Vibrio vulnificus is an estuarine bacterium that can cause primary septicemia as well as serious wound infections. Generally, clinical isolates have a high lethal effect compared with environmental isolates. However, little is known about the mechanisms by which V. vulnificus causes disease. In this study, we compared the pathogenicity of a clinical isolate, strain M2799, with that of an environmental isolate, strain JCM3731. The clinical isolate showed 100 times higher lethality in mice than the environmental isolate. In strain M2799-inoculated mice, the number of macrophages decreased significantly, whereas there was no appreciable change in the number of macrophages in strain JCM3731-inoculated mice. The clinical isolate showed high cytotoxic activity, especially to macrophages, compared with the environmental isolate in vitro. The growth of the clinical isolate was almost completely inhibited in the presence of macrophages. Moreover, the survival rate of the clinical isolate-inoculated mice increased by recruitment of macrophages. These results indicate that V. vulnificus infection progresses by damage to macrophages during the early phase of infection.Vibrio vulnificus is a gram-negative halophilic marine bacterium that is found in estuarine waters and contaminates oysters and other seafood. Consumption of raw contaminated seafood or contamination of wounds with V. vulnificus can lead to septicemia or wound infection, respectively. Infection with V. vulnificus is associated with predisposing conditions such as hepatitis, cirrhosis, diabetes, hemochromatosis, and immune compromise (1,2,15,22). V. vulnificus causes a rapid and severe disease process resulting in extensive tissue damage. Mortality was up to 50% in septic patients, with most of them dying within 48 h with a fulminate course after infection (8). In addition, clinical isolates have generally high lethality in mice and high cytotoxicity to various cultured cells compared with environmental isolates (11,26,27).Several putative virulence factors of V. vulnificus, such as metalloprotease (14, 19), hemolysin-cytolysin (7, 23), capsular polysaccharide (CPS) (25,32), and means of iron acquisition (e.g., siderophore) (18), have been reported in vivo and in vitro. Lethality in animal models is clearly related to CPS expression. Both CPS expression and virulence are associated with an opaque colony morphology (25, 33). V. vulnificus strains with encapsulated phenotypes (opaque colonies) have a much higher lethality in mice than those with unencapsulated phenotypes (translucent colonies). This is considered to be due to CPS providing a protective barrier against phagocytosis by neutrophils and macrophages and against bacteriolysis by complement (24, 29, 31, 32). Many reports have focused on the interaction between phagocytes and CPS (17,25,28,33); however, there is little in the literature on host immune responses to V. vulnificus.
Despite considerable published research on the virulence factors of V. vulnificus, very little definitive information has been ...