Abstract

BackgroundOnchocerciasis (river blindness) and lymphatic filariasis (elephantiasis) are two human neglected tropical diseases that cause major disabilities. Mass administration of drugs targeting the microfilarial stage has reduced transmission and eliminated these diseases in several countries but a macrofilaricidal drug that kills or sterilizes the adult worms is critically needed to eradicate the diseases. The causative agents of onchocerciasis and lymphatic filariasis are filarial worms that harbor the endosymbiotic bacterium Wolbachia. Because filarial worms depend on Wolbachia for reproduction and survival, drugs targeting Wolbachia hold great promise as a means to eliminate these diseases.MethodsTo better understand the relationship between Wolbachia and its worm host, adult Brugia pahangi were exposed to varying concentrations of doxycycline, minocycline, tetracycline and rifampicin in vitro and assessed for Wolbachia numbers and worm motility. Worm motility was monitored using the Worminator system, and Wolbachia titers were assessed by qPCR of the single copy gene wsp from Wolbachia and gst from Brugia to calculate IC50s and in time course experiments. Confocal microscopy was also used to quantify Wolbachia located at the distal tip region of worm ovaries to assess the effects of antibiotic treatment in this region of the worm where Wolbachia are transmitted vertically to the microfilarial stage.ResultsWorms treated with higher concentrations of antibiotics had higher Wolbachia titers, i.e. as antibiotic concentrations increased there was a corresponding increase in Wolbachia titers. As the concentration of antibiotic increased, worms stopped moving and never recovered despite maintaining Wolbachia titers comparable to controls. Thus, worms were rendered moribund by the higher concentrations of antibiotics but Wolbachia persisted suggesting that these antibiotics may act directly on the worms at high concentration. Surprisingly, in contrast to these results, antibiotics given at low concentrations reduced Wolbachia titers.ConclusionWolbachia in B. pahangi display a counterintuitive dose response known as the “Eagle effect.” This effect in Wolbachia suggests a common underlying mechanism that allows diverse bacterial and fungal species to persist despite exposure to high concentrations of antimicrobial compounds. To our knowledge this is the first report of this phenomenon occurring in an intracellular endosymbiont, Wolbachia, in its filarial host.Graphical

Highlights

  • Onchocerciasis and lymphatic filariasis are two human neglected tropical diseases that cause major disabilities

  • Results showed that cell viability as measured by the conversion of Thiazolyl blue tetrazolium bromide (MTT) to formazan was highly correlated with worm motility (r = 0.889) and that earlier cessation of worm motility was predictive of greater reduction in formazan production on Day 6 (Table 1) similar to the results found with B. malayi [49] and O. gutturosa [50]

  • Results showed that Wolbachia titers were significantly reduced at antibiotic concentrations that are at or slightly below the I­C50s for worm motility in female worms (Fig. 1; Additional file 1: Fig. S1, Table S1). In contrast to these results, worms treated with higher concentrations of antibiotics had higher Wolbachia titers, i.e. as antibiotic concentrations increased there was a corresponding increase in Wolbachia titers

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Summary

Introduction

Onchocerciasis (river blindness) and lymphatic filariasis (elephantiasis) are two human neglected tropical diseases that cause major disabilities. The causative agents of onchocerciasis and lymphatic filariasis are filarial worms that harbor the endosymbiotic bacterium Wolbachia. Bulman et al Parasites Vectors (2021) 14:118 malayi and Brugia timori Each of these species harbors the endosymbiotic bacterium, Wolbachia, in the hypodermal chord and female ovaries, where the endosymbiont is passed through the female germline [1]. These filarial worms depend on Wolbachia for their long-term survival and reproduction, and Wolbachia play a role in the clinical pathology of filarial infection [2,3,4,5,6,7,8,9]. Unlike Onchocerca, Wuchereria and Brugia, does not harbor Wolbachia [14, 15], identifying antibiotics that eliminate Wolbachia is an excellent approach to find new drugs to eliminate onchocerciasis and lymphatic filariasis [16,17,18,19]

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