Monday, November 30, 2020

Phyllosphere

The above-ground parts of plants, including the stems, leaves, flower and fruits are normally colonized by a variety of bacteria, yeasts, and fungi. The aerial habitat colonized by these microbes is termed the phyllosphere, and the inhabitants are called epiphytes.

The phyllosphere can be further subdivided into the caulosphere (stems), phylloplane (leaves), anthosphere (flowers), and carposphere (fruits). Even though the Phyllosphere comprises stems, leaves, flower and fruits, most work on phyllosphere microbiology has focused on leaves, which is the most dominant aerial plant structure.

The microbial communities of leaves are diverse and include many different genera of bacteria, filamentous fungi, yeasts, algae, and, less frequently, protozoa and nematodes.

Filamentous fungi are considered transient inhabitants of leaf surfaces, with rapidly sporulating species and yeasts colonizing this habitat more actively.

Bacteria are  the most abundant inhabitants of the phyllosphere. Epiphytic bacterial populations differ in size among and within plants of the same species, and over time as well as over the growing season. These variations in population sizes are caused by the large fluctuations in the physical and nutritional conditions characteristic of the phyllosphere.

Factors influencing microbial growth and distribution on Phyllosphere

  • Growth on the leaf surface is frequently limited by both water and nutrients, as well as exposure to high levels of ultraviolet (UV) radiation
  • Variation in the physical and chemical landscape of the leaf itself and patchiness of nutrients on the leaf surface impose additional constraints for colonizing microorganisms.
  • Leaf topography changes as the leaf ages, so that plant–microbial interactions are dependent on time as well as the specific characteristics of the host plant. 
  • Abiotic stress including adverse environmental conditions also limit microbial growth on phyllosphere. Denser populations of bacteria are found in the grooves between plant cells, at the base of trichomes, and near leaf veins and stomatal openings. This is a protective measure from abiotic stress. 
  • Moisture availability is a key limitation to microbial growth on the leaf surface. The cuticle prevents moisture from leaving the inside of the leaf and limits how much water remains on the leaf surface. To overcome this challenge, bacteria may form aggregates and biofilms, producing extracellular polymeric substances (EPS), which can resist desiccation. Some bacteria produce surfactants to increase the wettability of the leaf and lessen the ability of the cuticle to limit water accumulation.
  • The leaf surface has a boundary layer with a microclimate that typically has higher humidity than the broader phyllosphere, and this reduces some of the desiccation pressure for microbiota that are in that layer. 

Microbial populations typically increase following precipitation, when there can be substantial changes in the diversity and composition of the phyllosphere microbiome. Microorganisms on the leaf surface are generally oligotrophs that can tolerate low-nutrient conditions or are microorganisms that can interact with the host plant to obtain more nutrients. Although cuticular waxes are generally resistant to chemical movement, some plant metabolites can move to the leaf surface, supporting microbial growth. These compounds may arrive on the leaf surface by excretion from leaf cells, or due to osmotic pressure when the leaf is wet. 

Plants also release volatile organic compounds, which support specific populations of microorganisms; for example, methylotrophic bacteria that metabolize plant-derived single-carbon compounds are abundant constituents of the phyllosphere of many plant species.


Phyllosphere microorganisms may obtain nitrogen from plant produced amino acids, which leach to the leaf surface or by inorganic forms of nitrogen. Nitrogen arrives on the leaf surface through atmospheric deposition. Ammonia is typically assimilated by the leaf microbiota, although chemoautotrophic ammonia oxidizers can also be present in the Phyllosphere. Oxidised nitrogen species (nitrate and nitrite) are water soluble, and their availability changes during rain events. 

Bacterial nitrogen fixation can occur on the leaf surface, likely in pockets of moisture because of the anaerobic constraints of the fixation process. Exposure to UV radiation poses a particular challenge to leaf epiphytes, and bacterial and fungal populations that have been isolated from the phyllosphere are typically more pigmented than those from soil. This pigmentation can increase survival in the phyllosphere environment. Sphingomonas is an abundantly occuring bacteria  in phyllosphere which produce yellow or orange pigments.

The Nature and Composition of the Phyllosphere Microbiome

Phyllosphere microbiota represent a diverse array of microorganisms, but they are typically dominated by bacteria. Phyllosphere bacterial assemblages are generally less species rich than the rhizosphere or soil. Alpha proteobacteria are particularly well represented on the leaf surface, and these bacteria play many ecological roles. Gamma proteobacteria have also commonly been reported in surveys of phyllosphere bacterial community composition.

Proteobacteria are metabolically diverse, and the phyllosphere bacteria that carry out methyltrophy, nitrification, nitrogen fixation, or anoxygenic photosynthesis are typically representatives of this phylum. 

Bacteroidetes and Actinobacteria are generally the next most dominant bacterial lineages in phyllosphere communities. Bacteroidetes in the phyllosphere tend to be from families such as the Cytophagaceae or Chitinophagaceae. These organisms are often aerobic and pigmented, suggesting that they are well adapted to the leaf surface. 

The phylum Actinobacteria includes members that are plant pathogens, nitrogen-fixing symbionts, and fungal antagonists, as well as decomposers. Many of these roles have not been explored in the phyllosphere environment, but the Actinobacteria Corynebacterium has been used as a foliar-applied plant growth promoter (Nitrogen fixer). 

The fungal community is composed of organisms with a wide variety of ecological roles whose population sizes fluctuate in distinct seasonal trends based on the growing season and, ultimately, leaf senescence.

Moulds belonging to the Ascomycota are often the dominant fungi on the leaf surface before senescence. Other important fungi are yeasts belonging to the Ascomycota and Basidiomycota. 

Following leaf senescence, the fungal microbiome becomes dominated by filamentous fungi. Plant senescence is the process of aging in plants. Plants have both stress-induced and age-related developmental aging. Chlorophyll degradation during leaf senescence reveals the carotenoids, and is the cause of autumn leaf color in deciduous trees.


Interactions Between the Leaf Microbiome and the Plant Host

1. The Role of Phyllosphere Microorganisms in Plant Nutrient Acquisition

In tropical environments, nitrogen fixation occurs in the phyllosphere, potentially because higher moisture availability at the leaf surface allow nitrogen-fixing bacteria to be active. In areas subject to pollution from elevated levels of nitrogen, phyllosphere microorganisms may play a protective role by oxidising ammonia to nitrate through nitrification.

2. The Influence of the Phyllosphere Microbiome on Host Stress Tolerance

Biofilms in the phyllosphere resist desiccation. For example, Pseudomonas putida biofilms grown on phyllosphere retained their morphology better. Pseudomonas spp. are often  dominant constituents of the phyllosphere suggesting that naturally occurring biofilms may limit the loss of water and also protect from exposure to UV radiation. Pigmentation of bacteria and production of EPS can also provide some UV protection to the plant host.

Phyllosphere bacteria associated with aquatic plants can oxidise arsenite, preventing its accumulation and reducing toxicity and the phyllosphere microbiome may be a major contributor to aquatic arsenic cycling. Similarly, bacteria in the terrestrial phyllosphere may remediate airborne pollutants. e.g. Pseudomonas strains can accumulate phenol on the leaves of bean plants at concentrations 10-fold higher than in the ambient air, and use that phenol metabolically as a source of both energy and carbon. This provides some protection to the plant from airborne phenolics.

3. Interactions Between the Phyllosphere Microbiome and Plant Hormones

Many of the microorganisms that have been isolated from the phyllosphere have the ability to synthesise IAA, and promote plant-growth.

4. The Role of the Phyllosphere Microbiome in Mediating Plant–Pathogen Interactions

Biological control can be accomplished through; the induction of a plant immune response by non-pathogenic microorganisms, direct competition between non-pathogenic microorganisms and pathogens, or through the production of antibiotics. Competitive exclusion of pathogens by the broader phyllosphere community plays an important role in plant pathogen resistance.

For example, Sphingomonas strains limit the plant pathogen P. syringae in Arabidopsis, while Methylobacterium strains do not, likely because Sphingomonas is a direct competitor with P. syringae for glucose, fructose, and sucrose, none of which are metabolised by Methylobacterium.

Thursday, November 26, 2020

Rickettsial Diseases

 Rickettsiae - heterogenous group

  • small obligatory intracellular, gram negative coccobacilli and short bacilli
  • most of which are transmitted by a tick, mite, flea or louse vector.

The family Rickettsiaceae is named after Havard Taylor Ricketts who discovered Rocky Mountain spotted fever (1906) and died of typhus fever contracted during his studies.

The family currently comprises three genera- Rickettsia, Orientia and Ehrlichia

Former members of the family, Coxiella Burnetti, which causes Q fever and Rochalimaea quintana causing Trench fever have been excluded because the former is not primarily a arthropod borne and later is not an obligate intracellular parasite being capable of growing in cell free media besides being different in genetic properties

Some Rickettsiosis, such as epidemic typhus, have been described since the 16th century.

Some of these diseases are benign, others may be potentially fatal.

Morphology

  • Pleomorphic-coccobacilli,
  • Aerobic, nonmotile, non-capsulated
  • Gram negative (don’t stain well)

Cultivation

  • Obligate intracellular parasite- Unable to grow in cell free media
  • Grows best in cells which are not metabolizing actively- incubation at 32-35oC
  • Grown in yolk sac of developing chick embryos, mouse fibroblast, HeLa, Detroit 6 and other continuous cell lines
  • Maintained in animal (Guinea pigs, mice) and arthropod reservoirs

Pathogenesis:

Rickettsia –transmitted to humans by  Arthropod vectors- through their bite/feces –multiply locally, enter the blood- invade vascular endothelial cells which enlarge, degenerate, and cause thrombus formation - Phospholipases cause damage to vascular endothelium -destroy endothelial cells - Inflammatory cells accumulate and blood leakage resulting in spots, rashes

Rickettsial Family

3 genera - obligate intracellular parasites:

– Rickettsia – Coxiella – Ehrlichia


Typhus Fever Group

  • Epidemic typhus
  • Recrudescent typhus (Brill-Zenser disease)
  • Endemic Typhus

Epidemic typhus (Louse borne typhus, Classical typhus, Gaol fever)

  • caused devastating epidemics in times of war/famine
  • Napolean’s retreat from Moscow was forced by typhus fever
  • In India, Kashmir is the endemic spot
  • Caused by R. prowazekii: named after von Prowazek, who died of typhus fever while studying it
  • Humans –only natural vertebrate host-guinea pigs, mice can be  infected experimentally
  • Human body louse –Pediculus humanis corporis is the vector- head louse also transmits the infection
  • Lice become infected when they feed on rickettsiaemic patients- Rickettsiae multiple in the gut of lice-appear in feces in 3-5 days- Lice eventually die, but remain infective till death-transmit the infection-
  • Lice may be transferred from person to person-they defecate while feeding-feces enter the body of host through minor abrasions caused by scratching-infection also transmitted by aerosols of dried louse feces by inhalation or through the conjunctiva
  • Incubation period-5 to 15 days-fever and chills-characteristic rash on trunk and extremities on the 4th or 5th day, by the second week-patient is stupurous/delirious -Case fatality 40 percent-increases with age
  • Typhos=cloud/smoke- cloudy state of consciousness in the disease
  • Disease spread in crowded, unhygienic conditions 

 Recrudescent typhus/Brill-Zinsser disease

  • For those who recover from Typhus fever, the rickettsiae may remain latent in lympoid tissues/organs-reactivated causing recrudescent typhus (Brill-Zenser disease)
  • Brill described the disease and Zinsser isolated R. prowazekii in such patients and showed they are recrudescences of past infections
  • Shows that, Rickettsiae survive without extra-human reservoirs- can initiate epidemics, even in louse ridden communities

Endemic Typhus

  • Murine typhus or flea borne typhus -Rickettsia typhi (R. mooseri)
  • common in endemic areas-maintained in nature as mild infection of rats, transmitted by the rat flea, Xenopsylla cheopsis
  • Rickettsia multiply in the gut of flea and is shed in its feces-flea is unaffected by remains infectious throughout life
  • Ingestion of food contaminated with infected rat urine/flea feces also can transmit the disease
  • Human infection is  a dead end- man to man transmission does not occur
  • Endemic typhus-worldiwde in appearance but mild, sporadic, easily controlled
  • R. prowazekii & R. typhi are similar but can be differentiated by biological & immunological tests like IFA, ELISA and PCR-based DNA tests

Neill-Mooser reaction/Tunica reaction- Male guinea pigs when inoculated intraperitoneally with blood/culture develop fever and scrotal inflammation-testes cannot be pushed back into the abdomen because of inflammation of the pouch that covers the testis-tunica vaginalis-

Neill-Mooser reaction is shown by R. typhi. Absent in R. prowazekii

 

Spotted Fever GroupRickettsia rickettsii

R. rickettsii -– Spread by tick bite; rodents are the reservoir

R. akarii – mite borne

Tick typhus

Symptoms- fever/severe headache and skin rash = wrists and ankles to trunk/palms of hands, soles of feet

Rickettsia rickettsii causes “tick typhus”, also known as Rocky Mountain spotted fever (RMSF)

R. conori – Indian tick typhus - first observed in the foothills of Himalayas. The tick Rhipicephalus sanguineus is the most important vector

Haemaphysalis leachi, Amblyomma and Hyalomma ticks can also transmit the infection

R. japonica – Oriental spotted fever

R. africae – tick bite fever (sub-Saharan Africa)

Rocky mountain spotted fever or “tick typhus”,

·         caused by Rickettsia rickettsii

·         Identified by Ricketts in 1906- first insect transmitted bacterial pathogen to be recognized

·         Transmitted transovarially by ticks- both vectors and reservoirs. Ticks are not harmed so remain infected for life. Shed in tick feces but transmission to humans is primarily by bite

·         Infection may be transmitted to vertebrate hosts by any of the larval stages or by adult ticks

·         Rocky mountain spotted fever is the most serious type of spotted fever- first to be described

·         R. rickettsii causes 95% of all modern typhus.

·         If untreated mortality is ~20%.

·         Most cases occur in children during the spring or summer.

·         CNS symptoms include headache, delirium and coma.

·         Circulatory damage includes coagulation, edema and collapse..

Rickettsial pox

The mildest rickettsial disease of humans –selflimited, nonfatal, vesicular exanthema- Resembles chicken pox- also called vesicular or varicelliform rickettsioisis

Caused by R. akari (akari=mite)

Reservoir of the infection-domestic mouse, Mus musculus and vector is the mite Liponyssoides sanguineus, transovarial transmission

First observed in New York- now reported in Korea, Eastern Europe

 

Genus Orientia

Scrub Typhus

·         Incubation period is 1-3 weeks

·         Patients typically develop a characteristic eschar (dead tissue after ulcer) at the site of the mite bite, with regional lymphadenopathy and maculopapular rush

·         Disease starts with fever/severe headache and conjunctival injection- Encephalitis and pneumonia in severe cases

·         Caused by Rickettsia tsutsugamushi / Orientia tsutsugamushi

·         First observed in Japan, transmitted by mites

·         The disease was called tsutsugamushi (tsutsuga = dangerous, mushi = insect/mite)

·         It is found in areas with a suitable climate, plenty of moisture and scrub vegetation

·         Scrub typhus by mite bite -The vectors are Leptotrombium akamushi in Japan, and L. deliensis in India

·         Human beings are infected when they trespass into the areas inhabited by the mites and are bitten by the mite larvae (chiggers)

·         The mite feeds on the serum of warm blooded animals only once during its cycle of development and adult mites feed only on plants

·         The microbes are transmitted transovarially in mites.

·         Various rodents and birds act as reservoirs and help in spreading the Orientiae to fresh areas.

 

Genus Ehrlichia

Ehrlichiae are small, Gram negative, obligately intracellular bacteria with an affinity towards blood cells- form mulberry like clusters called “morula” inside infected phagocytic cells.

Three human infections caused by

1. Ehrlichia sennetsu – ingestion of fish carrying infected flukes

2. E. chaffeensis – Human monocytic ehrlichiosis, transmitted by Amblyomma tick. Deer and rodents are the reservoirs. Human disease associated with leucopenia, thrombocytopenia and elevated liver enzymes. Multisystem involvement and fatality may occur

 3. Pathogen similar to equine pathogen, E. equi = Human granulocytic ehrlichiosis, transmitted by Ixodes ticks. Deer, cattle, sheep could be reservoirs. Leucopenia and thrombocytopenia may occur.


Rickettsial diseases

Group

Species

Disease

Vector

Vertebrate reservoir

Symptoms

Typhus

R prowazekii

 R prowazekii

 

 

R typhi

Epidemic typhus

Brill Zinsser disease

 

Endemic typhus

Louse

 

Louse

 

Rat flea

Human beings

 

Human beings

 

Rat

 

fever and chills-characteristic rash on trunk and extremities; stupur/delirium

Spotted fever group

R rickettsia

 

R conori

 

 

R akari

Rocky mountain spotted fever

Indian tick typhus, Fever Boutonneuse,

 

Rickettsial pox

Tick

 

Tick

 

 

Mite

Rabbit, dog, small rodents

 

Rodents

  

Mouse

CNS symptoms -fever/severe headache Circulatory damage- skin rash

 

vesicular exanthema- like chicken pox

Scrub typhus

O tsutsugamushi

Scrub typhus

Trombiculid mite

Small rodents, birds

Eschar, lymphadenopathy &maculopapular rash, fever/severe headache, conjunctival infection

Ehrlichia

E. chaffeensis

Human monocytic ehrlichiosis

Amblyomma tick

 

leucopenia, thrombocytopenia, elevated liver enzymes- Multisystem involvement & fatality

Ehrlichia

E. equi

Human granulocytic ehrlichiosis

Ixodes ticks

Deer, cattle, sheep

leucopenia and thrombocytopenia

 



Diagnosis of Rickettsial Diseases

Either by isolation of rickettsiae or by serology

As rickettsiae are highly infectious and cause several serious and fatal infections among laboratory workers, Rickettsial isolation done with utmost care and appropriate safety provisions and equipments

Isolation of Rickettsia

  • Done in male guinea pigs or mice - from patients in the early phase of the disease
  • Blood clot ground in skimmed milk or any suitable suspending medium is inoculated intraperitoneally. The animals should be observed for 3-4 weeks and their temperature recorded daily.
  1. In rocky mountain spotted fever, guinea pigs develop fever, scrotal necrosis and may even die
  2. With R typhi, R conori and R akari, they develop fever and tunica reaction. R prowazekii produces only fever without testicular inflammation
  • Smears from the peritoneum, tunica, spleen of infected animals may be stained by Giemsa/Gimenez methods.

Cell culture techniques

Rickettsiae grow well in the yolk sac of chick embryos, but this method and tissue culture is not suitable for primary isolation from clinical specimens.

Cellculture is faster and more sensitive for isolation- Continuous cell culture on Verocell MRC (cell line from monkey cells) can be used to isolate rickettsiae from clinical samples in 3 – 5 days. Growth is identified by immunofluorescence using group- and strain- specific monoclonal antibodies.

These methods require high end facilities and expertise which may not be feasible for all diagnostic laboratories.

Serology

Serological methods like Weil Felix test, Immunoflourescence and ELISA are used to detect the presence of IgM or IgG antibodies against rickettsial infections.

Weil Felix test is a heterophile antibody test using the O antigens of Proteus strains OX 19, OX K and OX 2,  for diagnosing the antibodies against rickettsial infections. Proteus and some rickettsiae share an alkali stable carbohydrate antigen, which forms the basis of this test. Weil and Felix (1916) observed this first. Tube or slide agglutination test may be performed.

Antibodies are usually positive by 7 – 10 days after infection. This test is not very specific as it can be positive in case of other related infections. But in countries like India, this is the test which is easily available and affordable. This test can be used as a screening test and correlated with the clinical symptoms. It also helps the physician in diagnosis and prognosis of the disease.

Interpretation of Weil Felix test for diagnosing the antibodies against rickettsial infections.

Rickettsial infection

OX 19

OX 2

OX K

Epidemic typhus/Endemic typhus

++++

+

0

Brill Zinsser disease

++++

+

0

Scrub typhus

0

0

+++

Rocky Mountain spotted fever -RMSF

++++

+

0

 Rickettsial pox (R. akari)

0

0

0

Indian tick typhus (R.conori)

+

++++

0

 ELISA test to confirm the IgM antibodies against Scrub typhus can be used once the OX K antigen is positive by Weil Felix test

False positive reaction obtained in case of urinary/Proteus infections, typhoid fever/liver diseases. Testing of paired sera to demonstrate the rising titre is confirmatory in case of any serological tests as antibodies may persist in the body after an initial exposure to the organism. Testing of paired sera to demonstrate the rising titre is confirmatory in such cases

Complement fixation test may be performed using group specific or type specific Rickettsial antigens.

Other serological tests include agglutination of rickettsial suspensions, passive haemagglutination of RBC’s, toxin neutralization, immunofluorescence, and radioisotope precipitation. They are preferable to the nonspecific and insensitive Weil-Felix test based on the cross-reactive antigens of Proteus vulgaris strains(OX19). It usually takes 10-12 days for serologic data to become positive.

Immunoflourescence is the reference serological test which can be considered as the gold standard. But this test is not available in India.

Detection of rickettsiae in tissue samples is attempted by immunohistochemistry. Intracellular rickettsiae can be visualized even after 48hours of initiation of appropriate treatment.

Polymerase chain reaction: Detection of rickettsial DNA by molecular methods is more rapid and specific but this test is not widely available. Polymerase chain reaction (PCR) to detect rickettsiae in blood or tissue provides promise for early diagnosis.

No rapid laboratory tests are available to diagnose rickettsial diseases early in the course of illness. Rise in serum antibody/often do not develop in early stages. Serology remains the backbone of diagnosis because these other tests are expensive and less available to clinicians

Immunoprophylaxis

Prevention – Control of vectors (Tick Removal) and animal reservoirs (Limiting exposure to ticks)

Immunisation – Killed and live vaccines against epidemic typhus

Inactivated yolk sac vaccines developed by Cox and live vaccine using attenuated strain E

But some vaccines develop a mild disease, so no satisfactory vaccine yet.

Treatment - Doxycycline is a drug of choice for treating suspected Rocky Mountain Spotted

Despite effective treatment and advances in medical care, approximately mortality is still 3- 5%

 

Culture Media

Suitable culture media are required to grow   and maintain microorganisms in laboratory. A culture medium is a solid or liquid preparation u...