Browsing by Author "Ardanuy, Carmen"
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- Antibody Binding and Complement-Mediated Killing of Invasive Haemophilus influenzae Isolates from Spain, Portugal, and the NetherlandsPublication . Dudukina, Elena; de Smit, Laura; Verhagen, Giel J.A.; van de Ende, Arie; Marimón, José María; Bajanca-Lavado, Paula; Ardanuy, Carmen; Marti, Sara; de Jonge, Marien I.; Langereis, Jeroen D.Haemophilus influenzae is a Gram-negative bacterium that can be classified into typeable (types a through f) and nontypeable (NTHi) groups. This opportunistic pathogen asymptomatically colonizes the mucosal epithelium of the upper respiratory tract, from where it spreads to other neighboring regions, potentially leading to disease. Infection with NTHi can cause otitis media, sinusitis, conjunctivitis, exacerbations of chronic obstructive pulmonary disease, and pneumonia, but it is increasingly causing invasive disease, including bacteremia and meningitis. Invasive NTHi strains are more resistant to complement-mediated killing. However, the mechanisms of complement resistance have never been studied in large numbers of invasive NTHi strains. In this study, we determined the relationship between binding of IgG or IgM and the bacterial survival in normal human serum for 267 invasive H. influenzae strains from Spain, Portugal, and the Netherlands, of which the majority (200 [75%]) were NTHi. NTHi bacteria opsonized with high levels of IgM had the lowest survival in human serum. IgM binding to the bacterial surface, but not IgG binding, was shown to be associated with complement-mediated killing of NTHi strains. We conclude that evasion of IgM binding by NTHi strains increases survival in blood, thereby potentially contributing to their ability to cause severe invasive diseases.
- Comparative pangenome analysis of capsulated Haemophilus influenzae serotype f highlights their high genomic stabilityPublication . Gonzalez-Diaz, Aida; Carrera-Salinas, Anna; Pinto, Miguel; Cubero, Meritxell; van der Ende, Arie; Langereis, Jeroen D.; Domínguez, M. Ángeles; Ardanuy, Carmen; Bajanca-Lavado, Paula; Marti, SaraHaemophilus influenzae is an opportunistic pathogen adapted to the human respiratory tract. Non-typeable H. influenzae are highly heterogeneous, but few studies have analysed the genomic variability of capsulated strains. This study aims to examine the genetic diversity of 37 serotype f isolates from the Netherlands, Portugal, and Spain, and to compare all capsulated genomes available on public databases. Serotype f isolates belonged to CC124 and shared few single nucleotide polymorphisms (SNPs) (n = 10,999), but a high core genome (> 80%). Three main clades were identified by the presence of 75, 60 and 41 exclusive genes for each clade, respectively. Multi-locus sequence type analysis of all capsulated genomes revealed a reduced number of clonal complexes associated with each serotype. Pangenome analysis showed a large pool of genes (n = 6360), many of which were accessory genome (n = 5323). Phylogenetic analysis revealed that serotypes a, b, and f had greater diversity. The total number of SNPs in serotype f was significantly lower than in serotypes a, b, and e (p < 0.0001), indicating low variability within the serotype f clonal complexes. Capsulated H. influenzae are genetically homogeneous, with few lineages in each serotype. Serotype f has high genetic stability regardless of time and country of isolation.
- Detection of the Hmw adhesins in clinical Haemophilus influenzae isolates from bacteraemic patients and association with biofilm formationPublication . Bosh, Ana; González, Aida; Carrera-Salinas, Anna; Cubero, Meritxell; Marimón, José María; Bajanca-Lavado, Paula; Ardanuy, Carmen; Marti, SaraBackground: Non-typeable Haemophilus influenzae (NTHi) forms part of the normal nasopharyngeal microbiota in humans, but it is also an opportunistic pathogen causing respiratory infections and bacteraemia. Recently, high molecular weight (HMW1) proteins have been identified as a key factor for cell invasion, a feature implicated in persistence during chronic infection(a). Our aims were to identify the different allelic variants of the HMW adhesin and, given the characteristics of these surface proteins on bacterial adhesion capacity, the second objective was to check if their presence could be related to biofilm formation. Materials/Methods: A collection of 89 strains isolated from patients with bacteraemia from Spain and Portugal in the 2013-2014 period were used in this study. Strains were genotyped by PFGE (SmaI) and analyzed with the FingerPrinting software (BioRad). The allelic variants of the hmw gene (Hi375 and Hi86-028NP) encoding the high molecular weight adhesins Hmw1/Hmw2 were identified by PCR amplification. Biofilm formation was performed in a static biofilm assay with crystal violet staining. Statistical analysis was performed using the GraphPad Prism 5 software. Results: Forty-eight NTHi isolates (54%) were positive for the hmw gene. Only the allelic variants of the Hi375 strain could be identified, among them, one strain (1/48, 2%) had hmw-1A, 33 (69%) had hmw-2A and 14 (29%) had both allelic variants, hmw-1A and hmw-2A. Biofilm formation showed great diversity among the studied strains with OD¬570 values ranging between 0.06 and 1.4. Forty-three strains (48.3%) were classified as high biofilm formers and the remaining 46 strains (51.7%) were low biofilm formers. An inverse relationship was found between the presence of hmw genes and in vitro biofilm formation. The invasive NTHi clinical isolates presented high genetic diversity by PFGE, with no strain clustering observed linked to the presence of hmw genes or to biofilm formation. Conclusion: The allelic variants of the H. influenzae strain 375, especially the hmw-2A gene, were more commonly found among invasive NTHi clinical isolates, which despite having an important role on intracellular invasion, were not linked to in vitro biofilm formation. (a)Mell, JC et al. (2016). PLoS Pathogens 12: e1005576.
- Epidemiological analysis of invasive Haemophilus influenzae clinical isolates obtanied from Portugal, Spain and the NetherlandsPublication . Raeven, Elisabeth A.M.; González, Aida; van der Ende, Arie; Liñares, Josefina; Marimón, José María; Bajanca-Lavado, Paula; Langereis, Jeroen D.; Ardanuy, Carmen; Martí, SaraBackground. Haemophilus influenzae is a human-restricted pathogen that forms part of the normal nasopharyngeal microbiota. The introduction of the H. influenzae serotype b vaccine has drastically decreased the number of bacteremia cases caused by H. influenzae serotype b (Hib). Conversely, the cases of non-typeable H. influenzae (NTHi) bacteremia have increased substantially. Therefore, we aimed to perform an epidemiological study comparing invasive H. influenzae clinical isolates from three European countries. Material & Methods. Clinical isolates were obtained from two southern European countries, Spain (Hospital de Bellvitge, n=44; Hospital de Donostia, n=18) and Portugal (n=55), and a northern country, the Netherlands (n=146) between 2013 and 2015. The clinical source of the samples was blood (n=250), cerebrospinal fluid (n=4) and pleural effusion (n=9). Capsular serotyping was done by PCR and genotyping by PFGE (SmaI), followed by FingerPrinting analysis. Antimicrobial susceptibility was tested by disk diffusion and microdilution against Ampicillin (AP), Tetracycline (TC), Chloramphenicol (CL), Ciprofloxacin (CP) and Trimethoprim/Sulfamethoxazole (T/S). Results. Overall, NTHi were the most prevalent isolates (201/263, 76%), followed by Hib (38/263, 14%), Hif (16/263, 6%) and other capsulated H. influenzae (Hia=3; Hid=1; Hie=4). By countries, NTHi was also the major pathogen identified in Spain (82%), Portugal (80%) and the Netherlands (73%), while Hib was slightly more frequent in the Netherlands (27/146, 18%) and Portugal (7/55, 13%) than in Spain (4/62, 6%). PFGE clustering identified high diversity among the NTHi strains, although some strains from different countries were found to be highly related (14 clusters of two or three strains). Hib were grouped together in four main clusters including isolates from different countries: Cluster I (5 strains Netherlands; 4 strains Portugal), Cluster II (18 strains Netherlands, 2 strains Portugal; 1 strain Spain), Cluster III (5 strains Netherlands), Cluster IV (1 strain Portugal; 1 strain Spain).
- Identification of polysaccharide capsules among extensively drug-resistant genitourinary Haemophilus parainfluenzae isolatesPublication . González-Díaz, Aida; Tubau, Fe; Pinto, Miguel; Sierra, Yanik; Cubero, Meritxell; Càmara, Jordi; Ayats, Josefina; Bajanca-Lavado, Paula; Ardanuy, Carmen; Marti, SaraThe human commensal Haemophilus parainfluenzae is emerging as an opportunistic multidrug-resistant pathogen. The objectives of this work were to characterise a new capsular operon of extensively drug-resistant (XDR) H. parainfluenzae clinical isolates and study their resistance mechanisms using whole-genome sequencing. All strains were resistant to: ß-lactams, via amino acid changes in PBP3 (S385T, I442F, V511A, N526K and V562I); quinolones, by alterations in GyrA (S84F and D88Y) and ParC (S84F and S138T); chloramphenicol, through the presence of catS; macrolides, via the presence of mel and mef(E)-carrying MEGA element; and tetracycline, through the presence of tet(M) and/or tet(B). Phylogenetic analysis revealed high genomic diversity when compared to the H. parainfluenzae genomes available on the NCBI, the isolates from this study being closely related to the Swiss XDR AE-2096513. A full capsular operon showing homology to that of H. influenzae was identified, in accordance with the observation of a capsular structure by TEM. This study describes for the first time a capsular operon in H. parainfluenzae, a major determinant of pathogenicity that may contribute to increased virulence in XDR clinical isolates. Moreover, phylogenetic analysis suggests the possible spread of an XDR-encapsulated strain in Europe.
- Spatial and temporal genomic homogeneity among Haemophilus influenzae serotype fPublication . Gonzalez-Diaz, Aida; Pinto, Miguel; Cubero, Meritxell; Langereis, Jeroen D.; van der Ende, Arie; Bajanca-Lavado, Maria Paula; Ardanuy, Carmen; Marti, SaraBackground: Haemophilus influenzae is an opportunistic pathogen highly adapted to the human respiratory tract which is often reported as the etiologic agent of infectious diseases. After the introduction of serotype b vaccine, non-typeable H. influenzae (NTHi) has become the most frequent cause of respiratory infection, followed in frequency by serotype f strains (Hif). The aim of this study was to analyze the genomic diversity among invasive and colonizing Hif isolates by whole genome sequencing (WGS).