Capture and visualization of live Mycobacterium tuberculosis bacilli from tuberculosis bioaerosols

Abstract The tuberculosis (TB) pandemic demands urgent interventions such as those designed to interrupt Mycobacterium tuberculosis (Mtb) transmission, a challenge exacerbated by our poor understanding of the events enabling successful transfer of infectious bacilli between hosts. To address this problem, we developed the Respiratory Aerosol Sampling Chamber (RASC), a personal clean-room equipped with high-efficiency filtration and sampling technologies that allow biosafe capture and isolation of particulate matter – including Mtb bacilli – released by patients during natural breathing and (non-induced) cough. Here, we demonstrate the use of DMN-trehalose labelling to detect and quantify live Mtb bacilli among complex bioaerosol samples arrayed in a bespoke nanowell device following capture in the RASC. A pilot study identified Mtb in more than 85 % of known TB patients, improving significantly on previous work which has relied on animal infection and cough sampling to estimate transmission events. Moreover, intra-patient comparisons of bioaerosol and sputum samples indicated that Mtb aerosols likely derive from a compartment other than sputum. These results support the utility of the RASC platform for research aimed at interrupting Mtb transmission, including the non-invasive detection of Mtb-infected individuals who are predicted to contribute to bacillary spread despite the absence of clinical symptoms..

Medienart:

Preprint

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

bioRxiv.org - (2021) vom: 15. Dez. Zur Gesamtaufnahme - year:2021

Sprache:

Englisch

Beteiligte Personen:

Dinkele, Ryan [VerfasserIn]
Gessner, Sophia [VerfasserIn]
Koch, Anastasia S. [VerfasserIn]
Morrow, Carl [VerfasserIn]
Gqada, Melitta [VerfasserIn]
Kamariza, Mireille [VerfasserIn]
Bertozzi, Carolyn R. [VerfasserIn]
Smith, Brian [VerfasserIn]
McLoud, Courtney [VerfasserIn]
Kamholz, Andrew [VerfasserIn]
Bryden, Wayne [VerfasserIn]
Call, Charles [VerfasserIn]
Mizrahi, Valerie [VerfasserIn]
Wood, Robin [VerfasserIn]
Warner, Digby F. [VerfasserIn]

Links:

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doi:

10.1101/2019.12.23.887729

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

XBI000688002