Gallstones play a significant role in Salmonella spp. gallbladder colonization and carriage.

Abstract:

:Salmonella enterica serovar Typhi can colonize the gallbladder and persist in an asymptomatic carrier state that is frequently associated with the presence of gallstones. We have shown that salmonellae form bile-mediated biofilms on human gallstones and cholesterol-coated surfaces in vitro. Here, we test the hypothesis that biofilms on cholesterol gallbladder stones facilitate typhoid carriage in mice and men. Naturally resistant (Nramp1(+/+)) mice fed a lithogenic diet developed cholesterol gallstones that supported biofilm formation during persistent serovar Typhimurium infection and, as a result, demonstrated enhanced fecal shedding and enhanced colonization of gallbladder tissue and bile. In typhoid endemic Mexico City, 5% of enrolled cholelithiasis patients carried serovar Typhi, and bacterial biofilms could be visualized on gallstones from these carriers whereas significant biofilms were not detected on gallstones from Escherichia coli infected gallbladders. These findings offer direct evidence that gallstone biofilms occur in humans and mice, which facilitate gallbladder colonization and shedding.

authors

Crawford RW,Rosales-Reyes R,Ramírez-Aguilar Mde L,Chapa-Azuela O,Alpuche-Aranda C,Gunn JS

doi

10.1073/pnas.1000862107

subject

Has Abstract

pub_date

2010-03-02 00:00:00

pages

4353-8

issue

9

eissn

0027-8424

issn

1091-6490

pii

1000862107

journal_volume

107

pub_type

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