TY - JOUR A1 - Berg, Stefan A1 - Schelling, Esther A1 - Hailu, Elena A1 - Firdessa, Rebuma A1 - Gumi, Balako A1 - Erenso, Girume A1 - Gadisa, Endalamaw A1 - Mengistu, Araya A1 - Habtamu, Meseret A1 - Hussein, Jemal A1 - Kiros, Teklu A1 - Bekele, Shiferaw A1 - Mekonnen, Wondale A1 - Derese, Yohannes A1 - Zinsstag, Jakob A1 - Ameni, Gobena A1 - Gagneux, Sebastien A1 - Robertson, Brian D A1 - Tschopp, Rea A1 - Hewinson, Glyn A1 - Yamuah, Lawrence A1 - Gordon, Stephen V A1 - Aseffa, Abraham T1 - Investigation of the high rates of extrapulmonary tuberculosis in Ethiopia reveals no single driving factor and minimal evidence for zoonotic transmission of Mycobacterium bovis infection JF - BMC Infectious Diseases N2 - Background: Ethiopia, a high tuberculosis (TB) burden country, reports one of the highest incidence rates of extra-pulmonary TB dominated by cervical lymphadenitis (TBLN). Infection with Mycobacterium bovis has previously been excluded as the main reason for the high rate of extra-pulmonary TB in Ethiopia. Methods: Here we examined demographic and clinical characteristics of 953 pulmonary (PTB) and 1198 TBLN patients visiting 11 health facilities in distinct geographic areas of Ethiopia. Clinical characteristics were also correlated with genotypes of the causative agent, Mycobacterium tuberculosis. Results: No major patient or bacterial strain factor could be identified as being responsible for the high rate of TBLN, and there was no association with HIV infection. However, analysis of the demographic data of involved patients showed that having regular and direct contact with live animals was more associated with TBLN than with PTB, although no M. bovis was isolated from patients with TBLN. Among PTB patients, those infected with Lineage 4 reported "contact with other TB patient" more often than patients infected with Lineage 3 did (OR = 1.6, CI 95% 1.0-2.7; p = 0.064). High fever, in contrast to low and moderate fever, was significantly associated with Lineage 4 (OR = 2.3; p = 0.024). On the other hand, TBLN cases infected with Lineage 4 tended to get milder symptoms overall for the constitutional symptoms than those infected with Lineage 3. Conclusions: The study suggests a complex role for multiple interacting factors in the epidemiology of extra-pulmonary TB in Ethiopia, including factors that can only be derived from population-based studies, which may prove to be significant for TB control in Ethiopia. KW - zoonotic KW - Mycobacterium KW - Ethiopia KW - tuberculosis KW - Bovis KW - pulmonary KW - extrapulmonary KW - lymphadenitis Y1 - 2015 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-143935 VL - 15 IS - 112 ER - TY - JOUR A1 - Herweg, Jo-Ana A1 - Hansmeier, Nicole A1 - Otto, Andreas A1 - Geffken, Anna C. A1 - Subbarayal, Prema A1 - Prusty, Bhupesh K. A1 - Becher, Dörte A1 - Hensel, Michael A1 - Schaible, Ulrich E. A1 - Rudel, Thomas A1 - Hilbi, Hubert T1 - Purification and proteomics of pathogen-modified vacuoles and membranes JF - Frontiers in Cellular and Infection Microbiology N2 - Certain pathogenic bacteria adopt an intracellular lifestyle and proliferate in eukaryotic host cells. The intracellular niche protects the bacteria from cellular and humoral components of the mammalian immune system, and at the same time, allows the bacteria to gain access to otherwise restricted nutrient sources. Yet, intracellular protection and access to nutrients comes with a price, i.e., the bacteria need to overcome cell-autonomous defense mechanisms, such as the bactericidal endocytic pathway. While a few bacteria rupture the early phagosome and escape into the host cytoplasm, most intracellular pathogens form a distinct, degradation-resistant and replication-permissive membranous compartment. Intracellular bacteria that form unique pathogen vacuoles include Legionella, Mycobacterium, Chlamydia, Simkania, and Salmonella species. In order to understand the formation of these pathogen niches on a global scale and in a comprehensive and quantitative manner, an inventory of compartment-associated host factors is required. To this end, the intact pathogen compartments need to be isolated, purified and biochemically characterized. Here, we review recent progress on the isolation and purification of pathogen-modified vacuoles and membranes, as well as their proteomic characterization by mass spectrometry and different validation approaches. These studies provide the basis for further investigations on the specific mechanisms of pathogen-driven compartment formation. KW - spectrometry-based proteomics KW - Mycobacterium tuberculosis KW - Chlamydia KW - Salmonella KW - bacterium Legionella pneumophila KW - endocytic multivesicular bodies KW - phagosome maturation arrest KW - III secretion system KW - endoplasmic reticulum KW - Chlamydia trachomatis KW - Simkania negevensis KW - intracellular bacteria KW - host pathogen interactions KW - immuno-magnetic purification KW - Legionella KW - Mycobacterium KW - Simkania KW - pathogen vacuole Y1 - 2015 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-151823 VL - 5 IS - 48 ER -