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Bacillus anthracis

Bacillus anthracis is a gram-positive and rod-shaped bacterium that causes anthrax, a deadly disease to livestock and, occasionally, to humans. It is the only permanent (obligate) pathogen within the genus Bacillus. Its infection is a type of zoonosis, as it is transmitted from animals to humans.[1] It was discovered by a German physician Robert Koch in 1876, and became the first bacterium to be experimentally shown as a pathogen. The discovery was also the first scientific evidence for the germ theory of diseases.[2]

B. anthracis measures about 3 to 5 μm long and 1 to 1.2 μm wide. The reference genome consists of a 5,227,419 bp circular chromosome and two extrachromosomal DNA plasmids, pXO1 and pXO2, of 181,677 and 94,830 bp respectively,[3] which are responsible for the pathogenicity. It forms a protective layer called endospore by which it can remain inactive for many years and suddenly becomes infective under suitable environmental conditions. Because of the resilience of the endospore, the bacterium is one of the most popular biological weapons. The protein capsule (poly-D-gamma-glutamic acid) is key to evasion of the immune response. It feeds on the heme of blood protein haemoglobin using two secretory siderophore proteins, IsdX1 and IsdX2.


Untreated B. anthracis infection is usually deadly. Infection is indicated by inflammatory, black, necrotic lesions (eschars). The sores usually appear on the face, neck, arms, or hands. Fatal symptoms include a flu-like fever, chest discomfort, diaphoresis (excessive sweating), and body aches. The first animal vaccine against anthrax was developed by French chemist Louis Pasteur in 1881. Different animal and human vaccines are now available. The infection can be treated with common antibiotics such as penicillins, quinolones, and tetracyclines.

(34F2; aka the "Weybridge strain"), used by Max Sterne in his 1930s vaccines

Sterne strain

Vollum strain

Gruinard Island

Anthrax 836, highly virulent strain weaponized by the USSR; discovered in in 1953

Kirov

Ames strain

H9401, isolated from human patient in Korea; used in investigational anthrax vaccines

[12]

The 89 known strains of B. anthracis include:

Cutaneous, the most common form (95%), causes a localized, inflammatory, black, necrotic lesion (). Most often the sore will appear on the face, neck, arms, or hands. Development can occur within 1–7 days after exposure.

eschar

Inhalation, a rare but highly fatal form, is characterized by flu-like symptoms, chest discomfort, diaphoresis, and body aches. Development occurs usually a week after exposure, but can take up to two months.

[24]

Gastrointestinal, a rare but also fatal (causes death to 25%) type, results from ingestion of spores. Symptoms include: fever and chills, swelling of neck, painful swallowing, hoarseness, nausea and vomiting (especially bloody vomiting), diarrhea, flushing and red eyes, and swelling of abdomen. Symptoms can develop within 1–7 days

[24]

Injection, symptoms are similar to those of cutaneous anthrax, but injection anthrax can spread throughout the body faster and can be harder to recognize and treat compared to cutaneous anthrax. Symptoms include, fever, chills, a group of small bumps or blisters that may itch, appearing where the pathogen was injected. A painless sore with a black center that appears after the blisters or bumps. Swelling around the sore. Abscesses deep under the skin or in the muscle where the pathogen was injected. This type of entry has never been found in the US.

[24]

Host interactions[edit]

As with most other pathogenic bacteria, B. anthracis must acquire iron to grow and proliferate in its host environment. The most readily available iron sources for pathogenic bacteria are the heme groups used by the host in the transport of oxygen. To scavenge heme from host hemoglobin and myoglobin, B. anthracis uses two secretory siderophore proteins, IsdX1 and IsdX2. These proteins can separate heme from hemoglobin, allowing surface proteins of B. anthracis to transport it into the cell.[30]


B. anthracis must evade the immune system to establish a successful infection. B. anthracis spores are immediately phagocytosed by macrophages and dendritic cells once they enter the host.  The dendritic cells can control the infection through effective intracellular elimination, but the macrophages can transport the bacteria directly inside the host by crossing a thin layer of epithelial or endothelial cells to reach the circulatory system.[31] Normally, in the phagocytosis process, the pathogen is digested upon internalization by the macrophage. However, rather than being degraded, the anthrax spores hijack the function of the macrophage to evade recognition by the host immune system. Phagocytosis of B. anthracis spores begins when the transmembrane receptors on the extracellular membrane of the phagocyte interacts with a molecule on the surface of the spore. CD14, an extracellular protein embedded in the host membrane, binds to rhamnose residues of BclA, a glycoprotein of the B. anthracis exosporium, which promotes inside-out activation of the integrin Mac-1, enhancing spore internalization by macrophages. This cascade results in phagocytic cellular activation and induction of an inflammatory response.[32]

How to sample with cellulose sponge on non-porous surfaces
How to sample with macrofoam swab on non-porous surfaces

The presence of B. anthracis can be determined through samples taken on non-porous surfaces.

Abakar, Mahamat H.; Mahamat, Hassan H. (September 2012). (PDF). Jordan Journal of Biological Sciences. 5 (3): 203–208. S2CID 36932865.

"Properties and Antibiotic Susceptibility of Bacillus anthracis Isolates from Humans, Cattle and Tabanids, and Evaluation of Tabanid as Mechanical Vector of Anthrax in the Republic of Chad"

Edmonds, Jason; Lindquist, H. D. Alan; Sabol, Jonathan; Martinez, Kenneth; Shadomy, Sean; Cymet, Tyler; Emanuel, Peter (28 April 2016). . PLOS ONE. 11 (4): e0152225. Bibcode:2016PLoSO..1152225E. doi:10.1371/journal.pone.0152225. PMC 4849716. PMID 27123934.

"Multigeneration Cross-Contamination of Mail with Bacillus anthracis Spores"

Sekhavati, Mohammad; Tadayon, Keyvan; Ghaderi, Rainak; Banihashemi, Reza; Jabbari, Ahmad Reza; Shokri, Gholamreza; Karimnasab, Nasim (2015). . Iranian Journal of Microbiology. 7 (1): 45–49. PMC 4670467. PMID 26644873.

"'In-house' production of DNA size marker from a vaccinal Bacillus anthracis strain"

Roy, P. Roy; Rashid, M. M.; Ferdoush, M. J.; Dipti, M.; Chowdury, M. G. A.; Mostofa, M. G.; Roy, S. K.; Khan, Mahna; Hossain, M. M. (2013). . Bangladesh Journal of Veterinary Medicine. 11 (2): 151–157. doi:10.3329/bjvm.v11i2.19140.

"Biochemical and immunological characterization of anthrax spore vaccine in goat"

Kusar, D.; Pate, M.; Hubad, B.; Avbersek, J.; Logar, K.; Lapanje, A.; Zrimec, A.; Ocepek, M. (2012). . Acta Veterinaria. 62 (1): 77–89. doi:10.2298/AVB1201077K.

"Detection of Bacillus anthracis in the air, soil and animal tissue"

genomes and related information at PATRIC, a Bioinformatics Resource Center funded by NIAID

Bacillus anthracis

Pathema-Bacillus Resource