Abstract

Chlamydial pathogenicity in the upper genital tract relies on chlamydial ascending from the lower genital tract. To monitor chlamydial ascension, we engineered a luciferase-expressing C. muridarum. In cells infected with the luciferase-expressing C. muridarum, luciferase gene expression and enzymatic activity (measured as bioluminescence intensity) correlated well along the infection course, suggesting that bioluminescence can be used for monitoring chlamydial replication. Following an intravaginal inoculation with the luciferase-expressing C. muridarum, 8 of 10 mice displayed bioluminescence signal in the lower with 4 also in the upper genital tracts on day 3 after infection. By day 7, all 10 mice developed bioluminescence signal in the upper genital tracts. The bioluminescence signal was maintained in the upper genital tract in 6 and 2 mice by days 14 and 21, respectively. The bioluminescence signal was no longer detectable in any of the mice by day 28. The whole body imaging approach also revealed an unexpected airway infection following the intravaginal inoculation. Although the concomitant airway infection was transient and did not significantly alter the genital tract infection time courses, caution should be taken during data interpretation. The above observations have demonstrated that C. muridarum can not only achieve rapid ascending infection in the genital tract but also cause airway infection following a genital tract inoculation. These findings have laid a foundation for further optimizing the C. muridarum intravaginal infection murine model for understanding chlamydial pathogenic mechanisms.

Highlights

  • Pelvic Inflammatory Diseases can be caused by ascending infection from sexually transmitted microorganisms, including Chlamydia trachomatis [1,2]

  • This is because intravaginal inoculation with C. muridarum in mice can lead to ascending infection, resulting in upper genital tract pathology that is similar to what is induced by C. trachomatis in humans [5]

  • Significant decrease was noted for both by 24 hours after infection. This time course is consistent with the rapid C. muridarum replication cycle in which the reticulate body (RB) replication peaks between 15 and 18 h with most RB differentiating into elementary body (EB) by 24 h after infection

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Summary

Introduction

Pelvic Inflammatory Diseases can be caused by ascending infection from sexually transmitted microorganisms, including Chlamydia trachomatis [1,2]. It remains unclear how C. trachomatis organisms ascend to the upper genital tract. Chlamydia muridarum organisms have been extensively used to model the mechanisms of C. trachomatis pathogenesis [4] This is because intravaginal inoculation with C. muridarum in mice can lead to ascending infection, resulting in upper genital tract pathology that is similar to what is induced by C. trachomatis in humans [5]. Live organism recovery from vaginal swabs is often used for monitoring chlamydial infection in the lower genital tract [6,7]. This approach requires euthanizing many mice and fails to follow the same animals for progression of ascending infection and eventual development of upper genital tract pathology

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