PREFERENTIAL GROWTH TEMPERATURES OF T4 AND T5 THAI SOIL Acanthamoeba ISOLATES Atsadang Boonmee1,3*, Saradee Warit2, Araya Chusattayanond3,# 1 Master of Science Program in Microbiology (International program), Department of Microbiology, Faculty of Science, Mahidol University, Bangkok 10400, Thailand 2 TB Research Laboratory, National Center for Genetic Engineering and Biotechnology, NSTDA, Pathumthani 12120, Thailand 3 Department of Microbiology, Faculty of Science, Mahidol University, Bangkok 10400, Thailand *e-mail: atsadang88@gmail.com #e-mail: arayachusattayanond@gmail.com Abstract Acanthamoeba, a genus of free-living protozoa, can cause a sight-threatening Acanthamoeba keratitis (AK) following corneal trauma or inappropriate use of contact lenses. Sinusitis, skin ulcer and granulomatous amoebic encephalitis (GAE) can occur in immunocompromised and some normal individuals. Acanthamoeba is classified into 17 genotypes (T1-T17) based on nucleotide sequences of 18S rRNA gene. Members of T4 and T5 are the most and second most abundant populations in environments. Surprisingly, while the majority of pathogenic Acanthamoeba belong to T4, only 2 T5 infected AK and 1 GAE cases were reported worldwide. Understanding the biological differences among Acanthamoeba genotypes may help understanding their epidemiology, disease prevention, pathogenesis and treatment against their infections. In this study, 20 soil Acanthamoeba isolates identified as 13 T4 and 7 T5 genotypes, according to nucleotide sequences of GTSA.B1 region in 18S rRNA gene, were studied for preferential growth temperatures under 30°C, 34°C, 37°C, and 42°C. It is obvious that all isolates can grow at 30-37°C, but only T5 isolates can grow well at 42°C. Preferential growth temperatures were found to vary among different isolates. It seems not to be genotype dependent. Most of T4 (53.85%) and T5 (42.86%) isolates seem to prefer growing at 34°C to other test temperatures. However, only Aud8, S3, SamP1, and Udon1 showed statistically significant level of the preference. Keywords: soil Acanthamoeba, GTSA.B1, T4, T5, growth temperature Introduction Acanthamoeba is a genus of free-living protozoa. The organism is widely distributed in environments such as soil, fresh water, tap water, ocean, and air-conditioning units. There are two stages in its life cycle. One is the feeding and reproducing trophozoite. The other one is the resistant cyst which is formed mainly under hash condition such as depleted food storage, extreme temperatures and pH. Cyst is enclosed in double walls consisted of the outer ectocyst and the inner endocyst (1). They can cause Acanthamoeba keratitis (AK), granulomatous amoebic encephalitis (GAE), nasopharyngeal and cutaneous lesions (2). AK can be found following inappropriate use of contact lenses or corneal trauma, while GAE is an opportunistic and fatal disease occurred in immunocompromised individuals. However, a few GAE cases of immunocompetent persons have also been reported (3). Acanthamoeba have previously been classified into three groups based on their morphology. They include astronyxid, polyphagid, and culbertsonid (4). However, polymorphism of cysts within a cloned cell line was reported when different media and culture conditions were used. The inability to differentiate cyst morphology accurately has made the morphological taxonomic scheme unreliable and difficult (5). At present, nucleotide sequencing of 18S rRNA gene is the most reliable method to differentiate among Acanthamoeba members. This is due to the appropriately large number of variable bases in this gene and the availability of a large number of known sequences in the data base (6). Schroeder (6) reported that 1500 bp GTSA.B1 region of 18S rRNA gene is appropriate for Acanthamoeba genotyping. This Acanthamoeba genotype-specific amplimer contains 8 variable regions sufficient to differentiate among Acanthamoeba genotypes. (6). Up to date, 17 genotypes including T1-T12, (7, 8), T13 (9), T14 (10), T15(11), T16 (12), T17 (13) have been discovered with a divergence of more than 5% from the most closely related genotypes. T4 is the most abundant genotype consisted of the largest Acanthamoeba population. Up to 90% of the reported T4 isolated were obtained from AK patients (6, 8). It is interesting that T5 is the second most abundant population, but only two cases of AK and one GAE patients have been reported (14-16). Shoff et al. (17) reported that T3, T5 and T11 Acanthamoeba isolated from environments showed a significantly higher degree of resistance to disinfectants than T4 members isolated from corneal scrapings and beaches. In addition, T3, T5 and T11 Acanthamoeba isolates also showed the ability to grow at temperatures as high as 41°C. These findings suggested that Acanthamoeba belonging to different genotypes have different degree of temperature tolerance. On the other hand, it may suggest that preferential growth temperatures of Acanthamoeba belonging to different genotypes are also different. While Acanthamoeba spp. are ubiquitously found in environments and can cause sight- and life threatening diseases, knowledge about their biological properties and several physical characteristics related to their pathogenicity and drug susceptibility are still limited. We believe that understanding about Acanthamoeba biological and physical characteristics will enable the development of useful tools for disease prevention, therapy and elimination or controlling their population in selected areas. Therefore, this study is aimed at determining the preferential growth temperatures of soil Acanthamoeba belonging to T4 and T5 genotypes. Thirteen isolates of T4 and seven isolates of T5 Acanthamoeba identified by sequencing of GTSA.B1 region in 18s rRNA gene were studied under 30C to 42C. Methodology Acanthamoeba spp. Twenty isolates of Acanthamoeba spp. were obtained from soil samples randomly collected from 14 provinces of Thailand including Aud4, Aud8, Aud9 from Uttradit, Ayut2, Ayut3, Ayut6 from Phra Nakhon Si Ayutthaya, Chon3, Chon9 from Chon Buri, KK1 from Khon Kaen, Nas5 from Nakhon Sawan, Pat9 from Phatthalung, Rach6 from Nakhon Ratchasima, Roi5 from Roi Et, S3 from Bangkok, SamP1 from Samut Prakan, SamSa3 from Samut Sakhon, Sri1, Sri6 from Si Sa Ket, Ubol6 from Ubon Ratchathani and Udon1 from Udon Thani. They were cultured and maintained monoxinically on 2% non-nutrient agar using heat-killed E. coli as nutrient source. From each of the isolates, a single cyst was carefully picked up and transferred to a fresh monoxenic culture plate. Clones of the singly isolated acanthamoebae were established and maintained at room temperature. Acanthamoeba genotyping Approximately one million trophozoites were prepared for DNA extraction. Trophozoites were pelleted down at 1,500 rpm, 20°C for 5 min. Trophozoites were lysed by resuspending in 100 μl of lysis buffer (50 mM NaCl, 10 mM EDTA, 50 mM Tris-Cl pH 8.0) and 2.5 μl of proteinase K as previously described by Sambrook et al., 1989 (17). The DNA extraction was performed by using TRIZOL/chloroform as recommended by the manufacturer (Invitrogen). Acanthamoeba genotype was identified according to the sequences of their GTSA.B1 region in 18S rRNA gene as previously described by Schroeder et al. (6). GTSA.B1 sequences were amplified by CRN5 and 1137 primers using GoTag® Green Master Mix (Promega) as recommended by the manufacturer. PCR cycles were programmed to run a cycle of 7 min at 95°C, followed by 20 cycles of 1 min at 95°C, 1 min at 60°C, and 2 min at 72°C and finished with 25 cycles of 1 min at 95°C and 2 min at 72°C (6). The PCR products were sent out to Macrogen, Korea for purification and CRN5, 373, 570C, 892, 892C and 1137 primers were used for bidirectional sequencing. The obtained sequences were aligned and edited by BioEdit (version 7.1.3.0). NCBI BLAST was used to search for similar sequences in the GenBank. Determination of preferential growth temperatures Preferential growth temperatures of 20 Acanthamoeba isolates were determined by the technique modified from those previously described (18, 19). In this study, three concentric circles spaced by 15 mm intervals were drawn with a water-insoluble marker on the bottom of each monoxenic culture plate. A drop of 105 Acanthamoeba cysts in 5 μl amoeba saline (KCl: 0.4g, CaCl2: 3g, MgSO4.7H2O: 1g, distilled water to 1000 ml) was inoculated onto the centre of a culture plate and left for 72 h. Growth of each Acanthamoeba isolate was assayed under four different temperatures including 30°C, 34°C, 37°C and 42°C. After 72 h of incubation, number of trophozoites and cysts in the colony spreading over the marked circles were manually counted under an inverted light microscope. Statistical analysis The numbers of Acanthamoeba (trophozoites + cysts) obtained from each isolate at different temperatures were compared statistically using one way ANOVA. The analysis was implemented using Prism 5 version 5.00. p-value lower than 0.05 was considered statistically significant. Results Acanthamoeba spp. genotyping Twenty Acanthamoeba isolates were blasted and the results showed 13 isolates with high score of identity (97-100%) to Acanthamoeba belonging to T4 genotype. Seven other isolates showed the maximum identity (97-100%) to Acanthamoeba belonging to T5 genotype. The accession numbers of the top hit score were shown in Table1. Table 1. BLAST results showing query cover, maximum identity percent, accession numbers and genotypes of the top hit results of all 20 Acanthamoeba isolates Isolates Aud4 Aud8 Aud9 Ayut2 Ayut3 Ayut6 Chon3 Chon9 KK1 Nas5 Pat9 Rach6 Roi5 S3 SamP1 SamSa3 Sri1 Sri6 Ubol6 Udon1 Description Acanthamoeba sp. Ac_E11 Acanthamoeba sp. Ac_E3 Acanthamoeba polyphaga ATCC 50371 Acanthamoeba sp. Ac_E11 Acanthamoeba sp. Ac_E8a Acanthamoeba lenticulata strain PD2S Acanthamoeba sp. ATCC 50369 Acanthamoeba sp. ATCC 50369 Acanthamoeba lenticulata strain PD2S Acanthamoeba lenticulata strain 68-2 Acanthamoeba sp. Ac_E11 Acanthamoeba lenticulata strain PD2S Acanthamoeba sp. Ac_E11 Acanthamoeba sp. Ac_E5a Acanthamoeba lenticulata strain PD2S Acanthamoeba sp. Ac_E8c Acanthamoeba sp. ATCC 50369 Acanthamoeba lenticulata strain PD2S Acanthamoeba lenticulata strain 72/2 Acanthamoeba sp. ATCC 50369 Query cover 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% Ident 99% 99% 97% 100% 99% 99% 100% 99% 100% 100% 99% 100% 99% 99% 99% 99% 100% 99% 100% 100% Accession numbers GU808306 GU808283 U07407 GU808306 GU808298 U94741 U07409 U07409 U94741 U94733 GU808306 U94741 GU808306 GU808289 U94741 GU808300 U07409 U94741 U94732 U07409 Genotype T4 T4 T4 T4 T4 T5 T4 T4 T5 T5 T4 T5 T4 T4 T5 T4 T4 T5 T5 T4 The sequences of 20 isolates were submitted to GenBank. Accession numbers are shown as follow: Aud4 (KF733228), Aud8 (KF733231), Aud9 (KF733232), Ayut2 (KF733225), Ayut3 (KF733226), Ayut6 (KF733227), Chon3 (KF733235), Chon9 (KF733237), KK1 (KF733238), Nas5 (KF733240), Pat9 (KF733243), Rach6 (KF733245), Roi5 (KF733249), S3 (JX104341), SamP1(KF733254), SamSa3 (KF733256), Sri1 (KF733257), Sri6 (KF733258), Ubol6 (KF733261), and Udon1 (KF733263). Preferential growth temperatures Different isolates of the T4 Acanthamoeba tested in this study showed different preferential growth temperatures. They can be grouped as follow. Aud4, Aud9, Pat9, and Sri1 prefer to grow at 30°C. However, only the growth of Pat9 at this temperature is statistically significant different (p≤0.05) from the growth at other temperatures (see Fig. 1). Another group of seven isolates: Aud8, Ayut2, Ayut3, Chon9, S3, SamSa3, and Udon1 prefer to grow at 34°C, but only Aud8, S3 and Udon1 showed statistical significant number (p≤0.05) of the grown up population (see Fig. 2). On the other hand, Chon3 and Roi5 isolates prefer to grow under a slightly higher temperature (37°C) (see Fig. 3). Most of the isolates did not grow at 42°C, but a few trophozoites of Pat9 (5 cells), Roi5 (8 cells), and Udon1 (1 cell) were found on the culture plates. It can be concluded that 7 of 13 T4 isolates (53.85%) prefer to grow under 34°C. Figure 1. A histogram showing the numbers of Aud4, Aud9, Pat9 and Sri1 T4 Acanthamoeba isolate grown at 30°C, 34°C, 37°C and 42°C for 72 h. Each number was obtained as a mean value of a triplicate experiment. * P ≤ 0.05 was obtained by one-way ANOVA comparing the cell numbers at different temperatures. Figure 2. A histogram showing the numbers of Aud8, Ayut2, Ayut3, Chon9, S3, SamSa3, and Udon1 T4 Acanthamoeba isolates grown at 30°C, 34°C, 37°C and 42°C for 72 h. Each number was obtained as a mean value of a triplicate experiment. * P ≤ 0.05 were obtained by one-way ANOVA comparing the cell numbers at different temperatures. Figure 3. A histogram showing the numbers of Chon3 and Roi5 T4 Acanthamoeba isolates grown at 30°C, 34°C, 37°C and 42°C for 72 h. Each number was obtained as a mean value of a triplicate experiment. The cell number differences are not statistically significant (P > 0.05) according to one-way ANOVA. Unlike the T4 isolates, all 7 T5 Acanthamoeba isolates survived and grew under 42°C. This might be a specific characteristic of T5 Acanthamoeba genotype. On the other hand, preferential growth temperatures of these T5 members were found to differ among different isolates. As shown in Fig. 4, the preferential temperature of Sri6 is 30°C (p≤0.05), while Ayut6, SamP1 and Ubol6 seem to prefer 34°C to other test temperatures. However, only SamP1 showed significant level (p≤0.05) of the preference at 34°C (see Fig. 5). On the other hand, KK1 and Rach6 prefer a slightly higher temperature at 37°C (see Fig. 6), while Nas5 prefers high temperature at both 37°C and 42°C (see Fig. 7). Nevertheless, it is obvious that the majority of T5 population in this study grew well under 34°C, the temperature that T4 isolates can also grow well. Figure 4. A histogram showing the numbers of Sri6 T5 Acanthamoeba isolate grown at 30°C, 34°C, 37°C and 42°C for 72 h. Each number was obtained as a mean value of a triplicate experiment. * P ≤ 0.05 was obtained by one-way ANOVA comparing the cell numbers at different temperatures. Figure 5. A histogram showing the numbers of Ayu6, SamP1, and Ubol6 T5 Acanthamoeba isolates grown at 30°C, 34°C, 37°C and 42°C for 72 h. Each number was obtained as a mean value of a triplicate experiment. * P ≤ 0.05 was obtained by one-way ANOVA comparing the cell numbers at different temperatures. Figure 6. A histogram showing the numbers of KK1 and Rach6 T5 Acanthamoeba isolates grown at 30°C, 34°C, 37°C and 42°C for 72 h. Each number was obtained as a mean value of a triplicate experiment. The differences are not statistically significant different (p > 0.05) according to one-way ANOVA comparisons. Figure 7. A histogram showing the numbers of Nas5 T5 Acanthamoeba isolate grown at 30°C, 34°C, 37°C and 42°C for 72 h. Each number was obtained as a mean value of a triplicate experiment. The cell numbers among different time points are not statistically significant different (P > 0.05) according to one-way ANOVA. Discussion and Conclusion In this study our 13 Acanthamoeba isolates were classified as the members of T4 Acanthamoeba genotype, and 7 other isolates were the members of T5. This result is consistent with those previously reported that Acanthamoeba belonging to T4 and T5 genotypes are the most and the second most abundant populations distributed world-wide (16, 20). According to the finding of Booton et al. (16), it is presumed that the majority of AK isolates (94%) belonged to T4 genotype because of the existence of the largest population of T4 isolates in the environments. This might be due to the following possibilities. 1) T4 Acanthamoeba have adapted themselves to various conditions of the environments. 2) They have developed the ability to reproduce numerously. 3) They have developed the ability to resist the contact lens cleaning solutions. According to our results, all Acanthamoeba isolates in this study can grow under 3037°C. Most of those belonging to T4 genotype did not grow well at high temperature (42°C), while the T5 members can grow well at this high temperature. This ability to grow under high temperature may be due to the presence of specific gene evolved along its evolution. Thus the capability to survive at high temperature is one of the biological characteristics of Acanthamoeba belonging to T5 genotype. Therefore, cultivation at 42°C may be used as a selective culture condition for obtaining T5 Acanthamoeba. It is quite interesting that T5 Acanthamoeba were previously found to be resistant to fusaric acid, a proven acanthamoebicidal agent obtained from endophytic fungus Fusarium sp. Tlau3 (22), and multipurpose contact lens cleaning solutions (21). From the present study, we also found that T5 Acanthamoeba differs morphologically from the members of T4. T5 cysts are clearly recognized as global- double-walled shape, while cysts of T4 can be star-like or polygonal shaped. This finding corresponds well with the available information previously described (1). The unique characteristics of T5 Acanthamoeba found in this study together with those previously reported may suggest that T5 may overgrow and predominate under the global warming. Treatment against T5 infection seems to be more problematic according to the finding that T5 is more resistant to acanthamoebicidal agent (22) and contact lens cleaning solution (21). The ability of T4 and T5 to grow at 34°C is another interesting point since it is the temperature of human eyes (19). This finding corresponds well with the fact that most of Acanthamoeba infections involve the cornea. The ability of some isolates to grow quite well at 37°C may explain the occurrence of disseminated acanthamoebiasis. In this study, we cannot specify the preferential growth temperatures of Acanthamoeba belonging to genotype T4 and T5 because the preferential growth temperature varies among isolates of different genotypes. Further study using more genotypes and more isolates will provide more understanding about biological and physical characteristics of Acanthamoeba spp. References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 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