An integrated experimental-computational approach for predicting virulence in New Zealand white rabbits and humans following inhalation exposure to Bacillus anthracis spores

PLoS One. 2019 Jul 1;14(7):e0219160. doi: 10.1371/journal.pone.0219160. eCollection 2019.

Abstract

Inhalation of Bacillus anthracis spores can lead to an anthrax infection that can be fatal. Previously published mathematical models have extrapolated kinetic rates associated with bacterial growth in New Zealand White (NZW) rabbits to humans, but to date, actual measurements of the underlying processes associated with anthrax virulence between species have not been conducted. To address this knowledge gap, we have quantified species-specific rate constants associated with germination, proliferation, and immune cell inactivation of B. anthracis Sterne using an in vitro test platform that includes primary lung epithelial and immune cells. The generated data was then used to develop a physiologically based biokinetic model (PBBK) which quantitatively compares bacterial growth and mean time to death under lethal conditions in rabbits and humans. Simulations based upon our in vitro data and previously published in vivo data from rabbits indicate that disease progression is likely to be faster in humans than in NZW rabbits under comparable total deposited dose conditions. With the computational framework established, PBBK parameters can now be refined using experimental data for lethal B. anthracis strains (e.g. Ames) under identical conditions in future studies. The PBBK model can also be linked to existing aerosol dosimetry models that account for species-specific differences in aerosol deposition patterns to further improve the human health risk assessment of inhalation anthrax.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Anthrax / etiology*
  • Bacillus anthracis / immunology
  • Bacillus anthracis / pathogenicity*
  • Bacillus anthracis / physiology
  • Cells, Cultured
  • Computer Simulation
  • Disease Models, Animal
  • Disease Progression
  • Humans
  • Inhalation Exposure
  • Kinetics
  • Lung / immunology
  • Lung / microbiology
  • Models, Biological
  • Rabbits
  • Respiratory Mucosa / immunology
  • Respiratory Mucosa / microbiology
  • Respiratory Tract Infections / etiology*
  • Species Specificity
  • Spores, Bacterial / immunology
  • Spores, Bacterial / pathogenicity
  • Spores, Bacterial / physiology
  • Virulence

Supplementary concepts

  • Inhalation anthrax

Grants and funding

RC and TS received the funding award. The Department of Homeland Security, Science and Technology Directorate provided funding for this research through contract HSHQPM-14-X-00037 to Pacific Northwest National Laboratory. Pacific Northwest National Laboratory is operated by Battelle Memorial Institute for the United States Department of Energy under contract DE-AC06-76RLO. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.