 10 µm and applies to all images in panel A. (B) Overlay images of red fluorescent E. coli DH5 , chased by green fluorescent L. pneumophila Lp02. Only the chase phase is shown at the times indicated, where the O/N indicates an overnight incubation ( 16 h). T, Tetrahymena-associated fluorescence; P, pellet-associated fluorescence. DIC images of Tetrahymena cells or pellets were omitted (except for the O/N-T overlay) for visual clarity. Red fluorescent E. coli was not packaged into pellets, except for a few cells apparently copackaged with L. pneumophila (O/N-P). Size bars represent 10 µm. (C) Overlay images of green fluorescent L. pneumophila Lp02 and DIC images of Tetrahymena cells showing the chase phase of fluorescent L. pneumophila with nonfluorescent L. pneumophila at the times shown. The polarized displacement of vacuoles and the transfer of fluorescence to expelled pellets should be noted. The bar in the 20-h overlay represents 10 µm and applies to all images in panel C.
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FIG. 5. Tetrahymena efficiently digests E. coli cells. Transmission electron micrographs of intravacuolar E. coli JM109 showing signs of structural degradation (A) and a single dispersed pellet expelled by Tetrahymena feeding on E. coli DH5 showing no surviving bacterial cells and abundant membranous whorls (B). The size bars in panels A and B represent 500 nm.
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30°C (19, 50). Therefore, the number of L. pneumophila CFU associated with ciliates that fed for 3 h on virulent legionellae was investigated. The initial number of CFU/ml (set after the 3-h feeding period followed by a 1-h gentamicin treatment to kill free extracellular bacteria) decreased
100-fold in 24 h for the SVir strain and
1,000-fold for the Lp02 strain (Fig. 6A and B). When this experiment was repeated with the L. pneumophila strain JR-32, we also observed a 100-fold reduction in total CFU/ml, and the graphs (not shown) followed a shape similar to that of Fig. 6A. Reductions in CFU counts were also observed for L. pneumophila ATCC 33216 in the presence of Tetrahymena sp. at 25°C (not shown). Because we estimated that the average-size pellet could contain up to a hundred L. pneumophila cells (see above), it is possible that the
100-fold decrease in CFU numbers observed for SVir and JR-32 simply reflected the effect of packaging. In fact, light microscopy indicated that most pellets (
70%) were not disrupted by the Triton X-100 treatment incorporated into the CFU counts protocol. Other explanations for the low CFU counts (which surpassed a 100-fold decrease for Lp02) include the possibility that some of the ingested legionellae were killed and digested (as shown below) or entered a viable but nonculturable state (43, 55) (not tested).
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FIG. 6. The interaction of L. pneumophila with ciliates is associated with a loss in bacterial viability or culturability. Graphs of two independent feeding experiments, each sampled in triplicate, for strains Lp1-SVir (A) and Lp02 (B), show a decrease in total L. pneumophila CFU per milliliter of Tetrahymena culture. Control curves represent L. pneumophila alone suspended in Osterhout's solution. Means ± standard deviations (n = 3) for each experiment are shown. A group of pellets expelled during feeding experiments with L. pneumophila strain 33216 stained with the BacLight LIVE/DEAD kit, as observed in DIC (C) or confocal fluorescence microscopy to detect live green fluorescent bacteria (shown here in grayscale) (D).
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FIG. 8. Electron micrographs of sections labeled with OmpS-specific polyclonal antibodies and a secondary antibody conjugated to 10-nm gold particles, confirming the bacterial origin of the abundant membranous material present in pellets and food vacuoles. (A) Pellet of dotA mutants. (B) Portion of a food vacuole containing some apparently intact dotB mutants and a degraded mutant (arrow). (C) Small pellet of virulent Lp02 cells. Notice the specific labeling of the membrane fragments and the outer membrane of structurally preserved bacterial cells. All specimens were fixed 24 h postinoculation. Size bars represent 0.5 µm.
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FIG. 7. Electron micrographs showing expelled pellets (A and B) or food vacuoles (C and D) produced by Tetrahymena cells feeding on dotA mutant JV309 (A and C) or dotB mutant JV303 (B and D). Pellet samples were fixed at 24 h postinoculation, whereas food vacuole samples were fixed at 4 h postinoculation. The arrows in panels C and D point at structurally degraded bacteria. Notice the abundance of membranous whorls in pellets and membranous and vesicular material in food vacuoles. All size bars represent 0.5 µm.
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Genetic complementation of the dot mutants restored their ability to remain morphologically intact inside food vacuoles (not shown), and numerous pellets containing viable bacteria (as determined by their ability to form colonies when spotted on BCYE agar plates) were produced by Tetrahymena sp. feeding on the complemented
dotB mutant (Fig. 9) and the complemented dotA mutant (not shown). Collectively, these results suggest that the Dot/Icm system is required for L. pneumophila to resist digestion in the ciliate Tetrahymena sp. and that resistance to digestion is, in turn, a requirement for the formation of numerous legionella-laden pellets.
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FIG. 9. The resistance to digestion and, consequently, production of numerous pellets containing live legionellae is Dot/Icm system dependent. (A to C) Electron micrographs of the pellets produced by ciliates feeding on the dotB mutant JV918 (A), the genetically complemented dotB mutant JV1170 (B), and the mock-complemented dotB mutant JV1133 (C). (D to F) Low-magnification phase-contrast micrographs showing Tetrahymena sp. cells and pellets in a live culture fed with the dotB mutant JV918 (D), the genetically complemented dotB mutant JV1170 (E), and the mock-complemented dotB mutant JV1133 (F). Only ciliates feeding on the genetically complemented dotB mutant often acquired a round shape (arrowhead in panel E) and produced massive aggregative pellets (arrow in panel E) that contained numerous bacterial cells (B). Cytoplasmic inclusions that were not properly infiltrated with epoxy resin appear bubbled and enlarged (A and B). Ciliates feeding on Dot/Icm-defective L. pneumophila looked slender, swam very actively, and produced a few dispersed pellets (D and F). The size bars in panels A to C represent 0.5 µm. The length of the arrow in panel E represents 33 µm and applies to panels D and F.
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The packaging of L. pneumophila into pellets appeared to correlate with a fractional loss of bacterial viability or culturability, as collectively suggested by a decrease in CFU, our vital fluorescent staining results, and TEM results that demonstrated in-vacuole degradation of L. pneumophila. While the absence of bacterial replication was experimentally addressed here, determination of the proportion of ingested legionellae actually killed by Tetrahymena sp. remained a difficult task. Further analysis should consider that some of the structurally degraded virulent L. pneumophila cells identified by TEM could have been already dead when ingested and that TEM is unable to distinguish live from dead morphologically intact bacteria. As indicated by the BacLight LIVE/DEAD stain, 5 to 10% of the bacterial inoculum typically used in feeding experiments consisted of dead bacterial cells, a likely source of the membranous material always found in food vacuoles and pellets of virulent legionellae. In addition, the distinction of culturable from nonculturable forms among the viable legionellae (showing a positive vital stain) remains to be determined. However, it is important to emphasize that regardless of how many legionellae lose their viability or culturability, or the mechanism by which this happens, any given pellet always contained viable L. pneumophila cells and could therefore act as a complex infectious particle as discussed below.
The ability of L. pneumophila to survive inside food vacuoles and resist intravacuolar digestion was shown to require a functional Dot/Icm system. This type IV secretion system is key in resisting digestion in amoeba and mammalian macrophages, where effectors translocated to the host cell cytoplasm by the Dot/Icm system mediate the establishment of a specialized membrane-bound compartment (known as the Legionella-containing vacuole) where L. pneumophila replicates (13, 27, 33, 34, 40, 48, 57). It seems logical that such effectors are also translocated by the Dot/Icm system of virulent L. pneumophila into the cytoplasm of Tetrahymena, across the membrane lining food vacuoles. It is tempting to speculate that the juxtaposition of the vacuolar membrane and L. pneumophila cells, as well as the close apposition of mitochondria, could be a host response to (or the result of) translocated L. pneumophila effectors. The fact that the dot mutants did not induce membrane warping and mitochondria apposition indeed suggested that these are Dot/Icm-mediated effects.
The presence of membranous remnants of digested legionellae in food vacuoles (e.g., Fig. 2) or in expelled pellets (Fig. 3 and 8) side by side with morphologically intact undigested bacteria implies that the Dot/Icm-dependent mechanism utilized to resist digestion did not protect all of the bacteria contained in a given food vacuole. Furthermore, the different amounts of bacterial outer membrane remnants present in food vacuoles and their resulting pellets (Fig. 3) suggested that the levels of resistance to digestion could vary between food vacuoles. For instance, a vacuole where most of the contained legionellae were digested would result in a membranous pellet with few apparently intact bacteria (e.g., Fig. 3A, pellet 3). Alternatively, it is possible that ciliates have the ability to sort particulate food into different vacuoles and thus were capable of forming vacuoles enriched in dead legionellae that upon digestion would give rise to membranous pellets. Notwithstanding, our results indicate that the production of pellets containing numerous live legionellae depends on the presence of a functional Dot/Icm system in the ingested L. pneumophila cells. Here we are not suggesting that packaging of L. pneumophila into pellets is a process actively driven by the Dot/Icm system. Instead, to get packaged the ingested legionellae must have a functional Dot/Icm system, which in turn mediates bacterial survival in the ciliate.
A related issue is whether the maintenance of pellet shape (as spheres) is defined by a ciliate-mediated process or requires the presence of bacteria. We conducted preliminary experiments with albumin-coated, 1-µm-diameter, fluorescent beads and observed that these beads trafficked undigested through the ciliate and were expelled as free particles (not in the form of pellets). Therefore, it seems that Tetrahymena sp. alone does not contribute to the maintenance of pellet shape in expelled undigested particles. Although it seems that this process requires the presence of bacteria, the mechanism by which shape is maintained, and the possible role that the Dot/Icm system (if any) may play in it, remains to be determined.
In contrast to amoebae and mammalian macrophages, where the early effects of the Dot/Icm system lead to intracellular replication of L. pneumophila, the Dot/Icm-mediated survival in Tetrahymena food vacuoles did not result in intracellular replication at 30°C. It is not clear why L. pneumophila grows in T. pyriformis at 30 to 35°C and not below 30°C (3, 18, 19), but the fact that Steele and McLennan (54) reported that their T. pyriformis strain did not survive at 35°C (as we observed for T. pyriformis 30202 and Tetrahymena sp.) and that Manasherob et al. (36) indicated that T. pyriformis was lysed at 35°C suggests the possibility that a heat-tolerant culture of altered physiology was used by Fields et al. (19). Because L. pneumophila grows in amoebae at temperatures below 30°C and even at 20°C as indicated by Lee and West (32), we propose that physiological and/or biochemical host factors and not simply temperature are responsible for restricting the intracellular growth of L. pneumophila in Tetrahymena sp. The fact that the ingested L. pneumophila cells did not show any ultrastructural indicators of cell division at any sampling time suggests that a growth restriction mechanism (which the Dot/Icm system was unable to overcome) was in effect very early after ingestion. It is possible that the rapid turnover of food vacuoles alone did not allow L. pneumophila enough time to initiate replication. However, the observations of Smith-Somerville et al. in Tetrahymena vorax (50), where L. pneumophila did not replicate in spite of food vacuoles being retained for several hours, argues against such a possibility. Alternatively, Tetrahymena sp. may fail to respond to some L. pneumophila effectors, or perhaps L. pneumophila is unable to translocate all of its effectors into the ciliate. Tetrahymena sp. may be able to selectively degrade some Dot/Icm effectors or rely on unique trafficking mechanisms (not present in amoebae or mammalian cells) to mobilize its food vacuoles. Finally, it is possible that the ingested legionellae may not receive a "germination" signal (47) to allow differentiation of L. pneumophila into replicative forms that can grow in the ciliate. Tetrahymena sp. may thus constitute a useful experimental model to investigate some of the molecular mechanisms used by host cells to restrict the intracellular growth of L. pneumophila.
In conclusion, we propose that the interaction of L. pneumophila with Tetrahymena species that efficiently package legionellae into pellets may have important epidemiological and ecological implications. One example would be the enhanced survival of pelleted legionellae (7, 8, 22), which is likely to promote a wide distribution of L. pneumophila in aquatic environments and thereby favor contact with humans and the transmission of Legionnaires disease. Our observation that only virulent legionellae that carry a functional Dot/Icm system and resist the intravacuolar digestive mechanisms of ciliates are selectively packaged (which may constitute the most infectious legionellae to humans [18]) adds relevance to the potential role that pellets may play as complex infectious units.
This study was supported by the Canadian Institutes of Health Research through both operating grant ROP-83334 and equipment maintenance grant PRG-80150 (R.A.G.); the Center for the Management, Utilization and Protection of Water Resources, Tennessee Technological University (S.G.B.); and by grant R825352-01 (S.G.B.) from the U.S. Environmental Protection Agency.
Published ahead of print on 1 February 2008. ![]()
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