Klitgaard Kirstine, Boye Mette, Capion Nynne, Jensen Tim K
National Veterinary Institute, Technical University of Denmark, Bülowsvej 27, 1790 Copenhagen V, Denmark.
J Clin Microbiol. 2008 Sep;46(9):3012-20. doi: 10.1128/JCM.00670-08. Epub 2008 Jun 18.
The etiopathogenesis of the skin disease digital dermatitis (DD), an important cause of lameness in cattle, remains uncertain. Microscopically, the disease appears to be polymicrobial, with spirochetes as the predominant bacteria. The objective of this study was to identify the main part of the bacteria involved in DD lesions of cattle by using culture-independent molecular methods. Ten different phylotypes of Treponema were identified either by 16S rRNA gene sequencing of bacteria from DD lesions or by fluorescence in situ hybridization (FISH) analysis using phylotype-specific 16S rRNA-directed oligonucleotide probes. Two phylotypes, phylotype 1 (PT1) and PT2, were not closely related to any characterized treponemal species. PT7 was 99.3% identical to Treponema denticola, while PT9 resembled T. vincentii by 96%. The remaining phylotypes, PT3, PT4, PT5, PT6, and PT8, and Treponema brennaborense had previously been isolated from DD lesions. Forty DD biopsy specimens were examined for Treponema by FISH. With one exception, all of the biopsy specimens revealed epidermotropic, intermingled infection with three or more different phylotypes (mean, 4.7). The most prevalent species were PT1 (95%), PT6 (93%), and PT3 (85%). While colonization by PT3 was confined to the surface of the epidermis, both PT1 and PT6 invaded deep into the stratum spinosum and were seen in ulcerated dermal papillae. In two cases, all 10 phylotypes were demonstrated. Furthermore, FISH with a Treponema group-specific probe showed that Treponema accounted for more than 90% of the total bacterial population in the biopsy specimens. These data strongly suggest that a group of apparently symbiotic Treponema species are involved as primary bacterial pathogens in DD.
指趾皮炎(DD)是牛跛行的一个重要原因,这种皮肤病的病因发病机制尚不清楚。在显微镜下,该病似乎是多种微生物引起的,螺旋体是主要细菌。本研究的目的是通过使用不依赖培养的分子方法,确定参与牛DD病变的主要细菌部分。通过对DD病变细菌的16S rRNA基因测序,或使用种系特异性16S rRNA导向的寡核苷酸探针进行荧光原位杂交(FISH)分析,鉴定出了10种不同的密螺旋体系统发育型。两种系统发育型,即系统发育型1(PT1)和PT2,与任何已鉴定的密螺旋体物种关系都不密切。PT7与齿垢密螺旋体的同源性为99.3%,而PT9与文森特密螺旋体的相似性为96%。其余的系统发育型,PT3、PT4、PT5、PT6和PT8,以及布伦纳伯密螺旋体此前已从DD病变中分离出来。对40份DD活检标本进行了FISH检测以查找密螺旋体。除一份标本外,所有活检标本均显示有嗜表皮性,且混合感染了三种或更多不同的系统发育型(平均4.7种)。最常见的类型是PT1(95%)、PT6(93%)和PT3(85%)。虽然PT3的定植仅限于表皮表面,但PT1和PT6都深入侵入棘层,并出现在溃疡的真皮乳头中。在两例病例中,展示了所有10种系统发育型。此外,使用密螺旋体属特异性探针的FISH显示,密螺旋体在活检标本中占细菌总数的90%以上。这些数据有力地表明,一组明显共生的密螺旋体物种作为原发性细菌病原体参与了DD的发病过程。