Pathogenic properties of a Corynebacterium diphtheriae strain isolated from a case of osteomyelitis

J Med Microbiol. 2016 Nov;65(11):1311-1321. doi: 10.1099/jmm.0.000362.

Abstract

Corynebacterium diphtheriae is typically recognized as a colonizer of the upper respiratory tract (respiratory diphtheria) and the skin (cutaneous diphtheria). However, different strains of Corynebacteriumdiphtheriae can also cause invasive infections. In this study, the characterization of a non-toxigenic Corynebacteriumdiphtheriae strain (designated BR-INCA5015) isolated from osteomyelitis in the frontal bone of a patient with adenoid cystic carcinoma was performed. Pathogenic properties of the strain BR-INCA5015 were tested in a Caenorhabditis elegans survival assay showing strong colonization and killing by this strain. Survival rates of 3.8±2.7 %, 33.6±7.3 % and 0 % were observed for strains ATCC 27010T, ATCC 27012 and BR-INCA5015, respectively, at day 7. BR-INCA5015 was able to colonize epithelial cells, showing elevated capacity to adhere to and survive within HeLa cells compared to other Corynebacteriumdiphtheriae isolates. Intracellular survival in macrophages (THP-1 and RAW 264.7) was significantly higher compared to control strains ATCC 27010T (non-toxigenic) and ATCC 27012 (toxigenic). Furthermore, the ability of BR-INCA5015 to induce osteomyelitis was confirmed by in vivo assay using Swiss Webster mice.

MeSH terms

  • Adult
  • Animals
  • Caenorhabditis elegans
  • Corynebacterium diphtheriae / classification
  • Corynebacterium diphtheriae / genetics
  • Corynebacterium diphtheriae / isolation & purification*
  • Corynebacterium diphtheriae / pathogenicity*
  • Epithelial Cells / microbiology
  • Female
  • Humans
  • Macrophages / microbiology
  • Male
  • Mice
  • Osteomyelitis / microbiology*
  • RAW 264.7 Cells
  • Virulence