The impact of physiological state and environmental stress on bacterial load estimation methodologies for Mycobacterium tuberculosis

When processed in solid or liquid medium, tuberculosis patient samples yield different proportions of a heterogenous bacterial community over the duration of treatment. We aimed to derive a relationship between methodologies for bacterial load determination and assess the effect of the growth phase...

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Published inScientific reports Vol. 14; no. 1; pp. 26108 - 8
Main Authors Maitra, Arundhati, Wijk, Marie, Margaryan, Hasmik, Denti, Paolo, McHugh, Timothy D., Kloprogge, Frank
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 30.10.2024
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Abstract When processed in solid or liquid medium, tuberculosis patient samples yield different proportions of a heterogenous bacterial community over the duration of treatment. We aimed to derive a relationship between methodologies for bacterial load determination and assess the effect of the growth phase of the parent culture and its exposure to stress on the results. Mycobacterium tuberculosis H37Rv was grown with and without antibiotic (isoniazid or rifampicin) and sampled on day 0, 3, 11 and 21 of growth in broth culture. The bacterial load was estimated by colony counts and the BD BACTEC MGIT system. Linear and nonlinear mixed-effects models were used to describe the relationship between time-to-positivity (TTP) and time-to-growth (TTG) versus colony forming units (CFU), and growth units (GU) versus incubation time in MGIT. For samples with the same CFU, antibiotic-treated and stationary phase cells had a shorter TTP than antibiotic-free controls and early-logarithmic phase cells, respectively. Similarly, stationary phase samples reached higher GUs and had shorter TTG than early-log phase ones. This suggests that there is a population of bacterial cells that can be differentially recovered in liquid medium, giving us insight into the physiological states of the original culture, aiding the interpretation of clinical trial outputs.
AbstractList When processed in solid or liquid medium, tuberculosis patient samples yield different proportions of a heterogenous bacterial community over the duration of treatment. We aimed to derive a relationship between methodologies for bacterial load determination and assess the effect of the growth phase of the parent culture and its exposure to stress on the results. Mycobacterium tuberculosis H37Rv was grown with and without antibiotic (isoniazid or rifampicin) and sampled on day 0, 3, 11 and 21 of growth in broth culture. The bacterial load was estimated by colony counts and the BD BACTEC MGIT system. Linear and nonlinear mixed-effects models were used to describe the relationship between time-to-positivity (TTP) and time-to-growth (TTG) versus colony forming units (CFU), and growth units (GU) versus incubation time in MGIT. For samples with the same CFU, antibiotic-treated and stationary phase cells had a shorter TTP than antibiotic-free controls and early-logarithmic phase cells, respectively. Similarly, stationary phase samples reached higher GUs and had shorter TTG than early-log phase ones. This suggests that there is a population of bacterial cells that can be differentially recovered in liquid medium, giving us insight into the physiological states of the original culture, aiding the interpretation of clinical trial outputs.
When processed in solid or liquid medium, tuberculosis patient samples yield different proportions of a heterogenous bacterial community over the duration of treatment. We aimed to derive a relationship between methodologies for bacterial load determination and assess the effect of the growth phase of the parent culture and its exposure to stress on the results. Mycobacterium tuberculosis H37Rv was grown with and without antibiotic (isoniazid or rifampicin) and sampled on day 0, 3, 11 and 21 of growth in broth culture. The bacterial load was estimated by colony counts and the BD BACTEC MGIT system. Linear and nonlinear mixed-effects models were used to describe the relationship between time-to-positivity (TTP) and time-to-growth (TTG) versus colony forming units (CFU), and growth units (GU) versus incubation time in MGIT. For samples with the same CFU, antibiotic-treated and stationary phase cells had a shorter TTP than antibiotic-free controls and early-logarithmic phase cells, respectively. Similarly, stationary phase samples reached higher GUs and had shorter TTG than early-log phase ones. This suggests that there is a population of bacterial cells that can be differentially recovered in liquid medium, giving us insight into the physiological states of the original culture, aiding the interpretation of clinical trial outputs.When processed in solid or liquid medium, tuberculosis patient samples yield different proportions of a heterogenous bacterial community over the duration of treatment. We aimed to derive a relationship between methodologies for bacterial load determination and assess the effect of the growth phase of the parent culture and its exposure to stress on the results. Mycobacterium tuberculosis H37Rv was grown with and without antibiotic (isoniazid or rifampicin) and sampled on day 0, 3, 11 and 21 of growth in broth culture. The bacterial load was estimated by colony counts and the BD BACTEC MGIT system. Linear and nonlinear mixed-effects models were used to describe the relationship between time-to-positivity (TTP) and time-to-growth (TTG) versus colony forming units (CFU), and growth units (GU) versus incubation time in MGIT. For samples with the same CFU, antibiotic-treated and stationary phase cells had a shorter TTP than antibiotic-free controls and early-logarithmic phase cells, respectively. Similarly, stationary phase samples reached higher GUs and had shorter TTG than early-log phase ones. This suggests that there is a population of bacterial cells that can be differentially recovered in liquid medium, giving us insight into the physiological states of the original culture, aiding the interpretation of clinical trial outputs.
When processed in solid or liquid medium, tuberculosis patient samples yield different proportions of a heterogenous bacterial community over the duration of treatment. We aimed to derive a relationship between methodologies for bacterial load determination and assess the effect of the growth phase of the parent culture and its exposure to stress on the results. Mycobacterium tuberculosis H37Rv was grown with and without antibiotic (isoniazid or rifampicin) and sampled on day 0, 3, 11 and 21 of growth in broth culture. The bacterial load was estimated by colony counts and the BD BACTEC MGIT system. Linear and nonlinear mixed-effects models were used to describe the relationship between time-to-positivity (TTP) and time-to-growth (TTG) versus colony forming units (CFU), and growth units (GU) versus incubation time in MGIT. For samples with the same CFU, antibiotic-treated and stationary phase cells had a shorter TTP than antibiotic-free controls and early-logarithmic phase cells, respectively. Similarly, stationary phase samples reached higher GUs and had shorter TTG than early-log phase ones. This suggests that there is a population of bacterial cells that can be differentially recovered in liquid medium, giving us insight into the physiological states of the original culture, aiding the interpretation of clinical trial outputs.
Abstract When processed in solid or liquid medium, tuberculosis patient samples yield different proportions of a heterogenous bacterial community over the duration of treatment. We aimed to derive a relationship between methodologies for bacterial load determination and assess the effect of the growth phase of the parent culture and its exposure to stress on the results. Mycobacterium tuberculosis H37Rv was grown with and without antibiotic (isoniazid or rifampicin) and sampled on day 0, 3, 11 and 21 of growth in broth culture. The bacterial load was estimated by colony counts and the BD BACTEC MGIT system. Linear and nonlinear mixed-effects models were used to describe the relationship between time-to-positivity (TTP) and time-to-growth (TTG) versus colony forming units (CFU), and growth units (GU) versus incubation time in MGIT. For samples with the same CFU, antibiotic-treated and stationary phase cells had a shorter TTP than antibiotic-free controls and early-logarithmic phase cells, respectively. Similarly, stationary phase samples reached higher GUs and had shorter TTG than early-log phase ones. This suggests that there is a population of bacterial cells that can be differentially recovered in liquid medium, giving us insight into the physiological states of the original culture, aiding the interpretation of clinical trial outputs.
ArticleNumber 26108
Author Maitra, Arundhati
Kloprogge, Frank
Denti, Paolo
McHugh, Timothy D.
Margaryan, Hasmik
Wijk, Marie
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Keywords Early bactericidal activity
Tuberculosis
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BB Aldridge (74318_CR15) 2012; 335
DA Mitchison (74318_CR3) 1997; 4
L Lindbom (74318_CR23) 2004; 75
R Bowness (74318_CR11) 2015; 70
SV Avery (74318_CR19) 2006; 4
A Jindani (74318_CR2) 1980; 121
PPJ Phillips (74318_CR7) 2017; 15
DA Barr (74318_CR13) 2021; 11
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N Caceres (74318_CR12) 2013; 93
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J Dhillon (74318_CR9) 2014; 69
B Singh (74318_CR17) 2013; 88
KJ Kieser (74318_CR14) 2014; 12
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AH Diacon (74318_CR5) 2012; 18
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AH Diacon (74318_CR4) 2010; 29
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References_xml – reference: Dhar, N., McKinney, J. & Manina, G. Phenotypic heterogeneity in Mycobacterium tuberculosis. Tuberc. Tuber. Bacillus 671–697 (2017).
– reference: MukamolovaGVTurapovOMalkinJWoltmannGBarerMRResuscitation-promoting factors reveal an occult population of tubercle bacilli in sputumAm. J. Respir. Crit. Care Med.20101811741801:CAS:528:DC%2BC3cXhvFahu7o%3D10.1164/rccm.200905-0661OC19875686
– reference: WHO. Global tuberculosis report 2023. (2023).
– reference: SantiIDharNBousbaineDWakamotoYMcKinneyJDSingle-cell dynamics of the chromosome replication and cell division cycles in mycobacteriaNat. Commun.2013424702013NatCo...4.2470S10.1038/ncomms347024036848
– reference: BarrDAFlow cytometry method for absolute counting and single-cell phenotyping of mycobacteriaSci. Rep.202111186612021NatSR..1118661B1:CAS:528:DC%2BB3MXitFagtrjN10.1038/s41598-021-98176-534545154
– reference: Boeckmann, A. J., Sheiner, L. B. & Beal, S. L. NONMEM User’s Guide, Part V. Introductory Guide. p 48. (2011).
– reference: DhillonJFouriePBMitchisonDAPersister populations of Mycobacterium tuberculosis in sputum that grow in liquid but not on solid culture mediaJ. Antimicrob. Chemother.2014694374401:CAS:528:DC%2BC2cXlvFOktQ%3D%3D10.1093/jac/dkt35724072170
– reference: AldridgeBBAsymmetry and aging of mycobacterial cells lead to variable growth and antibiotic susceptibilityScience20123351001042012Sci...335..100A1:CAS:528:DC%2BC38Xns1Ci10.1126/science.121616622174129
– reference: KieserKJRubinEJHow sisters grow apart: Mycobacterial growth and divisionNat. Rev. Microbiol.2014125505621:CAS:528:DC%2BC2cXhtFSlsLnL10.1038/nrmicro3299249987396556109
– reference: SaitoKRifamycin action on RNA polymerase in antibiotic-tolerant Mycobacterium tuberculosis results in differentially detectable populationsProc. Natl. Acad. Sci.2017114E4832E48401:CAS:528:DC%2BC2sXovVSisr4%3D10.1073/pnas.170538511428559332
– reference: CaceresNEvolution and role of corded cell aggregation in Mycobacterium tuberculosis culturesTuberculosis2013936906981:CAS:528:DC%2BC3sXhsVKgtbzE10.1016/j.tube.2013.08.00324011631
– reference: DiaconAHTime to liquid culture positivity can substitute for colony counting on agar plates in early bactericidal activity studies of antituberculosis agentsClin. Microbiol. Infect.2012187117171:CAS:528:DC%2BC38XhtFOhtrrL10.1111/j.1469-0691.2011.03626.x21851489
– reference: MitchisonDAStrumAWThe measurement of early bactericidal activityBaillières Clin. Infect. Dis.19974185206
– reference: KeizerRJKarlssonMOHookerAModeling and simulation workbench for NONMEM: Tutorial on Pirana, PsN, and XposeCPT Pharmacomet. Syst. Pharmacol.201321910.1038/psp.2013.24
– reference: SinghBAsymmetric growth and division in M ycobacterium spp.: Compensatory mechanisms for non-medial septaMol. Microbiol.20138864761:CAS:528:DC%2BC3sXksFSqu7g%3D10.1111/mmi.1216923387305
– reference: Joyce, G. et al. Cell division site placement and asymmetric growth in mycobacteria. (2012).
– reference: DiaconAHTime to detection of the growth of Mycobacterium tuberculosis in MGIT 960 for determining the early bactericidal activity of antituberculosis agentsEur. J. Clin. Microbiol. Infect. Dis.201029156115651:CAS:528:DC%2BC3cXhsV2gtbzK10.1007/s10096-010-1043-720820832
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Snippet When processed in solid or liquid medium, tuberculosis patient samples yield different proportions of a heterogenous bacterial community over the duration of...
Abstract When processed in solid or liquid medium, tuberculosis patient samples yield different proportions of a heterogenous bacterial community over the...
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SubjectTerms 631/326/22/1290
631/326/2521
692/308/2778
692/53/2421
692/699/255/1856
Bacterial Load
Colony Count, Microbial
Early bactericidal activity
Humanities and Social Sciences
Humans
Isoniazid - pharmacology
multidisciplinary
Mycobacterium tuberculosis - drug effects
Mycobacterium tuberculosis - growth & development
Mycobacterium tuberculosis - physiology
Rifampin - pharmacology
Science
Science (multidisciplinary)
Stress, Physiological
Tuberculosis
Tuberculosis - drug therapy
Tuberculosis - microbiology
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Title The impact of physiological state and environmental stress on bacterial load estimation methodologies for Mycobacterium tuberculosis
URI https://link.springer.com/article/10.1038/s41598-024-74318-3
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