How Lytic Phage and Environmental Conditions Affect Cholera Transmission
Author Information
Author(s): Nelson Eric J., Chowdhury Ashrafuzzaman, Flynn James, Schild Stefan, Bourassa Lori, Shao Yue, LaRocque Regina C., Calderwood Stephen B., Qadri Firdausi, Camilli Andrew
Primary Institution: Howard Hughes Medical Institute and the Department of Molecular Biology and Microbiology, Tufts University School of Medicine, Boston, Massachusetts, United States of America
Hypothesis
The study aims to determine the relevance of active but non-culturable (ABNC) cells and the impact of lytic phage on Vibrio cholerae transmission.
Conclusion
Culturable Vibrio cholerae, rather than ABNC cells, are the major contributors to infection, and lytic phage can block transmission.
Supporting Evidence
- Vibrio cholerae loses the ability to culture upon transfer to pond water, entering the ABNC state.
- Phage titer was too low to affect colonization immediately after shedding from patients.
- After 24 hours in pond water, V. cholerae failed to colonize the small intestine.
- Transcriptional analysis showed that bacteria quickly adjust to the stresses of the aquatic environment.
- Phage had an undetectable influence on the adaptation of V. cholerae to nutrient-poor conditions.
- ABNC cells and lytic phage together block transmission of cholera.
Takeaway
This study found that the bacteria that cause cholera can become less infectious when they enter a certain state in the environment, and viruses that attack these bacteria can make it even harder for them to spread.
Methodology
The study used a pond microcosm to observe the behavior of Vibrio cholerae and lytic phage over 24 hours, measuring culturability, infectious dose, and transcriptional changes.
Potential Biases
Potential bias in the interpretation of results due to the artificial setting of the experiments.
Limitations
The study's findings may not fully represent natural conditions due to the controlled environment of the pond microcosm.
Participant Demographics
Stool samples were collected from adult patients with acute watery diarrhea.
Statistical Information
P-Value
p<0.05
Confidence Interval
95% CI for ID50 values ranged from 65 to 196 CFU.
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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