Mycobacterium ulcerans low infectious dose and mechanical transmission support insect bites and puncturing injuries in the spread of Buruli ulcer

Autor: Paul D R Johnson, Till F. Omansen, Jason K. Axford, Sacha J. Pidot, Jessica L. Porter, Renee Marcsisin, Timothy P. Stinear, Kirstie M. Mangas, Brian O. Howden, Weiguang Zeng, John R. Wallace
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Bacterial Diseases
0301 basic medicine
Buruli ulcer
SOUTHEASTERN AUSTRALIA
Disease Vectors
Skin infection
Mosquitoes
DISEASE
Geographical Locations
chemistry.chemical_compound
0302 clinical medicine
NAUCORIS-CIMICOIDES
Aedes
MYCOLACTONE
Medicine and Health Sciences
BENIN
EPIDEMIOLOGY
Needlestick Injuries
Mycolactone
Buruli Ulcer
Mice
Inbred BALB C

biology
Infectious dose
lcsh:Public aspects of medicine
Animal Models
3. Good health
Actinobacteria
Insects
Infectious Diseases
GHANA
Experimental Organism Systems
Mycobacterium ulcerans
Female
Research Article
Neglected Tropical Diseases
Skin Infections
lcsh:Arctic medicine. Tropical medicine
Arthropoda
lcsh:RC955-962
Oceania
030231 tropical medicine
Mouse Models
Dermatology
Aedes aegypti
Aedes Aegypti
Research and Analysis Methods
Insect bites and stings
Microbiology
03 medical and health sciences
Model Organisms
medicine
Animals
Bacteria
IDENTIFICATION
Organisms
Australia
Public Health
Environmental and Occupational Health

Biology and Life Sciences
Insect Bites and Stings
lcsh:RA1-1270
Tropical Diseases
biology.organism_classification
medicine.disease
Invertebrates
ENVIRONMENTAL-SAMPLES
Insect Vectors
Species Interactions
030104 developmental biology
chemistry
People and Places
RISK-FACTORS
Zdroj: PLoS Neglected Tropical Diseases, Vol 11, Iss 4, p e0005553 (2017)
PLoS Neglected Tropical Diseases, 11(4). PUBLIC LIBRARY SCIENCE
PLoS Neglected Tropical Diseases
ISSN: 1935-2735
1935-2727
Popis: Addressing the transmission enigma of the neglected disease Buruli ulcer (BU) is a World Health Organization priority. In Australia, we have observed an association between mosquitoes harboring the causative agent, Mycobacterium ulcerans, and BU. Here we tested a contaminated skin model of BU transmission by dipping the tails from healthy mice in cultures of the causative agent, Mycobacterium ulcerans. Tails were exposed to mosquito (Aedes notoscriptus and Aedes aegypti) blood feeding or punctured with sterile needles. Two of 12 of mice with M. ulcerans contaminated tails exposed to feeding A. notoscriptus mosquitoes developed BU. There were no mice exposed to A. aegypti that developed BU. Eighty-eight percent of mice (21/24) subjected to contaminated tail needle puncture developed BU. Mouse tails coated only in bacteria did not develop disease. A median incubation time of 12 weeks, consistent with data from human infections, was noted. We then specifically tested the M. ulcerans infectious dose-50 (ID50) in this contaminated skin surface infection model with needle puncture and observed an ID50 of 2.6 colony-forming units. We have uncovered a biologically plausible mechanical transmission mode of BU via natural or anthropogenic skin punctures.
Author summary Buruli ulcer is a neglected tropical disease caused by infection with Mycobacterium ulcerans. Unfortunately, how people contract this disease is not well understood. Here we show for the first time using experimental infections in mice that a very low dose of M. ulcerans delivered beneath the skin by a minor injury caused by a blood-feeding insect (mosquito) or an experimental needle puncture is sufficient to cause Buruli ulcer. This research provides important laboratory evidence to advance our understanding of Buruli ulcer disease transmission.
Databáze: OpenAIRE