Abstract:Aims
For the majority of sporadic Legionnaires’ disease cases the source of infection remains unknown. Infection may possible result from exposure to Legionella bacteria in sources that are not yet considered in outbreak investigations. Therefore, potential sources of pathogenic Legionella bacteria—natural soil and rainwater puddles on roads—were studied in 2012.
Methods and Results
Legionella bacteria were detected in 30% (6/20) of soils and 3·9% (3/77) of rainwater puddles by amoebal coculture. Legionella pn… Show more
“…As L. pneumophila cycles through over at least 15 species of diverse protozoa in the environment (Rowbotham, ; Fields, ; Solomon et al , ; Molmeret et al , ), acquisition of LME‐1 would likely confer a costly host range switch under environmental conditions of sufficient host diversity. Note that this could occur within freshwater, the typical habitat of L. pneumophila (Fliermans et al , ), as Dictyostelium species have been observed in lakes and sediment (O'Dell, ; Richards et al , ; Somboonna et al , ; Shanan et al , ); at the same time, L. pneumophila has also been isolated from soil (Wallis and Robinson, ; Schalk et al , ; van Heijnsbergen et al , ), a long‐established habitat of D. discoideum (Singh, ). While D. discoideum is generally thought of within the context of a laboratory model for Legionella infection, these data suggest that further scrutiny should be placed on the natural association of L. pneumophila and D. discoideum in the environment.…”
SummaryClustered regularly interspaced short palindromic repeats with CRISPR‐associated gene (CRISPR‐Cas) systems are widely recognized as critical genome defense systems that protect microbes from external threats such as bacteriophage infection. Several isolates of the intracellular pathogen Legionella pneumophila possess multiple CRISPR‐Cas systems (type I‐C, type I‐F and type II‐B), yet the targets of these systems remain unknown. With the recent observation that at least one of these systems (II‐B) plays a non‐canonical role in supporting intracellular replication, the possibility remained that these systems are vestigial genome defense systems co‐opted for other purposes. Our data indicate that this is not the case. Using an established plasmid transformation assay, we demonstrate that type I‐C, I‐F and II‐B CRISPR‐Cas provide protection against spacer targets. We observe efficient laboratory acquisition of new spacers under ‘priming’ conditions, in which initially incomplete target elimination leads to the generation of new spacers and ultimate loss of the invasive DNA. Critically, we identify the first known target of L. pneumophila CRISPR‐Cas: a 30 kb episome of unknown function whose interbacterial transfer is guarded against by CRISPR‐Cas. We provide evidence that the element can subvert CRISPR‐Cas by mutating its targeted sequences – but that primed spacer acquisition may limit this mechanism of escape. Rather than generally impinging on bacterial fitness, this element drives a host specialization event – with improved fitness in Acanthamoeba but a reduced ability to replicate in other hosts and conditions. These observations add to a growing body of evidence that host range restriction can serve as an existential threat to L. pneumophila in the wild.
“…As L. pneumophila cycles through over at least 15 species of diverse protozoa in the environment (Rowbotham, ; Fields, ; Solomon et al , ; Molmeret et al , ), acquisition of LME‐1 would likely confer a costly host range switch under environmental conditions of sufficient host diversity. Note that this could occur within freshwater, the typical habitat of L. pneumophila (Fliermans et al , ), as Dictyostelium species have been observed in lakes and sediment (O'Dell, ; Richards et al , ; Somboonna et al , ; Shanan et al , ); at the same time, L. pneumophila has also been isolated from soil (Wallis and Robinson, ; Schalk et al , ; van Heijnsbergen et al , ), a long‐established habitat of D. discoideum (Singh, ). While D. discoideum is generally thought of within the context of a laboratory model for Legionella infection, these data suggest that further scrutiny should be placed on the natural association of L. pneumophila and D. discoideum in the environment.…”
SummaryClustered regularly interspaced short palindromic repeats with CRISPR‐associated gene (CRISPR‐Cas) systems are widely recognized as critical genome defense systems that protect microbes from external threats such as bacteriophage infection. Several isolates of the intracellular pathogen Legionella pneumophila possess multiple CRISPR‐Cas systems (type I‐C, type I‐F and type II‐B), yet the targets of these systems remain unknown. With the recent observation that at least one of these systems (II‐B) plays a non‐canonical role in supporting intracellular replication, the possibility remained that these systems are vestigial genome defense systems co‐opted for other purposes. Our data indicate that this is not the case. Using an established plasmid transformation assay, we demonstrate that type I‐C, I‐F and II‐B CRISPR‐Cas provide protection against spacer targets. We observe efficient laboratory acquisition of new spacers under ‘priming’ conditions, in which initially incomplete target elimination leads to the generation of new spacers and ultimate loss of the invasive DNA. Critically, we identify the first known target of L. pneumophila CRISPR‐Cas: a 30 kb episome of unknown function whose interbacterial transfer is guarded against by CRISPR‐Cas. We provide evidence that the element can subvert CRISPR‐Cas by mutating its targeted sequences – but that primed spacer acquisition may limit this mechanism of escape. Rather than generally impinging on bacterial fitness, this element drives a host specialization event – with improved fitness in Acanthamoeba but a reduced ability to replicate in other hosts and conditions. These observations add to a growing body of evidence that host range restriction can serve as an existential threat to L. pneumophila in the wild.
“…Although some of the bacteria in the soil may come from industrial waste or cooling towers, Rowbotham 111 suggested that amoebae in soil might enhance the growth of Legionella . Other potential sources include rainwater puddles, which have been found to harbor viable L. pneumophila , 112 and rooftop rainwater cisterns. 113-116
Legionella appears to be part of the natural aquatic microbiome, as it has been found in oceans, lakes, and rivers.…”
Legionella is a genus of pathogenic Gram-negative bacteria responsible for a serious disease known as legionellosis, which is transmitted via inhalation of this pathogen in aerosol form. There are two forms of legionellosis: Legionnaires' disease, which causes pneumonia-like symptoms, and Pontiac fever, which causes influenza-like symptoms. Legionella can be aerosolized from various water sources in the built environment including showers, faucets, hot tubs/swimming pools, cooling towers, and fountains. Incidence of the disease is higher in the summertime, possibly because of increased use of cooling towers for air conditioning systems and differences in water chemistry when outdoor temperatures are higher. Although there have been decades of research related to Legionella transmission, many knowledge gaps remain. While conventional wisdom suggests that showering is an important source of exposure in buildings, existing measurements do not provide strong support for this idea. There has been limited research on the potential for Legionella transmission through heating, ventilation, and air conditioning (HVAC) systems. Epidemiological data suggest a large proportion of legionellosis cases go unreported, as most people who are infected do not seek medical attention. Additionally, controlled laboratory studies examining water-to-air transfer and source tracking are still needed. Herein, we discuss ten questions that spotlight current knowledge about Legionella transmission in the built environment, engineering controls that might prevent future disease outbreaks, and future research that is needed to advance understanding of transmission and control of legionellosis.
“…Between 2000 and 2010, only 2.3% of the isolates (2/86) in the Belgian database were ST48 [17] and this was the first isolation of ST48 since 2008. The source of these isolates has never been determined, suggesting that these strains may be present in particular environmental niches unexplored so far [31][32][33][34][35]. The importance of these niches may be underestimated, as they may not yet be considered in source investigations and fall outside the legislative framework for (high) risk installations.…”
Section: Data Collection Management and Analysis To Generate The Hypmentioning
A cluster of Legionnaires' disease (LD) with 10 confirmed, three probable and four possible cases occurred in August and September 2016 in Dendermonde, Belgium. The incidence in the district was 7 cases/100 000 population, exceeding the maximum annual incidence in the previous 5 years of 1.5/100 000. Epidemiological, environmental and geographical investigations identified a cooling tower (CT) as the most likely source. The case risk around the tower decreased with increasing distance and was highest within 5 km. Legionella pneumophila serogroup 1, ST48, was identified in a human respiratory sample but could not be matched with the environmental results. Public health authorities imposed measures to control the contamination of the CT and organised follow-up sampling. We identified obstacles encountered during the cluster investigation and formulated recommendations for improved LD cluster management, including faster coordination of teams through the outbreak control team, improved communication about clinical and environmental sample analysis, more detailed documentation of potential exposures obtained through the case questionnaire and earlier use of a geographical information tool to compare potential sources and for hypothesis generation.
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