Phylum Spirochaetes
Definition and Classification
Phylum Spirochaetes includes gram-negative, chemoheterotrophic bacteria.
It is classified into one class (Spirochaetes), one order (Spirochaetales), and three families (Spirochaetaceae, Serpulinaceae, Leptospiraceae).
There are currently 13 genera within this phylum.
Metabolism
Spirochaetes can be anaerobic, facultatively anaerobic, or aerobic.
They utilize various carbon and energy sources, including carbohydrates, amino acids, long-chain fatty acids, and long-chain fatty alcohols.
Morphological Characteristics
They are slender, long bacteria (ranging from 0.1 to 3.0 μm by 5 to 250 μm) with a flexible, helical shape.
The central protoplasmic cylinder contains cytoplasm and the nucleoid, surrounded by a plasma membrane and a gram-negative cell wall.
Two or more than a hundred flagella (axial fibrils or periplasmic flagella) extend from both ends of the cylinder, often overlapping in the middle.
Axial Filament and Outer Sheath
The axial filament, composed of periplasmic flagella, is located inside a flexible outer sheath made of lipid, protein, and carbohydrate.
The precise function of the outer sheath is unknown, but it is crucial for the survival of spirochaetes; they die if the sheath is damaged or removed.
The outer sheath of Treponema pallidum (the syphilis spirochaete) has few surface proteins, allowing it to evade host antibodies.
Unique Motility
Spirochaetes have a distinct mode of movement adapted for viscous environments.
The rotation of axial fibrils causes the outer sheath to rotate in the opposite direction, enabling a corkscrew-like movement through liquids.
This motility also allows for flexing and crawling on solid surfaces.
Ecological Diversity
Spirochaetes are ecologically diverse, inhabiting various environments from mud to the human mouth.
- Genera such as Spirochaeta: Free-living and typically grow in anaerobic muds.
Characteristics of Spirochete Genera
- Cristispira sp.: Marine spirochete found in mollusks (e.g., clams). Large, helical shape. Likely involved in mollusk digestion.
- Leptospira interrogans: Causes leptospirosis (zoonotic disease). Transmitted via contaminated water/soil. Thin, flexible spiral shape.
The Spirochetes
Spirochetes often form symbiotic relationships with other organisms. For example, spirochetes help move the flagellate Myxotricha paradoxa.
Symbiotic Associations
Pathogenic Spirochaetes
Several species are human pathogens, including Treponema pallidum (causative agent of syphilis) and the spirochetes responsible for Lyme disease.
Syphilis
Syphilis is a sexually transmitted disease caused by the bacterium Treponema pallidum subsp. pallidum (T. pallidum).
It enters the body through mucous membranes or minor skin abrasions.
The disease is not highly contagious, with only about a 1 in 10 chance of transmission from a single exposure to an infected partner.
Congenital syphilis occurs when the disease is transmitted from mother to fetus.
Stages of Syphilis
- Primary Stage: After an incubation period of 10 days to 3 weeks, a painless ulcer (chancre) forms at the infection site. It may heal on its own, but T. pallidum can enter the bloodstream and spread.
- Secondary Stage: A variable skin rash appears within 2 to 10 weeks of the primary lesion, along with symptoms like hair loss, malaise, and fever. Both the rash and chancre are infectious.
- Latent Stage: The disease becomes dormant and is typically not infectious, except for potential transmission from mother to fetus.
- Tertiary Stage: Occurs in 40% of untreated individuals, marked by degenerative lesions (gummas) in skin, bone, and the nervous system. Central nervous system involvement can lead to cognitive deficits, blindness, or insanity.
Lyme Disease
Lyme disease, also known as Lyme borreliosis, is caused by Borrelia spirochetes, primarily Borrelia burgdorferi, B. garinii, and B. afzelii.
Stages of Lyme Disease
- Stage 1 (Localized): Occurs 1-2 weeks after a tick bite. Symptoms include an expanding ring-shaped rash called erythema migrans and flu-like symptoms (fatigue, headache, fever, and chills).
- Stage 2 (Disseminated): Weeks or months later, symptoms may include neurological abnormalities, heart inflammation, and bouts of arthritis in major joints like the elbows or knees.
- Stage 3 (Late): Years after infection, individuals may develop neuron demyelination, with symptoms similar to Alzheimer's disease and multiple sclerosis.
Associated with Human Disease
| Genus | Species | Disease |
|---|---|---|
| Treponema | Pallidum ssp. Pallidum | Syphilis |
| Pallidum ssp. endemicum | Bejel | |
| Pallidum ssp. Pertenue | Yaws | |
| carateum | Pinta | |
| Borrelia | Burgdorfi | Lyme disease (Borreliosis) |
| Recurrentis | Epidemic relapsing fever | |
| Many Species | Endemic relapsing fever | |
| Leptospira | interrogations | Leptospirosis (Weil’s Disease) |
Primary Symptoms
- Painless sores (ulcers) in the mouth, lips, or on the skin, especially around the mouth area.
- The initial lesions might heal without treatment but signal the onset of infection.
Secondary Symptoms (appear weeks to months later)
- Rashes: Small, non-itchy rashes, often on the limbs, face, or trunk.
- Wart-like growths: Small, raised lesions called condylomata lata can appear on moist skin areas like the armpits or groin.
- Swollen lymph nodes: Particularly around the sites of infection.
Tertiary Symptoms (in untreated cases over years)
- Bone and joint pain: Due to bone lesions or chronic inflammation.
- Disfigurement: Severe cases may develop deformities in the nose and bones.
YAWS
Treponema carateum: Hypopigmented skin lesions of Pinta. Depigmentation is commonly seen as a late sequel with all treponemal diseases.
Borrelian vincenti - Vincent Angina: Is a mouth commensal but may, under predisposing conditions such as malnutrition or viral infection, give rise to ulcerative gingivostomatitis or oropharyngitis.
Symptoms:
- Intense Gum Pain: Severe pain in the gums, which may intensify while eating or drinking.
- Ulceration and Necrosis: Ulcers form along the gum line, often with dead tissue and bleeding.
- Grayish Membrane on Gums: A gray or yellowish-white film can form over the ulcers, which can be peeled off to reveal bleeding tissue.
- Foul Breath: Due to bacterial overgrowth and tissue decay, there is often a strong, unpleasant odor.
- Swelling and Redness: The gums become swollen, red, and bleed easily, with tissue degeneration in advanced cases.
- Fever and Malaise: Some patients may experience fever, fatigue, and swollen lymph nodes.
Phylum Chlamydiae
Obligate intracellular parasites
Hosts: Humans, animals, and even protozoa
- Extremely limited metabolically, relying on their host cells for key metabolites since chlamydiae cannot catabolize carbohydrates or synthesize ATP.
- Nonmotile, coccoid bacteria
- Size: 0.2 to 1.5 µm
Characteristics
- Gram-negative, but cell wall differs since it lacks muramic acid and a peptidoglycan layer.
- They gram stain poorly, so Geimsa stain is used.
Biphasic Life Cycle
1. Elementary Body
- 0.2 to 0.6 µm in diameter
- Contain electron-dense nuclear material and a rigid cell wall
- Infectious; have minimal metabolic activity and cannot take in ATP or synthesize proteins. Designed exclusively for transmission and infection.
2. Reticulate Body
- 0.5 to 1.5 µm in diameter
- Have less dense nuclear material, more ribosomes than EBs, and more flexible walls
- Noninfectious; specialized for reproduction rather than infection.
Reproduction Process
- Attachment of an elementary body (EB) to the host cell surface.
- The host cell phagocytoses the EB, which is held in inclusion bodies where the EB reorganizes to form a reticulate body (RB).
- About 8 to 10 hours after infection, the reticulate body undergoes binary fission and RB reproduction continues until the host cell dies. Although they undergo binary fission, Chlamydia is one of only a few bacteria that lacks the cell division protein FtsZ.
- After 20 to 25 hours, RBs begin to differentiate into infectious EBs and continue this process until the host cell lyses and releases the chlamydiae EBs 48 to 72 hours after infection.
Survival Rate Outside Host
- Chlamydia EBs can survive short-term in moist environments like water or damp surfaces but are vulnerable to drying, heat, UV light, and extreme pH.
Species
1. Chlamydia trachomatis
- Serotypes A-C: Leading cause of infectious blindness worldwide
- Disease: Trachoma/Chlamydia conjunctivitis
- Mode of Transmission: Direct contact, clothes, insect
- Serotypes D-K: Result in genital infection, infant conjunctivitis, pneumonia
- Mode of Transmission: Sexual
- Diseases in Men: Urethritis and prostatitis
- Diseases in Women: Cervicitis, Pelvic Inflammatory Disease
An infected pregnant woman can transmit this bacterium to her infant, resulting in infant conjunctivitis and pneumonia.
- Serotypes L1-L3: Cause infection in lymph nodes (lymphogranuloma venereum).
Treatment:
Azithromycin or doxycycline.
Prevention:
- Safe sex practices
- Regular STI screening
- Sanitation in trachoma-endemic areas
Chlamydial Trachomatis: TRUE or FALSE
- 1. You can’t catch chlamydia from a toilet seat: TRUE
- 2. Chlamydia only affects females: FALSE
- 3. Oral contraception can protect against chlamydia: FALSE
- 4. You can’t get chlamydia through oral or anal sex: FALSE
- 5. Chlamydia infections can be prevented: TRUE
- 6. You can tell if you have chlamydia: FALSE
- 7. Chlamydia infections can’t go away on their own: TRUE
- 8. You can only get chlamydia once: FALSE
- 9. Getting tested for chlamydia is easy: TRUE
- 10. Chlamydia is difficult to treat: FALSE
2. Chlamydophila pneumoniae
Disease: Chlamydial pneumonia
Mode of Transmission: Primarily a human pathogen directly transmitted from human to human by droplet (respiratory) secretions.
Symptoms: Infections are generally mild, including pharyngitis, bronchitis, and sinusitis. Potentially linked to chronic diseases like asthma and atherosclerosis.
Treatment:
Azithromycin, doxycycline, or levofloxacin.
Prevention:
- Handwashing
- Avoiding close contact with infected individuals
- Wearing masks
3. Chlamydia psittaci
Disease: Psittacosis (ornithosis), a worldwide infectious disease of birds transmissible to humans.
Mode of Transmission: Handling infected birds or inhaling dried bird excreta containing viable C. psittaci.
After entering the respiratory tract, the chlamydiae are transported to the cells of the liver and spleen, where they multiply and then invade the lungs, causing inflammation, hemorrhaging, and pneumonia.
Treatment:
Antibiotics (Doxycycline or Azithromycin).
Prevention:
- Avoid exposure to bird droppings
- Practice hygiene in bird-handling environments