• Acanthamoeba;
  • bacteria–FLP interactions;
  • food safety;
  • foodborne pathogens;
  • free-living protozoa (FLP);
  • Tetrahymena


  1. Top of page
  2. Abstract
  3. Introduction
  4. Free-Living Protozoa
  5. Occurrence and Diversity of FLP in Food-Related Environments
  6. Occurrence and Diversity of FLP on Food Products and in Drinking Water
  7. Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies
  8. Intracellular Life of Bacteria in FLP
  9. Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP
  10. Environmental and Biological Factors Influencing Intraprotozoan Survival
  11. Concerns Related to Bacteria–FLP Interactions
  12. Conclusions and Future Research Recommendations
  13. References

Free-living protozoa (FLP) are ubiquitous in natural ecosystems where they play an important role in the reduction of bacterial biomass and the regeneration of nutrients. However, it has been shown that some species such as Acanthamoeba castellanii, Acanthamoeba polyphaga, and Tetrahymena pyriformis can act as hosts of pathogenic bacteria. There is a growing concern that FLP might contribute to the maintenance of bacterial pathogens in the environment. In addition to survival and/or replication of bacterial pathogens in FLP, resistance to antimicrobial agents and increased virulence of bacteria after passage through protozoa have been reported. This review presents an overview of FLP in food-associated environments and on foods, and discusses bacterial interactions with FLP, with focus on the foodborne pathogens Campylobacter jejuni, Salmonella spp., Escherichia coli O157:H7, and Listeria monocytogenes. The consequences of these microbial interactions to food safety are evaluated.


  1. Top of page
  2. Abstract
  3. Introduction
  4. Free-Living Protozoa
  5. Occurrence and Diversity of FLP in Food-Related Environments
  6. Occurrence and Diversity of FLP on Food Products and in Drinking Water
  7. Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies
  8. Intracellular Life of Bacteria in FLP
  9. Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP
  10. Environmental and Biological Factors Influencing Intraprotozoan Survival
  11. Concerns Related to Bacteria–FLP Interactions
  12. Conclusions and Future Research Recommendations
  13. References

Food safety is a major subject of public concern. Food companies have to implement food safety systems such as GMP and HACCP to meet the legal requirement for safe food and to gain consumer confidence. Such systems are based on the control by reduction or, preferably, elimination of hazardous physical, chemical, and biological agents before or during food processing. However, the presence or even persistence of microbes, including foodborne pathogens, in food processing industries cannot always completely be excluded. Moreover, microorganisms often develop dense and complex communities despite hostile treatments, such as cleaning and sanitizing, and can survive environmental stresses such as low temperatures and desiccation. Important microbial response mechanisms to survive these adverse conditions are induction of cold-shock proteins, altered membrane compositions (Beales 2004), and growth in biofilms, which act protectively against antimicrobial agents (Bridier and others 2011).

During the last 4 decades, increasing attention has been paid to the interactions of pathogenic bacteria with free-living protozoa (FLP) (amebae, flagellates, and ciliates) and to the potential role of FLP in the maintenance of pathogens in the environment. The first studies reported observations on engulfment and retention of mycobacteria (Jadin 1975; Krishna Prasad and Gupta 1978) and Legionella pneumophila (Rowbotham 1980) in amebae. In the meantime, intraprotozoan survival and replication is well documented for L. pneumophila, the causal agent of Legionnaires’ disease (a severe pneumonia which can be lethal) and Pontiac fever (a milder respiratory illness without pneumonia). L. pneumophila survives in biofilms but is also able to multiply in FLP such as the amebae Acanthamoeba castellanii and Vermamoeba vermiformis (= formerly Hartmannella vermiformis) (Abu Kwaik and others 1998; Taylor and others 2009; Hilbi and others 2011; Richards and others 2013). L. pneumophila and amebae are both found in natural and man-made systems such as drinking water supplies, whirlpools, cooling towers, and air conditioning devices. People become sick by inhalation of tiny water droplets containing free L. pneumophila bacteria or legionellae-laden vesicles expelled by amebae. Noteworthy, legionellae inside amebae are protected against antimicrobial agents and are actively spread by motile protozoans. Several foodborne and waterborne pathogens have been shown to benefit from FLP in a similar way. Consequently, FLP are now not merely considered as predators of bacteria but their potential role in survival and protection of pathogenic bacteria is increasingly recognized. FLP, which act as hosts of (foodborne) pathogens, are considered as “reservoirs” for these bacteria (Brown and Barker 1999). L. pneumophila developed an escape mechanism to avoid digestion by amebae and applies several steps of this pathway in human alveolar macrophages, which suggests that amebae may also serve as “biological gyms” (Harb and others 2000), “evolutionary cribs” (Greub and Raoult 2004), or “training grounds” (Molmeret and others 2005). Finally, in some cases FLP function as “Trojan horses” where the protozoan “horse” may bring internalized bacteria within the human “Troy,” enabling bacteria to pass the 1st line of the human defense system (Barker and Brown 1994; Greub and Raoult 2004). Because FLP can facilitate the survival, growth, and dispersal of bacterial pathogens, host–microbe interactions, which benefit bacterial pathogens, are increasingly considered as a potential health risk (Thomas and Ashbolt 2011).

The aim of this review is to provide an overview of the current knowledge on interactions of foodborne pathogens with FLP. It starts with a brief description of FLP, followed by an overview of FLP presence in food-related environments and on food. The possible modes of interactions between bacteria and FLP are summarized, and an overview of known interactions of foodborne pathogens with FLP is presented. The intraprotozoan survival of 4 major bacterial foodborne pathogens (Campylobacter jejuni, Salmonella spp., Escherichia coli O157:H7, and Listeria monocytogenes) is discussed in detail. Where appropriate, reference is made to other, well-characterized bacteria–FLP interactions (LegionellaAcanthamoeba, LegionellaTetrahymena, and MycobacteriumAcanthamoeba) to highlight important cellular and ecological features. Finally, the consequences of these microbial interactions to food safety are evaluated.

Free-Living Protozoa

  1. Top of page
  2. Abstract
  3. Introduction
  4. Free-Living Protozoa
  5. Occurrence and Diversity of FLP in Food-Related Environments
  6. Occurrence and Diversity of FLP on Food Products and in Drinking Water
  7. Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies
  8. Intracellular Life of Bacteria in FLP
  9. Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP
  10. Environmental and Biological Factors Influencing Intraprotozoan Survival
  11. Concerns Related to Bacteria–FLP Interactions
  12. Conclusions and Future Research Recommendations
  13. References

Definition and morphology

While there is no unambiguous definition of “protozoa”, a general agreement is to consider protozoa as heterotrophic protists. Protists are defined by Adl and others (2005) as “eukaryotes with a unicellular level of organization, without cell differentiation into tissues”. FLP comprise protists which do not have an obligate parasitic life cycle, although some species such as A. castellanii, Balamuthia mandrillaris, and Naegleria fowleri occasionally cause infections in humans (Marciano-Cabral and Cabral 2003; Khan 2006; Visvesvara and others 2007).

FLP are single-celled microorganisms. Two life stages are usually distinguished: a trophozoite (vegetative cell) and a cyst (also: resting or dormant cyst). However, not all species produce cysts. The trophozoite is the life stage in which the cell feeds and multiplies. Sizes of trophozoites range from a few μm to a few mm. The variety in cell shape is virtually inexhaustible and forms the basis of morphological identification. The body surface consists of a cell membrane but can be covered by scales or be surrounded by a test or lorica (Sleigh 1989). FLP are mostly solitary but some species form colonies. Most FLP are motile (for example, swimming, crawling, or gliding), others float passively in the water column. Several species are attached to surfaces (for example, stones, submerged plants, detritus, and aggregates) by means of a stalk or trailing flagellum. Bacterivorous FLP feed on bacteria. Other modes of nutrition are feeding on protozoa, fungi, algae, or small invertebrates (for example, rotifers), growth on detritus, or absorption of organic material or molecules. Omnivorous FLP use more than 1 nutritional strategy. Some FLP are mixotrophic and combine heterotrophic feeding with photosynthesis. Many FLP have at least 1 contractile vacuole, which is an osmoregulator that pumps, at regular frequency, excess water and dissolved waste products out of the cell. FLP multiply mostly by binary cell division although several species have sexual cycles. Cyst formation (encystment) leads to a fundamental change in trophozoite morphology and physiology, and it can be induced by overcrowding, nutrient depletion, accumulation of certain metabolites, or unfavorable environmental conditions including desiccation, changes in pH, osmolarity, oxygen level, or temperature (Corliss and Esser 1974; Corliss 2001; Gutiérrez and others 2001; Hausmann and others 2003). Cysts are nonmotile and generally smaller than trophozoites and usually have a thick, often double- or multilayered wall (Corliss 2001). The cyst wall is composed of proteins, glycoproteins, and carbohydrates such as cellulose or chitin (Corliss 2001). The cyst shape may vary (for example, spherical, ovoid, pyriform) and several cysts have an outer surface ornamentation (Corliss 2001), which can aid for dispersal. Cysts can survive harsh conditions and, for example, cysts of Acanthamoeba spp. resist gamma and UV irradiation (Aksozek and others 2002), heat (Storey and others 2004) and disinfectants (Kilvington and Price 1990; Storey and others 2004; Coulon and others 2010), and they can remain viable for many years (Mazur and others 1995; Sriram and others 2008). Excystment is the transformation from cyst to trophozoite and is triggered by favorable conditions or chemicals (Hausmann and others 2003).

Based on morphology and locomotion, FLP are divided into the amebae, the flagellates, and the ciliates (Figure 1). This division is used very often for convenience, but it is strongly discouraged by protistologists because it does not take into account the phylogenetic relationships between these organisms (Adl and others 2005). However, for the sake of simplicity and to present a general overview, the FLP-morphogroups amebae, flagellates, and ciliates will be used throughout this review. In the rest of the text, only organisms nonparasitic to humans (“free-living”) are covered. Indeed, each morphogroup contains a few human parasites such as the flagellate parasites Giardia duodenalis (causing giardiasis) and Trypanosoma brucei (causative agent of sleeping sickness), the ameba Entamoeba histolytica (amebic dysentery), and the ciliate Balantidium coli (balantidiosis). Obviously, other obligate parasitic protozoa, such as Plasmodium spp. (causative agents of malaria) and foodborne pathogens such as Cryptosporidium parvum, Cyclospora cayetanensis, Sarcocystis hominis, and Toxoplasma gondii, all organisms classified in the past in the Sporozoa, will also not be discussed in this review.


Figure 1. Examples of morphotypes of free-living protozoa. (A) Acanthamoeba (an ameba), (B) Chilomonas (a flagellate), (C) Tetrahymena (a ciliate). Organisms not drawn to scale. Pictures taken from Drawings made by Stuart Hedley and David Patterson, licensed to MBL (micro*scope). Reprinted with permission.

Download figure to PowerPoint

Amebae are characterized by the possession of pseudopodia (Greek: false feet), which are transient cytoplasmic extensions of the cell. Pseudopodia are used for locomotion and feeding. However, small- and medium-sized amebae often move as a whole without forming pseudopodia (Smirnov and Brown 2004). Amebae are roughly divided into naked amebae, testate amebae, and actinopods. Naked amebae are surrounded by a plasmamembrane. The typical ameboid movement on surfaces results in temporal changes of the cell shape. Some species have a temporally flagellated life stage (for example, N. fowleri). Testate amebae have a plasmamembrane covered with a test (shell). The test is composed of organic material, inorganic salts, or agglutinated particles. Actinopods are star-like amebae with stiffened pseudopodia radiating out of a spherical cell. Some representatives of naked amebae are Acanthamoeba, Amoeba, Hartmannella, and Vannella. Examples of testate amebae are Arcella and Difflugina. The actinopods include the Heliozoa (for example, Actinophrys) and the marine Radiolaria which have a mineral skeleton.

Flagellates possess at least 1 flagellum. If there is more than 1 flagellum, they may be unequal in length and can be differently oriented (Patterson 1998). A flagellum is used for locomotion, feeding, or attachment to a surface, and it emerges near or at the anterior of the cell (Sigee 2005). The structure of a eukaryotic flagellum differs fundamentally from a prokaryotic flagellum. A cross-section of the eukaryotic flagellum shows the typical arrangement of 9 outer doublet microtubules that encircle 2 singlet microtubules (9 × 2 + 2 pattern). Flagellates swim or glide, and the flagellum can beat with a sine wave or be held stiffly, sometimes only moving with the tip (Patterson 1998). Other flagellates are sessile (for example, choanoflagellates) or are temporarily attached to the surface (for example, Bodo saltans). Many species are very small, and cells with a size between 2 and 15 μm are usually described as nanoflagellates, and those of less than 2 μm as picoflagellates (Boenigk and Arndt 2002). Some flagellate groups contain photosynthetic members (for example, Euglena). Therefore, in older literature sources, the division into zooflagellates and phytoflagellates was made. Bodo, Cercomonas, Chilomonas, Goniomonas, Heteromita, Notosolenus, Petalomonas, and Spumella are all examples of flagellate genera commonly found in the environment.

Ciliates have cilia that are structurally identical to flagella but are shorter, occur in higher numbers over the cell body, and differ in beat pattern (Sigee 2005). Cilia are used for locomotion, feeding, attachment, or sensing (Lynn 2008). Cilia are often arranged in distinct rows and they beat in a coordinated fashion. The cell size of ciliates is mostly much larger compared with amebae and flagellates (most ciliates are between 20 and 200 μm in length) (Sigee 2005). Ciliates are motile (crawling, swimming) or are attached to a substrate. Ciliates have 2 different nuclei: a small, diploid micronucleus necessary for reproduction and a large, polyploidy, transcriptionally active macronucleus, which controls the organism's phenotype (Lynn 2008). Ciliates feed by filter-feeding or predation. Filter feeders concentrate prey through the action of cilia, which are sometimes grouped to form special membrane-like structures. Many ciliates have an oral cavity with a cell “mouth” (cytostome) where food propelled through the action of cilia is concentrated into a food vacuole. Undigested material is excreted at the cytoproct which usually is located at the posterior side of the cell. Predatory ciliates catch their food (for example, other ciliates) through specialized organelles such as extrusomes. A special category is the Suctoria, a group of sessile ciliates that lack cilia in their adult stage and capture prey with cytoplasmatic tentacles. The ciliates are a morphologically very heterogeneous group. The textbook example of the ciliates is the slipper animal Paramecium, but others such as Colpoda, Colpidium, Cyclidium, Glaucoma, Tetrahymena, and sessile forms such as Epistylis and Vorticella are easily isolated from nature.

Classification and diversity of FLP

The artificial division of FLP in amebae, flagellates, and ciliates has no phylogenetic value but is often used in teaching. The classification of microscopic eukaryotic organisms has undergone many revisions and it was already clear from the beginning of the 19th century that single-celled eukaryotes were a difficult part in eukaryotic systematics (Scamardella 1999). The eukaryotes were divided according to Whittaker into the Kingdoms Animalia, Plantae, Fungi, and Protista (Whittaker 1969). The classification of protozoa (“animal-like” protists), photosynthetic organisms other than plants and cyanobacteria (“plant-like” protists or (micro)algae), and slime molds (“fungi-like” protists) in the Kingdom Protista served for many years. Several fundamental revisions of Whittaker's classification scheme have followed (for example, Woese and others 1990; Cavalier-Smith 2004) and the idea of protists as a separate group was abandoned. Currently, eukaryotic organisms are classified into 5 supergroups based on ultrastructural, biochemical, and molecular phylogenetic data (Adl and others 2012): (i) the Amoebozoa (including naked and many testate amebae, slime molds), (ii) the Opisthokonta (including Metazoa [sponges, animals], fungi, yeasts, choanoflagellates, Mesomycetozoea, Nuclariids), (iii) the Excavata (including several flagellate genera and the ameba group Heterolobosea), (iv) Sar, a cluster of Stramenopiles (including the chrysophytes, diatoms, brown algae, some fungi-like organisms), Alveolata (including ciliates (Ciliophora), dinoflagellates, Apicomplexa), and Rhizaria (including Cercozoa, Foraminifera, Radiolaria, some testate amebae), and (v) the Archaeplastida (including Glaucophyta, plants, and red and green algae).

The global number of protist species is still hotly debated. Recent estimates range from 16600 to 300000 species (Fenchel and Finlay 2006; Foissner 2008), but it is not unlikely that even these numbers are underestimates. While until recently most protist species were considered to be cosmopolitan, there is increasing evidence that microorganisms (including protists) display biogeographic patterns (Hanson and others 2012; Bates and others 2013). For example, the ciliate Tetrahymena thermophila, a species that is a commonly used as a eukaryotic model organism in genetic and molecular biology studies and bacteria–FLP interaction studies (see later) has recently been shown to have a distribution which is restricted to the eastern United States (Zufall and others 2013). The different opinions on global protist species richness and biogeography can be largely explained by the absence of a generally accepted species concept, the occurrence of cryptic species (defined by Caron 2009 as “morphospecies of protists that contain strains possessing different physiological abilities or mating incompatibilities”), and inadequate methodology such as undersampling of habitats, difficulties to exhaustively characterize communities (underreporting) and in determining dispersal rates (Schlegel and Meisterfeld 2003; Foissner 2008; Caron 2009; Boenigk and others 2012).

Ecological importance of FLP

Bacterivorous feeding by FLP is, together with viral-mediated lysis, one of the main regulatory processes of bacterial biomass (Sherr and Sherr 2002; Pernthaler 2005). Especially heterotrophic nanoflagellates such as bicosoecids and Chrysophyceae (for example, Spumella spp.) and small ciliates are very important bacterial consumers in marine and freshwater ecosystems (Boenigk and Arndt 2002). Numbers of heterotrophic nanoflagellates vary between hundreds to several tens of thousands cells/mL, depending on the trophic system and season (Boenigk and Arndt 2002). Amebae are important grazers of biofilms and are probably, together with flagellates, the most important group of soil protozoa (Ekelund and Rønn 1994; Foissner 1999). Protozoan grazing is often prey-selective, and medium-sized bacterial cells (0.4 to 1.6 μm) are preferably consumed (Pernthaler and others 1996; Hahn and Höfle 2001). Ingestion rates vary from several hundreds to more than 1000 bacteria/protozoan cell/h (Parry 2004). However, food selection is not only determined by prey size. Physiological state of the prey (with preference for bacteria in stationary phase compared to exponentially growing bacteria) (Ayo and others 2009) and chemicals secreted by the prey (Hamels and others 2004) have also been shown to influence prey selectivity. Protozoan characteristics such as feeding forms (for example, phagocytosis and filter feeders), cell size (for example, small flagellates versus large ciliates), and behavior are important as well. Remarkably, recent feeding history of the protozoan had an influence on the response toward prey types (Ayo and others 2009).

Bacteria have developed several antipredator strategies including cell size reduction, modified cell morphology (for example, filamentous growth), modification of cell wall characteristics (for example, surface potential), high-speed motility, and production of exopolymers or toxins (Hahn and Höfle 2001; Matz and Kjelleberg 2005; Pernthaler 2005; Jousset 2012). Biofilm and microcolony formation are other well-known defense mechanisms to resist protozoan grazing, and quorum-sensing is an important communication tool to inform neighboring bacterial cells of upcoming threats (Matz and Kjelleberg 2005). Some bacteria resist digestion through escape from or modification of the phagosome (for example, L. pneumophila), or they survive because of the inefficiency of the protozoan digestive system (Thurman and others 2010).

The combination of selective grazing, protozoan community composition, and bacterial antipredator mechanisms influences the morphological structure and genotypic and taxonomic compositions of bacterial communities (Hahn and Höfle 2001; Jürgens and Matz 2002). Moreover, it is hypothesized that grazing not only selects for bacteria with traits which infer resistance to grazing, but also for traits responsible for virulence (Adiba and others 2010). It was suggested that virulence is maintained for their role in grazing resistance rather than for virulence as such (Adiba and others 2010).

Importantly, as a result of protozoan grazing, dissolved organic matter and inorganic nutrients such as nitrogen and phosphorus are released into the environment. These nutrients enter into the microbial biomass and as such become available for higher trophic levels. For example, as a result of grazing activities in soil, the release of nutrients from consumed bacterial biomass together with a shift to rhizobacterial communities (which are responsible for better nitrogen fixation) both have a beneficial effect on plant growth (Bonkowski 2004).

Finally, FLP serve as food for other organisms such as zooplankton, other small invertebrates, and fish larvae, and as such play an important role in aquatic and terrestrial food webs.

Occurrence in natural habitats and anthropogenic environments

FLP are ubiquitous in aquatic and terrestrial ecosystems. Important habitats include coastal waters, lakes, oceans, ponds, rivers, swamps, sediments, and soils. FLP are distributed all over the water column and can be found in waters with different nutrient and salt contents. In soils, FLP live in the water film around soil particles. Although FLP mainly inhabit water or moist environments, some species are able to survive in soils with very low moisture content such as deserts and the dry valleys on Antarctica. They become active, often for a very limited period, under favorable conditions such as a short rain period. FLP are found in extreme environments such as deep sea vents, geothermal hot springs, and acidic and hypersaline lakes. In addition to water and soil, air can contain viable FLP and cysts (Schlichting 1964; Kingston and Warhurst 1969; Rivera and others 1992; Rogerson and Detwiler 1999). The above-mentioned examples of habitat types illustrate that FLP can tolerate a broad range of physical (for example, temperature and humidity), chemical (for example, pH and oxygen content), and nutritional parameters. The tolerance range can be large or small for certain parameters, and tolerance limits of several species can be broadened by gradual adaptation to new conditions (Hausmann and others 2003).

Besides abiotic environments, FLP are present on or in various organisms. Insects can carry FLP on their body (Maguire 1963; Revill and others 1967a, b) and some FLP inhabit the hindgut of insects such as termites (Ohkuma 2008). Ciliates inside the rumen of ruminants such as cattle and sheep play an important role in the digestion process and contribute substantially to the energy and nutrient balance (Veira 1986; Williams 1986). Roots of plants are colonized with FLP (Bonkowski 2004), as well as the above-ground parts such as leaf surfaces (Ruinen 1961; Bamforth 1971) and bark of trees (Bartošová and Tirjaková 2008). Other examples are mosses (Anderson 2006; Glime 2007), pitchers of pitcher plants (Hegner 1926; Rojo-Herguedas and Olmo 1999), and tank water of bromeliads (Foissner and others 2003).

Given their ubiquity, it is not surprising that FLP have also been detected in various man-made constructions such as cars (Simmons and others 1999), cooling towers (Yamamoto and others 1992; Berk and others 2006; Behets and others 2007), dental unit waterlines (Barbeau and Buhler 2001; Singh and Coogan 2006), drinking water supplies (Thomas and Ashbolt 2011), eyewash stations (Paszko-Kolva and others 1991; Bowman and others 1996), homes (Marciano-Cabral and others 2003; Trzyna and others 2010; Stockman and others 2011), hospitals (Rohr and others 1998), and hospital water networks (Patterson and others 1997; Thomas and others 2006), moisture-damaged buildings (Yli-Pirilä and others 2004), spacecraft (Ott and others 2004), swimming pools (Rivera and others 1993), and wastewater treatment plants (Madoni 1994; Pauli and others 2001).

Occurrence and Diversity of FLP in Food-Related Environments

  1. Top of page
  2. Abstract
  3. Introduction
  4. Free-Living Protozoa
  5. Occurrence and Diversity of FLP in Food-Related Environments
  6. Occurrence and Diversity of FLP on Food Products and in Drinking Water
  7. Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies
  8. Intracellular Life of Bacteria in FLP
  9. Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP
  10. Environmental and Biological Factors Influencing Intraprotozoan Survival
  11. Concerns Related to Bacteria–FLP Interactions
  12. Conclusions and Future Research Recommendations
  13. References

The microbiology of food-related environments (places where food products are produced, processed, or stored) is examined in the context of (i) hygiene control, (ii) tracing the source of spoilage and pathogenic microorganisms, and (iii) characterizing persistent strains. Hygiene monitoring generally includes analysis of microbiological parameters such as total aerobic bacteria and hygiene indicator organisms such as E. coli. Specific microorganisms are determined in cases of food safety or food spoilage problems which often requires intensive sampling of the production facility. Similarly, sampling sites or equipment can preemptively be monitored on food pathogens. For example, L. monocytogenes will receive special attention in plants where dairy products, meat, ready meals, and smoked fish are processed. However, FLP are never included in microbiological monitoring because these microorganisms are considered harmless. Consequently, data on FLP of food-related environments are still scarce.

Protozoan communities at farms are hardly examined, and studies are limited to broiler houses. FLP were detected in poultry drinking water systems (Snelling and others 2005, 2006; Baré and others 2009, 2011) and to a lesser degree in litter, animal feed, and dry areas (Baré and others 2009). Poultry water supplies showed a significantly higher FLP diversity than dry environments, with flagellates and ciliates characteristic for water and dry environments, respectively, and amebae appearing more or less indifferent to habitat type (Baré and others 2009). Protozoan communities in broiler houses were highly diverse, with a total of 91 morphotaxa (identification of FLP based on morphology) and 22 unique phylotypes (identification of FLP based on [partial] gene sequence data) observed (Baré and others 2009). Of all protozoan morphotaxa distinguished, about half were amebae, about one-quarter were ciliates, and the remainder flagellates. Interestingly, the protozoan community structure of the broiler houses showed almost no change during a 6-mo follow-up and remained highly habitat- and farm-specific (Baré and others 2011). Snelling and others (2006), however, reported a much lower FLP diversity (9 phylotypes) in broiler houses, which is mainly explained by differences in identification methodology and the number and types of samples analyzed.

The occurrence and diversity of FLP in food-processing environments is largely unexplored. To the best of our knowledge, there is only 1 published study on protozoan communities in food industrial environments. Vaerewijck and others (2008) showed that active communities of amebae, flagellates, and ciliates were present in meat-cutting plants. FLP were detected mainly in floor drains, in standing water on the floor, on soiled bars of cutting tables, on plastic pallets, and in out-of-use knife sanitizers, but they were also detected on surfaces which come into direct contact with meat such as conveyer belts, working surfaces of cutting tables, and needles of a meat tenderizer device. Sampling sites rich in organic material (for example, floor drains, meat residues on the floor, soiled surfaces) or with high moisture content (for example, floor drains and standing water on the floor) were more likely to be FLP-positive. Based on microscopy, 61 morphotaxa were found and sequencing of 18S rRNA gene fragments revealed 49 unique phylotypes. The occurrence of FLP in meat-cutting plants suggests that FLP resisted the daily cleaning and sanitation process. However, benzalkonium chloride and sodium hypochlorite, both active compounds of frequently used food sanitizers, were effective at concentrations commonly applied in the food industry against trophozoites of Acanthamoeba polyphaga, Tetrahymena pyriformis, and a Tetrahymena sp. isolated from a meat-cutting plant (Vaerewijck and others 2012). The presence of FLP in the 5 food-processing plants can be explained by reasons such as inadequate or insufficient sanitation, inactivation of sanitizers by organic material, or due to uncharacterized cell response mechanisms. Furthermore, various FLP form cysts which are more resistant to disinfectants than trophozoites (Khunkitti and others 1996; Coulon and others 2010).

At home, fresh food is mostly stored in refrigerators. Results of studies on general hygiene, occurrence of bacterial pathogens, and temperature status of domestic refrigerators are regularly reported, but only 1 study has focused on the occurrence and diversity of FLP (Vaerewijck and others 2010). Surfaces of vegetable trays were mostly FLP-positive, followed by discharge gutters, whereas interior walls were rarely FLP-positive. Vegetable trays were most likely contaminated by FLP through transfer of FLP from vegetables (see later) to plastic surfaces. Amebae and flagellates were the most encountered FLP while ciliates were mainly retrieved from vegetable trays. Discharge gutters were occasionally contaminated with a persistent protozoan population of amebae and flagellates. Importantly, the FLP-positive status of refrigerator surfaces was correlated with a high aerobic plate count.

Collectively, the above-mentioned studies show that FLP are part of the in-house microbiota of food-related environments, and that FLP diversity is high (Table 1). Surprisingly, the overall FLP diversity of broiler houses, meat-cutting plants, and domestic refrigerators was quite similar with representatives of the Amoebozoa (Vannellida, Tubulinea, Thecamoebida), Excavata (Euglenozoa, Kinetoplastea, Heterolobosea), Stramenopiles (Chrysophyceae), Alveolata (Ciliophora), and Rhizaria (Cercomonadida) as most frequently detected taxa. Many of these FLP are common in soil and water habitats (Sleigh 1989; Hausmann and others 2003) and live in benthos or environments containing a high organic load (Patterson 1998).

Table 1. Overview of protist taxa detected in 3 food-related environments. Compilation of identifications obtained by microscopy and sequencing of 18S rRNA gene fragments. Data obtained from Baré and others (2009, 2010), Snelling and others (2005, 2006), and Vaerewijck and others (2008, 2010, 2011). Classification according to Adl and others (2012)
     Food-related environment
    Examples ofBroilerMeat-Domestic
Supergroup1st rank2nd rank3rd rankdetected taxahousescutting plantsrefrigerators
  1. a

    Incertae sedis Eukaryota is not considered as a supergroup. Incertae sedis Eukaryota contains organisms with uncertain affiliation within the protists.

AmoebozoaTubulineaEuamoebida Hartmannella, Saccamoeba+++
  Leptomyxida Leptomyxa++ 
  ArcellinidaPhryganellinaCryptodifflugia sp.+  
   EchinamoebidaEchinamoeba + 
 DiscoseaFlabelliniaVannellidaVannella spp., Ripella+++
    Platyamoeba placida + 
  Himatismenida Cochliopodium sp. + 
  LongamoebiaDermamoebidaMayorella sp.+  
   ThecamoebidaThecamoeba sp.+++
   CentramoebidaAcanthamoeba spp.+ +
 ArchamoebaeMastigamoebaea Mastigamoeba/Mastigella+ +
 Protosteliida  Protostelium mycophaga  +
   AcanthoecidaDiaphanoeca grandis, Stephanoeca diplocostata + 
 NucletmyceaNuclearia Nuclearia  +
SarStramenopilesBicosoecida Adriamonas + 
  Peronosporomycetes Saprolegnia parasitica + 
  Chrysophyceae Spumella spp.+++
 AlveolataProtalveolataColpodellidaColpodella spp. + 
  Ciliophora Colpoda, Cyclidium, Tetrahymena, Glaucoma, Vorticella+++
  Dinoflagellata Glenodinium + 
 RhizariaCercozoaCercomonadidaeCercomonas, Heteromita,+++
   ImbricateaSpongomonas minima++ 
ArchaeplastidaChloroplastidaChlorophytaChlorophyceaeChloromonas sp., Polytoma uvella + 
   EuglenozoaPetalomonas, Peranema, Notosolenus, Bodo+++
Incertae sedis EukaryotaaCentrohelidaHeterophryidae Oxnerella sp.  +

Occurrence and Diversity of FLP on Food Products and in Drinking Water

  1. Top of page
  2. Abstract
  3. Introduction
  4. Free-Living Protozoa
  5. Occurrence and Diversity of FLP in Food-Related Environments
  6. Occurrence and Diversity of FLP on Food Products and in Drinking Water
  7. Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies
  8. Intracellular Life of Bacteria in FLP
  9. Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP
  10. Environmental and Biological Factors Influencing Intraprotozoan Survival
  11. Concerns Related to Bacteria–FLP Interactions
  12. Conclusions and Future Research Recommendations
  13. References

To date, knowledge of quality, food safety, and microbial contamination of food products mainly concerns spoiling and pathogenic bacteria, yeasts and molds, parasitic protozoa and worms, and viruses. The FLP diversity of food products, however, has rarely been studied.

Vegetables become contaminated with FLP through contact with soil, irrigation water, air, rain, insects, and during industrial produce-washing. Amebae were recovered from mushrooms and vegetables such as carrots, cauliflower, lettuce, radishes, scallions, spinach, and tomatoes (Ciurea-Van Saanen 1981; Napolitano 1982; Napolitano and Colletti-Eggolt 1984; Rude and others 1984; Sharma and others 2004; Gourabathini and others 2008; Vaerewijck and others 2011) (Table 2). Flagellates were found on spinach, Romaine lettuce, and butterhead lettuce (Gourabathini and others 2008; Vaerewijck and others 2011). Ciliates were recovered from mushroom surfaces (Napolitano 1982) and leafy vegetables such as spinach and butterhead lettuce (Gourabathini and others 2008; Vaerewijck and others 2011). The number of FLP on leafy vegetables was high, with flagellates being more abundant (up to more than 105 cells per mL drained water or per gram leaf) than amebae and ciliates (around several hundreds of cells per mL drained water or per gram leaf) (Gourabathini and others 2008; Vaerewijck and others 2011). Washing or rinsing lettuce leaves followed by spin-drying in a household salad spinner reduced the protozoan number only by a maximum 1 log unit (Vaerewijck and others 2011). FLP were also recovered from ready-to-eat lettuce, which suggests that they survived mild treatments such as industrial washing (Vaerewijck and others 2011). No information was found on FLP diversity on fruit surfaces, although it can be assumed that they are likely to be present due to contamination by air, insects, rain, or during industrial processing. Trypanosomatid flagellates were found inside edible fruits such as plums, oranges, mandarins, grapes, pineapples, and apples (Camargo 1999; Catarino and others 2001). Trypanosomatids such as Phytomonas serpens and Phytomonas mcgheei are widespread in fruit and already 33 species of fruit have been reported to be harboring flagellates (Camargo 1999). Trypanosomatids have also been isolated from tomatoes, beans, and maize seeds. The role of trypanosomatid flagellates in fruit is unknown. Transmission of flagellates occurs by insects (phytophagous hemipterans), which feed on fruit juice after penetration of their stylet bundle in plant tissues. The penetration causes only local mechanical damage.

Table 2. Identified FLP species detected on vegetables and mushrooms. Identification according to taxonomic convention of that time
VegetablesMorphogroupIdentified speciesReference
Lettuce, scallions, radishesAmebaeA. rhysodes, A. palestinensis, Naegleria gruberiCiurea-Van Saanen (1981)
Mushrooms (Agaricus bisporus)AmebaeAcanthamoeba spp., Hartmannella spp., Vannella spp.Napolitano (1982)
 CiliatesColpoda sp., holotrichs, hypotrichs 
Oak leaf lettuce, Boston lettuceAmebaeAcanthamoeba spp., Hartmannella spp.Napolitano and Colletti-Eggolt (1984)
Carrots, radishes, tomatoes, mushrooms, cauliflowers, spinachAmebaeA. polyphaga, A. rhysodes, A. castellaniiRude and others (1984)
CarrotsAmebaeA. culbertsoni, A. rhysodes, H. vermiformisSharma and others (2004)
Romaine lettuceAmebaeA. palestinensisGourabathini and others (2008)
 CiliateGlaucoma sp. 
SpinachCiliateC. steinii 
Butterhead lettuceAmebaeCochliopodium sp., Mayorella vespertiloides, Ripella platyopodia, Ripella platyopodia, Vannella simplex, H. vermiformis, Saccamoeba sp., Vahlkampfia sp.Vaerewijck and others (2011)
 FlagellatesGoniomonas truncata, Bodo saltans, Bodo sp., Cercomonas spp., Notosolenus sp., Peranema trichophorum, Petalomonas sp., Rhynchomonas nasuta, Allantion tachyploon, Spumella spp. 
 CiliatesAspidisca lynceus, Cinetochilum margaritaceum, Chilodonella uncinata, C. steinii, Colpoda sp., Cyclidium glaucoma, Glaucoma scintillans, Glaucoma sp., Paramecium putrinium, Platyophrya sp., Tachysoma pellionellum, Trachelophyllum sp., Vorticella convallaria complex, Vorticella sp. 
Ready-to-eat lettuce (butterhead lettuce)FlagellatesBodo saltans, Cercomonas spp., Spumella cylindrica, Spumella-like flagellatesVaerewijck and others (2011)
 CiliateC. steinii 

No studies have been published on FLP-diversity of meat and meat products yet. FLP were recovered from surfaces which came into contact with meat such as conveyer belts, needles of a meat tenderizer device, and working tables (Vaerewijck and others 2008). It is not unlikely that cross-contamination of FLP between both surfaces takes place. However, studies are necessary to determine the transfer rate and to determine if meat juice or meat surfaces are suitable environments for FLP survival and multiplication. Similarly, to the best of our knowledge, FLP communities on edible fish and shellfish have not been examined, although harmless FLP can be found on shells or gills of crustaceans (so-called epibiotic protozoa) (Fernandez-Leborans 2010) and on the skin of fish. Most studies have focused on fish and shellfish with disease caused by infectious species (reviewed in Scholz 1999; Dyková and Lom 2004; Morado 2011).

Contrary to food products, more information has been published on the occurrence of FLP in drinking water supply systems and tap water at home. The occurrence and diversity of free-living amebae in drinking water production plants and distribution systems was recently reviewed by Loret and Greub (2010) and Thomas and Ashbolt (2011). Raw water such as surface water naturally contains FLP, and ameba counts up to a few thousands of cells per liter surface water have been recorded, though reduced after flocculation, sedimentation, and filtration (Hoffmann and Michel 2001; Thomas and others 2008). Generally, a modal log removal of 1 to 2 log has been observed (Thomas and Ashbolt 2011) prior to disinfection of the treated water. After this treatment, however, the number of amebae increased in water distribution systems and in domestic water supplies (Loret and Greub 2010; Thomas and Ashbolt 2011). Residual organic matter, biofilm formation, sediments in pipelines, and decline of chlorine concentration in drinking water are favorable for bacterial regrowth and, hence, their predators. Dead-end legs in distribution systems, domestic water storage tanks, and premise plumbing offer even better conditions for amebal growth (Thomas and Ashbolt 2011). Although most of the studies focused on amebae, flagellates and ciliates are also common inhabitants of engineered water systems (Poitelon and others 2009; Valster and others 2009; Otterholt and Charnock 2011). Not only drinking water supplied by public water services contains FLP, bottled mineral water has also tested positive for amebae (Desmet-Paix 1974; Dive and others 1979; Rivera and others 1981; Salazar and others 1982; Fluviá and others 1983; Penland and Wilhelmus 1999), flagellates (Rivera and others 1981), and ciliates (Salazar and others 1982). The occurrence of FLP in mineral water is not surprising since FLP inhabit aquifers (Novarino and others 1997; Risse-Buhl and others 2013). The number of FLP in groundwater of aquifers increases when organic material is introduced (Ramirez and others 2006).

Similar to food-related environments, the same conclusion can be drawn that FLP are part of the microbiota of several foods. Most published papers report on free-living amebae mainly because research attention was focused on this group of microorganisms. Especially in older studies, some researchers warned about the possible health effects after eating lettuce (Napolitano and Colletti-Eggolt 1984) or drinking bottled mineral water (Rivera and others 1981; Salazar and others 1982) contaminated with acanthamoebae, a group of amebae, which includes some opportunistic pathogens (see next section). However, the infection route for Acanthamoeba spp. was unknown in the past. Currently, oral intake of FLP is not considered of risk, except for marine toxins produced by some flagellates (see later). In 2003, the U.S. Environmental Protection Agency announced that no regulatory action was appropriate or necessary for 9 drinking water contaminants, including Acanthamoeba spp. (US Environmental Protection Agency 2003), and this opinion was reaffirmed in 2009 (US Environmental Protection Agency 2009). According to the World Health Organization (WHO), “normal uses of drinking-water lack significance as a source of infection,” and the WHO therefore stated that “setting a health-based target for Acanthamoeba spp. is not warranted,” as published in the WHO Guidelines for drinking water quality (World Health Organization 2011). Finally, the Food and Drug Administration (FDA, U.S.A.) included Acanthamoeba in its 2nd edition of the Bad Bug Book (Food and Drug Administration 2012) but emphasized that acanthamoebae were neither implicated in gastrointestinal illness, nor that food was responsible for diseases such as keratitis and granulomatous amebic encephalitis (see next section). The FDA concluded that food analysis on Acanthamoeba spp. was not necessary.

A few marine dinoflagellate species (for example, Alexandrium spp. and Gymnodinium spp.) and several representatives of the diatom genus Pseudo-nitzschia produce neurotoxins (Etheridge 2010; James and others 2010). Shellfish such as mussels, oysters, and clams are filter feeders and can accumulate toxins in their tissues. Consumption of contaminated shellfish can cause life-threatening food intoxication, known as paralytic shellfish poisoning (Etheridge 2010; James and others 2010). In Europe, a limit value of 800 μg paralytic shellfish poison/kg (measured in the whole body or any edible part separately) has been set by the EU in Commission Regulation (EC) No 853/2004 (European Union 2004). Food safety authorities and producers take samples to analyze the presence of this contaminant. Food poisoning due to eating of commercially sold bivalves contaminated with marine toxins will therefore be unlikely.

Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies

  1. Top of page
  2. Abstract
  3. Introduction
  4. Free-Living Protozoa
  5. Occurrence and Diversity of FLP in Food-Related Environments
  6. Occurrence and Diversity of FLP on Food Products and in Drinking Water
  7. Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies
  8. Intracellular Life of Bacteria in FLP
  9. Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP
  10. Environmental and Biological Factors Influencing Intraprotozoan Survival
  11. Concerns Related to Bacteria–FLP Interactions
  12. Conclusions and Future Research Recommendations
  13. References

Postingestional survival of bacterial (foodborne) pathogens has been described for several amebae (Acanthamoeba spp., V. vermiformis, Naegleria spp., Vahlkampfia spp.), ciliates (Cyclidium sp., Colpoda sp., Glaucoma sp., Tetrahymena spp.), and the slime mold (or social ameba) Dictyostelium discoideum. However, most of the bacteria–FLP interaction studies are performed with members of the genera Acanthamoeba and Tetrahymena. They have the advantage that they are easy to handle, are culturable to high numbers at low costs, are genetically well characterized, and generate no ethical problems in contrast to animal models.

Acanthamoeba spp. (supergroup Amoebozoa) are flattened, naked amebae with thorn-like pseudopodia called acanthapodia (Figure 1). Sizes of trophozoites vary between 12 and 35 μm in dia, while the cysts are smaller, between 5 and 20 μm in diameter, depending on the species (Khan 2006). Currently, more than 25 Acanthamoeba species have been described, with A. castellanii, A. polyphaga, A. rhysodes, and A. culbertsoni as frequently studied species. Based on cyst morphology and size, acanthamoebae were traditionally divided into 3 groups. However, cyst morphology may vary upon culture conditions and therefore molecular-based techniques are increasingly used. 18S rRNA gene sequencing distinguishes 18 genotypes (T1 to T18) (Siddiqui and Khan 2012; Qvarnstrom and others 2013) with each genotype exhibiting 5% or more difference between each other. Acanthamoeba spp. are ubiquitous in aquatic and terrestrial ecosystems but are also frequently isolated from man-made water systems such as tap water, shower heads (Stockman and others 2011), dental unit waterlines (Barbeau and Buhler 2001; Trabelsi and others 2010; Hassan and others 2012), and are recovered from bottled drinking water and vegetables. Because Acanthamoeba spp. are widespread, human exposure to them is not unlikely. Of 55 healthy individuals tested, more than 80% had antibodies against A. polyphaga in their blood (Chappell and others 2001). In 2 other studies, seroprevalence up to 100% against A. castellanii was recorded (Cursons and others 1980; Brindley and others 2009). Acanthamoeba spp. have been isolated from human feces, with prevalence ranging from 0.35% to 10% (de Moura and others 1985; Mergeryan 1991; Zaman and others 1999), and Acanthamoeba spp. have been cultured from nasal mucosa from healthy individuals (Červa and others 1973; Michel and others 1982; Badenoch and others 1988). A few Acanthamoeba species, including A. castellanii and A. polyphaga, are opportunistic pathogens. Most of the isolates associated with human illness are grouped in genotype T4. Two major pathologies are recognized: keratitis is an eye infection, mainly related to the use of acanthamoebae-contaminated contact lens solutions, and amebic granulomatous encephalitis, which mainly affects immunocompromised patients and is mostly lethal. Fortunately, both infections are rare. For keratitis, the number of cases is estimated to be 0.01 to 1.49 per 10000 contact lens wearers (Khan 2006). Granulomatous encephalitis is a secondary infection and the approximate ratio is estimated to be 1.57 deaths per 10000 HIV/AIDS deaths in the United States, but it might be higher in countries with warmer climate (Khan 2006). The morphology of acanthamoebae and the way prey is engulfed is similar to that of macrophages, which enables researchers to compare cellular features and mechanisms of internalization between both cell types (Van Waeynberghe and others 2013). The genome sequence of A. castellanii has been published by Clarke and others (2013).

Tetrahymena spp. (supergroup SAR, Alveolata, Ciliophora) are pear-shaped ciliates (Figure 1) with a length of 50 to 60 μm and a width of approximately 30 μm. At the anterior end of the cell, tetrahymenae have an oral apparatus, which consists of membranelles (groups of cilia) and an undulating membrane. Tetrahymenae are commonly found in freshwater. The genus Tetrahymena has over 40 species including several species which are morphologically and physiologically indistinguishable (Simon and others 2008). Barcoding using cox-1 sequences has proven to be an effective approach to identify Tetrahymena spp. (Lynn and Strüder-Kypke 2006; Chantangsi and others 2007; Kher and others 2011). In contrast with Acanthamoeba spp., most Tetrahymena spp. do not form cysts (an exception is T. rostrata). Exposure to ethanol might induce cyst formation in T. pyriformis (Nilsson 2005), but encystment is generally considered as nonexisting for this species. T. pyriformis and T. thermophila are popular test organisms in bioassays to determine the ecotoxicological effect of chemicals (Sauvant and others 1999; Gerhardt and others 2010). In addition, T. thermophila is used in many cellular and molecular biology studies. The genome sequence of T. thermophila is published (Eisen and others 2006).

Although Acanthamoeba spp. and Tetrahymena spp. are easily isolated from soil and freshwater samples, strains obtained from culture collections such as the American Type Culture Collection (ATCC) and the Culture Collection for Algae and Protozoa (CCAP) are usually used in bacteria–FLP interaction studies, especially A. castellanii, A. polyphaga, T. pyriformis, and T. thermophila. Interestingly, some culture collection strains grow axenically (without other microorganisms in the growth medium) to high numbers in chemically defined media or peptone broths.

Intracellular Life of Bacteria in FLP

  1. Top of page
  2. Abstract
  3. Introduction
  4. Free-Living Protozoa
  5. Occurrence and Diversity of FLP in Food-Related Environments
  6. Occurrence and Diversity of FLP on Food Products and in Drinking Water
  7. Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies
  8. Intracellular Life of Bacteria in FLP
  9. Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP
  10. Environmental and Biological Factors Influencing Intraprotozoan Survival
  11. Concerns Related to Bacteria–FLP Interactions
  12. Conclusions and Future Research Recommendations
  13. References

While most bacteria are digested by FLP, some species have developed postingestional survival strategies. The term “ameba-resistant bacteria” was proposed by Greub and Raoult (2004) to categorize bacteria, which resist digestion by free-living amebae. Two groups are distinguished: (i) obligate endobionts and (ii) bacteria with a transient stay in the protozoan host cell. The latter process implies that an intracellular association with a protozoan is not part of the life cycle and that bacteria normally live freely in the environment (for example, soil, water, biofilms) or other hosts (animals, humans). The type of association with the protozoan host can be neutral, mutualistic (both partners benefit; syn.: symbiosis), commensalistic (1 partner benefits and the other is unaffected), or parasitic (1 partner benefits and the other is harmed). The association type is not static and can change depending on external factors (for example, temperature and food depletion). Obligate endobionts which often belong to the Alphaproteobacteria, Betaproteobacteria, Gammaproteobacteria, Bacteroidetes, and Chlamydiae will not be discussed here because the focus of this review lies on interactions of foodborne pathogens with FLP. For more information on endobionts, the reader is referred to several review papers (Görtz 2001; Hausmann and others 2003; Horn and Wagner 2004; Görtz 2006; Gast and others 2009; Nowack and Melkonian 2010; Schweikert and others 2013). It should be noted, however, that endobionts in FLP are not uncommon. For example, Fritsche and others (1993) reported that 24% of their examined acanthamoebae harbored endobionts.

A number of human (opportunistic) pathogens (for example, Burkholderia cepacia, Chlamydophila pneumoniae, Coxiella burnetii, Francisella tularensis, Helicobacter pylori, L. pneumophila, and Mycobacterium spp.) are able to survive in FLP after uptake (for reviews, see Greub and Raoult 2004; Thomas and others 2010). Bacteria enter the protozoan cell via phagocytosis, whether or not receptor-mediated. Remarkably, bacteria such as Aeromonas hydrophila (Rahman and others 2008) and C. jejuni (Axelsson-Olsson and others 2005; Baré and others 2010) bind to specific sites on the Acanthamoeba cells before uptake, or are collected at the uroid region (= the posterior end of the locomotive form of the trophozoite) as seen in L. monocytogenes, Salmonella enterica serovar Typhimurium, Bacillus cereus, and Cronobacter sakazaki (Doyscher and others 2013). After internalization, bacteria remain in or escape the phagosome. The fate of internalized, nondigested bacteria is divided into 3 outcomes (Barker and Brown 1994) (Figure 2):

  1. bacteria which survive without multiplication;
  2. bacteria which multiply without lysis of the protozoan cell;
  3. bacteria which multiply and cause lysis of the protozoan cell.

Figure 2. Overview of different postingestional survival mechanisms of bacteria in free-living protozoa. (A) Uptake of bacterial cell. (B) Survival of bacterial cell in a protozoan. (C) Survival and multiplication of bacteria in a protozoan. (D) Multiplication and release of bacteria after lysis of the protozoan. (E) Release of bacteria through expelled vesicles or fecal pellets. (F) Survival of bacteria in cysts or cyst walls.

Download figure to PowerPoint

In addition to trophozoites, survival in Acanthamoeba cysts was reported for F. tularensis (El-Etr and others 2009), L. pneumophila (Kilvington and Price 1990), several Mycobacterium spp. (Steinert and others 1998; Adékambi and others 2006; Mura and others 2006; Ben Salah and Drancourt 2010), E. coli (Walochnik and others 1999), and the bacteria Staphylococcus aureus and Vibrio cholerae (Table 3). Bacteria such as L. pneumophila are located in cysts while mycobacteria are found in the cyst wall. After excystment bacteria are released into the environment. Survival in cysts enables the bacteria to survive long periods and harsh conditions such as desiccation and disinfection (Kilvington and Price 1990; Adékambi and others 2006).

Table 3. Described interactions between food- and waterborne pathogens and FLP. Interactions of C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes with FLP are presented in the text
pathogenProtozoanDescribed effectReference
  1. a

    Performed experiments with methicillin-resistant S. aureus (MRSA).

Arcobacter butzleriA. castellaniiSurvival of arcobacters in vacuoles for 10 d. Survival in vacuoles not fused with lysosomes.Fernández and others (2012); Medina and others (2014)
Aeromonas hydrophilaAcanthamoeba sp.No survival but digestionPreston and others (2001)
 A. castellaniiSurvival in trophozoitesRahman and others (2008)
 A. polyphagaIntracellular replication (24 h after uptake) of aeromonads followed by digestion of bacteriaAnacarso and others (2011)
 T. thermophilaSurvival in ciliate depends on virulence A. hydrophila strainLi and others (2011); Pang and others (2012)
 A. castellaniiSurvival in trophozoites and cystsYousuf and others (2013)
B. cereusA. polyphagaProliferation of B. cereus in presence of A. polyphaga. Decrease in number of amebae due to cytopathologic affect B. cereus?Yli-Pirilä and others (2006)
 A. polyphagaGrowth of amebae in presence of B. cereus. Extracellular numbers of B. cereus decreased over 1 log after 72 h of co-culture.Huws and others (2008)
 A. polyphagaPartial lysis of amebae after 5 d co-cultureEvstigneeva and others (2009)
Shigella dysenteriaeA. castellaniiIncrease in S. dysenteriae number with 2 log in coculture with amebae. Bacteria were present in cysts.Saeed and others (2009)
Shigella flexneriA. castellaniiAmebae enhanced longer survival of bacteria. Killing of amebae at 37 °C but not at 30 °C. Inhibition of growth amebae at 30 °C.Saeed and others (2012)
Shigella sonneiA. castellaniiProlonged incubation resulted in gradual change in morphology of amebae and eventually killing of amebaeJeong and others (2007)
 A. castellaniiIncrease in S. sonnei number with 1 log in coculture with amebae. Bacteria were present in cysts.Saeed and others (2009)
S. aureusA. polyphagaAfter 24 h coculture, staphylococci found in phago-lysosomes (50%) and cytoplasma (2%) of amebae.Huws and others (2006)a
 A. castellanii, H. vermiformisPart of the staphylococci survived passage through the amebic cells. Staphylococci found in fecal pellets.Pickup and others (2007)
 A. polyphagaGrow of staphylococci (> 3 log cycle after 24 h) in amebic cells without lysis of the amebae.Anacarso and others (2011)
 A. castellaniiSurvival in A. castellanii trophozoites and cystsCardas and others (2012)a
Vibrio choleraeA. polyphaga, Naegleria gruberiSurvival of vibrios for 24 h in amebae. Survival within N. gruberi cysts.Thom and others (1992)
V. cholerae O1, V. cholerae O54A. castellaniiV. cholerae O1 grew and survived in trophozoites, survival in cysts. V. cholerae O54 could only be found in trophozoites.Abd and others (2004)
V. cholerae O139A. castellaniiIntra-amebic growth and survial of vibrios in the cytoplasm of throphozoites. Survival in cysts.Abd and others (2005)
V. cholerae O1, V. cholerae O139A. polyphagaGrowth and survival of bacteria in amebae for 2 wkSandström and others (2010)
Vibrio mimicusA. castellaniiSurvival and growth in amebae. Survival in cysts.Abd and others (2010)
V. parahaemolyticusA. castellaniiLonger survival when cocultured with amebae, probably due to diffusible factor produced by amebae. Bacteria do not reside in amebae.Laskowski-Arce and Orth (2008)
 Cafeteria roenbergensis, Rhynchomonas nasuta, Ochromonas sp., T. pyriformis, Strombidium sp., A. castellanii, D. discoideumCytotoxic toward the 7 protists.Matz and others (2011)
Y. enterocoliticaA. polyphagaIntracellular replication (24 h after uptake) of yersiniae followed by digestion of bacteriaAnacarso and others (2011)
 A. castellaniiEnhancement of survival of yersiniae under nutrient-rich conditions at 25°C and under nutrient-poor conditions at 37°C. Intracellular survival depended on nutrient availability and temperature.Lambrecht and others (2013)
C. parvumAcanthamoeba sp.Amebae served as vehicle for oocysts.Gómez-Couso and others (2007)
 Acanthamoeba sp., Thecamoeba quadrilineataUptake of oocysts. Proliferation of cryptosporidia in amebae could not be detected.Scheid and Schwarzenberger (2011)
 Paramecium caudatumOocysts were egested in fecal pellets, facilitating in this way dispersal of oocysts in the environment.Stott and others (2003)
T. gondiiA. castellaniiUptake and survival of oocysts in amebae.Winiecka-Krusnell and others (2009)

Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP

  1. Top of page
  2. Abstract
  3. Introduction
  4. Free-Living Protozoa
  5. Occurrence and Diversity of FLP in Food-Related Environments
  6. Occurrence and Diversity of FLP on Food Products and in Drinking Water
  7. Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies
  8. Intracellular Life of Bacteria in FLP
  9. Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP
  10. Environmental and Biological Factors Influencing Intraprotozoan Survival
  11. Concerns Related to Bacteria–FLP Interactions
  12. Conclusions and Future Research Recommendations
  13. References

Bacteria–FLP interactions of several foodborne pathogens have been reported. However, not all studies confirm intracellular survival or replication. The growth of bacteria on metabolic waste products or cellular material of dead protozoan cells is often considered as beneficial for foodborne pathogens. Noteworthy, several foodborne pathogens (for example, E. coli O157:H7, S. aureus, and Vibrio spp.) survive transiently in FLP and even multiply in protozoa but are in fact not true or facultative intracellular pathogens. Food- and waterborne pathogens which benefit when cocultured with Acanthamoeba spp. are Arcobacter butzleri, A. hydrophila, B. cereus, Shigella spp., S. aureus, V. cholerae, Vibrio parahaemolyticus, and Yersinia enterocolitica (Table 3). Interactions of 4 major foodborne pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP are discussed below in detail.

C. jejuni

C. jejuni cocultured with A. castellanii or A. polyphaga attached to certain sites of the amoebal cell membrane, resulting in large aggregations of C. jejuni at these sites (Axelsson-Olsson and others 2005; Baré and others 2010). At moderately acidic conditions (pH 4 and 5), increased adhesion, and internalization was observed (Axelsson-Olsson and others 2010b). At pH 4, about 80% of the A. polyphaga trophozoites had C. jejuni cells internalized or on the cell surface, compared to about 37% at pH 7. This high percentage was obtained when C. jejuni cells were added after acidification of the coculture medium, suggesting that an acidic environment might trigger internalization of C. jejuni into A. polyphaga. Pre-exposure of C. jejuni to environmental stresses such as heat, nutrient starvation, and hyperosmolarity reduced survival in A. castellanii (Bui and others 2012a). Noteworthy, C. jejuni invasiveness toward Caco-2 cells could not be extrapolated toward amebal cells since low-invasiveness strains survived better in coculture with A. castellanii than high-invasive strains (Baré and others 2010). After uptake, C. jejuni aggregated in amebic vacuoles. Baré and others (2010) found that C. jejuni cells were located in amebic vacuoles of A. castellanii but that they were not always colocated with acidic organelles, suggesting potential bacterial interference with digestive processes. Interestingly, numerous vacuoles containing aggregated viable C. jejuni were egested in the surrounded culture media by A. polyphaga (Olofsson and others 2013). Coculture experiments are often performed at 25 °C and 37 °C to simulate temperatures inside broiler houses or human cells, respectively. C. jejuni is not able to multiply at 25 °C, but several studies have shown that C. jejuni survived longer at 25 °C in a medium with Acanthamoeba spp. compared to a medium without the amebae (Axelsson-Olsson and others 2005; Snelling and others 2005; Baré and others 2010; Bui and others 2012b). Cocultivation of C. jejuni with A. polyphaga at 37 °C resulted in rupture of the amebae and subsequent release of the bacteria into the medium (Axelsson-Olsson and others 2005). Intracellular multiplication at 37 °C was not confirmed by Baré and others (2010) and Bui and others (2012b) who used A. castellanii in their coculture experiments. Baré and others (2010) did not find an increase of either bacteria or amebae, instead a delayed decline and an increased long-term survival of C. jejuni was observed. Bui and others (2012b) postulated that oxygen depletion by A. castellanii in the medium caused growth of C. jejuni rather than intracellular replication or growth on amebal byproducts. Bui and others (2012b) also reported that no C. jejuni cells could be seen in A. castellanii cysts.

C. jejuni survived longer (up to 36 h) in the presence of T. pyriformis compared to when tetrahymenae were absent (Snelling and others 2005). However, replication in ciliates was not determined, although living bacteria were observed in food vacuoles. Coculture experiments were also performed with other FLP such as the amebae A. rhysodes, V. vermiformis, Naegleria americana, and the flagellates Euglena gracilis and Cercomonas sp. (Axelsson-Olsson and others 2010a; Bui and others 2012c). Prolonged survival of C. jejuni occurred when cocultured, but replication in these FLP was not observed, except for A. rhysodes. First and others (2012) showed that C. jejuni cells survived for 5 h in the ciliate Colpoda sp., but replication was not determined.

Amebic coculture was proposed as an isolation and enrichment technique for C. jejuni, C. coli, C. lari, and C. hyointestinalis (Axelsson-Olsson and others 2007). In the protocol, a sample of environmental or clinical origin is added to a confluent layer of axenically grown A. polyphaga cells. The coculture plate is incubated for 24 to 48 h at 37 °C to allow enrichment of campylobacters. The presence of Campylobacter spp. is determined by plating a small volume of the coculture on blood agar. No genetic loss of C. jejuni strains was observed when this protocol was followed as revealed by MLST and flaA typing (Griekspoor and others 2013).

Salmonella spp

S. enterica serovar Typhimurium resided for at least 4 d in the contractile vacuole of A. polyphaga and multiplied up to 200 cells per vacuole (Gaze and others 2003), but this multiplication occurred in less than 1% of the amebae. Salmonella pathogenicity island 2 was essential in the survival of S. enterica serovar Typhimurium in A. polyphaga (Bleasdale and others 2009). Anacarso and others (2011) reported intracellular replication of S. enterica serovar Enteritidis in A. polyphaga, with the first 48 h no detection of viable salmonellae and a 2 log increase after 72 h. A preferential uptake of S. enterica serovar Dublin over that of serovar Enteritidis or Typhimurium by different Acanthamoeba spp. was observed, and bacteria were most efficiently internalized by A. rhysodes (Tezcan-Merdol and others 2004). After uptake, salmonellae were located in membrane-bound vacuoles in which some bacteria replicated. After 16 h of infection, A. rhysodes cells detached from the surfaces. A. rhysodes was killed after intracellular growth of S. enterica serovar Dublin (Tezcan-Merdol and others 2004), most probably caused by actin degradation by SpvB-dependent ADP-ribosylation (Tezcan-Merdol and others 2005). S. enterica serovar Typhimurium, S. enterica serovar Typhi, and S. enterica serovar Choleraesuis also caused cell death of A. rhysodes (Feng and others 2009). Feng and others (2009) found that genes from Salmonella pathogenicity islands and virulence plasmid were upregulated within A. rhysodes, while flagella genes of salmonellae were down-regulated. The survival of S. enterica serovar Typhimurium in A. polyphaga, however, was not confirmed by Huws and others (2008) who stated that differences between their results and those of other studies might be attributed to other bacterial and amebal strains, and also to infection assay and experimental conditions. Similarly, the study of Douesnard-Malo and Daigle (2011) showed that S. enterica serovar Typhi was not able to multiply in amebae. However, they found a longer survival (up to 10 wk) of salmonellae when cocultured with A. castellanii compared to free cells, which survived for 10 d under the same conditions without acanthamoebae.

S. enterica serovar Thompson survived digestion by Tetrahymena spp. and was subsequently expelled through vesicles (3.1 to 8.0 μm in dia) at the cytoproct of the ciliate (Brandl and others 2005; Gourabathini and others 2008). Each vesicle contained about 10 bacteria. Salmonellae in vesicles survived for a longer period than free cells in the same suspension. No cell lysis of tetrahymenae was detected during the experiments. When internalized, genes involved in anaerobiosis, virulence, and antibiotic or antimicrobial resistance were upregulated. Acid resistance genes were strongly upregulated suggesting an important role in resistance to digestion (Rehfuss and others 2011).

Glaucoma sp. entrapped S. enterica serovar Thompson in vesicles, and per cell between 81 and 124 vesicles were expelled (Gourabathini and others 2008). Experiments with an axenic Cercomonas sp. showed that S. enterica serovar Typhimurium survived longer in coculture compared to the medium where the flagellate was absent (Bui and others 2012c). Intracellular replication, however, was not investigated. Coculture of S. enterica serovar Thompson with Colpoda steinii showed that salmonellae were digested by this ciliate (Gourabathini and others 2008). The viability of S. enterica serovar Typhimurium in the rumen ciliate Entodinium caudatum decreased 105 min after engulfment (de la Fuente and others 2010).

E. coli O157:H7 and other pathogenic E. coli

E. coli O157:H7 survived and replicated in A. polyphaga (Barker and others 1999), although in some trophozoites digestion was observed. These authors also showed that E. coli O157:H7 was located in outer walls of A. polyphaga cysts. During internalization of E. coli O157:H7 in A. castellanii, several virulence genes (including Shiga toxin (Stx) genes and type III secretion system components) and genes involved in the response to various stressful conditions (including iron deprivation and oxidative stress) were upregulated (Carruthers and others 2010). Chekabab and others (2012) showed that Pho regulon was required for E. coli O157:H7 growth when cocultured with A. castellanii, while Shiga toxins, however, were not involved in the interaction. Stx, however, was responsible for the killing of A. castellanii trophozoites (Chekabab and others 2013; Arnold and Koudelka 2014). Remarkably, only Stx produced by internalized bacteria was cytotoxic (Arnold and Koudelka 2014). Noteworthy, another pathogenic E. coli, the neuropathogenic E. coli K1, which causes meningitis, is able to survive and multiply in A. castellanii trophozoites (Alsam and others 2006; Jung and others 2007). The outer-membrane protein A, lipopolysaccharides, and type III secretion system were crucial for survival of E. coli K1 in A. castellanii (Alsam and others 2006; Jung and others 2008; Siddiqui and others 2011). E. coli K1 also survived encystment (Jung and others 2007; Siddiqui and others 2011). The enteropathogenic E. coli O127:H6 strain E2348/69 did not survive predation by A. polyphaga (Huws and others 2008).

E. coli harboring the Stx2 gene such as E. coli O157:H7 and an E. coli K-12 modified with Stx2-encoding prophage had an increased survival in food vacuoles of T. pyriformis compared to those strains where Stx2 was missing (Meltz Steinberg and Levin 2007). Not only the O157 type of E. coli resisted digestion, also other serotypes such as O126:NM, O111:NM, and O144:H25 survived digestion by a Tetrahymena sp. (Smith and others 2012). Two hours after the ciliates were fed with bacteria, fecal pellets containing viable E. coli bacteria were egested. These fecal pellets had a net-like matrix around the bacteria (Smith and others 2012). Contrary to the aforementioned studies, Nelson and others (2003) found that their E. coli O157:H7 strain was digested when fed to T. pyriformis. Also, 2 other studies showed that another Tetrahymena species, T. thermophila, was killed when fed with E. coli bearing the Stx-encoding prophage (Lainhart and others 2009; Stolfa and Koudelka 2013). Release of the Stx toxin prior to digestion of the bacteria was the key to survive digestion (Stolfa and Koudelka 2013). It was recently hypothesized that Stx production is a form of “bacterial altruism” where a few bacteria are sacrificed to kill the protozoan predator in order to save the remaining bacterial population (Mauro and Koudelka 2011; Łoś and others 2013). Hydrogen peroxide production triggered prophage induction, sufficient to produce Stx. However, the authors stated that not all protozoan species are susceptible to the Stx toxin, and that various forms of interactions can occur between FLP and E. coli O157:H7.

Intraprotozoan survival of E. coli O157:H7 is currently mainly demonstrated for species of the genera Acanthamoeba and Tetrahymena. E. coli O157:H7 resisted digestion of a Glaucoma sp. isolated from Romaine lettuce. It was subsequently released in vesicles expelled from the ciliate (Gourabathini and others 2008). In another study, a ciliate (Vorticella microstoma) isolated from dairy lagoon wastewater failed to digest E. coli O157:H7 during the 13 d of coculture (Ravva and others 2010). E. coli O157:H7 did not appear to be ingested by rumen ciliate protozoa such as Entodinium spp. (Burow and others 2005; Stanford and others 2010), while a potential protective role was suggested for Dasytricha spp. (Stanford and others 2010). Finally, it was suggested that FLP in composts might contribute to the reduction of E. coli O157:H7, but the authors did not determine which protozoan species were responsible for the reduction (Puri and Dudley 2010).

It is worth mentioning that survival of E. coli in FLP is not only restricted to pathogenic types. Siegmund and others (2013) showed that E. coli bacteria (a modified K12 strain) were able to leave food vacuoles and, hence, evade digestion by T. pyriformis. However, Nilsson (1987) reported that most E. coli bacteria were digested 2 h after uptake.

L. monocytogenes

L. monocytogenes survived in A. castellanii trophozoites but did not survive encystment (Ly and Müller 1990a, b). Intracellular replication was observed by Anacarso and others (2011) who found that the number of listeriae in A. polyphaga increased up to 4 log after 72 h. However, survival or replication of L. monocytogenes in Acanthamoeba spp. has not been confirmed in most of the other studies (Akya and others 2009a, 2010; Doyscher and others 2013). These authors assumed that L. monocytogenes in coculture with acanthamoebae survived on products released by amebae, such as metabolites or fragments of dead cells (Zhou and others 2007; Huws and others 2008; Akya and others 2009a; Fieseler and others 2014). Akya and others (2009a) did not find evidence of long-term bacterial survival or multiplication within phagosomal vacuoles or within the cytoplasm of the amebae. Instead, rapid digestion (4 h after uptake) of L. monocytogenes was observed in A. polyphaga (Akya and others 2009b, 2010). Expression of listeriolysin O, an important protein necessary to escape vacuoles in mammalian cells, could not be demonstrated (Zhou and others 2007). Interestingly, Doyscher and others (2013) showed that L. monocytogenes cells were concentrated in so-called “backpacks” at the uroid regions. These backpacks contained tens to hundreds of aggregated L. monocytogenes cells. Backpacks were phagocytosed and listeriae were killed and digested in food vacuoles. Backpack formation only took place when L. monocytogenes was cultured at 30 °C prior to coculture and not when cultured at 37 °C. Based on this observation, Doyscher and others (2013) concluded that bacterial motility was a prerequisite for backpack formation.

During a 6-d coculture, ingested L. monocytogenes multiplied in T. pyriformis and subsequently lysed the T. pyriformis cells (Ly and Müller 1989, 1990a, b). Pushkareva and Ermolaeva (2010) showed that listeriolysin O played a role in the survival of L. monocytogenes in T. pyriformis and induced protozoan encystment. However, this latter observation seems doubtful because T. pyriformis normally does not encyst. The observed cysts were probably rounded, dead cells as often seen in old or exhausted cultures. Replication of L. monocytogenes in a Tetrahymena sp. was not confirmed by Brandl and others (2005) who found that a small fraction of the listeriae survived and was expelled in vesicles. Coculture with T. pyriformis and the same L. monocytogenes strain failed to reveal the presence of such vesicles (Gourabathini and others 2008).

Glaucoma sp. released small vesicles containing listeriae, although the number was significantly lower compared to E. coli O157:H7 and S. enterica serovar Thompson (Gourabathini and others 2008). No significant decrease in L. monocytogenes numbers was observed when cocultured with a Cercomonas sp., from which Bui and others (2012c) concluded that listeriae were not a food source and could be cytopathogenic for the flagellates. However, intracellular replication was not determined. L. monocytogenes was digested by C. steinii (Gourabathini and others 2008) and 2 other Colpoda isolates, but some bacteria remained undigested and were released in fecal pellets (Nadhanan and Thomas 2014).

Environmental and Biological Factors Influencing Intraprotozoan Survival

  1. Top of page
  2. Abstract
  3. Introduction
  4. Free-Living Protozoa
  5. Occurrence and Diversity of FLP in Food-Related Environments
  6. Occurrence and Diversity of FLP on Food Products and in Drinking Water
  7. Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies
  8. Intracellular Life of Bacteria in FLP
  9. Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP
  10. Environmental and Biological Factors Influencing Intraprotozoan Survival
  11. Concerns Related to Bacteria–FLP Interactions
  12. Conclusions and Future Research Recommendations
  13. References

Most coculture experiments have been performed in vitro, and at least 3 parameters (temperature, bacterial virulence, and host susceptibility) determined the results. Replication of L. pneumophila in acanthamoebae is temperature dependent, with multiplication at 35 °C and digestion or limited intra-amoebal growth of legionellae at 20 °C (Anand and others 1983; Ohno and others 2008). Intracellular growth and replication of C. jejuni in A. polyphaga was observed at 37 °C but not at 25 °C (Axelsson-Olsson and others 2005). Temperature control can therefore be important to minimize or exclude intraprotozoan growth. However, low temperatures do not exclude that (foodborne) pathogens grow on protozoan metabolites or waste products. Nevertheless, low temperatures remain important to decrease growth rates as most of the foodborne pathogens cannot replicate at temperatures below 10 °C. Surprisingly, the number of ingested bacteria together with temperature can determine the outcome. In a study by Kikuhara and others (1994), it was found that when 30 L. pneumophila bacteria were ingested by T. thermophila, intracellular replication occurred at 35 °C but not at 28 °C or 32 °C (only survival). However, when 10 bacteria were ingested, bacteria were digested at all temperatures.

The fate of internalized bacteria is furthermore dependent on bacterial virulence and susceptibility of its protozoan host. Goy and others (2007) showed that pathogenic M. kansaii strains grew better in A. castellanii than nonpathogenic strains. In another study, 1 clinical isolate of L. pneumophila showed a 1200% increase in cell count per ameba, while another clinical isolate failed to grow in amebae and environmental strains gave intermediate values (Molmeret and others 2001). Remarkably, L. pneumophila lost its ability to multiply in A. polyphaga after 50 passages on Legionella-selective agar plates (Nagl and others 2000). Conversely, the pathogenicity of bacteria toward 1 protozoan species cannot be extrapolated to other protozoa. Different outcomes were observed when Acanthamoeba and Hartmannella were infected with various L. pneumophila strains (Harb and others 1998; Dey and others 2009; Buse and Ashbolt 2011).

Concerns Related to Bacteria–FLP Interactions

  1. Top of page
  2. Abstract
  3. Introduction
  4. Free-Living Protozoa
  5. Occurrence and Diversity of FLP in Food-Related Environments
  6. Occurrence and Diversity of FLP on Food Products and in Drinking Water
  7. Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies
  8. Intracellular Life of Bacteria in FLP
  9. Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP
  10. Environmental and Biological Factors Influencing Intraprotozoan Survival
  11. Concerns Related to Bacteria–FLP Interactions
  12. Conclusions and Future Research Recommendations
  13. References

Foodborne pathogens and FLP can cooccur in the same food-related environments. For example, C. jejuni, Salmonella bacteria, and FLP were isolated from broiler houses (Snelling and others 2005; Baré and others 2009). From a public health perspective, the transient stay of pathogenic bacteria in FLP is of concern for several reasons. First, foodborne pathogens such as C. jejuni, Salmonella, E. coli O157:H7, and L. monocytogenes are able to multiply in or in the vicinity of Acanthamoeba spp., a group of amebae which are widespread in nature and in man-made systems (see previous sections). So instead of a decrease in bacterial number by digestion, an increase of bacteria takes place. FLP can serve as a reservoir and as a vehicle of bacteria and, because of protozoan motility, bacteria are thus spread further into the environment. Internalized bacteria are protected against antimicrobial agents, and an increased virulence after passage through a protozoan has been observed for several bacteria. Finally, some protozoan species serve as “gene melting pot” where exchange of genetic elements takes place, which may lead to the development of new bacterial phenotypes.

FLP as reservoir of bacteria

Because foodborne pathogens and FLP share the same environments, it can be hypothesized that FLP can act as hosts and contribute to the contamination or persistence of foodborne pathogens in food-related environments. For example, the occurrence and persistence of FLP in broiler houses has been demonstrated (Baré and others 2009, 2011). The combination of FLP in water supplies of broiler houses and their ability to internalize campylobacters might therefore form an unexplored and underrated part within the transmission route of C. jejuni to poultry. In another study, amebae isolated from fields not used for grazing by cattle or not fertilized with animal manure were positive for Mycobacterium avium subsp. paratuberculosis (White and others 2010). The authors suggested that infected amebae might be of importance in the understanding of the epidemiology of paratuberculosis. M. avium subsp. paratuberculosis not only causes paratuberculosis in cattle but has also been related to Crohn's disease in humans. Salmonellae were recovered from 2 Acanthamoeba species isolated from water and mud from a Polish lake, suggesting that amebae can be a reservoir of Salmonella spp. (Hadaś and others 2004). Unfortunately, it was not clear from the study whether the acanthamoebae were heavily infected or when internalization of salmonellae had occurred, or whether water samples were Salmonella-positive. Similarly, A. hydrophila, B. cereus, and Yersinia pseudotuberculosis were recovered from amebae isolated from lakes and soil using a coculture assay (Pagnier and others 2008; Evstigneeva and others 2009). Isolation of foodborne pathogens directly from FLP supports the hypothesis that FLP can act as a reservoir for these bacteria.

Dispersal of bacteria by FLP in the environment

Internalized bacteria can be spread by motile protozoa, expelled vesicles, or fecal pellets. Gaze and others (2003) demonstrated ameba-mediated translocation of S. enterica on agar plates, and egested salmonellae formed microcolonies along amebal tracks. Salmonellae were transported several millimetres per day on the agar surface where they were normally unable to move. The dispersal of bacteria by migrating amebae or swimming ciliates in the environment is therefore not unlikely. Long-term survival (up to 6 mo) of L. pneumophila in A. castellanii vesicles has been demonstrated (Bouyer and others 2007), and vesicles seemed to be resistant to freeze-thawing cycles of −70 °C to +35 °C (Berk and others 1998). Olofsson and others (2013) showed that A. castellanii egested vacuoles containing living C. jejuni cells in the surrounding medium. Similarly, the ciliates T. pyriformis, Tetrahymena sp., and Glaucoma sp. are able to expel vesicles loaded with foodborne pathogens such as S. enterica serovar Thompson, E. coli O157:H7 and, to a lesser extent, L. monocytogenes (Brandl and others 2005; Gourabathini and others 2008; Smith and others 2012). Up to 50 S. enterica cells per vesicle were recorded (Brandl and others 2005), with dozens of vesicles produced per ciliate (Gourabathini and others 2008). Production of S. enterica-loaded vesicles by a Tetrahymena sp. was not only observed in vitro but also on cilantro leaves, which indicates that FLP play a role in the ecology of foodborne pathogens on produce (Gourabathini and others 2008). As shown for A. castellanii vesicles, long-term survival of bacteria in ciliate vesicles or fecal pellets was observed. For example, L. pneumophila inside T. tropicalis-produced pellets remained viable for 90 d (Koubar and others 2011).

FLP as vector or Trojan horse of bacteria

Rowbotham (1980) hypothesized that L. pneumophila could be inhaled by vesicles or infected amebae and subsequently cause Legionnaires’ disease. Vesicles expelled by A. castellanii and A. polyphaga have a size between 2 and 10 μm in dia and theoretically could contain several hundreds of L. pneumophila bacteria (Rowbotham 1986; Berk and others 1998). This infection route was demonstrated by Brieland and others (1997) who found that amebae with internalized legionellae served as infectious particles and caused pulmonary disease in a murine model.

With regard to foodborne pathogens, a similar result was obtained with C. jejuni. In an animal experiment, chickens fed with C. jejuni-infected A. castellanii were already after 1 d colonized with C. jejuni (Snelling and others 2008).

Increased virulence of bacteria after passage through protozoan hosts

Intra-amebal growth of L. pneumophila enhanced invasion of bacteria in murine macrophages and human monocytes (Cirillo and others 1994), and amebal-grown legionellae were more infectious in mice compared to buffered charcoal yeast extract agar-grown legionellae (Cirillo and others 1999). Similarly, a higher virulence to mice was reported for intra-amebally grown M. avium compared to mycobacteria grown in broth (Cirillo and others 1997).

A hypervirulent phenotype of S. enterica serotype Typhimurium phage type DT104 was obtained after passage though rumen protozoa as shown by a tissue culture invasion assay and a bovine infection model (Rasmussen and others 2005). The high invasiveness was related to SO13 gene expression which on its turn activated hilA overexpression (Carlson and others 2007). Protozoa-mediated hypervirulence of S. enterica serotype Typhimurium in calves and pigs was also observed after passage through A. castellanii (Carlson and others 2007; Xiong and others 2010).

FLP as gene melting pots

Acanthamoeba spp. can serve as “gene melting pots,” “evolutionary cribs,” or “incubators” where lateral gene exchange occurs between eukaryotic hosts, bacteria, and viruses (Moliner and others 2010; Bertelli and Greub 2012). In contrast with obligate endobionts, which often show genome size reduction, genome sizes of facultative intraprotozoan bacteria such as L. pneumophila are larger compared to their intracellular relatives as a result of receipt of genetic material from other bacteria and amebal hosts. Genome analysis of L. pneumophila revealed that several genes encode for eukaryotic-like proteins, suggesting that they play a role in the intracellular life cycle through mimicking host proteins, which enables the bacterium to invade different eukaryotic hosts (Lurie-Weinberger and others 2010; Gomez-Valero and Buchrieser 2013). Similarly, 8 open-reading frames in 15 mycobacterial genomes were probably acquired via lateral gene transfer from Firmicutes, Beta- and Gammaproteobacteria and might have been mediated within protozoan hosts (Lamrabet and others 2012). Conversely, 2.9% of the proteome (450 genes) of A. castellanii is acquired through lateral gene transfer (Clarke and authors 2013). However, there is currently no indication that gene transfers have occurred between foodborne pathogens and amebal hosts. For example, genome analysis showed limited gene acquisition and gene loss within the genus Listeria (den Bakker and others 2010).

From a public health point of view, the potential spread of antibiotic resistance mediated by protozoan cells is of particular interest. Transfer of plasmids encoding for kanamycin resistance and extended-spectrum β-lactamases between 2 E. coli strains was demonstrated under lab conditions in food vacuoles and fecal pellets of T. pyriformis (Schlimme and others 1997; Matsuo and others 2010; Oguri and others 2011). Exchange of plasmids encoding ceftriaxone resistance from Klebsiella to Salmonella was demonstrated in the rumen of calves and sheep (McCuddin and others 2006; Brewer and others 2011).

Protection of internalized bacteria against antimicrobial agents

Bacteria inside cysts and trophozoites are protected against antimicrobial agents such as disinfectants and antibiotics. Internalized L. pneumophila were recovered from A. polyphaga cysts exposed to 50 mg/L free chlorine for 18 h (Kilvington and Price 1990). Mycobacterium spp. within A. polyphaga cysts survived when exposed to 15 mg/L free chlorine for 24 h (Adékambi and others 2006). But also bacteria in trophozoites were protected and survived higher concentrations of biocides compared to free bacteria (King and others 1988; Whan and others 2006; García and others 2007). Remarkably, L. pneumophila grown in A. castellanii showed a higher susceptibility to chlorine compared to legionellae grown in V. vermiformis when they left the amebae (Chang and others 2009).

The time required for 99% reduction was greatly increased when C. jejuni, S. enterica serovar Typhimurium, and Y. enterocolitica were ingested by T. pyriformis (King and others 1988). C. jejuni was 20-fold more resistant to free chlorine at 4 mg/L when ingested by T. pyriformis. At 1 mg/L free chlorine, C. jejuni, S. enterica serovar Typhimurium, and Y. enterocolitica were more than 50-fold more resistant when ingested by T. pyriformis while free bacteria were killed in 1 min when exposed to 0.5 mg/L free chlorine (King and others 1988). Snelling and others (2005) showed that C. jejuni inside A. castellanii and T. pyriformis was protected against an iodophor disinfectant applied to sanitize broiler houses. The disinfection resistance was greatly influenced by the age of protozoa and the coculture time, and a maximum survival of C. jejuni was obtained when protozoa were 3 d old and at a coculture time of 12 h. Finally, S. enterica in Tetrahymena sp. vesicles survived exposure to 2 ppm calcium hypochlorite for 10 min (Brandl and others 2005). Also, L. monocytogenes located in Colpoda fecal pellets were protected against 10% sodium hypochlorite for 24 h (Nadhanan and Thomas 2014).

Besides disinfectants, antibiotic resistance was observed when bacteria were located in trophozoites or after they had left the protozoan hosts. M. avium located in A. castellanii showed resistance against the antibiotics rifabutin, azithromycin, and clarithromycin (Miltner and Bermudez 2000). It remains unclear if the protection was due to decreased uptake of the antibiotics through the protozoan cell membrane, metabolic inactivation of the compounds in the amebae, or selection of a resistant bacterial phenotype. Intra-amebal grown L. pneumophila were more resistant against the antibiotics rifampin, ciprofloxacin, and erythromycin compared to broth-grown legionellae, with even a 1000-fold greater resistance toward rifampin (Barker and others 1995). However, antibiotic resistance was lost when amoebal-grown L. pneumophila was cultured afterwards in a nutrient-rich medium. L. pneumophila inside Tetrahymena tropicalis pellets were more resistant against the antibiotic gentamicin, and this resistance was conserved in legionellae released from pellets aged for 90 d (Koubar and others 2011). Similarly, L. monocytogenes in Colpoda sp. fecal pellets were protected against gentamicin (Nadhanan and Thomas 2014).

Resuscitation of viable but nonculturable bacteria

Viable but nonculturable bacteria can be resuscitated when cocultured with Acanthamoeba spp. This has already been observed for L. pneumophila (Steinert and others 1997; García and others 2007) and for C. jejuni (Axelsson-Olsson and others 2005).

Conclusions and Future Research Recommendations

  1. Top of page
  2. Abstract
  3. Introduction
  4. Free-Living Protozoa
  5. Occurrence and Diversity of FLP in Food-Related Environments
  6. Occurrence and Diversity of FLP on Food Products and in Drinking Water
  7. Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies
  8. Intracellular Life of Bacteria in FLP
  9. Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP
  10. Environmental and Biological Factors Influencing Intraprotozoan Survival
  11. Concerns Related to Bacteria–FLP Interactions
  12. Conclusions and Future Research Recommendations
  13. References

During the last 2 decades interactions of foodborne pathogens with FLP have been an emerging field of research. Ingested bacteria may survive or even multiply within FLP. Internalized bacteria are protected against antimicrobial agents and potentially can survive sanitation processes. Consequently, there is a growing concern that FLP might be responsible for contamination or persistence of foodborne pathogens in food-related environments. However, contrary to L. pneumophila, research on interactions of foodborne pathogens with FLP is still in its infancy. More information is needed to evaluate the role of FLP in food-related environments and on food, and the potential health risk, which can arise from interactions of foodborne pathogens with FLP.

First, the diversity and dynamics of protozoan communities in food-related environments needs further exploration. Only a handful of studies have demonstrated that protozoan communities are present but it is unknown whether typical “in-house” protozoan populations exist and, whether protozoan compositions remain stable over time. In addition, nothing is known on how FLP respond to desiccation, daily cleaning, and sanitation; and, as a result of these treatments, whether selection for more resistant FLP occurs. If so, what are the underlying mechanisms for this resistance: cyst formation, species with special cell characteristics, ineffectiveness of the sanitizers toward FLP, and so on?

In addition to a profound knowledge of FLP diversity, the conditions in which foodborne pathogens interact with FLP are essential. There are currently conflicting results: some researchers observe survival and/or replication, while others find no intracellular viability of bacteria in protozoans. Variations in coculture assays (temperature, multiplicity of infection, contact time between organisms, coculture medium, recovery, quantification, and viability determination of survivors, actual intracellular multiplication compared with saprophytic growth) and organisms (bacterial strains and protozoan species and strains) make comparisons between results difficult. In a 1st phase, standardized methods are necessary to unravel and understand the cellular mechanisms of survival and replication, and under which conditions these interactions take place. In a next step, coculture experiments should be performed which mimic food-processing or food-producing environments, including the presence of other organisms, and at ambient temperatures of food-processing and food-producing locations. Finally, most interaction studies have been performed with Acanthamoeba and Tetrahymena species so far. Although these organisms were found in food-related environments and on foods, there is paucity on information about the ability of other FLP to act as hosts to foodborne pathogens. Freshly isolated FLP should be tested on internalized foodborne pathogens, for example, by means of fluorescent in situ hybridization (FISH). Noteworthy, as several of these environmental isolates likely harbor endobionts, it is interesting to examine in which way they determine the fate of internalized foodborne pathogens.

The protective role of cysts for internalized foodborne pathogens against food sanitizers has not been determined yet. Currently, only E. coli O157:H7, S. aureus, Shigella spp., and Vibrio spp. have been shown to be localized in Acanthamoeba cysts. However, no experiments were performed to determine which disinfectant concentrations are necessary to destroy bacteria inside cysts, and how long (days, months, years) foodborne pathogens remain viable inside cysts.

The main focus of this review was on the survival of foodborne pathogens in trophozoites and cysts. However, the opposite might be also interesting to investigate: what is the effect of grazing activities of FLP on microbial communities in food-processing areas, and can it be turned into a positive direction, to eliminate foodborne pathogens and spoilage bacteria with the aid of selected protozoan strain(s)?

In summary, more research is necessary (i) to further characterize FLP communities throughout the food production chain and (ii) to understand the mechanisms of intraprotozoan survival of foodborne pathogens, and also to determine whether internalization is a coincidence or an unknown, yet integral, part of the ecology of these bacteria. Today, too much information is lacking to estimate health risks. In the case that microbial risk assessments demonstrate that survival and replication of foodborne pathogenic bacteria in FLP present a significant health risk, redefinition of the microbiological quality standards (for example, drinking water and food-processing environments) with regard to FLP needs to be considered, and sanitation protocols would need to be reevaluated to be effective against FLP and internalized foodborne pathogens.


  1. Top of page
  2. Abstract
  3. Introduction
  4. Free-Living Protozoa
  5. Occurrence and Diversity of FLP in Food-Related Environments
  6. Occurrence and Diversity of FLP on Food Products and in Drinking Water
  7. Acanthamoeba and Tetrahymena: Protagonists in Bacteria–FLP Interaction Studies
  8. Intracellular Life of Bacteria in FLP
  9. Interactions of 4 Major Foodborne Pathogens (C. jejuni, Salmonella spp., E. coli O157:H7, and L. monocytogenes) with FLP
  10. Environmental and Biological Factors Influencing Intraprotozoan Survival
  11. Concerns Related to Bacteria–FLP Interactions
  12. Conclusions and Future Research Recommendations
  13. References
  • Abd H, Weintraub A, Sandström G. 2004. Interaction between Vibrio cholerae and Acanthamoeba castellanii. Microbiol Ecol Health Dis 16:517.
  • Abd H, Weintraub A, Sandström G. 2005. Intracellular survival and replication of Vibrio cholerae O139 in aquatic free-living amoebae. Environ Microbiol 7:10038.
  • Abd H, Valeru SP, Sami SM, Saeed A, Raychaudhuri S, Sandström G. 2010. Interaction between Vibrio mimicus and Acanthamoeba castellanii. Environ Microbiol Rep 2:16671.
  • Abu Kwaik Y, Gao L-Y, Stone BJ, Venkataraman C, Harb OS. 1998. Invasion of protozoa by Legionella pneumophila and its role in bacterial ecology and pathogenesis. Appl Environ Microbiol 64:312733.
  • Adékambi T, Ben Salah S, Khlif M, Raoult D, Drancourt M. 2006. Survival of environmental mycobacteria in Acanthamoeba polyphaga. Appl Environ Microbiol 72:597481.
  • Adiba S, Nizak C, van Baalen M, Denamur E, Depaulis F. 2010. From grazing resistance to pathogenesis: the coincidental evolution of virulence factors. PLoS ONE 5:e11882.
  • Adl SM, Simpson AGB, Farmer MA, Andersen RA, Anderson OR, Barta JR, Bowser SS, Brugerolle G, Fensome RA, Fredericq S, James TY, Karpov S, Kugrens P, Krug J, Lane CE, Lewis LA, Lodge J, Lynn DH, Mann DG, McCourt RM, Mendoza L, Moestrup Ø, Mozley-Standrigde SE, Nerad TA, Shearer CA, Smirnov AV, Spiegel FW, Taylor MFJR. 2005. The new higher level classification of eukaryotes with emphasis on the taxonomy of protists. J Eukaryot Microbiol 52:399451.
  • Adl SM, Simpson AGB, Lane CE, Lukeš J, Bass D, Bowser SS, Brown MW, Burki F, Dunthorn M, Hampl V, Heiss A, Hoppenrath M, Lara E, Le Gall L, Lynn DH, McManus H, Mitchell EAD, Mozley-Standridge SE, Parfrey LW, Pawlowski J, Rueckert S, Shadwick L, Schoch CL, Smirnov A, Spiegel FW. 2012. The revised classification of eukaryotes. J Eukaryot Microbiol 59:42993 and Erratum in: J Eukaryot Microbiol 60:321.
  • Aksozek A, McClellan K, Howard K, Niederkorn JY, Alizadeh H. 2002. Resistance of Acanthamoeba castellanii cysts to physical, chemical, and radiological conditions. J Parasitol 88:6213.
  • Akya A, Pointon A, Thomas C. 2009a. Viability of Listeria monocytogenes in co-culture with Acanthamoeba spp. FEMS Microbiol Ecol 70:209.
  • Akya A, Pointon A, Thomas C. 2009b. Mechanisms involved in phagocytosis and killing of Listeria monocytogenes by Acanthamoeba polyphaga. Parasitol Res 105:137583.
  • Akya A, Pointon A, Thomas C. 2010. Listeria monocytogenes does not survive ingestion by Acanthamoeba polyphaga. Microbiology 156:80918.
  • Alsam S, Jeong SR, Sissons J, Dudley R, Kim KS, Khan NA. 2006. Escherichia coli interactions with Acanthamoeba: a symbiosis with environmental and clinical implications. J Med Microbiol 55:68994.
  • Anacarso I, de Niederhäusern S, Messi P, Guerrieri E, Iseppi R, Sabia C, Bondi M. 2011. Acanthamoeba polyphaga, a potential environmental vector for the transmission of food-borne and opportunistic pathogens. J Basic Microbiol 51:18.
  • Anand CM, Skinner AR, Malic A, Kurtz JB. 1983. Interaction of L. pneumophila and a free living amoeba (Acanthamoeba palestinensis). J Hyg (Camb) 91:16778.
  • Anderson OR. 2006. The density and diversity of Gymnamoebae associated with terrestrial moss communities (Bryophyta: Bryopsida) in a Northeastern U.S. forest. J Eukaryot Microbiol 53:2759.
  • Arnold JW, Koudelka GB. 2014. The Trojans horse of the microbiological arms race: phage-encoded toxins as a defense against eukaryotic predators. Environ Microbiol 16:45466.
  • Axelsson-Olsson D, Waldenström J, Broman T, Olsen B, Holmberg M. 2005. Protozoan Acanthamoeba polyphaga as a potential reservoir for Campylobacter jejuni. Appl Environ Microbiol 71:98792.
  • Axelsson-Olsson D, Ellström P, Waldenström J, Haemig PD, Brudin L, Olsen B. 2007. Acanthamoeba-Campylobacter coculture as a novel method for enrichment of Campylobacter species. Appl Environ Microbiol 73:68649.
  • Axelsson-Olsson D, Olofsson J, Svensson L, Griekspoor P, Waldenström J, Ellström P, Olsen B. 2010a. Amoebae and algae can prolong the survival of Campylobacter species in co-culture. Exp Parasitol 126:5964.
  • Axelsson-Olsson D, Svensson L, Olofsson J, Salomon P, Waldenström J, Ellström P, Olsen B. 2010b. Increase in acid tolerance of Campylobacter jejuni through coincubation with amoebae. Appl Environ Microbiol 76:4194200.
  • Ayo B, Latatu A, Artolozaga I, Jürgens K, Iriberri J. 2009. Factors affecting preference responses of the freshwater ciliate Uronema nigricans to bacterial prey. J Eukaryot Microbiol 56:18893.
  • Badenoch PR, Grimmond TR, Cadwgan J, Deayton SE, Essery MSL, Hill BD. 1988. Nasal carriage of free-living amoebae. Microbiol Ecol Health Dis 1:20911.
  • Bamforth SS. 1971. Population dynamics of leaf-inhabiting protozoa: abstract number 75. Programs and Abstracts 24th Annual Meeting of the Society of Protozoologists; August 31 to September 3, 1971, Fort Collins, Colorado. [ J Protozool 18S:24.]
  • Barbeau J, Buhler T. 2001. Biofilms augment the number of free-living amoebae in dental unit waterlines. Res Microbiol 152:75360.
  • Baré J, Sabbe K, Van Wichelen J, van Gremberghe I, D'hondt S, Houf K. 2009. Diversity and habitat specificity of free-living protozoa in commercial poultry houses. Appl Environ Microbiol 75:141726.
  • Baré J, Sabbe K, Huws S, Vercauteren D, Braeckmans K, van Gremberghe I, Favoreel H, Houf K. 2010. Influence of temperature, oxygen and bacterial strain identity on the association of Campylobacter jejuni with Acanthamoeba castellanii. FEMS Microbiol Ecol 74:37181.
  • Baré J, Houf K, Verstraete T, Vaerewijck M, Sabbe K. 2011. Persistence of free-living protozoan communities across rearing cycles in commercial poultry houses. Appl Environ Microbiol 77:17639.
  • Barker J, Brown MRW. 1994. Trojan horses of the microbial world: protozoa and the survival of bacterial pathogens in the environment. Microbiology 140:12539.
  • Barker J, Scaife H, Brown MRW. 1995. Intraphagocytic growth induces an antibiotic-resistant phenotype of Legionella pneumophila. Antimicrob Agents Chemother 39:26848.
  • Barker J, Humphrey TJ, Brown MWR. 1999. Survival of Escherichia coli O157 in a soil protozoan: implications for disease. FEMS Microbiol Lett 173:2915.
  • Bartošová P, Tirjaková E. 2008. Diversity and ecology of ciliates (Alveolata: Ciliophora) living in the bark and decaying wood mass in Slovakia. Acta Protozool 47:17387.
  • Bates ST, Clemente JC, Flores GE, Walters WA, Parfrey LW, Knight R, Fierer N. 2013. Global biogeography of highly diverse protistan communities in soil. ISME J 7:6529.
  • Beales N. 2004. Adaptation of microorganisms to cold temperatures, weak acid preservatives, low pH, and osmotic stress: a review. Compr Rev Food Sci Food Safety 3:120.
  • Behets J, Declerck P, Delaedt Y, Verelst L, Ollevier F. 2007. Survey for the presence of specific free-living amoebae in cooling waters from Belgian power plants. Parasitol Res 100:124956.
  • Ben Salah I, Drancourt M. 2010. Surviving within the amoebal exocyst: the Mycobacterium avium complex paradigm. BMC Biol 10:99.
  • Berk SG, Ting RS, Turner GW, Ashburn RJ. 1998. Production of respirable vesicles containing live Legionella pneumophila cells by two Acanthamoeba spp. Appl Environ Microbiol 64:27986.
  • Berk SG, Gunderson JH, Newsome AL, Farone AL, Hayes BJ, Redding KS, Uddin N, Williams EL, Johnson RA, Farsian M, Reid A, Skimmyhorn J, Farone MB. 2006. Occurrence of infected amoebae in cooling towers compared with natural aquatic environments: implications for emerging pathogens. Environ Sci Technol 40:74404.
  • Bertelli C, Greub G. 2012. Lateral gene exchanges shape the genomes of amoeba-resisting microorganisms. Front Cell Infect Microbiol 2:110.
  • Bleasdale B, Lott PJ, Jagannathan A, Stevens MP, Birtles RJ, Wigley P. 2009. The Salmonella pathogenicity island 2-encoded type III secretion system is essential for the survival of Salmonella enterica serovar Typhimurium in free-living amoebae. Appl Environ Microbiol 75:17935.
  • Boenigk J, Arndt H. 2002. Bacterivory by heterotrophic flagellates: community structure and feeding strategies. Antonie van Leeuwenhoek 81:46580.
  • Boenigk J, Ereshefsky M, Hoef-Emden K, Mallet J, Bass D. 2012. Concepts in protistology: species definitions and boundaries. Eur J Protistol 48:96102.
  • Bonkowski M. 2004. Protozoa and plant growth: the microbial loop in soil revisited. New Phytol 162:61731.
  • Bouyer S, Imbert C, Rodier M-H, Héchard Y. 2007. Long-term survival of Legionella pneumophila associated with Acanthamoeba castellanii vesicles. Environ Microbiol 9:13414.
  • Bowman EK, Vass AA, Mackowski R, Owen BA, Tyndall RL. 1996. Quantitation of free-living amoebae and bacterial populations in eyewash stations relative to flushing frequency. Am Ind Hyg Assoc J 57:62633.
  • Brandl MT, Rosenthal BM, Haxo AF, Berk SG. 2005. Enhanced survival of Salmonella enterica in vesicles released by a soilborne Tetrahymena species. Appl Environ Microbiol 71:15629.
  • Brewer MT, Xiong N, Dier JD, Anderson KL, Rasmussen MA, Franklin SK, Carlson SA. 2011. Comparisons of Salmonella conjugation and virulence gene hyperexpression mediated by rumen protozoa from domestic and exotic ruminants. Vet Microbiol 151:3016.
  • Bridier A, Briandet R, Thomas V, Dubois-Brissonnet F. 2011. Resistance of bacterial biofilms to disinfectants: a review. Biofouling 27:101732.
  • Brieland JK, Fantone JC, Remick DG, LeGendre M, McClain M, Engleberg NC. 1997. The role of Legionella pneumophila-infected Hartmannella vermiformis as an infectious particle in a murine model of Legionnaires’ disease. Infect Immun 65:53303.
  • Brindley N, Matin A, Khan NA. 2009. Acanthamoeba castellanii: high antibody prevalence in racially and ethnically diverse populations. Exp Parasitol 121:2546.
  • Brown MRW, Barker J. 1999. Unexplored reservoirs of pathogenic bacteria: protozoa and biofilms. Trends Microbiol 7:4650.
  • Bui XT, Qvortrup K, Wolff A, Bang DD, Creuzenet C. 2012a. Effect of environmental stress factors on the uptake and survival of Campylobacter jejuni in Acanthamoeba castellanii. BMC Microbiol 12:232.
  • Bui XT, Winding A, Qvortrup K, Wolff A, Bang DD, Creuzenet C. 2012b. Survival of Campylobacter jejuni in co-culture with Acanthamoeba castellanii: role of amoeba-mediated depletion of dissolved oxygen. Environ Microbiol 14:203447.
  • Bui XT, Wolff A, Madsen M, Bang DD. 2012c. Interaction between food-borne pathogens (Campylobacter jejuni, Salmonella Typhimurium and Listeria monocytogenes) and a common soil flagellate (Cercomonas sp.). J Food Res 1:7681.
  • Burow LC, Gobius KS, Vanselow BA, Klieve AV. 2005. A lack of predatory interaction between rumen ciliate protozoa and Shiga-toxin producing Escherichia coli. Lett Appl Microbiol 40:11722.
  • Buse HY, Ashbolt NJ. 2011. Differential growth of Legionella pneumophila strains within a range of amoebae at various temperatures associated with in-premise plumbing. Lett Appl Microbiol 53:21724.
  • Camargo EP. 1999. Phytomonas and other trypanosomatid parasites of plants and fruit. Adv Parasitol 42:29112.
  • Cardas M, Khan NA, Alsam S. 2012. Staphylococcus aureus exhibit similarities in their interactions with Acanthamoeba and ThP1 macrophage-like cells. Exp Parasitol 132:5138.
  • Carlson SA, Sharma VK, McCuddin ZP, Rasmussen MA, Franklin SK. 2007. Involvement of a Salmonella genomic island 1 gene in the rumen protozoan-mediated enhancement of invasion for multiple-antibiotic-resistant Salmonella enterica serovar Typhimurium. Infect Immun 75:792800.
  • Caron DA. 2009. Past president's address: Protistan biogeography: why all the fuss? J Eukaryot Microbiol 56:10512.
  • Carruthers MD, Bellaire BH, Minion FC. 2010. Exploring the response of Escherichia coli O157:H7 EDL933 within Acanthamoeba castellanii by genome-wide transcriptional profiling. FEMS Microbiol Lett 312:1523.
  • Catarino LM, Serrano MG, Cavazzana Jr. M, Almeida ML, Kaneshina EK, Campaner M, Jankevicius JV, Teixeira MMG, Itow-Jankevicius S. 2001. Classification of trypanosomatids from fruits and seeds using morphological, biochemical and molecular markers revealed several genera among fruit isolates. FEMS Microbiol Lett 201:6572.
  • Cavalier-Smith T. 2004. Only six kingdoms of life. Proc R Soc Lond B 271:125162.
  • Červa L, Serbus C, Skočil V. 1973. Isolation of Limax amoebae from the nasal mucosa of man. Folia Parasitol (Praha) 20:97103.
  • Chang C-W, Kao C-H, Liu Y-F. 2009. Heterogeneity in chlorine susceptibility for Legionella pneumophila released from Acanthamoeba and Hartmannella. J Appl Microbiol 106:97105.
  • Chantangsi C, Lynn DH, Brandl MT, Cole JC, Hetrick N, Ikonomi P. 2007. Barcoding ciliates: a comprehensive study of 75 isolates of the genus Tetrahymena. Int J Syst Evol Microbiol 57:241225.
  • Chappell CL, Wright JA, Coletta M, Newsome AL. 2001. Standardized method of measuring Acanthamoeba antibodies in sera from healthy human subjects. Clin Diagn Lab Immunol 8:72430.
  • Chekabab SM, Daigle F, Charette SJ, Dozois CM, Harel J. 2012. Survival of enterohemorrhagic Escherichia coli in the presence of Acanthamoeba castellanii and its dependence on Pho regulon. MicrobiologyOpen 1:42737.
  • Chekabab SM, Daigle F, Charette SJ, Dozois CM, Harel J. 2013. Shiga toxins decrease enterohaemorrhagic Escherichia coli survival within Acanthamoeba castellanii. FEMS Microbiol Lett 344:8693.
  • Cirillo JD, Falkow S, Tompkins LS. 1994. Growth of Legionella pneumophila in Acanthamoeba castellanii enhances invasion. Infect Immun 62:325461.
  • Cirillo JD, Falkow S, Tompkins LS, Bermudez LE. 1997. Interaction of Mycobacterium avium with environmental amoebae enhances virulence. Infect Immun 65:375967.
  • Cirillo JD, Cirillo SLG, Yan L, Bermudez LE, Falkow S, Tompkins LS. 1999. Intracellular growth in Acanthamoeba castellanii affects monocyte entry mechanisms and enhances virulence of Legionella pneumophila. Infect Immun 67:442734.
  • Ciurea-Van Saanen M. 1981. L'isolement d'amibes libres dans le sol et les légumes; étude morphologique et pathogénique des souches isolées. Rev Méd Suisse Romande 101:22938.
  • Clarke M, Lohan AJ, Liu B, Lagkouvardos I, Roy S, Zafar N, Bertelli C, Schilde C, Kianianmomeni A, Bürglin TR, Frech C, Turcotte B, Kopec KO, Synnott JM, Choo C, Paponov I, Finkler A, Soon Heng Tan C, Hutchins AP, Weinmeier T, Rattei T, Chu JSC, Gimenez G, Irimia M, Rigden DJ, Fitzpatrick DA, Lorenzo-Morales J, Bateman A, Chiu C-H, Tang P, Hegemann P, Fromm H, Raoult D, Greub G, Miranda-Saavedra D, Chen N, Nash P, Ginger ML, Horn M, Schaap P, Caler L, Loftus BJ. 2013. Genome of Acanthamoeba castellanii highlights extensive lateral gene transfer and early evolution of tyrosine kinase signaling. Genome Biol 14:R11.
  • Corliss JO. 2001. Protozoan cysts and spores. In: Encyclopedia of life sciences. Chichester, UK: John Wiley & Sons. p 18.
  • Corliss JO, Esser SC. 1974. Comments on the role of the cyst in the life cycle and survival of free-living protozoa. Trans Amer Micros Soc 93:57893.
  • Coulon C, Collignon A, McDonnell G, Thomas V. 2010. Resistance of Acanthamoeba cysts to disinfection treatments used in health care settings. J Clin Microbiol 48:268997.
  • Cursons RTM, Brown TJ, Keys EA, Moriarty KM, Till D. 1980. Immunity to pathogenic free-living amoebae: role of humoral antibody. Infect Immun 29:4017.
  • de la Fuente G, Fondevila M, Morgavi DP. 2010. Predation of Salmonella enterica serovar Typhimurium by the rumen protozoon Entodinium caudatum studied in vitro by fluorescence emission. Eur J Protistol 46:18995.
  • de Moura H, Salazar HC, Fernandes O, Lisboa DC, de Carvalho FG. 1985. Amebas de vida livre no intestino humano: evidências de parasitismo. Rev Inst Med trop São Paulo 27:1506.
  • den Bakker HC, Cummings CA, Ferreira V, Vatta P, Orsi RH, Degoricija L, Barker M, Petrauskene O, Furtado MR, Wiedmann M. 2010. Comparative genomics of the bacterial genus Listeria: genome evolution is characterized by limited gene acquisition and limited gene loss. BMC Genomics 11:688.
  • Desmet-Paix L. 1974. Recherche systématique d'amibes dans les eaux de piscines et les eaux minérales. Ann Soc belge Méd trop 54:40914.
  • Dey R, Bodennec J, Mameri MO, Pernin P. 2009. Free-living freshwater amoebae differ in their susceptibility to the pathogenic bacterium Legionella pneumophila. FEMS Microbiol Lett 290:107.
  • Dive D, Picard JP, Leclerc H. 1979. Les amibes dans les eaux d'alimentation: évaluation des risques. Ann Microbiol (Inst Pasteur) 130 A:48798.
  • Douesnard-Malo F, Daigle F. 2011. Increased persistence of Salmonella enterica serovar Typhi in the presence of Acanthamoeba castellanii. Appl Environ Microbiol 77:76406.
  • Doyscher D, Fieseler L, Dons L, Loessner MJ, Schuppler M. 2013. Acanthamoeba feature a unique backpacking strategy to trap and feed on Listeria monocytogenes and other motile bacteria. Environ Microbiol 15:43346.
  • Dyková I, Lom J. 2004. Advances in the knowledge of amphizoic amoebae infecting fish. Folia Parasitol 51:8197.
  • Eisen JA, Coyne RSC, Wu M, Wu D, Thiagarajan M, Wortman JR, Badger JH, Ren Q, Amedeo P, Jones KM, Tallon LJ, Delcher AL, Salzberg SL, Silva JC, Haas BJ, Majoros WH, Farzad M, Carlton JM, Smith Jr. RK, Garg J, Pearlman RE, Karrer KM, Sun L, Manning G, Elde NC, Turkewitz AP, Asai DJ, Wilkes DE, Wang Y, Cai H, Collins K, Stewart BA, Lee SR, Wilamowska K, Weinberg Z, Ruzzo WL, Wloga D, Gaertig J, Frankel J, Tsao C-C, Gorovsky MA, Keeling PJ, Waller RF, Patron NJ, Cherry JM, Stover NA, Krieger CJ, del Toro C, Ryder HF, Williamson SC, Barbeau RA, Hamilton EP, Orias E. 2006. Macronuclear genome sequence of the ciliate Tetrahymena thermophila, a model eukaryote. PLoS Biol 4(9):e286.
  • Ekelund F, Rønn R. 1994. Notes on protozoa in agricultural soil with emphasis on heterotrophic flagellates and naked amoebae and their ecology. FEMS Microbiol Rev 15:32153.
  • El-Etr SH, Margolis JJ, Monack D, Robison RA, Cohen M, Moore E, Rasley A. 2009. Francisella tularensis type A strains cause the rapid encystment of Acanthamoeba castellanii and survive in amoebal cysts for three weeks postinfection. Appl Environ Microbiol 75:7488500.
  • Etheridge SM. 2010. Paralytic shellfish poisoning: seafood safety and human health perspectives. Toxicon 56:10822.
  • European Union. 2004. Regulation (EC) No 853/2004 of the European Parliament and of the Council of 29 April 2004 laying down specific hygiene rules for on the hygiene of foodstuffs. Off J Eur Union L 139:55206.
  • Evstigneeva A, Raoult D, Karpachevskiy L, La Scola B. 2009. Amoeba co-culture of soil specimens recovered 33 different bacteria, including four new species and Streptococcus pneumoniae. Microbiology 155:65764.
  • Fenchel T, Finlay BJ. 2006. The diversity of microbes: resurgence of the phenotype. Phil Trans R Soc B 361:196573.
  • Feng Y, Hsiao Y-H, Chen H-L, Chu C, Tang P, Chiu C-H. 2009. Apoptosis-like cell death induced by Salmonella in Acanthamoeba rhysodes. Genomics 94:1327.
  • Fernandez-Leborans G. 2010. Epibiosis in Crustaceae: an overview. Crustaceana 83:549640.
  • Fernández H, Paz Villanueva M, Medina G. 2012. Endosimbiosis de Arcobacter butzleri en Acanthamoeba castellanii. Rev Argent Microbiol 44:133.
  • Fieseler L, Doyscher D, Loessner MJ, Schuppler M. 2014. Acanthamoeba release compounds which promote growth of Listeria monocytogenes and other bacteria. Appl Microbiol Biotechnol 98:309197.
  • First MR, Park NY, Berrang ME, Meinersmann RJ, Bernhard JM, Gast RJ, Hollibaugh JT. 2012. Ciliate ingestion and digestion: flow cytometric measurements and regrowth of a digestion-resistant Campylobacter jejuni. J Eukaryot Microbiol 59:129.
  • Fluviá C, Mascaró C, Guevara DC, Pérez MI, Mascaró ML, Osuna A. 1983. Aislamiento de amebas de vida libre a partir de aguas minerales y mineromedicinales envasadas. Rev Ibér Parasitol 43:338.
  • Foissner W. 1999. Soil protozoa as bioindicators: pros and cons, methods, diversity, representative examples. Agric Ecosyst Environ 74:95112.
  • Foissner W. 2008. Protist diversity and distribution: some basic considerations. Biodivers Conserv 17:23542.
  • Foissner W, Strüder-Kypke M, van der Staay GWM, Moon-van der Staay S-Y, Hackstein JHP. 2003. Endemic ciliates (Protozoa, Ciliophora) from tank bromeliads (Bromeliaceae): a combined morphological, molecular, and ecological study. Eur J Protistol 39:36572.
  • Food and Drug Administration. 2012. Selected amebas not linked to food or gastrointestinal illness: Balamuthia mandrillaris, Naegleria fowleri, Acanthamoeba species. By Beaudry C. In: Lampel KA, Al-Khaldi S, Cahill SM, editors. Bad Bug Book, foodborne pathogenic microorganisms and natural toxins. 2nd ed. Silver Spring, Md.: Food and Drug Administration. p 1613.
  • Fritsche TR, Gautom RK, Seyedirashti S, Bergeron DL, Lindquist TD. 1993. Occurrence of bacterial endosymbionts in Acanthamoeba spp. isolated from corneal and environmental specimens and contact lenses. J Clin Microbiol 31:11226.
  • García MT, Jones S, Pelaz C, Millar RD, Abu Kwaik Y. 2007. Acanthamoeba polyphaga resuscitates viable non-culturable Legionella pneumophila after disinfection. Environ Microbiol 9:126777.
  • Gast RJ, Sanders RW, Caron DA. 2009. Ecological strategies of protists and their symbiotic relationships with prokaryotic microbes. Trends Microbiol 17:5639.
  • Gaze WH, Burroughs N, Gallagher MP, Wellington EMH. 2003. Interactions between Salmonella typhimurium and Acanthamoeba polyphaga, and observation of a new mode of intracellular growth within contractile vacuoles. Microb Ecol 46:35869.
  • Gerhardt A, Ud-Daula A, Schramm K-W. 2010. Tetrahymena spp. (Protista, Ciliophora) as test species in rapid multilevel ecotoxicity tests. Acta Protozool 49:27180.
  • Glime JM. 2007. Bryological interaction: protozoa. In: Bryophyte ecology. Vol. 2, Chapter 2. Ebook sponsored by Michigan Technological Univ. and the Intl. Association of Bryologists. Available from: Accessed 2014 February 15.
  • Gómez-Couso H, Paniagua-Crespo E, Ares-Mazás E. 2007. Acanthamoeba as a temporal vehicle of Cryptosporidium. Parasitol Res 100:11514.
  • Gomez-Valero L, Buchrieser C. 2013. Genome dynamics in Legionella: the basis of versatility and adaptation to intracellular replication. Cold Spring Har Perspect Med 3:a009993.
  • Görtz H-D. 2001. Intracellular bacteria in ciliates. Int Microbiol 4:14350.
  • Görtz H-D. 2006. Symbiotic associations between ciliates and prokaryotes. In: Dworkin M, Falkow S, Rosenberg E, Schleifer K-H, Stackebrandt E, editors. The Prokaryotes–Volume 1: symbiotic associations, biotechnology, applied microbiology. New York: Springer Science+Business Media Inc. p 364402.
  • Gourabathini P, Brandl MT, Redding KS, Gunderson JH, Berk SG. 2008. Interactions between food-borne pathogens and protozoa isolated from lettuce and spinach. Appl Environ Microbiol 74:251825.
  • Goy G, Thomas V, Rimann K, Jaton K, Prod'hom G, Greub G. 2007. The Neff strain of Acanthamoeba castellanii, a tool for testing the virulence of Mycobacterium kansasii. Res Microbiol 158:3937.
  • Greub G, Raoult D. 2004. Microorganisms resistant to free-living amoebae. Clin Microbiol Rev 17:41333.
  • Griekspoor P, Olofsson J, Axelsson-Olsson D, Waldenström J, Olsen B. 2013. Multilocus sequence typing and flaA sequencing reveal the genetic stability of Campylobacter jejuni enrichment during coculture with Acanthamoeba polyphaga. Appl Environ Microbiol 79:24779.
  • Gutiérrez JC, Callejas S, Borniquel S, Benítez L, Martín-González A. 2001. Ciliate cryptobiosis: a microbial strategy against environmental starvation. Int Microbiol 4:1517.
  • Hadaś E, Derda M, Winiecka-Krusnell J, Sułek A. 2004. Acanthamoeba spp. as vehicles of pathogenic bacteria. Acta Parasitol 49:27680.
  • Hahn MW, Höfle MG. 2001. Grazing of protozoa and its effect on populations of aquatic bacteria. FEMS Microbiol Ecol 35:11321.
  • Hamels I, Mussche H, Sabbe K, Muylaert K, Vyverman W. 2004. Evidence for constant and highly specific active food selection by benthic ciliates in mixed diatoms assemblages. Limnol Oceanogr 49:5868.
  • Hanson CA, Fuhrman JA, Horner-Devine MC, Martiny JBH. 2012. Beyond biogeographic patterns: processes shaping the microbial landscape. Nat Rev Microbiol 10:497506.
  • Harb OS, Venkataraman C, Haack BJ, Gao L-Y, Abu Kwaik Y. 1998. Heterogeneity in the attachment and uptake mechanisms of the Legionnaires’ disease bacterium, Legionella pneumophila, by protozoan hosts. Appl Environ Microbiol 64:12632.
  • Harb OS, Gao L-Y, Abu Kwaik Y. 2000. From protozoa to mammalian cells: a new paradigm in the life cycle of intracellular bacterial pathogens. Environ Microbiol 2:25165.
  • Hassan A, Farouk H, Hassanein F, Abdul-Ghani R, Abdelhady AH. 2012. Acanthamoeba contamination of hemodialysis and dental units in Alexandria, Egypt: a neglected potential source of infection. J Infect Public Health 5:30410.
  • Hausmann K, Hülsmann N, Radek R. 2003. Protistology. Berlin, Stuttgart: E. Schweizerbart'sche Verlagbuchhandlung. 379 p.
  • Hegner RW. 1926. The protozoa of the pitcher plant Sarracenia purpurea. Biol Bull 50:2716.
  • Hilbi H, Hoffman C, Harrison CF. 2011. Legionella spp. outdoors: colonization, communication and persistence. Environ Microbiol Rep 3:28696.
  • Hoffmann R, Michel R. 2001. Distribution of free-living amoebae (FLA) during preparation and supply of drinking water. Int J Hyg Environ Health 203:2159.
  • Horn M, Wagner M. 2004. Bacterial endosymbionts of free-living amoebae. J Eukaryot Microbiol 51:50914.
  • Huws SA, Smith AW, Enright MC, Wood PJ, Brown MRW. 2006. Amoebae promote persistence of epidemic strains of MRSA. Environ Microbiol 8:11303.
  • Huws SA, Morley RJ, Jones MV, Brown MRW, Smith AW. 2008. Interactions of some common pathogenic bacteria with Acanthamoeba polyphaga. FEMS Microbiol Lett 282:25865.
  • Jadin J-B. 1975. Amibes limax vecteurs possibles des mycobactéries et de Mycobacterium leprae. Acta Leprol 59–60:5766.
  • James KJ, Carey B, O'Halloran J, van Pelt FNAM, Škrabáková Z. 2010. Shellfish toxicity: human health implications of marine algal toxins. Epidemiol Infect 138:92740.
  • Jeong HJ, Jang ES, Han BI, Lee KH, Ock MS, Kong HH, Chung DI, Seol SY, Cho DT, Yu HS. 2007. Acanthamoeba: could it be an environmental host of Shigella? Exp Parasitol 115:1816.
  • Jousset A. 2012. Ecological and evolutive implications of bacterial defences against predators. Environ Microbiol 14:183043.
  • Jung S-Y, Matin A, Kim KS, Khan NA. 2007. The capsule plays an important role in Escherichia coli K1 interactions with Acanthamoeba. Int J Parasitol 37:41723.
  • Jung S-Y, Alsam S, Kim KS, Khan NA. 2008. Pathogen-pathogen interactions: a comparative study of Escherichia coli interactions with the clinical and environmental isolates of Acanthamoeba. World J Microbiol Biotechnol 24:233948.
  • Jürgens K, Matz C. 2002. Predation as a shaping force for the phenotypic and genotypic composition of planktonic bacteria. Antonie van Leeuwenhoek 81:41334.
  • Khan NA. 2006. Acanthamoeba: biology and increasing importance in human health. FEMS Microbiol Rev 30:56495.
  • Kher CP, Doerder FP, Cooper J, Ikonomi P, Achilles-Day U, Küpper FC, Lynn DH. 2011. Barcoding Tetrahymena: discriminating species and identifying unknowns using the cytochrome c oxidase subunit (cox-1) barcode. Protist 162:213.
  • Khunkitti W, Lloyd D, Furr JR, Russell AD. 1996. The lethal effects of biguanides on cysts and trophozoites of Acanthamoeba castellanii. J Appl Bacteriol 81:737.
  • Kikuhara H, Ogawa M, Miyamoto H, Nikaido Y, Yoshida S-i. 1994. Intracellular multiplication of Legionella pneumophila in Tetrahymena thermophila. J UOEH 16:26375.
  • Kilvington S, Price J. 1990. Survival of Legionella pneumophila within cysts of Acanthamoeba polyphaga following chlorine exposure. J Appl Bacteriol 68:51925.
  • King CH, Shotts Jr. EB, Wooley RE, Porter KG. 1988. Survival of coliforms and bacterial pathogens within protozoa during chlorination. Appl Environ Microbiol 54:302333.
  • Kingston D, Warhurst DC. 1969. Isolation of amoebae from the air. J Med Microbiol 2:2736.
  • Koubar M, Rodier M-H, Garduño RA, Frère J. 2011. Passage through Tetrahymena tropicalis enhances the resistance to stress and the infectivity of Legionella pneumophila. FEMS Microbiol Lett 325:105.
  • Krishna Prasad BN, Gupta SK. 1978. Preliminary report on the engulfment and retention of mycobacteria by trophozoites of axenically grown Acanthamoeba castellanii Douglas, 1930. Curr Sci 47:2457.
  • Lainhart W, Stolfa G, Koudelka GB. 2009. Shiga toxin as a bacterial defense against a eukaryotic predator, Tetrahymena thermophila. J Bacteriol 191:511622.
  • Lambrecht E, Baré J, Van Damme I, Bert W, Sabbe K, Houf K. 2013. Behavior of Yersinia enterocolitica in the presence of the bacterivorous Acanthamoeba castellanii. Appl Environ Microbiol 79:640713.
  • Lamrabet O, Merhej V, Pontarotti P, Raoult D, Drancourt M. 2012. The genealogic tree of mycobacteria reveals a long-standing sympatric life into free-living protozoa. PLoS ONE 7:e34754.
  • Laskowski-Arce MA, Orth K. 2008. Acanthamoeba castellanii promotes the survival of Vibrio parahaemolyticus. Appl Environ Microbiol 74:71838.
  • Li J, Zhang X-L, Liu Y-J, Lu C-P. 2011. Development of an Aeromonas hydrophila infection model using the protozoan Tetrahymena thermophila. FEMS Microbiol Lett 316:1608.
  • Loret J-F, Greub G. 2010. Free-living amoebae: biological by-passes in water treatment. Int J Hyg Environ Health 213:16775.
  • Łoś JM, Łoś M, Węgrzyn A, Węgrzyn G. 2013. Altruism of Shiga toxin-producing Escherichia coli: recent hypothesis versus experimental results. Front Cell Infect Microbiol 2:166.
  • Lurie-Weinberger MN, Gomez-Valero L, Merault N, Glöckner G, Buchrieser C, Gophna U. 2010. The origins of eukaryotic-like proteins in Legionella pneumophila. Int J Med Microbiol 300:47081.
  • Ly TMC, Müller HE. 1989. Heat tolerance of free living and of intracellular Listeria. Zbl Hyg 189:2726.
  • Ly TMC, Müller HE. 1990a. Ingested Listeria monocytogenes survive and multiply in protozoa. J Med Microbiol 33:514.
  • Ly TMC, Müller HE. 1990b. Interactions of Listeria monocytogenes, Listeria seeligeri, and Listeria innocua with protozoans. J Gen Appl Microbiol 36:14350.
  • Lynn DH. 2008. The ciliated Protozoa: characterization, classification and guideline to the literature. Dordrecht, The Netherlands: Springer Science + Business Media B.V. 605 p.
  • Lynn DH, Strüder-Kypke MC. 2006. Species of Tetrahymena identical by small subunit rRNA gene sequences are discriminated by mitochondrial cytochrome c oxidase I gene sequences. J Eukaryot Microbiol 53:3857.
  • Madoni P. 1994. A sludge biotic index (SBI) for the evaluation of the biological performance of activated sludge plants based on the microfauna analysis. Water Res 28:6775.
  • Maguire B, Jr. 1963. The passive dispersal of small aquatic organisms and their colonization of isolated bodies of water. Ecol Monogr 33:16185.
  • Marciano-Cabral F, Cabral G. 2003. Acanthamoeba spp. as agents of disease in humans. Clin Microbiol Rev 16:273307.
  • Marciano-Cabral F, MacLean R, Mensah A, LaPat-Polasko L. 2003. Identification of Naegleria fowleri in domestic water sources by nested PCR. Appl Environ Microbiol 69:58649.
  • Matsuo J, Oguri S, Nakamura S, Hanawa T, Fukumoto T, Hayashi Y, Kawaguchi K, Mizutani Y, Yao T, Akizawa K, Suzuki H, Simizu C, Matsuno K, Kamiya S, Yamaguchi H. 2010. Ciliates rapidly enhance the frequency of conjugation between Escherichia coli strains through bacterial accumulation in vesicles. Res Microbiol 161:7119.
  • Matz C, Kjelleberg S. 2005. Off the hook: how bacteria survive protozoan grazing. Trends Microbiol 13:3027.
  • Matz C, Nouri B, McCarter L, Martinez-Urtaza J. 2011. Acquired type III secretion system determines environmental fitness of epidemic Vibrio parahaemolyticus in the interaction with bacterivorous protists. PLoS ONE 6:e20275.
  • Mauro SA, Koudelka GB. 2011. Shiga toxin: expression, distribution, and its role in the environment. Toxins 3:60825.
  • Mazur T, Hadaś E, Iwanicka I. 1995. The duration of the cyst stage and the viability and virulence of Acanthamoeba isolates. Trop Med Parasitol 46:1068.
  • McCuddin ZP, Carlson SA, Rasmussen MA, Franklin SK. 2006. Klebsiella to Salmonella gene transfer within rumen protozoa: implications for antibiotic resistance and rumen defaunation. Vet Microbiol 114:27584.
  • Medina G, Flores-Martin S, Fonseca B, Otth C, Fernandez H. 2014. Mechanisms associated with phagocytosis of Arcobacter butzleri by Acanthamoeba castellanii. Parasitol Res 113:193342.
  • Meltz Steinberg K, Levin BR. 2007. Grazing protozoa and the evolution of the Escherichia coli O157:H7 shiga toxin-encoding prophage. Proc R Soc B 274:19219.
  • Mergeryan H. 1991. The prevalence of Acanthamoeba in the human environment. Rev Infect Dis 13(Suppl5):S3901.
  • Michel R, Röhl R, Schneider H. 1982. Isolierung von freilebenden Amöben durch Gewinnung von Nasenschleimhautabstrichen bei gesunden Probanden. Zbl Bakt Hyg, I Abt Orig B 176:1559.
  • Miltner EC, Bermudez LE. 2000. Mycobacterium avium grown in Acanthamoeba castellanii is protected from the effects of antimicrobials. Antimicrob Agents Chemother 44:19904.
  • Moliner C, Fournier P-E, Raoult D. 2010. Genome analysis of microorganisms living in amoebae reveals a melting pot of evolution. FEMS Microbiol Rev 34:28194.
  • Molmeret M, Jarraud S, Pierre Morin J, Pernin P, Forey F, Reyrolle M, Vandenesch F, Etienne J, Farge P. 2001. Different growth rates in amoeba of genotypically related environmental and clinical Legionella pneumophila strains isolated from a thermal spa. Epidemiol Infect 126:2319.
  • Molmeret M, Horn M, Wagner M, Santic M, Abu Kwaik Y. 2005. Amoebae as training grounds for intracellular bacterial pathogens. Appl Environ Microbiol 71:208.
  • Morado JF. 2011. Protistan diseases of commercially important crabs: a review. J Invertebr Pathol 106:2753.
  • Mura M, Bull TJ, Evans H, Sidi-Boumedine K, McMinn L, Rhodes G, Pickup R, Hermon-Taylor J. 2006. Replication and long-term persistence of bovine and human strains of Mycobacterium avium subsp. paratuberculosis within Acanthamoeba polyphaga. Appl Environ Microbiol 72:8549.
  • Nadhanan RR, Thomas CJ. 2014. Colpoda secrete viable Listeria monocytogenes within faecal pellets. Environ Microbiol 16:396404.
  • Nagl M, Starlinger R, Tiefenbrunner F. 2000. Influence of sequential cultivation on virulence of Legionella pneumophila and Staphylococcus aureus. Int J Hyg Environ Health 203:1657.
  • Napolitano JJ. 1982. Isolation of amoebae from edible mushrooms. Appl Environ Microbiol 44:2557.
  • Napolitano JJ, Colletti-Eggolt C. 1984. Occurrence of amoebae on oak leaf lettuce (Lactuca sativa var. crispa) and Boston lettuce (L. sativa var. capitata). J Protozool 31:4545.
  • Nelson SM, Cooper AAA, Taylor EL, Salisbury VC. 2003. Use of bioluminescent Escherichia coli O157:H7 to study intra-protozoan survival of bacteria within Tetrahymena pyriformis. FEMS Microbiol Lett 223:959.
  • Nilsson JR. 1987. Structural aspects of digestion of Escherichia coli in Tetrahymena. J Protozool 34:16.
  • Nilsson JR. 2005. Ethanol affects endocytosis and proliferation of Tetrahymena pyriformis GL and promotes encystment. Acta Protozool 44:2939.
  • Novarino G, Warren A, Butler H, Lambourne G, Boxshall A, Bateman J, Kinner NE, Harvey RW, Mosse RA, Teltsch B. 1997. Protistan communities in aquifers: a review. FEMS Microbiol Rev 20:26175.
  • Nowack ECM, Melkonian M. 2010. Endosymbiotic associations with protists. Phil Trans R Soc B 365:699712.
  • Oguri S, Matsuo J, Hayashi Y, Nakamura S, Hanawa T, Fukumoto T, Mizutani Y, Yao T, Akizawa K, Suzuki H, Shimizu C, Matsuno K, Kamiya S, Yamaguchi H. 2011. Ciliates promote the transfer of the gene encoding the extended-spectrum β-lactamase CTX-M-27 between Escherichia coli strains. J Antimicrob Chemother 66:527230.
  • Ohkuma M. 2008. Symbioses of flagellates and prokaryotes in the gut of lower termites. Trends Microbiol 16:34552.
  • Ohno A, Kato N, Sakamoto R, Kimura S, Yamaguchi K. 2008. Temperature-dependent parasitic relationship between Legionella pneumophila and a free-living amoeba (Acanthamoeba castellanii). Appl Environ Microbiol 74:45858.
  • Olofsson J, Axelsson-Olsson D, Brudin L, Olsen B, Ellström P. 2013. Campylobacter jejuni actively invades the amoeba Acanthamoeba polyphaga and survives within non digestive vacuoles. PLoS ONE 8:e78873.
  • Ott CM, Bruce RJ, Pierson DL. 2004. Microbial characterization of free floating condensate aboard the MIR space station. Microb Ecol 47:1336.
  • Otterholt E, Charnock C. 2011. Identification and phylogeny of the small eukaryote population of raw and drinking waters. Water Res 45:252738.
  • Pagnier I, Raoult D, La Scola B. 2008. Isolation and identification of amoeba-resisting bacteria from water in human environment by using an Acanthamoeba polyphaga co-culture procedure. Environ Microbiol 10:113544.
  • Pang M-D, Lin X-Q, Hu M, Li J, Lu C-P, Liu Y-J. 2012. Tetrahymena: an alternative model host for evaluating virulence of Aeromonas strains. PLoS ONE 7:e48922.
  • Parry JD. 2004. Protozoan grazing of freshwater biofilms. Adv Appl Microbiol 54:16796.
  • Paszko-Kolva C, Yamamoto H, Shahamat M, Sawyer TK, Morris G, Colwell RR. 1991. Isolation of amoebae and Pseudomonas and Legionella spp. from eyewash stations. Appl Environ Microbiol 57:1637.
  • Patterson DJ. 1998. Free-living freshwater protozoa: a colour guide. London: Manson Publishing Ltd. 223 p.
  • Patterson WJ, Hay J, Seal DV, McLuckie JC. 1997. Colonization of transplant unit water supplies with Legionella and protozoa: precautions required to reduce the risk of legionellosis. J Hosp Infect 37:717.
  • Pauli W, Jax K, Berger S. 2001. Protozoa in wastewater treatment: function and importance. In: Beek B, editor. The handbook of environmental chemistry Vol. 2 Part K - Biodegradation and Persistence. Berlin, Heidelberg: Springer-Verlag. p 20352.
  • Penland RL, Wilhelmus KR. 1999. Microbiologic analysis of bottled water: is it safe for use with contact lenses? Ophthalmology 106:15003.
  • Pernthaler J, Sattler B, Šimek K, Schwarzenbacher A, Psenner R. 1996. Top-down effects on the size-biomass distribution of a freshwater bacterioplankton community. Aquat Microb Ecol 10:25563.
  • Pernthaler J. 2005. Predation on prokaryotes in the water column and its ecological implications. Nat Rev Microbiol 3:53746 and Corrigendum in: Nat Rev Microbiol 3:739.
  • Pickup ZL, Pickup R, Parry JD. 2007. Growth of Acanthamoeba castellanii and Hartmannella vermiformis on live, heat-killed and DTAF-stained prey. FEMS Microbiol Ecol 61:26472.
  • Poitelon J-B, Joyeux M, Welté B, Duguet J-P, Peplies J, DuBow MS. 2009. Identification and phylogeny of eukaryotic 18S rDNA phylotypes detected in chlorinated finished drinking water samples from three Parisian surface water treatment plants. Lett Appl Microbiol 49:58995.
  • Preston TM, Richards H, Wotton RS. 2001. Locomotion and feeding of Acanthamoeba at the water-air interface of ponds. FEMS Microbiol Lett 194:1437.
  • Puri A, Dudley EG. 2010. Influence of indigenous eukaryotic microbial communities on the reduction of Escherichia coli O157:H7 in compost slurry. FEMS Microbiol Lett 313:14854.
  • Pushkareva VI, Ermolaeva SA. 2010. Listeria monocytogenes virulence factor listeriolysin O favors bacterial growth in co-culture with the ciliate Tetrahymena pyriformis, causes protozoan encystment and promotes bacterial survival inside cysts. BMC Microbiol 10:26.
  • Qvarnstrom Y, Nerad TA, Visvesvara GS. 2013. Characterization of a new pathogenic Acanathamoeba species, A. byersi n. sp., isolated from a human with fatal amoebic encephalitis. J Eukaryot Microbiol 60:62633.
  • Rahman M, Abd H, Romling U, Sandstrom G, Möllby R. 2008. Aeromonas-Acanthamoeba interaction and early shift to a viable but nonculturable state of Aeromonas by Acanthamoeba. J Appl Microbiol 104:144957.
  • Ramirez E, Campoy E, Matuz D, Robles E. 2006. Acanthamoeba isolated from contaminated groundwater. J Eukaryot Microbiol 53(S1):S101.
  • Rasmussen MA, Carlson SA, Franklin SK, McCuddin ZP, Wu MT, Sharma VK. 2005. Exposure to rumen protozoa leads to enhancement of pathogenicity of and invasion by multiple-antibiotic-resistant Salmonella enterica bearing SGI1. Infect Immun 73:466875.
  • Ravva SV, Sarreal CZ, Mandrell RE. 2010. Identification of protozoa in dairy lagoon wastewater that consume Escherichia coli O157:H7 preferentially. PLoS ONE 5:e15671.
  • Rehfuss MYM, Parker CT, Brandl MT. 2011. Salmonella transcriptional signature in Tetrahymena phagosomes and role of acid tolerance in passage through the protist. ISME J 5:26273.
  • Revill DL, Stewart KW, Schlichting HE, Jr. 1967a. Passive dispersal of viable algae and protozoa by certain craneflies and midges. Ecology 48:10237.
  • Revill DL, Stewart KW, Schlichting HE, Jr. 1967b. Dispersal of viable algae and protozoa by horse flies and mosquitoes (Diptera: Tabanidae, Culicidae). Ann Entomol Soc Am 60:107781.
  • Richards AM, Von Dwingelo JE, Price CT, Abu Kwaik Y. 2013. Cellular microbiology and molecular ecology of Legionella-amoeba interaction. Virulence 4(4):18.
  • Risse-Buhl U, Herrmann M, Lange P, Akob DM, Pizani N, Schönborn W, Totsche KU, Küsel K. 2013. Phagotrophic protist diversity in the groundwater of a karstified aquifer: morphological and molecular analysis. J Eukaryot Microbiol 60:46779.
  • Rivera F, Galván M, Robles E, Leal P, González L, Lacy AM. 1981. Bottled mineral waters polluted by protozoa in Mexico. J Protozool 28:546.
  • Rivera F, Lugo A, Ramírez E, Bonilla P, Calderón A, Rodríguez S, Ortiz R, Gallegos E, Labastida A, Chavez MP. 1992. Seasonal distribution of air-borne protozoa in Mexico City and its suburbs. Water Air Soil Pollut 61:1736.
  • Rivera F, Ramírez E, Bonilla P, Calderón A, Gallegos E, Rodríguez S, Ortiz R, Zaldívar B, Ramírez P, Durán A. 1993. Pathogenic and free-living amoebae isolated from swimming pools and physiotherapy tubs in Mexico. Environ Res 62:4352.
  • Rogerson A, Detwiler A. 1999. Abundance of airborne heterotrophic protists in ground level air of South Dakota. Atmos Res 51:3544.
  • Rohr U, Weber S, Michel R, Selenka F, Wilhelm M. 1998. Comparison of free-living amoebae in hot water systems of hospitals with isolates from moist sanitary areas by identifying genera and determining temperature tolerance. Appl Environ Microbiol 64:18224.
  • Rojo-Herguedas I, Olmo JL. 1999. The ciliated protozoa of the pitcher plant Sarracenia purpurea. Acta Protozool 38:1559.
  • Rowbotham TJ. 1980. Preliminary report on the pathogenicity of Legionella pneumophila for freshwater and soil amoebae. J Clin Pathol 33:117983.
  • Rowbotham TJ. 1986. Current views on the relationships between amoebae, legionellae and man. Isr J Med Sci 22:67889.
  • Rude RA, Jackson GJ, Bier JW, Sawyer TK, Risty NG. 1984. Survey of fresh vegetables for nematodes, amoebae, and Salmonella. J Assoc Off Anal Chem 67:6135.
  • Ruinen J. 1961. The phyllosphere: an ecologically neglected milieu. Plant Soil 15:81109.
  • Saeed A, Abd H, Edvinsson B, Sandström G. 2009. Acanthamoeba castellanii an environmental host for Shigella dysenteriae and Shigella sonnei. Arch Microbiol 191:838.
  • Saeed A, Johansson D, Sandström G, Abd H. 2012. Temperature depended role of Shigella flexneri invasion plasmid on the interaction with Acanthamoeba castellanii. Int J Microbiol 2012:ID 917031.
  • Salazar HC, Moura H, Ramos RT. 1982. Isolamento de amebas de vida livre a partir de água mineral engarrafada. Rev Saúde públ 16:2617.
  • Sandström G, Saeed A, Abd H. 2010. Acanthamoeba polyphaga is a possible host for Vibrio cholerae. Exp Parasitol 126:658.
  • Sauvant MP, Pepin D, Piccinni E. 1999. Tetrahymena pyriformis: a tool for toxicological studies. Chemosphere 38:163169.
  • Scamardella JM. 1999. Not plants or animals: a brief history of the origin of Kingdoms Protozoa, Protista and Protoctista. Int Microbiol 2:20716.
  • Scheid PL, Schwarzenberger R. 2011. Free-living amoebae as vectors of cryptosporidia. Parasitol Res 109:499504.
  • Schlegel M, Meisterfeld R. 2003. The species problem in protozoa revisited. Eur J Protistol 39:34955.
  • Schlichting HE, Jr. 1964. Meteorological conditions affecting the dispersal of airborne algae and protozoa. Lloydia 27:6478.
  • Schlimme W, Marchiani M, Hanselmann K, Jenni B. 1997. Gene transfer between bacteria within digestive vacuoles of protozoa. FEMS Microbiol Ecol 23:23947.
  • Scholz T. 1999. Parasites in cultured and feral fish. Vet Parasitol 84:31735.
  • Schweikert M, Fujishima M, Görtz H-D. 2013. Symbiotic associations between ciliates and prokaryotes. In: Rosenberg E, DeLong EF, Lory S, Stackebrandt E, Thompson F, editors. The prokaryotes: prokaryotic biology and symbiotic associations. Berlin, Heidelberg: Springer-Verlag. p 42763.
  • Sharma AK, Pandey R, Pandey K. 2004. A report on the occurrence of amphizoic amoebae from carrot. Flora Fauna (Jhansi) 10:1413.
  • Sherr EB, Sherr BF. 2002. Significance of predation by protists in aquatic microbial food webs. Antonie van Leeuwenhoek 81:293308.
  • Siddiqui R, Khan NA. 2012. Biology and pathogenesis of Acanthamoeba. Parasit Vectors 5:6.
  • Siddiqui R, Malik H, Sagheer M, Jung S-Y, Khan NA. 2011. The type III secretion system is involved in Escherichia coli K1 interactions with Acanthamoeba. Exp Parasitol 128:40913.
  • Siegmund L, Burmester A, Fischer MS, Wöstemeyer J. 2013. A model for endosymbiosis: interactions between Tetrahymena pyriformis and Escherichia coli. Eur J Protistol 49:55263.
  • Sigee DC. 2005. Grazing activities in the freshwater environment: the role of protozoa and invertebrates. In: Freshwater microbiology: biodiversity and dynamic interactions of microorganisms in the aquatic environment. Chichester, UK: John Wiley & Sons Ltd. p 40141.
  • Simmons RB, Rose LJ, Crow SA, Ahearn DG. 1999. The occurrence and persistence of mixed biofilms in automobile air conditioning systems. Curr Microbiol 39:1415.
  • Simon EM, Nanney DL, Doerder FP. 2008. The “Tetrahymena pyriformis” complex of cryptic species. Biodivers Conserv 17:36580.
  • Singh T, Coogan MM. 2006. Isolation of pathogenic Legionella species and legionella-laden amoebae in dental unit waterlines. J Hosp Infect 61:25762.
  • Sleigh MA. 1989. Protozoa and other protists. London: Edward Arnold (a Hodder and Stoughton Ltd. Div.). 343 p.
  • Smirnov AV, Brown S. 2004. Guide to the methods of study and identification of soil gymnamoebae. Protistology 3:14890.
  • Smith CD, Berk SG, Brandl MT, Riley LW. 2012. Survival characteristics of diarrheagenic Escherichia coli pathogypes and Helicobacter pylori during passage through the free-living ciliate, Tetrahymena sp. FEMS Microbiol Ecol 82:57483.
  • Snelling WJ, McKenna JP, Lecky DM, Dooley JSG. 2005. Survival of Campylobacter jejuni in waterborne protozoa. Appl Environ Microbiol 71:556071 and Author's correction in: Appl Environ Microbiol 71:7631.
  • Snelling WJ, McKenna JP, Hack CJ, Moore JE, Dooley JSG. 2006. An examination of the diversity of a novel Campylobacter reservoir. Arch Microbiol 186:3140.
  • Snelling WJ, Stern NJ, Lowery CJ, Moore JE, Gibbons E, Baker C, Dooley JSG. 2008. Colonization of broilers by Campylobacter jejuni internalized within Acanthamoeba castellanii. Arch Microbiol 189:1759.
  • Sriram R, Shoff M, Booton G, Fuerst P, Visvesvara GS. 2008. Survival of Acanthamoeba cysts after desiccation for more than 20 years. J Clin Microbiol 46:40458.
  • Stanford K, Bach SJ, Stephens TP, McAllister TA. 2010. Effect of rumen protozoa on Escherichia coli O157:H7 in the rumen and feces of specifically faunated sheep. J Food Prot 73:2197202.
  • Steinert M, Emödy L, Amann R, Hacker J. 1997. Resuscitation of viable but nonculturable Legionella pneumophila Philadelphia JR32 by Acanthamoeba castellanii. Appl Environ Microbiol 63:204753.
  • Steinert M, Birkness K, White E, Fields B, Quinn F. 1998. Mycobacterium avium bacilli grow saprozoically in coculture with Acanthamoeba polyphaga and survive within cyst walls. Appl Environ Microbiol 64:225661.
  • Stockman LJ, Wright CJ, Visvesvara GS, Fields BS, Beach MJ. 2011. Prevalence of Acanthamoeba spp. and other free-living amoebae in household water, Ohio, USA: 1990–1992. Parasitol Res 108:6217.
  • Stolfa G, Koudelka GB. 2013. Entry and killing of Tetrahymena thermophila by bacterially produced Shiga toxin. mBio 4:e0041612.
  • Storey MV, Winiecka-Krusnell J, Ashbolt NJ, Stenström T-A. 2004. The efficacy of heat and chlorine treatment against thermotolerant Acanthamoebae and Legionellae. Scand J Infect Dis 36:65662.
  • Stott R, May E, Ramirez E, Warren A. 2003. Predation of Cryptosporidium oocysts by protozoa and rotifers: implications for water quality and public health. Wat Sci Tech 47:7783.
  • Taylor M, Ross K, Bentham R. 2009. Legionella, protozoa, and biofilms: interactions within complex microbial systems. Microb Ecol 58:53847.
  • Tezcan-Merdol D, Ljungström M, Winiecka-Krusnell J, Linder E, Engstrand L, Rhen M. 2004. Uptake and replication of Salmonella enterica in Acanthamoeba rhysodes. Appl Environ Microbiol 70:370614.
  • Tezcan-Merdol D, Engstrand L, Rhen M. 2005. Salmonella enterica SpvB-mediated ADP-ribosylation as an activator for host cell actin degradation. Int J Med Microbiol 295:20112.
  • Thom S, Warhurst D, Drasar BS. 1992. Association of Vibrio cholerae with fresh water amoebae. J Med Microbiol 36:3036.
  • Thomas JM, Ashbolt NJ. 2011. Do free-living amoebae in treated drinking water systems present an emerging health risk? Environ Sci Technol 45:8609.
  • Thomas V, Herrera-Rimann K, Blanc DS, Greub G. 2006. Biodiversity of amoebae and amoeba-resisting bacteria in a hospital water network. Appl Environ Microbiol 72:242838.
  • Thomas V, Loret J-F, Jousset M, Greub G. 2008. Biodiversity of amoebae and amoebae-resisting bacteria in a drinking water treatment plant. Environ Microbiol 10:272845.
  • Thomas V, McDonnell G, Denyer SP, Maillard J-Y. 2010. Free-living amoebae and their intracellular pathogenic microorganisms: risks for water quality. FEMS Microbiol Rev 34:23159.
  • Thurman J, Drinkall J, Parry JD. 2010. Digestion of bacteria by the freshwater ciliate Tetrahymena pyriformis. Aquat Microb Ecol 60:16374.
  • Trabelsi H, Sellami A, Dendena F, Sellami H, Cheikh-Rouhou F, Makni F, Ben Dhiaa S, Ayadi A. 2010. Free-living amoebae (FLA): morphological and molecular identification of Acanthamoeba in dental unit water. Parasite 17:6770.
  • Trzyna WC, Mbugua MW, Rogerson A. 2010. Acanthamoeba in the domestic water supply of Huntington, West Virginia, U.S.A. Acta Protozool 49:915.
  • US Environmental Protection Agency. 2003. Regulatory determinations for priority contaminants on the first drinking water contaminant candidate list. Available from: Accessed 2014 February 15.
  • US Environmental Protection Agency. 2009. Final contaminant candidate list 3 microbes: PCCL to CCL process. Available from: Accessed 2014 February 15.
  • Vaerewijck MJM, Sabbe K, Baré J, Houf K. 2008. Microscopic and molecular studies of the diversity of free-living protozoa in meat-cutting plants. Appl Environ Microbiol 74:57419.
  • Vaerewijck MJM, Sabbe K, Van Hende J, Baré J, Houf K. 2010. Sampling strategy, occurrence and diversity of free-living protozoa in domestic refrigerators. J Appl Microbiol 109:156678.
  • Vaerewijck MJM, Sabbe K, Baré J, Houf K. 2011. Occurrence and diversity of free-living protozoa on butterhead lettuce. Int J Food Microbiol 147:10511.
  • Vaerewijck MJM, Sabbe K, Baré J, Spengler H-P, Favoreel HW, Houf K. 2012. Assessment of the efficacy of benzalkonium chloride and sodium hypochlorite against Acanthamoeba polyphaga and Tetrahymena spp. J Food Prot 75:5416.
  • Valster RM, Wullings BA, Bakker G, Smidt H, van der Kooij D. 2009. Free-living protozoa in two unchlorinated drinking water supplies, identified by phylogenic analysis of 18S rRNA gene sequences. Appl Environ Microbiol 75:473646.
  • Van Waeynberghe L, Baré J, Pasmans F, Claeys M, Bert W, Haesebrouck F, Houf K, Martel A. 2013. Interaction of Aspergillus fumigatus conidia with Acanthamoeba castellanii parallels macrophage-fungus interactions. Environ Microbiol Rep 5:81924.
  • Veira DM. 1986. The role of ciliate protozoa in nutrition of the ruminant. J Anim Sci 63:154760.
  • Visvesvara GS, Moura H, Schuster FL. 2007. Pathogenic and opportunistic free-living amoebae: Acanthamoeba spp., Balamuthia mandriallaris, Naegleria fowleri, and Sappinia diploidea. FEMS Immunol Med Microbiol 50:126.
  • Walochnik J, Picher O, Aspöck C, Ullmann M, Sommer R, Aspöck H. 1999. Interactions of “limax amoebae” and gram-negative bacteria: experimental studies and review of current problems. Tokai J Exp Clin Med 23:2738.
  • Whan L, Grant IR, Rowe MT. 2006. Interaction between Mycobacterium avium subsp. paratuberculosis and environmental protozoa. BMC Microbiol 6:63.
  • White CI, Birtles RJ, Wigley P, Jones PH. 2010. Mycobacterium avium subspecies paratuberculosis in free-living amoebae isolated from fields not used for grazing. Vet Rec 166:4012.
  • Whittaker RH. 1969. New concepts of kingdoms of organisms. Evolutionary relations are better represented by new classifications than by the traditional two kingdoms. Science 163:15060.
  • Williams AG. 1986. Rumen holotrich ciliate protozoa. Microbiol Rev 50:2549.
  • Winiecka-Krusnell J, Dellacasa-Lindberg I, Dubey JP, Barragan A. 2009. Toxoplasma gondii: uptake and survival of oocysts in free-living amoebae. Exp Parasitol 121:12431.
  • Woese CR, Kandler O, Wheelis ML. 1990. Towards a natural system of organisms: proposal for the domains Archaea, Bacteria, and Eucarya. Proc Natl Acad Sci USA 87:45769.
  • World Health Organization. 2011. Chapter 11–Microbial fact sheets. In: Guidelines for drinking-water quality. 4th ed. Geneva, Switzerland: World Health Organization. p 231306.
  • Xiong N, Brewer MT, Day TA, Kimber MJ, Barnhill AE, Carlson SA. 2010. Evaluation of the pathogenicity and virulence of three strains of Salmonella organisms in calves and pigs. Am J Vet Res 71:11707.
  • Yamamoto H, Sugiura M, Kusunoki S, Ezaki T, Ikedo M, Yabuuchi E. 1992. Factors stimulating propagation of legionellae in cooling tower water. Appl Environ Microbiol 58:13947.
  • Yli-Pirilä T, Kusnetsov J, Haatainen S, Hänninen M, Jalava P, Reiman M, Seuri M, Hirvonen M-R, Nevalainen A. 2004. Amoebae and other protozoa in material samples from moisture-damaged buildings. Environ Res 96:2506.
  • Yli-Pirilä T, Kusnetsov J, Hirvonen M-R, Seuri M, Nevalainen A. 2006. Effects of amoebae on the growth of microbes isolated from moisture-damaged buildings. Can J Microbiol 52:38390.
  • Yousuf FA, Siddiqui R, Khan NA. 2013. Acanthamoeba castellanii of the T4 genotype is a potential environmental host for Enterobacter aerogenes and Aeromonas hydrophila. Parasit Vectors 6:169.
  • Zaman V, Zaki M, Manzoor M. 1999. Acanthamoeba in human faeces from Karachi. Ann Trop Med Parasitol 93:18991.
  • Zhou X, Elmose J, Call DR. 2007. Interactions between the environmental pathogen Listeria monocytogenes and a free-living protozoan (Acanthamoeba castellanii). Environ Microbiol 9:91322.
  • Zufall RA, Dimond KL, Doerder FP. 2013. Restricted distribution and limited gene flow in the model ciliate Tetrahymena thermophila. Mol Ecol 22:108191.