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International audience; Plasminogen and plasmin are fundamental components of the fibrinolytic system that interact with microorganisms generating different immunopathological effects. The molecules of Mycobacterium tuberculosis inter-playing with plasminogen have already been identified and characterized. In this work, we studied the effects of plasmin(ogen) bound to Mycobacterium bovis Calmette-Guérin (BCG) on phagocytosis in THP1 macrophages as well as in granuloma formation and development on in vitro human granuloma model. For this purpose, BCG was coated with plasminogen and plasmin, obtained after activation of zymogen by tissue plasminogen activator. The results showed a significant reduction in the number of bacteria phagocytosed by macrophages in presence of plasminogen or plasmin on BCG surface. On the other hand, at 3 days BCG/plasminogen/plasmin induced an increase granuloma numbers with respect to those induced by uncoated bacteria. BCG/plasminogen/environ-ments also showed a significant increase of IL-6 secretion. At 7 days, a reduced number of granulomas and an increased number of bacteria was observed with respect to uncoated BCG environment. Altogether, these results showed that plasmin(ogen) on the mycobacterial surface affects phagocytosis, granuloma development and the cytokine context, thus resulting in an increased number of bacteria in granulomas.

This study aim was to investigate an outbreak of human cases of unexplained influenza-like illness and fatal acute respiratory infection (ARI), with simultaneous poultry illness and high mortality raising concerns of possible influenza A (H5N1), virus in Cote d'Ivoire in February and March 2007.To investigate the outbreak, we conducted active surveillance in the community and reviewed health registries. Persons meeting the case definition were asked to provide nasopharyngeal specimens. On the basis of clinical and epidemiological information, specimens were tested using conventional RT-PCR for the M gene of the influenza viruses and hemagglutinin H5 of avian influenza A (H5N1), virus; negative samples were tested for other respiratory viruses. Specimens from healthy animals were also collected.Between October 2006, and February 2007, 104 suspected cases of Acute Respiratory Disease that included; 31 deaths recorded. We collected and tested 73 nasopharyngeal specimens; of which, 2, were positive for human Coronavirus OC43 and 1 for influenza C virus. No pathogens were identified in animal specimens.The investigation quickly ruled out influenza A (H5N1), virus as the cause and found laboratory-confirmed cases of influenza C virus and human Coronavirus OC 43 for the first time in both Côte d'Ivoire and in a Sub-Saharan African country. However we were not able to show that these viruses caused the outbreak. Monitoring of influenza viruses must be a priority but other respiratory viruses and non-viral causes may be of interest too.

Tuberculosis (TB) is responsible for a high mortality rate (2.5%) worldwide, mainly in developing countries with a high prevalence of human immunodeficiency virus (HIV). The emergence of multiresistant strains of TB poses an extreme risk for TB outbreaks and highlights the need for global TB control strategies. Among Western African countries, Côte d’Ivoire (CI) represents a specific example of a country with great potential to prevent TB. Specifically, CI has a promising healthcare system for monitoring diseases, including vaccination programs. However, military and political conflict in CI favors the spread of infectious diseases, TB being among the most devastating. Compilation of the studies identifying common causes of TB would be extremely beneficial for the development of treatment and prevention strategies. Therefore, the purpose of this comprehensive review is to evaluate the epidemiology of TB in CI, describe the factors involved in pathogenesis, and suggest simple and applicable prevention strategies.

International audience; Ulcer is a disease caused by a mycobacterium present in the environment: Mycobacterium ulcerans.This communicable disease occurs essentially in wet tropical regions, and in particular in west Africa where it is endemic. It is the third most common mycobacterial disease affecting humans after leprosy and tuberculosis, although it is more prevalent than either leprosy or tuberculosis in some rural areas of several countries (Benin, Côte d’Ivoire and Ghana). This has led WHO to act, and in 1998 to declare Buruli ulcer an « emerging disease » and to recognize it as a neglected tropical disease. Its development is a source of concern in Côte d’Ivoire, the country most affected in the world, with an aggregate number of 30 000 cases and more than 2000 cases detected each year. It particularly affects children living in isolated rural areas around bodies of stagnant or slowly flowing water. In order to control the disease, it is essential fully to understand its epidemiology. In this connection, there are several hypotheses on the mode of transmission of M. ulcerans to humans. Since 1999, the involvement of water bugs belonging to the order of the hemiptera has been invoked by Portaels. In 2002, this hypothesis was confirmed by Marsollier et al. for water bugs of the genus Naucoris taken from the region of Daloa in Côte d’Ivoire, where the disease is endemic. In 2008, Portaels also found M. ulcerans in samples taken from the environment (Gerridae) in Ghana. In 2007, studies began in Côte d’Ivoire into the specific diversity, biology, ecology, ethology and role of aquatic heteroptera in the transmission of M. ulcerans to humans. Samples of aquatic heteroptera were collected each month from different aquatic environments in endemic areas of Côte d’Ivoire. The insects were identified by family, genus and occasionally species. Their distribution, population dynamics and ecological distribution in the water points investigated were correlated with human activities. Monospecific batches of water bugs were regularly composed in order to identify the molecular signatures of M. ulcerans using PCR at the bacteriology laboratory of the Institut Pasteur in Côte d’Ivoire and at the bacteriology laboratory of the Groupe d’Etudes des Interactions Hôtes-Pathogènes (Host-Pathogen Study Group) at the University Teaching hospital in Angers, France. Eighteen (18) species belonging to 8 families were identified. After the aquatic insects collected had been identified, 283 monospecific batches were composed and sent to the Institut Pasteur in Côte d’Ivoire (IPCI) for PCR. Twenty four (24) of the 283 batches i.e. 8,5% containing the following, 14 Diplonychus sp, 2 Naucoris sp, 3 Micronecta sp, 2 Ranatra fusca, 2 Anisops sp and 1 Laccotrephes ater, respectively belonging to the families Belostomatidae, Naucoridae, Corixidae, Ranatridae and Nepidae tested positive under PCR. Thirty five (35) samples of saliva were collected from specimens of the genus Diplonychus. Six of the samples (i.e. 17%) tested positive under PCR. Out of 109 other monospecific batches sent to the laboratory in Angers, France, 33 (i.e. 30%) tested positive under PCR. They comprised 11 batches of Diplonychus sp (Belostomatidae), 8 batches of Micronecta sp (Corixidae), 2 batches of Laccocoris sp (Naucoridae), 4 batches of Ranatra fusca (Ranatridae), 3 batches of Anisops sp, 1 lot de Anisops sardea et 1 lot de Enithares sp (Notonectidae), 2 batches of Plea pullula (Pleidae) and 1 batch of de Laccotrephes sp (Nepidae). Clearly, not only is Diplonychus sp the genus most commonly found, it is also that most affected by M. ulcerans. This justifies the decision to breed this genus in the laboratory since 2008, in order to improve our understanding of its biology and ethology and to standardize physical and chemical parameters so as to determine the best conditions for breeding the insect which would provide an animal model for experimental infections. We have now bred six successive generations in the laboratory. To conclude, although some aquatic heteroptera that host M. ulcerans are strictly phytophagous, (e.g. the Corixidae), the great majority of water bugs are carnivorous predators that are hosts and vectors of M. ulcerans. The absence of a reliable key for determining the family, genus and species in central and west Africa has led us to draw up an iconographic catalogue to determine the taxonomy of these insects.

International audience

Date du colloque: 04/2009

The protein ClpA belongs to a diverse group of polypeptides named ClpATPases, which are highly conserved, and which include several molecular chaperones. In this study the gene encoding the 91 kDa protein b-ClpA of the facultative intracellular pathogen Brucella suis, which showed 70% identity to ClpA of Rhodobacter blasticus, was identified and sequenced. Following heterologous expression in Escherichia coli strains SG1126 (DeltaclpA) and SG1127 (Deltalon DeltaclpA), b-ClpA replaced the function of E. coli ClpA, participating in the degradation of abnormal proteins. A b-clpA null mutant of B. suis was constructed, and growth experiments at 37 and 42 degrees C showed reduced growth rates for the null mutant, especially at the elevated temperature. The mutant complemented by b-clpA and overexpressing the gene was even more impaired at 37 and 42 degrees C. In intracellular infection of human THP-1 or murine J774 macrophage-like cells, the clpA null mutant and, to a lesser extent, the strain of B. suis overexpressing b-clpA behaved similarly to the wild-type strain. In a murine model of infection, however, the absence of ClpA significantly increased persistence of B. suis. These results showed that in B. suis the highly conserved protein ClpA by itself was dispensable for intramacrophagic growth, but was involved in temperature-dependent growth regulation, and in bacterial clearance from infected BALB/c mice.