Francisella tularensis Type A Strains Cause the Rapid Encystment of Acanthamoeba castellanii and Survive in Amoebal Cysts for Three Weeks Postinfection

Francisella tularensis, the causative agent of the zoonotic disease tularemia, has recently gained increased attention due to the emergence of tularemia in geographical areas where the disease has been previously unknown and to the organism''s potential as a bioterrorism agent. Although F. tularensis has an extremely broad host range, the bacterial reservoir in nature has not been conclusively identified. In this study, the ability of virulent F. tularensis strains to survive and replicate in the amoeba Acanthamoeba castellanii was explored. We observe that A. castellanii trophozoites rapidly encyst in response to F. tularensis infection and that this rapid encystment phenotype is caused by factor(s) secreted by amoebae and/or F. tularensis into the coculture medium. Further, our results indicate that in contrast to the live vaccine strain LVS, virulent strains of F. tularensis can survive in A. castellanii cysts for at least 3 weeks postinfection and that the induction of rapid amoeba encystment is essential for survival. In addition, our data indicate that pathogenic F. tularensis strains block lysosomal fusion in A. castellanii. Taken together, these data suggest that interactions between F. tularensis strains and amoebae may play a role in the environmental persistence of F. tularensis.Francisella tularensis is the etiological agent of the zoonotic disease tularemia, also known as rabbit fever (35, 53). Strains belonging to F. tularensis subsp. tularensis and F. tularensis subsp. holarctica, which are both prevalent in the Northern Hemisphere, cause the majority of reported cases of tularemia (36). Subspecies tularensis is highly contagious, with an infectious dose of 1 to 10 bacteria, and is associated with more severe disease (21). Though described more than a century ago as a disease common among hunters and trappers, tularemia has recently been reported in areas with no previous known risk (20, 25, 31, 42). F. tularensis infects a broad range of wildlife species (36), and a number of arthropods, such as ticks and flies, are known to be vectors (36, 49). Humans are usually infected either through an insect bite or by inhalation of aerosolized bacteria (49). Tularemia can be fatal in up to 30% of untreated cases (36, 49), with the mortality rate reaching 90% in pneumonic infections, as described in early studies conducted with vaccinated human volunteers (44-46, 49). Due to its highly infectious nature and its potential for use as a bioterrorism agent, F. tularensis has been classified as a class A biothreat pathogen by the Centers for Disease Control and Prevention (CDC), which has mandated that human tularemia be a reportable disease since 2000 (15, 37). In addition, the absence of a licensed vaccine for prophylaxis (36) makes understanding the virulence mechanisms used by this pathogen imperative for the development of efficacious measures to prevent or treat human disease.Though F. tularensis has been isolated from more than 250 wildlife species (21), the acute nature of the infections and the resultant high mortality rates in these hosts indicate that the bacterial reservoir(s) in nature have yet to be identified. Tularemia outbreaks involving F. tularensis subsp. holarctica have often been linked to water sources (6, 40), and a positive PCR field test was reported for Francisella during such an outbreak in Norway (5). Abd et al. reported that the F. tularensis live vaccine strain LVS is able to survive and replicate in the amoeba Acanthamoeba castellanii (1), suggesting a potential link between amoeba-Francisella interactions and environmental persistence. A. castellanii, a free-living environmental amoeba, is known to serve as a reservoir for a number of pathogenic microorganisms (24). However, to date, interactions of virulent F. tularensis subspecies tularensis strains with amoebae have not been documented. The ability of several human intracellular pathogens, including Legionella pneumophila and Mycobacterium avium, to infect and survive within amoebae has been well characterized (10, 12). In addition to playing a role in environmental survival and dissemination, growth in A. castellanii has been shown to enhance the ability of L. pneumophila and M. avium to survive and replicate in host macrophages (10, 12) and to enhance the virulence of both species in mice (7, 12). Since F. tularensis species are facultative intracellular pathogens that primarily survive in macrophages, probing the Francisella-amoeba interaction may provide insights into Francisella pathogenesis, as well as environmental survival. In this study, we investigated the ability of virulent type A strains of F. tularensis to survive in A. castellanii with a focus on understanding the role of Francisella-amoeba interactions in environmental persistence.