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Arcobacter butzleri survives within trophozoite of Acanthamoeba castellanii
Arcobacter butzleri sobrevive en el interior de trofozoitos de Acanthamoeba castellanii
María P. Villanuevaa, Gustavo Medinab, Heriberto Fernándeza,
Corresponding author
hfernand@uch.cl

Corresponding author.
a Instituto de Microbiología Clínica, Universidad Austral de Chile, PO Box 567, Valdivia, Chile
b Facultad de Ciencias de la Salud, Universidad Católica de Temuco, PO Box 15-D, Temuco, Chile
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          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Phase contrast microscopy&#46; &#40;A&#41; Trophozoite of <span class="elsevierStyleItalic">A&#46; castellanii</span> showing <span class="elsevierStyleItalic">A&#46; butzleri</span> seen in close association with <span class="elsevierStyleItalic">A&#46; castellanii</span> gathering at one pole of the amoeba cell known as food-cup &#40;30<span class="elsevierStyleHsp" style=""></span>min of co-incubation&#41;&#46; &#40;B&#41; Trophozoite of <span class="elsevierStyleItalic">A&#46; castellanii</span> showing <span class="elsevierStyleItalic">A&#46; butzleri</span> within the amoebic vacuoles &#40;50<span class="elsevierStyleHsp" style=""></span>min of co-incubation&#41;&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The genus <span class="elsevierStyleItalic">Arcobacter</span> was originally proposed by Vandamme <span class="elsevierStyleItalic">et al&#46;</span><a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">14</span></a> and includes bacteria previously considered as members of the genus <span class="elsevierStyleItalic">Campylobacter</span>&#46; Today&#44; the genus <span class="elsevierStyleItalic">Arcobacter</span> is represented by 21 species isolated from human&#44; animals and environmental samples<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">15</span></a>&#46; However&#44; only four species have been isolated from human and animal samples and they are considered of medical interest&#58; <span class="elsevierStyleItalic">Arcobacter cryaerophilus</span>&#44; <span class="elsevierStyleItalic">Arcobacter butzleri</span>&#44; <span class="elsevierStyleItalic">Arcobacter skirrowii</span> and <span class="elsevierStyleItalic">Arcobacter thereius</span><a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">13</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">A&#46; butzleri</span> is the species that is most frequently isolated from environmental water&#44; food and clinical samples&#46; From a public health point of view&#44; it is considered an emerging foodborne and zoonotic enteropathogen transmitted by food and water&#46; Furthermore&#44; it has been ranked as the fourth most common member of <span class="elsevierStyleItalic">Campylobacteraceae</span> isolated from human feces<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">2&#44;5&#44;13</span></a>&#46; Thus&#44; it has become increasingly important as an agent of diarrhea in human beings&#44; recognizing as potential routes of infection the consumption and manipulation of contaminated raw or poorly cooked food of animal origin and untreated water<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">2&#44;5&#44;13</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">One of the main reservoirs of this species is water in diverse environments<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">2</span></a> where they may interact with other microorganisms&#44; which are natural inhabitants of hydric ecosystems&#44; in particular with free-living amoebas&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Free-living amoebas of the Genus <span class="elsevierStyleItalic">Acanthamoeba</span> are widely distributed in water environments&#46; Amoebic trophozoites are part of the indigenous inhabitants of natural water bodies&#44; sharing this habitat with other microorganisms&#44; mainly bacteria&#46; Since these bacteria can survive for diverse periods within the amoeba&#44; many researchers have suggested that these protozoa may be a reservoir for bacterial species<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">1</span></a>&#46; Because of the particular ability of some bacteria to survive within amoebae&#44; the members of genus <span class="elsevierStyleItalic">Acanthamoeba</span> could play a role in the transmission of some enteric bacteria&#46; The survival of <span class="elsevierStyleItalic">Campylobacter jejuni</span> inside <span class="elsevierStyleItalic">Acanthamoeba</span> and its transmission to chicken as an endosymbiont of <span class="elsevierStyleItalic">A&#46; castellanii</span> and <span class="elsevierStyleItalic">Acanthamoeba polyphaga</span><a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">1</span></a> has been demonstrated&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Since <span class="elsevierStyleItalic">A&#46; butzleri</span> is a bacterium that can be recovered from water environments and food products&#44; such as mussels produced in estuarine environments<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">2&#44;6</span></a>&#44; it could share this environment with free-living amoebas&#44; probably establishing close relationships with these protozoa&#44; similarly to those described in the genus <span class="elsevierStyleItalic">Campylobacter</span><a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">1&#44;11&#44;12</span></a>&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">In order to demonstrate if <span class="elsevierStyleItalic">A&#46; butzleri</span> is capable of establishing similar close relations with free-living amoebas&#44; we determined the survival capacity of <span class="elsevierStyleItalic">Arcobacter</span> inside <span class="elsevierStyleItalic">A&#46; castellanii&#46;</span></p><p id="par0035" class="elsevierStylePara elsevierViewall">Three strains of <span class="elsevierStyleItalic">A&#46; butzleri</span> were used for this study&#46; Strain F215 &#40;isolated from child human stools&#41;&#44; strain Puar190 &#40;isolated from chicken meat&#41; and the reference strain LMG10828 &#40;isolated from human feces&#41; used as control strain and kindly provided by Dr&#46; Peter Vandamme &#40;Laboratory of Microbiology&#44; Ghent University&#44; Belgium&#41;&#46; These strains were stored at &#8722;80<span class="elsevierStyleHsp" style=""></span>&#176;C in brain-heart infusion broth supplemented with 15<span class="elsevierStyleHsp" style=""></span>&#37; glycerol&#46; Before each experiment&#44; bacteria were grown on blood agar plates incubated at 26<span class="elsevierStyleHsp" style=""></span>&#176;C for 48<span class="elsevierStyleHsp" style=""></span>h under aerobic conditions&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">A&#46; castellanii</span> strain BP91&#47;2760 was originally isolated from the eye of a patient with keratitis and was kindly provided by Dr&#46; Winiecka-Krusnell &#40;Public Health Agency of Sweden&#41;&#46; Amoebae were maintained axenically in peptone yeast extract glucose &#40;PYG&#41; medium at 26<span class="elsevierStyleHsp" style=""></span>&#176;C as monolayers in 25<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">2</span> flasks and were examined under an inverted microscope before use&#46; To assess the number of amoebae&#44; counts were made using a Neubauer chamber&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">To establish <span class="elsevierStyleItalic">A&#46; butzleri</span>&#47;<span class="elsevierStyleItalic">A&#46; castellanii</span> early relationships&#44; <span class="elsevierStyleItalic">A&#46; castellanii</span> were grown to confluence in 25<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">2</span> flasks with 5<span class="elsevierStyleHsp" style=""></span>ml of PYG medium&#46; The flask were gently shaken and the PYG with non-adherent amoebae was removed and replaced with fresh medium&#59; then the amoebae were incubated on ice for 30<span class="elsevierStyleHsp" style=""></span>min to weaken adherence&#46; The suspensions were centrifuged at 203<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">g</span> for 10<span class="elsevierStyleHsp" style=""></span>min and the pellet was washed three times with Page&#39;s saline solution&#46; After the last centrifugation&#44; the pellet was suspended in PYG and the total number of amoebae was estimated&#46; Aliquots of 1<span class="elsevierStyleHsp" style=""></span>ml with approximately 6<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">4</span> trophozoites were placed in each well of a 24-well tissue culture dish&#46; Bacterial strains suspended in Page&#39;s saline solution to a density of approximately 1&#46;2<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">8</span> colony forming units &#40;CFU&#41;&#44; and 100<span class="elsevierStyleHsp" style=""></span>ml of this suspension was added to each well containing the amoebae and the plate was incubated at 26<span class="elsevierStyleHsp" style=""></span>&#176;C under aerobic conditions to induce the infection of the amoebas by <span class="elsevierStyleItalic">Arcobacter</span> strains in a 1&#58;2000 ratio&#46; As bacterial survival controls&#44; three wells were inoculated with <span class="elsevierStyleItalic">A&#46; butzleri</span> suspended in Page&#39;s saline solution without amoebae&#46; Finally&#44; the assessment of the early interactions between bacteria and amoebae was performed by taking aliquots of the suspension at 30 and 50<span class="elsevierStyleHsp" style=""></span>min and observed directly under phase contrast microscope&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Long-term interaction between bacteria and amoebae was studied at 24&#44; 48&#44; 72&#44; 120&#44; 168&#44; and 240<span class="elsevierStyleHsp" style=""></span>h using a modification of the gentamicin protection assay proposed by Dirks and Quinlan<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">3</span></a>&#46; 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Abundance of viable intracellular bacteria was determined by subtracting the number of extracellular bacteria from the total count&#46; All these experiments were carried out in triplicate&#46; The amoebae&#47;bacteria interaction was also monitored and documented through phase contrast microscopy and by bright-field microscopy&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">The results of the assays were divided into two groups in accordance with the duration of the tests performed&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">A&#46; &#8211; Early interactions between <span class="elsevierStyleItalic">A&#46; butzleri</span> and <span class="elsevierStyleItalic">A&#46; castellanii</span>&#46; In the first 30<span class="elsevierStyleHsp" style=""></span>min of co-incubation&#44; <span class="elsevierStyleItalic">A&#46; butzleri</span> could be seen in close association with <span class="elsevierStyleItalic">A&#46; castellanii</span>&#44; at this time most of the bacteria showed a tendency to gather at one pole of the amoeba cell &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; Soon after 50<span class="elsevierStyleHsp" style=""></span>min of co-culture&#44; <span class="elsevierStyleItalic">A&#46; butzleri</span> cells were detected inside the amoeba&#46; The internalized <span class="elsevierStyleItalic">A&#46; butzleri</span> were located in vacuoles and never in the amoeba cytoplasm &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; These observations are consistent with our previous studies<a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">7&#44;8</span></a>&#44; confirming an initial contact pattern in the interaction <span class="elsevierStyleItalic">A&#46; butzleri</span>&#47;<span class="elsevierStyleItalic">A&#46; castellanii&#46;</span></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0065" class="elsevierStylePara elsevierViewall">The internalization of <span class="elsevierStyleItalic">A&#46; butzleri</span> seems to be an active and probable metabolic process since all intracellular bacteria are located in vacuoles and never inside the amoeba cytoplasmic region&#46; These images are similar to those previously reported by our group<a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">7&#44;8</span></a>&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">This early observation indicated that the interaction between bacteria and amoebae could be a common phenomenon in <span class="elsevierStyleItalic">Arcobacter</span>&#44; which is time-efficient&#46; Recently&#44; Medina <span class="elsevierStyleItalic">et al&#46;</span><a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">8</span></a> have reported that the attachment process of <span class="elsevierStyleItalic">A&#46; butzleri</span> to <span class="elsevierStyleItalic">A&#46; castellanii</span> involves the participation of mannose-binding proteins and membrane-associated receptors of glucose and galactose present in the amoebae&#44; whereas in their internalization&#44; the protozoan actin polymerization plays an active role&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">B&#46; &#8211; Time course of the interaction of <span class="elsevierStyleItalic">A&#46; butzleri</span> and <span class="elsevierStyleItalic">A&#46; castellanii</span>&#46; The long-term experiments demonstrated that <span class="elsevierStyleItalic">A&#46; butzleri</span> strains F-215 and PUAr190 were able to survive for at least 240<span class="elsevierStyleHsp" style=""></span>h inside the amoebas&#46; On the other hand&#44; control assays done to establish whether the presence of <span class="elsevierStyleItalic">A&#46; butzleri</span> could affect the survival of the amoebae&#44; showed no significant differences in the survival rates of the amoebae with and without bacteria &#40;data not shown&#41;&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Regarding the survival of <span class="elsevierStyleItalic">A&#46; butzleri</span> within <span class="elsevierStyleItalic">A&#46; castellanii</span> trophozoites at different time points&#44; all the bacteria studied in the co-culture with the amoeba as well as control bacteria showed a decrease in CFU values until reaching the minimum count on the tenth day&#46; There is a clear difference in the survival of these three strains of <span class="elsevierStyleItalic">A&#46; butzleri</span> inside the amoebae&#46; The data suggest that recently isolated <span class="elsevierStyleItalic">A&#46; butzleri</span> strains F-215 and PUAr190 have better survival than the reference strain LMG10828&#46; Their colony counts suggest that this strain does not multiply inside <span class="elsevierStyleItalic">A&#46; castellani</span>&#44; not reaching the high numbers seen for the other two strains &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; Furthermore&#44; their UFC numbers drop in a similar way as the number of viable bacterial cells decays in the control assay without amoebae&#46; Whether those differences are related to the source of isolation&#44; geographic origin or number of subcultures is unknown&#44; requiring further investigations&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">The methodology used in this study to estimate the intra-amoeba bacterial survival rate was selected because other methods&#44; such as vital stains and counting by microscopy&#44; express their results as percentages and do not allow to determine the bacterial number as accurately as the gentamicin protection assay does<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">3</span></a>&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">The <span class="elsevierStyleItalic">A&#46; butzleri</span> strains used in this study were not only able to infect <span class="elsevierStyleItalic">A&#46; castellanii</span> but also capable of surviving inside the vacuoles&#44; in which we confirmed that bacteria were actively motile&#46; Through the phagolysosome formation analysis&#44; Medina <span class="elsevierStyleItalic">et al&#46;</span><a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">8</span></a> concluded that the survival of <span class="elsevierStyleItalic">A&#46; butzleri</span> inside the amoebae could be related to their ability to remain inside vacuoles not fused with lysosomes&#44; or with their ability to retard phagolysosome formation&#46; However&#44; further investigations are needed to elucidate the survival mechanisms of <span class="elsevierStyleItalic">A&#46; butzleri</span> inside free-living amoebae&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Transmissibility of enteropathogens&#44; particularly those associated in zoonosis&#44; has been difficult to identify and for the same reason&#44; nearly impossible to prevent&#46; In the last quarter of the 20<span class="elsevierStyleSup">th</span> century and the beginning of this century&#44; emerging pathogens have become a major health problem<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">4</span></a>&#46; Recent observations showed that free-living amoebae may act as a reservoir and vehicle for the survival and transmission of <span class="elsevierStyleItalic">C&#46; jejuni</span> and other enteropathogens&#44; providing a unique form of self-perpetuation of these pathogens<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">1&#44;9&#44;10&#44;12</span></a>&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Our team has been very interested in the role of <span class="elsevierStyleItalic">Arcobacter</span> species as human pathogens and its association with animal sources<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">5&#44;6</span></a>&#46; Different studies have indicated that <span class="elsevierStyleItalic">A&#46; butzleri</span> can survive under several environmental conditions and can be isolated from diverse hosts like farm animals&#44; seafood&#44; and hose pets<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">2&#44;5&#44;6</span></a>&#46; In the present study&#44; the survival of <span class="elsevierStyleItalic">A&#46; butzleri</span> inside <span class="elsevierStyleItalic">A&#46; castellanii</span> strongly suggests that this protozoon can serve as a reservoir for <span class="elsevierStyleItalic">A&#46; butzleri</span> and it might be an important vehicle in the transmission of this human emergent zoonotic pathogen&#44; acting as a Trojan horse<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">2&#44;8&#44;12</span></a>&#46; Experimental transmissibility assays of <span class="elsevierStyleItalic">A&#46; butzleri</span> inside <span class="elsevierStyleItalic">A&#46; castellanii</span> into mice&#44; currently performed in our laboratory &#40;data not shown&#41;&#44; allow to infer the eventual participation of this protozoon as transmission vehicle of <span class="elsevierStyleItalic">A&#46; butzleri</span>&#46; Further studies have to be carried out to elucidate this epidemiological angle of the <span class="elsevierStyleItalic">A&#46; butzleri</span>&#47;free-living amoebae relationships&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Protection of human and animal subjects</span><p id="par0105" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Confidentiality of data</span><p id="par0110" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Right to privacy and informed consent</span><p id="par0115" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Financial support</span><p id="par0120" class="elsevierStylePara elsevierViewall">Grants DID-UACH S-2007-37 and FONDECYT 1110202&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conflict of interests</span><p id="par0125" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interests&#46;</p></span></span>"
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              "titulo" => "Protection of human and animal subjects"
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            0 => "<span class="elsevierStyleItalic">Arcobacter butzleri</span>"
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            2 => "Survival"
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            0 => "<span class="elsevierStyleItalic">Arcobacter butzleri</span>"
            1 => "<span class="elsevierStyleItalic">Acanthamoeba castellanii</span>"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The survival of three <span class="elsevierStyleItalic">Arcobacter butzleri</span> strains inside <span class="elsevierStyleItalic">Acanthamoeba castellanii</span> was assessed using axenic cultures of <span class="elsevierStyleItalic">A&#46; castellanii</span> that were inoculated with the tested strains and incubated at 26<span class="elsevierStyleHsp" style=""></span>&#176;C under aerobic conditions for 240<span class="elsevierStyleHsp" style=""></span>h&#46; The behavior of bacteria in contact with amoebae was monitored using phase contrast microscopy&#46; The bacterial survival rate within amoebae was assessed through counting colony forming units&#44; using the gentamicin protection assay&#46; All <span class="elsevierStyleItalic">A&#46; butzleri</span> strains were able to survive during 240<span class="elsevierStyleHsp" style=""></span>h within the amoebae&#44; thus suggesting that &#40;i&#41; <span class="elsevierStyleItalic">A&#46; butzleri</span> resists the amoebic digestion processes at least for the analyzed time&#59; &#40;ii&#41; that <span class="elsevierStyleItalic">A&#46; castellanii</span> could serve as an environmental reservoir for this bacterium&#44; probably acting as a transmission vehicle for <span class="elsevierStyleItalic">A&#46; butzleri</span>&#46;</p></span>"
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        "titulo" => "Resumen"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se determin&#243; la sobrevida de 3 cepas de <span class="elsevierStyleItalic">Arcobacter butzleri</span> en el interior de trofozo&#237;tos de <span class="elsevierStyleItalic">Acanthamoeba castellanii</span> utilizando cultivos ax&#233;nicos de la ameba&#44; los que fueron inoculados con las cepas bacterianas e incubados a 26<span class="elsevierStyleHsp" style=""></span>&#176;C en aerobiosis durante 240<span class="elsevierStyleHsp" style=""></span>h&#46; La interacci&#243;n bacterias&#47;amebas fue monitorizada mediante microscop&#237;a de contraste de fase&#46; Las tasas de sobrevida bacteriana en el interior de las amebas fueron establecidas a trav&#233;s del recuento de unidades formadoras de colonias mediante ensayos de protecci&#243;n con gentamicina&#46; Todas las cepas de <span class="elsevierStyleItalic">A&#46; butzleri</span> fueron capaces de sobrevivir en el interior de la ameba al menos durante 240<span class="elsevierStyleHsp" style=""></span>h&#44; lo que sugiere&#44; por un lado&#44; que <span class="elsevierStyleItalic">A&#46; butzleri</span> puede resistir los procesos de digesti&#243;n propios de la ameba&#44; al menos por el lapso aqu&#237; analizado y&#44; por el otro&#44; que <span class="elsevierStyleItalic">A&#46; castellanii</span> podr&#237;a actuar como reservorio ambiental de esta bacteria y&#44; probablemente&#44; como veh&#237;culo de transmisi&#243;n de <span class="elsevierStyleItalic">A&#46; butzleri</span>&#46;</p></span>"
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          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Phase contrast microscopy&#46; &#40;A&#41; Trophozoite of <span class="elsevierStyleItalic">A&#46; castellanii</span> showing <span class="elsevierStyleItalic">A&#46; butzleri</span> seen in close association with <span class="elsevierStyleItalic">A&#46; castellanii</span> gathering at one pole of the amoeba cell known as food-cup &#40;30<span class="elsevierStyleHsp" style=""></span>min of co-incubation&#41;&#46; &#40;B&#41; Trophozoite of <span class="elsevierStyleItalic">A&#46; castellanii</span> showing <span class="elsevierStyleItalic">A&#46; butzleri</span> within the amoebic vacuoles &#40;50<span class="elsevierStyleHsp" style=""></span>min of co-incubation&#41;&#46;</p>"
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                      "titulo" => "Protozoan <span class="elsevierStyleItalic">Acanthamoeba polyphaga</span> as a potential reservoir for <span class="elsevierStyleItalic">Campylobacter jejuni</span>"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46; Axelsson-Olsson"
                            1 => "J&#46; Waldenstr&#246;m"
                            2 => "T&#46; Broman"
                            3 => "B&#46; Olsen"
                            4 => "M&#46; Holmberg"
                          ]
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                      "doi" => "10.1128/AEM.71.2.987-992.2005"
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                        "tituloSerie" => "Appl Environ Microbiol"
                        "fecha" => "2005"
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                            "web" => "Medline"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Taxonomy&#44; epidemiology and clinical relevance of the genus <span class="elsevierStyleItalic">Arcobacter</span>"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                            0 => "L&#46; Collado"
                            1 => "M&#46;J&#46; Figueras"
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                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1128/CMR.00034-10"
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                        "fecha" => "2011"
                        "volumen" => "24"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21233511"
                            "web" => "Medline"
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                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "3"
              "referencia" => array:1 [
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Development of a modified gentamicin protection assay to investigate the interaction between <span class="elsevierStyleItalic">Campylobacter jejuni</span> and <span class="elsevierStyleItalic">Acanthamoeba castellanii</span> ATCC 30010"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B&#46;P&#46; Dirks"
                            1 => "J&#46;J&#46; Quinlan"
                          ]
                        ]
                      ]
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                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.exppara.2014.03.012"
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              "identificador" => "bib0095"
              "etiqueta" => "4"
              "referencia" => array:1 [
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tracking emerging zoonotic pathogens from farm to fork"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46; Duffy"
                            1 => "O&#46;A&#46; Lynch"
                            2 => "C&#46; Cagney"
                          ]
                        ]
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        "texto" => "<p id="par0130" class="elsevierStylePara elsevierViewall">To Professor Ph&#46;D&#46; Jadwiga Winiecka-Krusnell &#40;Public Health Agency of Sweden&#44; Sweden&#41; for providing the <span class="elsevierStyleItalic">A&#46; castellanii</span> T4 genotype strain&#59; Professor Ph&#46;D&#46; Peter Vandamme &#40;Ghent University&#44; Belgium&#41; for providing the <span class="elsevierStyleItalic">A&#46; butzleri</span> reference strain LMG 10828&#59; and Professor Ph&#46;D&#46; Guillermo P&#233;rez-P&#233;rez &#40;New York University Langone Medical Center&#44; U&#46;S&#46;A&#46;&#41; for their scientific advice and critical review&#46;</p>"
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