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REVISED VERSION 1 Mycobacterium gilvum illustrates size-correlated mycobacteria Acanthamoeba polyphaga 1 relationships 2 3 Running title: Environmental mycobacteria-amoeba relationships 4 5 Otmane Lamrabet 1 , Michel Drancourt 1# 6 7 1 Aix Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, 13005 8 Marseille, France 9 # Corresponding author: Michel Drancourt: URMITE, UMR CNRS 7278, IRD 198, INSERM 10 U1095. Faculté de Médecine, 27 Bd Jean Moulin, 13385 Marseille cedex 5 France. Tel: 33 (0)4 11 91 38 55 17 Fax: 33 (0)4 91 38 77 72 12 13 Email addresses: 14 OL: [email protected] 15 MD: [email protected] 16 17 18 19 20 21 22 23 24 Copyright © 2012, American Society for Microbiology. All Rights Reserved. Appl. Environ. Microbiol. doi:10.1128/AEM.03765-12 AEM Accepts, published online ahead of print on 28 December 2012 on August 21, 2018 by guest http://aem.asm.org/ Downloaded from

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REVISED VERSION

1

Mycobacterium gilvum illustrates size-correlated mycobacteria Acanthamoeba polyphaga 1

relationships 2

3

Running title: Environmental mycobacteria-amoeba relationships 4

5

Otmane Lamrabet1, Michel Drancourt1# 6

7

1 Aix Marseille Université, URMITE, UM63, CNRS 7278, IRD 198, Inserm 1095, 13005 8

Marseille, France 9

# Corresponding author: Michel Drancourt: URMITE, UMR CNRS 7278, IRD 198, INSERM 10

U1095. Faculté de Médecine, 27 Bd Jean Moulin, 13385 Marseille cedex 5 France. Tel: 33 (0)4 11

91 38 55 17 Fax: 33 (0)4 91 38 77 72 12

13

Email addresses: 14

OL: [email protected] 15

MD: [email protected] 16

17

18

19

20

21

22

23

24

Copyright © 2012, American Society for Microbiology. All Rights Reserved.Appl. Environ. Microbiol. doi:10.1128/AEM.03765-12 AEM Accepts, published online ahead of print on 28 December 2012

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ABSTRACT 25

Mycobacteria are isolated from soil and water environments where free-living amoeba are living. 26

Free-living amoeba are bactericidal, yet some rapidly-growing mycobacteria are amoeba-resistant 27

organisms surviving in the amoebal trophozoites and cysts. Such capacity has not been studied 28

for the environmental rapidly-growing Mycobacterium gilvum. We investigated the ability of M. 29

gilvum to survive in the trophozoites of Acanthamoeba polyphaga strain Linc-AP1 by using optic 30

and electron microscopy and culture-based microbial enumerations in the presence of negative 31

controls. We observed that 29% of A. polyphaga cells were infected by M. gilvum mycobacteria 32

6-hour post-infection. Survived M. gilvum mycobacteria did not multiply and did not kill the 33

amoebal trophozoites during five-day co-culture. Extensive electron microscopy observation 34

indicated that M. gilvum measured 1.4 ± 0.5 µm, and failed to find M. gilvum organisms into the 35

amoebal cysts. Further experimental study of two other rapidly-growing mycobacteria 36

Mycobacterium rhodesiae and Mycobacterium thermoresistible indicated that both measured < 2 37

µm and exhibited same amoeba-mycobacteria relationships as M. gilvum. In general, we 38

observed that mycobacteria measuring < 2 µm significantly do not grow within and do not kill 39

amoebal trophozoites comparing to mycobacteria measuring > 2 µm (p < 0.05). The mechanisms 40

underlying such observation remain to be determined. 41

42

43

44

45

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BACKGROUND 46

Non-tuberculous mycobacteria are environmental organisms (25, 7) found in soil (23), 47

marine environment (21) and fresh water (10, 11). They are recovered from water samples also 48

colonized by free-living amoeba (FLA) (12, 4, 1). Despite the fact that FLA are bactericidal, 49

several non-tuberculous mycobacteria were found to be amoeba-resistant, surviving within FLA 50

trophozoites and cysts (13, 18). Latter act as “Trojan horses” protecting environmental 51

mycobacteria from unfavorable conditions (22, 1, 2). 52

Amoeba-resistant mycobacteria include slowly-growing mycobacteria (SGM) such as 53

Mycobacterium avium (3) and Mycobacterium tuberculosis complex mycobacteria (27, 22); and 54

more than 25 different species of rapidly-growing mycobacteria (RGM) (1, 18). The outcome of 55

such rapidly-growing, amoeba-resistant mycobacteria depends on the mycobacterial species: 56

some Mycobacterium species such as Mycobacterium septicum survive without multiplication 57

into the trophozoites (1), while other species such as Mycobacterium smegmatis and 58

Mycobacterium chelonae multiply within the trophozoite (18, 24). Also, some mycobacteria such 59

as Mycobacterium canettii escape the FLA before encystment (22) whereas the majority of 60

Mycobacterium species survive within the amoeba cysts (22, 3). 61

Mycobacterium gilvum (formerly Mycobacterium flavescens) is an environmental 62

mycobacteria, isolated from river sediments based on its ability to degrade polycyclic aromatic 63

hydrocarbons such as pyrene, as a sole source of carbon and energy (6, 8). It is able to form 64

biofilm and its resists to ampicillin, being susceptible to other antibiotics including isoniazid (26). 65

M. gilvum has rarely been isolated as an opportunistic pathogen (26) and no study regarding M. 66

gilvum-amoeba relationships was developed yet. 67

We therefore studied the relationships between M. gilvum with the FLA Acanthamoeba 68

polyphaga trophozoites and cysts and derived features characterizing amoeba-mycobacteria 69

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relationships. To validate our observations with M. gilvum we further studied two other rapidly-70

growing mycobacteria Mycobacterium rhodesiae and Mycobacterium thermoresistible. 71

72

MATERIALS AND METHODS 73

Mycobacterium and A. polyphaga strains. 74

The type strains of Mycobacterium senegalense DSM-43656T, Mycobacterium 75

conceptionense DSM-45102T, Mycobacterium rhodesiae DSM-44223T, Mycobacterium 76

thermoresistibile DSM-44167T, Mycobacterium chelonae DSM-43804T, Mycobacterium 77

smegmatis DSM-43756T, Mycobacterium abscessus DSM-44196T, Mycobacterium fortuitum 78

subsp. fortuitum DSM-46621T and M. gilvum DSM-45363T were purchased from the German 79

collection of microorganisms and cell cultures (DSMZ, Braunschweig, Germany). Mycobacteria 80

were cultured in Middlebrook 7H9 liquid medium (Sigma-Aldrich, Lyon, France) and 81

subcultured at 37°C on Middlebrook and Cohn 7H10 agar (Becton Dickinson, Le Pont de Claix, 82

France) for three days. A. polyphaga Link-AP1 trophozoites strain (19) was cultured in peptone-83

yeast extract-glucose (PYG) medium at 32°C for 3 day as described previously (22, 18). In brief, 84

A. polyphaga amoebae were suspended twice in Page’s modified Neff’s Amoeba Saline (PAS) to 85

obtain 5.105 cells/mL and 10 mL of such suspension was placed into tube Falcon® 50 mL 86

(Becton Dickinson, Le Pont de Claix, France). 87

88

Mycobacteria-amoeba coculture. 89

The liquid culture of RGM M. gilvum, M. rhodesiae and M. thermoresistible was washed 90

two times with sterile phosphate-buffer saline (PBS) and the pellet was suspended in PAS. Each 91

10 mL of the amoebal culture was inoculated with 1 mL of a 5. 107 RGM/mL suspension 92

(multiplicity of infection =1:10). As a control, A. polyphaga, M. gilvum, M. rhodesiae and M. 93

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thermoresistible were cultured separately in PAS medium. After 6-h incubation at 32°C the 94

coculture was washed two times with PAS to remove any remaining extracellular or adherent 95

mycobacteria (18). After washing, the coculture was incubated in 10 mL of PAS for 5 days at 96

32°C. 97

The presence of intra-amoebal mycobacteria was determined by shaking the coculture, 10-min 98

centrifugation at 100 g and observation using a light microscope after Ziehl-Neelsen staining. In 99

addition, the presence of viable mycobacteria inside amoebal trophozoites was assessed as 100

previously described (18). In brief at 0, 24, 48, 72, 96 and 120 h post-inoculation time points, the 101

A. polyphaga monolayer was lysed with 0.1% sodium dodecyl sulfate (Sigma-Aldrich) for 30 102

min and passed through a 26-gauge needle to ensure complete lysis of the amoebae. A 100-µL 103

volume of lysate was plated onto 7H10 agar and incubated for four days at 37°C to determine the 104

number of colonies (colony-forming units, CFU) of intracellular mycobacteria. The viability of 105

amoeba, with and without bacteria, was done using Trypan Bleu coloration 0.4% (Sigma-Aldrich, 106

Taufkirchen, Germany) and counting in the Glasstic slide chamber (HycoR, Garden Grove, 107

California USA). Experiments were done in triplicate. Negative controls remained negative in 108

each experimental step. 109

110

Encystment of M. gilvum-infected amoeba. 111

Amoebae were cultured with encystement buffer as described previously (18, 22). In brief, 10 112

mL of amoebal coculture (5.105 cells/mL of PAS) were infected with 1 mL (5.107 mycobacteria/mL of 113

PAS) of Mycobacterium suspension in PAS for 6 hours. The supernatant was discarded and the 114

amoebal monolayer was rinsed twice with encystment buffer before being incubated at 32°C for three 115

days in fresh encystment buffer (18). Moreover, cysts corresponding to the time point 0 were 116

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centrifuged at 1,000 g for 10 min and washed three times with PAS before electron microscopy 117

observation. Experiments were done in triplicate. 118

119

Ultrastructural studies. 120

Ultrastructural observations were done as previously described (18). In brief, amoeba 121

monolayer previously infected by M. gilvum and amoebal cysts were washed three times with 122

sterile PAS to eliminate noningested mycobacteria and fixed (18). Then, the samples were 123

successively incubated for 45 min in a 3:1, 2:2, 1:3 (vol/vol) ethanol-Epon suspension, then in 124

100% Epon overnight with continuous shaking before being embedded in an Epon 812 resin 125

(Fluka, St Quentin Fallavier, France) incubated for three days at 60°C. Ultrathin sections (70 nm) 126

were cut from the blocks using an ultracut microtome (Reichert-Leica, Marseille, France) before 127

being deposited on Formvar-coated copper grids (Sigma-Aldrich). Ultrathin sections were stained 128

for 10 min with 5% uranyl acetate and lead citrate before being examined using a transmission 129

electron microscope (Morgani 268D; Philips, Eindhoven, the Netherlands). 130

Mycobacterial size was determined: after 2-day culture in Middlebrook 7H9 medium at 131

37°C and after 2-day preculture in Middlebrook 7H9 medium followed by 2-day culture in PAS 132

medium at 37°C. The size of mycobacteria was measured by electron microscopic observation of 133

50 single mycobacteria to determine the median and standard deviation of cell length. 134

135

Statistical analyses. 136

All statistical analyses mentioned in this study were performed using the chi2-square test with a 137

significance level of p = 0.05. 138

139

RESULTS 140

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Survival of mycobacteria into A. polyphaga trophozoites and cysts. 141

The number of non-infected (negative control) and infected A. polyphaga trophozoites 142

with RGM incubated into PAS at 32°C did not change significantly over the time of the 143

experiment. After six hours co-culture, 29% of A. polyphaga cells were found to be infected by 144

M. gilvum mycobacteria as confirmed by Zielh-Neelsen staining. The number of M. gilvum per 145

trophozoite varied from 1 to 46 (a mean of 17 ± 14 mycobacteria/trophozoite). Electron 146

microscopy revealed mycobacteria into vacuoles surrounded by several mitochondria (Fig. 1A). 147

We observed that the three tested RGM species survived but did not multiply over five-day co-148

cultured with amoeba at 32°C (Fig. 2). No significant difference was observed in the number of 149

mycobacteria with time (p = 0.1). Mycobacteria survived in PAS yet M. gilvum, M. rhodesiae 150

and M. thermoresistible CFUs did not increase from day 0 to day 5 (negative control) (Fig. 2). 151

Electron microscopy revealed pre-cysts and mature-cyst after 3-day co-culture. Careful electron 152

microscopy observation of 300 cysts formed at that time failed to reveal any M. gilvum organism 153

into A. polyphaga cysts (Fig. S1). 154

155

RGM size measurement 156

When it was not available in literature, we measured the length of RGM cells in two 157

different culture conditions (see materials and methods) using electron microscopy observation. 158

In this study, after culture in 7H9 medium the length measured was 2.1 ± 0.7 µm for M. 159

abscessus, 2.3 ± 0.3 for M. chelonae, 2.6 ± 0.1 for M. smegmatis, 2.5 ± 0.5 µm for M. 160

conceptionense, 1.7 ± 0.1 µm for M. fortuitum subsp. fortuitum, 1.9 ± 0.2 µm for M. senegalense, 161

1.3 ± 0.4 µm for M. rhodesiae, 1.1 ± 0.3 µm for M. thermoresistibile and 1.4 ± 0.5 µm for M. 162

gilvum (Fig. 3). After culture in 7H9 medium the length measured was 2.2 ± 0.5 µm for M. 163

abscessus, 2.1 ± 0.5 µm for M. chelonae, 2.8 ± 0.9 µm for M. smegmatis, 2.3 ± 0.9 µm for M. 164

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conceptionense, 1.8 ± 0.4 µm for M. fortuitum subsp. fortuitum, 1.8 ± 0.5 µm for M. senegalense, 165

1.6 ± 0.3 µm for M. rhodesiae, 1.4 ± 0.3 µm for M. thermoresistibile and 1.3 ± 0.2 µm for M. 166

gilvum (Fig. S2). We observed that whatever the medium (7H9 or PAS) there is no significant 167

difference between mycobacteria size for all studied strains (p > 0.05). The size of mycobacteria 168

significantly correlated with intraamoebal growth and amoeba killing with mycobacteria 169

measuring < 2 µm are not growing within and are not killing amoebal trophozoites and 170

mycobacteria measuring > 2 µm being growing within and killing amoebal trophozoites (p < 171

0.05) (Table 1). 172

173

DISCUSSION 174

A. polyphaga and Acanthamoeba castellanii are two FLA routinely used to probe 175

mycobacteria-FLA interactions and A. polyphaga was used in this study (9, 20, 29). We observed 176

that rapidly-growing mycobacteria M. gilvum, M. rhodesiae and M. thermoresistibile penetrated 177

into A. polyphaga trophozoites, a reproducible result obtained by using a low (1:10) multiplicity 178

of infection. Previous studies have showed that the majority of RGM penetrated into amoebal 179

trophozoites (1, 18) but our observation that M. gilvum, M. rhodesiae and M. thermoresistibile 180

could also be ingested by amoebal trophozoites has not been previously reported. We further 181

observed that such intra-amoebal mycobacteria survived into the A. polyphaga trophozoites, a 182

fact documented by both microscopic observations and microbial enumerations. This observation 183

agrees with previous demonstrations of intra-amoebal surviving of Mycobacterium septicum, 184

Mycobacterium abscessus (1) and M. smegmatis in A. castellanii (14, 28) and A. polyphaga (18). 185

Furthermore, M. gilvum mycobacteria were observed into vacuoles, as previously observed for 186

other RGM as M. septicum, Mycobacterium mucogenicum, Mycobacterium massiliense and M. 187

smegmatis in A. polyphaga (1, 18). 188

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M. gilvum, M. rhodesiae and M. thermoresistibile mycobacteria did not multiply within amoeba 189

and did not kill the amoeba during the time of the experiment (five-day coculture). This is 190

contrary to other RGM such as M. abscessus, M. chelonae, M. smegmatis, Mycobacterium 191

monacens and Mycobacterium neoaurum which all multiply within trophozoites and kill the 192

amoeba after five-day co-culture (24, 18). These data indicate that not all the RGM are amoebal 193

killers suggesting that factors other than the rapid growth may be involved in the mycobacteria-194

amoeba interactions. Accordingly, we here observed that intraamoebal multiplication and amoeba 195

killing significantly correlated with the size of mycobacteria. Indeed, among mycobacteria 196

belonging to the same species, organisms exhibiting a > 2 µm size do behave differently that the 197

ones that exhibit a < 2 µm size; larger RGM species measuring more than 2 µm penetrate, 198

multiply and kill the amoeba, contrary to smaller RGM such as M. gilvum, M. rhodesiae and M. 199

thermoresistibile measuring less than 2 µm which do not kill amoeba (this study). This puzzling 200

observation could be extended to SGM. We observed that the majority of studied SGM 201

measuring less than 2 µm and do not kill amoeba; the notable exception being M. canettii, a 202

species measuring more than 2 µm (22) which does not kill, but instead escapes out of amoeba. 203

Overall, our data indicate significant correlation between the median size of mycobacteria 204

and outcome of mycobacteria into amoeba. This observation warrants further investigations to 205

understand whether the size of mycobacteria triggers intra-amoebal outcome by itself, or whether 206

size is just a proxy for biological propriety of mycobacteria, which is not studied already. Data 207

herein presented suggest that replication rate is not the biological factor. Also, we observed no 208

correlation between genome size of studied mycobacteria and intra-amoebal survival (data not 209

shown), pending to additional genomic studies. 210

Extensive electron microscope observation failed to reveal any M. gilvum organisms in 211

cysts. This observation extends previous observations made for other RGM such M. smegmatis 212

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(18). Combining morphological and cultural data indicates that the majority of RGM bypass the 213

amoebal cyst after they are phagocyted into the amoebal trophozoites. These data agree with the 214

previous observations that all M. canettii organisms and the majority of M. tuberculosis 215

organisms and non-tuberculous organisms such as M. smegmatis (18) escape from the A. 216

polyphaga pre-cyst before its maturation contrary to M. avium organisms (3). 217

In conclusion, the substitute characteristics of RGM-amoeba interactions may be wider 218

than previously reported. It may partly relied on the size of the RGM species and is comprising of 219

(i) RGM species smaller than 2 µm, surviving in amoebal trophozoites but not in the cysts such 220

as M. septicum (1) and M. gilvum (present work); (ii) RGM longer than 2 µm, surviving into 221

trophozoites and cysts such as M. fortuitum and M. abscessus (1, 24; 16); and (iii) RGM longer 222

than 2 µm which penetrate, multiply and kill the amoeba such as M. chelonae (24) and M. 223

smegmatis (18) (Fig. 4). 224

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ACKNOWLEDGMENTS 225

The authors acknowledge Audrey Borg and Audrey Averna for their technical help with the 226

electron microscopy observations. 227

228

COMPETING INTERESTS 229

The authors declare that they have no competing interests. 230

231

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TABLE 1. Mycobacteria amoeba relationships. 232

Growing mycobacteria

Mycobacteria Length (µm) (PAS or 7H9

medium)

Amoeba-Killer

Multiply in trophozoites

Reference(s)

Rapid

M. abscessus > 2 + + 24, 16, This study M. chelonae > 2 + + 24,15, 5, This study M. smegmatis > 2 + + 18, This study

M. conceptionense > 2 ns* ns This study M. fortuitum subp. fortuitum < 2 ns ns 1, This study M. senegalense < 2 ns ns This study

M. rhodesiae < 2 - - This study

M. thermoresistibile < 2 - - This study M. gilvum < 2 - - This study

Slow

M. bovis < 2 - - 22 M. leprae < 2 - - 17 M. avium < 2 - - 1, 3, 22 M. tuberculosis < 2 - - 22 M. canettii > 2 - - 22

*ns: not studied 233

234

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Figure legends: 236

Fig. 1. M. gilvum mycobacteria are internalized into amoeba. Transmission electron-237

microscopy observation of M. gilvum (►) co-cultivated with A. polyphaga trophozoites at (A) 0 238

hour (B) 72 hours. m: mitochondria. Scale bar: 2 µm (A, B). 239

Fig. 2. Growth of RGM within A. polyphaga trophozoites. M. gilvum (A), M. rhodesiae (B) 240

and M. thermoresistibile (C) co-cultured with free-living amoeba A. polyphaga (black bar), 241

cultivated in PAS medium (grey bar) and cultivated in 7H9 complete medium (white bar). Each 242

bar represents the mean of triplicate experiments. Standard errors are represented by error bars. 243

Fig. 3. Mycobacterial size in 7H9 medium. Size of M. gilvum (A), M. senegalense (B), M. 244

conceptionense (C), M. rhodesiae (D), M. thermoresistibile (E), M. chelonae (F), M. smegmatis 245

(G), M. abscessus (H) and M. fortuitum subsp. fortuitum (I) by electron microscopy. The size was 246

measured in the same cultures conditions for all mycobacteria (see materials and methods). Scale 247

bar: 500 nm (A, B, C, E, F, G, H), 300 nm (D) and 1µm (I). 248

Fig. 4. The spectrum of RGM-amoeba interactions. 249

250

251

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Supplemental material legends: 252

Fig. S1. Transmission electron-microscopy observation of A. polyphaga cysts. M. gilvum 253

present in the outside of a mature form of cyst. Scale bar: 5 µm. Bacteria are represented black 254

triangle. 255

Fig. S2. Mycobacterial size in PAS medium. Size of M. gilvum (A), M. senegalense (B), M. 256

conceptionense (C), M. rhodesiae (D), M. thermoresistibile (E), M. chelonae (F), M. smegmatis 257

(G), M. abscessus (H) and M. fortuitum subsp. fortuitum (I) by electron microscopy. The size was 258

measured in the same cultures conditions for all mycobacteria (see materials and methods). Scale 259

bar: 500 nm (A, C) and 1 µm (B, D, E, F, G, H, I). 260

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