Metagenomics Flashcards

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1
Q

Overview

A
  • DSTL
  • Classification of biological agents
  • US definition of bioterrorism agents
  • History of biological warfare
  • Case studies- anthrax
  • Microbial forensics and metagenomics
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2
Q

The ACDP has classified biological agents (which could be viruses, bacteria, fungi and their toxins) into different groups. What are these groups and what does this classification mean?

A

* HG1
o Unlikely to cause human disease

* HG2
o Can cause human disease; unlikely to spread to the community, prophylaxis, or treatment available

* HG3
o Can cause sever human disease, may present a risk of spreading to the community, usually effective prophylaxis, or treatment available

* HG4
o Cause severe human disease, likely to spread to community, usually no effective prophylaxis or treatment available
o All viral pathogens

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3
Q

What are CL3 and CL4 laboratories and whats good about them?

A

Containment level 3 (CL 3) is used for work with high risk biological agents and hazards, genetically modified organisms, animals and plants.

This is the highest level of biosecurity which is currently available. CL4 labs and rooms are not as common as their CL3 counterparts, as they handle only the most hazardous and exotic microbes which pose a serious risk to human health, and for which no treatment may be available

  • Designed and built to prevent or control exposure to laboratory workers, other persons, and the environment to the biological agent

* HEPA air filter in cabinet so clean air that avoids contamination

*** Negative pressure cascade **
o Keeps individual safe whilst working and no reagents released to environment
o Air from outside into CL3 or CL4 lab
o Air goes through locker room, interlock, and autoclave
o The lobby area has agar and consumables
o Then different microbiological safety cabinets in each lab
o This air flow means that’s the air flow is contained if an accident occurred

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4
Q

What is meant by biological weapons?

A
  • Biological weapons are microorganisms such as viruses, bacteria, fungi, and their toxins that are produced and released deliberately to cause disease and death in humans, animals or plants
  • Biological weapons is a subset of a larger class of weapons referred to as weapons of mass destruction, which also incudes chemical, nuclear and radiological weapons
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5
Q

CDC has classified the bioterrorism agents/disease into what categories. What does this mean and give examples of some diseases found within this category

A

* Category A
o Easily disseminated or transmitter from person to person; high mortality rates, potential for major public health impact; might cause public panic; require special action for public health preparedness
o E.g., anthrax, botulism, plague, smallpox, tularaemia, VHF- Ebola, Marburg, Lassa, Machupo

* Category B
o Moderately easy to disseminate; result in moderately morbidity rates and low mortality rates; require specific enhancements of diagnostic capacity and enhances disease surveillance
o E.g., Brucellosis, E. Coli, O157:H7, Gladers, Meliodosis, Q Fever, Typhus fever, EE virus, cholera

* Category C
o Emerging pathogens that could be engineering for mass dissemination in the future because of availability, ease of production & dissemination and potential for high morbidity and mortality rates and major health impact
o E.g., emerging diseases such as Nipah virus and Hantavirus

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6
Q

Who were the foundation to microbiology?

A

*** Louis Pasteur (1822-1895) **
o French scientists responsible for pasteurisation and vaccination for anthrax and rabie

*** Robert Koch (1843-1910) **
o German scientist who discovered the disease cycle of anthrax and the bacteria responsible for TB and cholera

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7
Q

in 1914-1918 during WWI, what were common diseases and what were they caused by?

A
  • Glanders (Burkholderia mallei) primarily a disease of horses, donkeys, and mules
  • Anthrax (Bacillus anthracis) highly resistant spores
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8
Q

What is the Geneva protocol?

A
  • Protocol for the prohibition of the use of war or asphyxiation, poisonous, or other gases, and of bacteriological methods of warefare
  • The 1925 Geneva Protocol prohibits the use of Chemical and biological weapons in war. The protocol was drawn up and signed at a conference in 1925 and out into force in 1928
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9
Q

What happened between 1932-1945 (WWII)?

A
  • Shiro Ishii began biological weapons research in 1930 (Unit 731)
  • Killed 600 prisoners a year
  • Poisoned wells in Chinese villages to study cholera and typhus outbreaks
  • Dropped fleas infected with Y.pestis from planes over Chinese cities
  • Suggested tens of thousands died as consequence of research
  • In 1942, the US formed the war research served and investigated B.anthracis and botulinum toxin as use as a weapon
  • In 1942 and 1943 the British tested B. anthracis bonds on Gruinard island of the NW
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10
Q

Whats the biological weapons convention?

A
  • Convention on the prohibition of the development, production and stockpiling of bacteriological (biological) and toxin weapons and on their destruction
  • The first multilateral disarmament treaty banning the development, production and stockpiling of an entire category of weapons of mass destruction
  • Into force in 1975
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11
Q

What are the different forms that bacillus of the bacillus anthracis (anthrax) cam come in and what is the form often associated with?

A

o Single (causes food poisoning)
o Streptobacilli (rat bite fever)
o Diplobacilli (Q fever)
o Palisades (diptheria)

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12
Q

What group is anthrax part of ?

A

Part of the B. cereus group (sensu lato)

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13
Q

What are the 3 types of bacillus which are most commonly studied?

A

B.thuringiensis, B.anthracis, B. cereus are the most studies as are the ones which cause disease

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14
Q

Tell me about the structure of the bacillus anthracis

A
  • Gram +ve bacteria (3-5µm tall, 1-1.2 µm wide)
  • Non-motile, non-flagellated
  • Facultative anaerobe- can survive without oxygen
  • Two plasmids which encode virulent factors
    o Toxins (pX01)
    o** Capsule (pX02) **
  • Spore formed- survived for decades in environment
  • Zoonotic- transmitted from animal’s host to humans
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15
Q

What are the virulence factors of the B. anthracis?
Tell me some properties of them

A

*** The spore **
o Highly resisant to harsh conditions
o Can survive for many years in environment
o Infectious particles

*** The capsule (pX02) **
o Surrounds vegetative cells
o Prevents phagocytic killing

*** The toxins (pX01) **
o Edema toxin and lethal toxin
o Cause swelling and lysis

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16
Q

Tell me the stages to endospore formation of the B. anthracis

A
  • Asymmetric cell division inside mother cells
  • Spore receives own copy of genetic material
  • Layers of spore shown on side
  • Features of spore: Protection from host immune system, flexibility….
  1. Sporulation begins at the onset of the stationary phase when the nutrients are depleted, it is triggered by the activation of histidine sensor kinases
  2. Asymmetric division occur withint he mother cell to form a sporangium which is composed of 2 compartments, the larger mother cell and the smaller forespore, which then goes on to become the spore
  3. The Forespore is then engulfed by the mother cell during phagocytosis
  4. After engulfment, the forespore is a double membrane bound cell within the mother cell
  5. Late sporulation occurs
  6. The mother cell lyses to release a mature spore into the environment
  7. then germination…
17
Q

What are the stages to germination of the B. anrhracis?

A

Germination occurs when nutrients such as Amino acids, or purine nucleosides stimulate specific germinant receptors located in the sport inner membrane

The germination has two stages:
1) Biophysical
2) Biochemical

Outgrowth of the spore then occurs

then endospore formation occurs again

18
Q

Tell me about the capsule (pX02)

A
  • polyD glutamic acid capsule offers protection to vegetative cell
  • elevated bicarbonate levels in blood cause increased expression
  • non-stimulatory to dendritic cells
  • -ve charge
  • Deceives host immune surveillance
  • M’Fadyean stain: this stain can be used to visualise blood or tissue smears from dead animal. it is a higly reliable and rapid diagnostic test for anthrax
19
Q

Tell me about Exotoxins (pX01)

A
  • Encoded by pX01 plasmid
  • Vegetative cells –> Protective antigen (used in vaccines) and Edema factor/ Lethal factor
  • Host cell receptors: (type I transmembrane proteins)
    o CMG2/ANTXR2
    o TEM8/ANTXR1
  • Without protective antigen the edema/ lethal factor cannot enter the cell
  • Edema toxin (increase CAMP) and lethal toxins (decrease MAPKs)

Increase in cAMP leads to edema
Decreasein MAPKs leads to necrosis and hypoxia

20
Q

Why is confirmatory PCR used?

A
  • Confirmatory PCR
  • Compliment microbial tests
  • Specific to B.anthracis detection only
  • Confirms presence or absence:
    **o Ba chromosome target
    o Ba pX01 target
    o Ba pX02 target
    **
21
Q

What order was placed in 1991

A

The anthrax order

22
Q

How did anthrax used to kill humans and how has this changed today?

A

Anthrax is a serious infectious disease caused by gram-positive, rod-shaped bacteria known as Bacillus anthracis. It occurs naturally in soil and commonly affects domestic and wild animals around the world. People can get sick with anthrax if they come in contact with infected animals or contaminated animal products.

Now adays there is still death from animals but also injected heroin users have died from anthrax

23
Q

What are the 4 routes for human disease by anthrax?

A

Cutaneous
Pulmonary
Gastro-intestinal
Injectional

24
Q

Tell me the following about cutaneous anthrax:
How infected?
Incubation period?
Symptoms?
Fatality %?

A

 Spores enter abrasions in skin
 20% fatality
 Incubation period: 1-7 days post exposure
 Symptoms: Blisters which turn to black eschar swelling (oedema)

25
Q

Tell me the following about pulmonary anthrax:
How infected?
Incubation period?
Symptoms?
Fatality %?

A

 Spores inhaled
 75% fatality
 Incubation period: 1-7 days post exposure (60 days)
 Symptoms: fever, chills, chest pain, shortness of breath, confusion, dizziness, cough, nausea, vomiting, stomach pain, headache, sweating, extreme fatifue, body aches

26
Q

Tell me the following about Gastro-intestinal anthrax:
How infected?
Incubation period?
Symptoms?
Fatality %?

A

 Spores are ingested (contaminated meat)
 25-60% fatality
 Incubation period: 1-7 days post exposure
 Symptoms: fever, chills, swelling or neck or neck glands, sore throat, painful swallowing, horseness, nausea, diarrhoea, headache, flushed face, red eyes, stomach pain, fainting, abdominal swelling

27
Q

Tell me the following about Injectional anthrax:
How infected?
Incubation period?
Symptoms?
Fatality %?

A

 Spores are injected (IVDU)
 Newer for of disease, since 2009
 Generally, from IV drug users
 30-50% fatality
 Incubation period: hours to several days
 Symptoms: fever and chills, injection site: redness, itching, blisters, swelling and black eschars. Abscesses deep under the skin or in the muscle where the drug was injected. Can rapidly spread throughout the body

28
Q

What is a treatment that is being used in the UK for anthrax?

A

o UK, **anthrax vaccine Precipitate (AVP) **
o In production since 1950s
o Alum precipitate of a sterile culture filtrate of the B.anthracis Sterne (34F2) Strain
o Stimulates immune system to produce protective antibodies against PA

29
Q

What is the type of treatment for each type of anthrax?

A

**o Inhalation of GI anthrax **
 Either ciprofloxacin, doxycycline [unlicensed use] combined with one or two other antibacterial (such as benzylpenicillin sodium, clindamycin, rifampicin, and vancomycin). Alternatively the combination of amoxicillin and imipenem with cilastatin or meropenem and chloramphenicol may be given

**o Cutaneous anthrax **
 Either oral ciprofloxacin [unlicensed use] or, in patients over 12 years, doxycycline [unlicensed use] for 7 days’ treatment should be switched to amoxicillin if the infecting strain is susceptible

**o Post- exposure prophylaxis **
 Oral ciprofloxacin, doxycycline [unlicensed use] or amoxicillin. Antibacterial prophylaxis should continue for up to 60 days, however a shorter period may be recommended

30
Q

Case study- Nefarious attack (amerithrax)

A
  • September- November 2001
  • Letters laced with B. anthracis spores mailed to media and government personnel
  • Resulted in 11 cutaneous of anthrax, 11 inhalation and 5 fatalities
  • Sequencing revealed common lab strain Ames
  • during microbiological investigations of letter contents morphological variations were noted
    o Wt
    o Morpha A
    o Morpha B
    o Morpha C/D
    o Morpha E
  • 4 genetic mutations found
  • PCR assays used to screen >1000 samples
31
Q

Case study- Accidental exposure

A
  • From drug use (heroin)
  • Contaminated heroin source?
  • B. anthracis not found in any heroin samples tested
  • Skin popping can occur
  • Septic shock complications
  • Antibiotics or surgery needed for treatment
32
Q

Tell me about the anthrax outbreak in heroin users

A
  • At start of outbreak WGS was used to identify genetic markers specific to heroin isolate
  • Two SNPs identified specific to heroin isolates
  • These markers used to screen subsequent samples
  • Base change markers:
    o Previously sequencing B. anthracis had base A
    o Heroin associated B. anthracis base change to G
  • Later WGS used on all isolates (better resolution)
  • Analysed genomes of 60 heroin isolates and 1293 isolates in Ba collection (large comparative study)
  • Two major clusters were identified** (GI and GII) **
    o GI: isolates from 2009-2010 outbreak
    o GII: isolates from 2012-2013 and Norway (2000)
    o Suggests two contamination events from close geographical areas/ same drug manufacturing site
  • Sample libraries with known prevalence are vital for source attribution
33
Q

How has sequencing developed across the years?

A

*** Sanger sequencing 1975-2005 **
o 500-1000 bp reads
o High quality, low throughout

*** NGS **
o 2005- present
o Illumina MiSeq- millions of short fragments to 300bp reads

*** Third generation sequencing **
o PacBio 2010-present
o >20kb reads
o MinION !00’s kb reads
o Handheld

34
Q

What are the stages to shotgun sequencing?

A
  1. Culture in lab
  2. Extract DNA
  3. Library prep
  4. Sequencing
    a. MiSeq for e.g.,
  5. Data analysis
  6. Reference genome
35
Q

What is metagenomics?

A

Metagenomics is the study of the structure and function of entire nucleotide sequences isolated and analyzed from all the organisms (typically microbes) in a bulk sample.

  • Culture independent, genetic characterisation of communities of microorganisms- exploiting high throughput sequencing
  • <1% of prokaryotes can be cultured in a lab
  • Identify the ‘un-culturable’ and new/emerging hazards
  • Comprehensively samples all genes in all organisms within a given sample
  • Evaluate microbial diversity and abundance
36
Q

What are some of the challenges metagenomics faces?

A
  • Starting material no longer on place, now DNA extracted from environment samples (low DNA quality and quantity)
  • Library prep: number of genomes now present
  • Data: more difficult to resolve and more than one genome, database of reference sequences used
  • Very complex
37
Q

What is the relationship between metagenomics and microbial forensics?

A
  • Microbial forensics rapidly evolved as a response to ‘Amerithrax’
  • The scientific community were highly under equipped for microbial forensic analysis in 2001
  • Microbial forensics is now a multidisciplinary field
    o Traditional microbiology, genetics, bioinformatics, forensic science, molecular biology and epidemiology etc.
  • Multi-agency/community
    o Law enforcement, public health, intelligence
  • Metagenomics can be used as a tool for microbial forensic investigation
38
Q

What are the stages of workflow for metagenomics?

A
  • Changes to nucleic acid composition to samples though out workflow could occur
  1. Sample and metadata collection
  2. Nucleic acid extraction, purification & concentration
  3. Reverse transcription & whole genome amplification
  4. Library preparation
  5. Sequencing
  6. Bioinformatics
  7. Reporting