Immunoglobulin Attenuates Streptokinase-Mediated Virulence in Streptococcus dysgalactiae Subspecies equisimilis Necrotizing Fasciitis.

Background: Necrotizing fasciitis (NF) retains a very high mortality rate despite prompt and adequate antibiotic treatment and surgical debridement. Necrotizing fasciitis has recently been associated with Streptococcus dysgalactiae subspecies equisimilis (SDSE). Methods: We investigated the causes of a very severe clinical manifestation of SDSE-NF by assessing both host and pathogen factors. Results: We found a lack of streptokinase-function blocking antibodies in the patient resulting in increased streptokinase-mediated fibrinolysis and bacterial spread. At the same time, the clinical SDSE isolate produced very high levels of streptokinase. Exogenous immunoglobulin Gs (ex-IgGs) efficiently blocked streptokinase-mediated fibrinolysis in vitro, indicating a protective role against the action of streptokinase. In vivo, SDSE infection severity was also attenuated by ex-IgGs in a NF mouse model. Conclusions: These findings illustrate for the first time that the lack of specific antibodies against streptococcal virulence factors, such as streptokinase, may contribute to NF disease severity. This can be counteracted by ex-IgGs.

Soil application of biochar produced from biomass grown on trace element contaminated land.

Trace element (TE) contamination of soils is a worldwide problem. However, although not considered safe anymore for food production without clean-up, many of these soils may still be used to produce biomass for non-food purposes such as biochar. Exploring the suitability of such biochar for the amendment of low-fertility soil, we investigated growth and metal accumulation of ryegrass (Lolium perenne, var. Calibra) as well as soil microbial abundance on a non-contaminated soil after amendment with biochar from birch (Betula pendula) wood produced on TE contaminated soil in comparison to a treatment with birch wood biochar originating from non-contaminated soil. Biochars were produced from both feedstocks by pyrolysis at two temperatures: 450 and 700 °C. During the pyrolysis, in contrast to Cu, Fe, Mg, K, Mn and P, the elements Cd, Pb, S and Na volatilized. The root biomass of the biochar treated plants was lower than that of the non-amended plants, while that of the shoot was higher. Plant shoot K and Zn concentrations were increased significantly by up to 7- and 3.3-fold respectively. For P, Mg, Mn, Fe and Cu no significant increase in shoot concentration could be detected. Neither the TE-contaminated biochar, nor the non-contaminated biochar had adverse effect on the bacterial community of the soil.

Physical extraction of microorganisms from water-saturated, packed sediment.

Microbial characterization of aquifers should include samples of both suspended and attached microorganisms (biofilms). We investigated the effect of shear, sonication, and heat on the extraction of microorganisms from water-saturated, packed sediment columns containing established biofilms. Shear was studied by increasing flow velocity of the column eluent, sonication by treating the columns with ultrasound at different power levels, and heat by warming up the column eluent to different temperatures. Effluent cell concentrations were used as a measure of extraction efficiency. Dissolved organic carbon and adenosine tri-phosphate (ATP) concentrations were used to corroborate cell-extraction results. Additionally, ATP was used as an indicator of cell-membrane integrity. Extraction quality was determined by comparing terminal-restriction fragment length polymorphism (T-RFLP) profiles of extracted bacterial communities with destructively sampled sediment-community profiles. Sonication and heat increased the extraction efficiency up to 200-fold and yielded communities comparable to the sediment community. These treatments showed high potential for in-situ application in aquifers.

In-situ sonication for enhanced recovery of aquifer microbial communities.

Sampling methods for characterization of microbial communities in aquifers should target both suspended and attached microorganisms (biofilms). We investigated the effectiveness and reproducibility of low-frequency (200 Hz) sonication pulses on improving extraction efficiency and quality of microorganisms from a petroleum-contaminated aquifer in Studen (Switzerland). Sonication pulses at different power levels (0.65, 0.9, and 1.1 kW) were applied to three different groundwater monitoring wells. Groundwater samples extracted after each pulse were compared with background groundwater samples for cell and adenosine tri-phosphate concentration. Turbidity values were obtained to assess the release of sediment fines and associated microorganisms. The bacterial community in extracted groundwater samples was analyzed by terminal-restriction-fragment-length polymorphism and compared with communities obtained from background groundwater samples and from sediment cores. Sonication enhanced the extraction efficiency up to 13-fold, with most of the biomass being associated with the sediment fines extracted with groundwater. Consecutive pulses at constant power were decreasingly effective, while pulses with higher power yielded the best results both in terms of extraction efficiency and quality. Our results indicate that low-frequency sonication may be a viable and cost-effective tool to improve the extraction of microorganisms from aquifers, taking advantage of existing groundwater monitoring wells.

Chemical extraction of microorganisms from water-saturated, packed sediment.

Microbial characterization of aquifers should combine collection of suspended and attached microorganisms (biofilms). This study investigated chemical extraction of microorganisms from water-saturated, packed sediment containing established biofilms. It compares the use of different detachment-promoting agent (DPA) solutions with tap water as eluent in column experiments. Extraction efficiency was determined from cell concentrations in the column effluent. Adenosine triphosphate concentrations were measured to confirm cell extraction and as an indicator of cell membrane integrity. Quality of extracted bacterial communities was assessed by comparing their terminal restriction fragment length polymorphism profiles with destructively sampled sediment-community profiles. Extraction efficiency increased more than 8-fold when deionized water, D-amino acids, or enzymes were used as a DPA. Community profiles recovered by individual DPA solutions showed more pronounced differences at the level of rare microbial groups, whereas abundant groups appeared ubiquitous across treatments. These results suggest that comparison of communities extracted by different DPAs can provide improved information on the occurrence of rare microbial groups in biofilms.

The relationship between 24 h/4 h radioiodine-131 uptake ratio and outcome after radioiodine therapy in 1402 patients with solitary autonomously functioning thyroid nodules.

OBJECTIVE: To evaluate the role of 24 h/4 h uptake ratio (UR) in response to radioiodine-131 ((131)I) therapy in patients with autonomously functioning thyroid nodules (AFTN). METHODS: A total of 1402 consecutive hyperthyroid patients were treated with (131)I, between 1958 and 2005. Therapeutic doses (D) were calculated according to the formula: D = weight of nodule x dose per gram of nodular tissue (q)/24 h (131)I uptake. The ratios of the 24 and 4 h uptake were retrospectively calculated and the patients were grouped according to outcome and q into three groups of UR (< or =1.25; 1.26-1.68; > or =1.69) by means of terziles. RESULTS: Of the 1402 patients, 95 did not respond to (131)I treatment while 93/1307 developed hypothyroidism. Most non-responders (55.8%) had UR < or =1.25, while many hypothyroid patients (66.7%) had UR > or =1.69 (chi (2): P < 0.001). As q increased, the proportion of successfully treated patients increased (level of significance) only in the group with UR < or =1.25; while in the other two terziles, with increasing dose per gram of nodular tissue, the number of successfully treated patients did not increase (level of significance). The cumulative incidence of hypothyroidism was 2.2% at the 1st year after (131)I treatment, increasing to 13.9% at 5 years and 26.2% at 10 years. CONCLUSIONS: The (131)I UR can predict the outcome of (131)I treatment in AFTN and may have utility in modifying treatment in some patients to limit post-radioiodine induced hypothyroidism and treatment failures in order to achieve euthyroidism.