INTERNATIONAL JOURNAL O F SYSTEMATIC BACTERIOLOGY Vol. 18, No. 1 J a n u a r y 1968 pp. 51- 66 Copyright 1968, Iowa State University P r e s s PROPOSAL FOR THE RECOGNITION OF TWO SPECIES IN THE GENUS CHLAMYDIA JONES, RAKE, AND STEARNS, 1945' L.A. P a g e Z National Animal D i s e a s e L a b o r a t o r y , Animal D i s e a s e and P a r a s i t e R e s e a r c h Division, A g r i c u l t u r a l R e s e a r c h S e r v i c e , United S t a t e s Department of A g r i c u l t u r e , A m e s , Iowa ABSTRACT. T h e b a c t e r i a w h i c h c a u s e t h e p s i t t a c o s i s - t r a c h o m a g r o u p of d i s e a s e s a n d w h i c h a r e assigned to the genus Chlamydia Jones, Rake, and Stearns, 1945, can be separated conveniently and logically into two species. This separation is based on relatively stable morphological and chemical characteristics of t h e o r g a n i s m s r a t h e r t h a n o n t h e i r p r e sumed host o r tissue preferences o r on the s p e c i f i c s e r o l o g y of t h e i r c e l l w a l l a n t i g e n s . The type species Chlamydia trachomatis (Busacca) Rake 1957 is differentiated f r o m the second species Chlamydia psittaci (Lillie 1930) comb. nov., by a s i m p l e key using t e s t s t h a t can be p e r f o r m e d r e a d i l y i n t h e l a b o r a tory. E a c h species is defined, and the laboratory tests are described. - - - - - - - - - - - INTRODUCTION In 1965 it w a s a p p a r e n t that the n u m e r o u s taxonomic and n o m e n c l a t u r a l proposals m a d e o v e r two decades by A m e r i can, R u s s i a m a n d F r e n c h w o r k e r s had failed t o s t a b i l i z e the scientific naming of the group of r e l a t e d o r g a n i s m s that c a u s e p s i t t a c o s i s , t r a c h o m a , and o t h e r d i s e a s e s . P r i o r t o This p r o p o s a l h a s been reviewed and approved by a m a j o r ity of the m e m b e r s of the Subcommittee on the Chlamydiac e a e , Taxonomy Committee, A m e r i c a n Society f o r Microbiology, October 1967. S e c r e t a r y , Subcommittee on the Chlamydiaceae, Taxonomy Committee, A m e r i c a n Society f o r Microbiology. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 52 INTERNATIONAL JOURNAL 1965, A m e r i c a n s y s t e m a t i s t s a d h e r e d t o R a k e ' s p l a c e m e n t of t h e s e o r g a n i s m s into two g e n e r a , Chlamydia Rake 1956 and Miyagawanella B r u m p t 1938, although m a n y w o r k e r s f a v o r e d , f o r h i s t o r i c a n d phonetic r e a s o n s t h e g e n e r i c n a m e Bedsonia, which w a s belatedly p r o p o s e d by M e y e r (1953). Intervening w e r e the validly published p r o p o s a l s of Moshkovs ky ( 1945), Ryzhkov ( 1 950), Zhdanov a n d K o r e n b l i t ( 1950), and Zhdanov(l953) of t h e genus n a m e s Chlamydozoon f o r t h e organisms causing trachoma and Ehrlichia o r Rickettsiaf o r m i s f o r the o r g a n i s m s c a u s i n g p s i t t a c o s i s . The Russian a u t h o r s c o n s i d e r e d t h e m t o be v i r u s e s . Lastly, Levaditi, R o g e r , and D e s t o m b e s p r o p o s e d i n 1964 t h a t t h e s e o r g a n i s m s be s p l i t a m o n g f o u r g e n e r a : Chlamydia Rake, Miyagawanella B r u m p t , Bedsonia M e y e r , and R a k e i a L e v a d i t i gt 21. T h e q u e s t i o n s r a i s e d by t h e s e v a r i o u s p r o p o s a l s w e r e e x a m i n e d f o r t a x o n o m i c m e r i t i n t h e light of r e c e n t c h l a m y d i a l r e s e a r c h , and evaluated a c c o r d i n g t o t h e I n t e r n a t i o n a l Code of N o m e n c l a t u r e of B a c t e r i a (1958) f o r n o m e n c l a t u r a l l e g i t i m a c y ( P a g e 1966). T h e conclusions of t h i s study, r e a c h e d after consultation with Arne r i c a n s y s t e m a t i s t s a n d microbiologists,l were: ( 1 ) T h a t t h e evidence a c c u m u l a t e d by M o u l d e r ( 1 964, 1966) and o t h e r s e s t a b l i s h e d t h a t t h e etiologic a g e n t s of t r a c h o m a , psittacosis, and related diseases w e r e procaryotic m i c r o o r g a n i s m s , o r b a c t e r i a in t h e b r o a d s e n s e , a n d w e r e fundamentally distinct f r o m the viruses. ( 2 ) T h a t t h e c h a r a c t e r i s t i c s u s e d t o unite t h e s e o r g a n i s m s i n t o a s i n g l e genus (morphology, d e v e l o p m e n t a l cycle, a n d g r o u p a n t i g e n ) w e r e of g r e a t e r t a x o n o m i c significance t h a n t h e c h a r a c t e r i s t i c s u s e d t o s e p a r a t e t h e m i n t o two o r f o u r g e n e r a ( p r e s u m e d h o s t o r t i s s u e p r e f e r e n c e s on t h e p a r t of t h e o r g a n i s m s , and p a t r o n y m i c s on t h e p a r t of h i s t o r y m i n d e d humans). T h e r e f o r e , it w a s a p p r o p r i a t e t o c l a s s i f y the g r o u p of o r g a n i s m s into one genus. ( 3 ) T h a t , a c c o r d i n g t o t h e r u l e s of the I n t e r n a t i o n a l Code of N o m e n c l a t u r e of B a c t e r i a , t h e e a r l i e s t validly published, l e g i t i m a t e and c o r r e c t n a m e f o r t h i s genus w a s C h l a m y d i a , J o n e s , R a k e and S t e a r n s , 1945. These authors also were t h e f i r s t t o e x p r e s s t h e concept t h a t a l l of the a g e n t s c a u s i n g either trachoma, psittacosis o r related diseases were m e m b e r s of a s i n g l e g e n u s . A l l o t h e r g e n e r i c n a m e s f o r c h l a m y d i a e e i t h e r w e r e invalidly published o r w e r e l a t e r s y n o n y m s of Chlamydia. R. E. Buchanan, C. B. P h i l i p , J. W. M o u l d e r , F. B. Gordon, E. J a w e t z , a n d M. P o l l a r d . Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 SYSTEMATIC BACTERIOLOGY 53 T h e publication by P a g e (1966) did not p r o p o s e any new n a m e s , but i t c l a r i f i e d t h e t a x o n o m i c and n o m e n c l a t u r a l position of p r e v i o u s l y p r o p o s e d n a m e s and e m p h a s i z e d t h e c o r r e c t s c i e n t i f i c name. Its p u r p o s e w a s t o s i m p l i f y and t o s t a b i l i z e chlamydia1 n o m e n c l a t u r e . R e a s o n s f o r t h e Recognition a t P r e s e n t of Two S p e c i e s i n t h e Genus Chlamydia In t h e p a s t , c l a s s i f i c a t i o n s y s t e m s p r o p o s e d f o r c h l a m y d i a e have u s e d p r e s u m e d t i s s u e o r h o s t affinities of t h e o r g a n i s m s a s heavily weighted t a x o n o m i c c r i t e r i a . T h i s is u n d e r s t a n d a b l e b e c a u s e l e s s w a s known about t h e o r g a n i s m s t h e m s e l v e s t h a n about the d a m a g e t h e y c a u s e d t o t h e i r h o s t s . Moshkovsky ( 1945) e m p h a s i z e d h o s t c e l l o r i g i n and i n t r o duced t h e t e r m s " m e s o d e r m o s i s " f o r p s i t t a c o s i s , lymphog r a n u l o m a v e n e r e u m , a n d a n u m b e r of o t h e r d i s e a s e s , and " e c t o d e r m o s i s " f o r t r a c h o m a and v a r i o u s conjunctival inflammations. He c l a s s i f i e d t h e etiologic a g e n t s of t h e s e d i s e a s e s on t h e b a s i s of t h e i r p r e s u m e d - t i s s u e c e l l affinities. The c l a s s i f i c a t i o n s y s t e m of R a k e in B e r g e y ' s 6th (1948) and 7th ( 1 957) editions a l s o r e f l e c t e d a tissue-affinity/ h o s t p r e f e r e n c e outlook. E x a m p l e s a r e : Disease Trachoma Inclus ion c onjunct i viti s Lymphogranuloma venereum Psittacosis P s i t t a c o s i s i n nonpsittacine birds Enzootic abortion in ewes S p o r a d i c bovine e n c e pha l o m ye l i ti s Calf e nte r i t i s S pe c i f i c e t i 010g y Chlamydia t r a c h o m a t i s Chlamydia oculogenitale Miyagawanella lymphog r a n u l o m a t o s i s Miyagawanella ps i t t a c i Miyagawanella o r n i t h o s i s Miyagawanella ovis Mi yagawanella p e c o r i s Miyagawanella bovis On t h e o t h e r hand, L e v a d i t i e t &. (1964) s u g g e s t e d t h a t t h e s e o r g a n i s m s should be s e p a r a t e d on t h e b a s i s of a p r e s u m e d l y unique epidemiology. Thus, the agents associated with t r a c h o m a belonged i n t h e genus Chlamydia, with l y m p h o g r a n u l o m a v e n e r e u m i n Miyagawanella, with p s i t t a c o s i s i n b i r d s and m a n i n Bedsonia, and with d i s e a s e s of d o m e s t i c h e r b i v o r e s i n Rakeia. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 54 INTERNATIONAL JOURNAL In t h e light of r e c e n t evidence, the u s e of s u c h c r i t e r i a i n t h e c l a s s i f i c a t i o n of chlamydiae is c o n t r a i n d i c a t e d ; f o r , when knowledge of the c l i n i c a l s y n d r o m e of the h o s t i s not availa b l e , Chlamydia t r a c h o m a t i s i n Rake's s c h e m a cannot be s a t i s f a c t o r i l y distinguished by l a b o r a t o r y t e s t s f r o m C h l a m &a oculogenitale o r f r o m Miyagawanella lymphogranulomat o s i s . If the o r g a n i s m s a r e i s o l a t e d f r o m the g e n i t a l t r a c t of a p e r s o n with no evidence of d i s e a s e , they cannot. be a s signed with c e r t a i n t y t o any of R a k e ' s s p e c i e s . Dunlop and h i s colleagues (1966) r e c e n t l y r e p o r t e d the i s o l a t i o n of chlamydiae f r o m t h e u r o g e n i t a l t r a c t s and conjunctiva of patients with c l i n i c a l u r e t h r i t i s , opththalmia neonatorurn, o r t r a c h o m a . A l l of t h e i s o l a t e s w e r e m i c r o b i o l o g i c a l l y i n d i s tinguishable. T h e s e a u t h o r s s t a t e d t h a t t h e r e w a s "no diff e r e n c e between the i s o l a t e f r o m t h e e y e and t h a t f r o m the genital t r a c t in e a c h case." In a n o t h e r c a s e , t h e s e a u t h o r s r e p o r t e d t h a t "an i s o l a t e of what i s probably a TRIG* agent h a s been obtained f r o m the r e c t u m of a w o m a n with o c u l a r T h e difficulty in differentiating infection due t o the agent.. s u c h c a s e s f r o m lymphogranuloma v e n e r e u m ( L G V ) , and TRIC agent f r o m t h e agent of LGV, i s a p p a r e n t . " O t h e r e x a m p l e s i l l u s t r a t e t h e inadvisability of a s c r i b i n g a s p e c i e s designation t o a s t r a i n of o r g a n i s m s p r e s u m e d t o be the s o l e c a u s e of a p a r t i c u l a r d i s e a s e . S c h a c h t e r (1967) r e p o r t e d the i s o l a t i o n f r o m the t i s s u e of a patient with clinic a l lymphogranuloma v e n e r e u m of a n o r g a n i s m t h a t w a s morphologically, pathogenically, a n d c h e m i c a l l y indistinguishable f r o m s t r a i n s n o r m a l l y r e c o v e r e d f r o m p s i t t a c i n e birds. Was the patient with c l i n i c a l L G V infected with Miyagawanella l y m p h o g r a n u l o m a t o s i s o r with ,M. p s i t t a c i ? P a g e ( 1967) r e p o r t e d t h a t a chlamydia1 agent i m p l i c a t e d in a c a s e of bovine e n t e r i t i s and in a case of fatal p s i t t a c o s i s w a s i d e n t i c a l in "pathotype" and-m o r p h o l o g i c a l a n d c h e m i c a l c h a r a c t e r i s t i c s t o a s t r a i n t y p i c a l of t h o s e f r e q u e n t l y r e c o v e r e d f r o m pigeons. However, i t w a s quite d i f f e r e n t f r o m a n o t h e r s t r a i n w h i c h had c a u s e d a n epizootic of bovine a b o r t i o n s . W e r e t h e bovines and t h e human s u b j e c t infected with M. p s i t t a c i , _M. o r n i t h o s i s , &l. bovis, o r x . p e c o r i s ? W a s t h e patient who w a s affected by t h e bovine agent suffering f r o m psittacosis, ornithosis, o r m a m m a l o s i s ? Unfortunately, s e r o t y p i n g of the s t r a i n s i s o l a t e d f r o m v a r i o u s h o s t s with differing d i s e a s e s y n d r o m e s h a s not r e - - .. * TRIC = TRachoma Inclusion Conjunctivitis. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 SYSTEMATIC BACTERIOLOGY 55 solved the difficulties. While numerous s e r o t y p e s can be distinguished on the basis of the specificityof cell wall antigens by using toxin-antitoxin reactions, growth-inhibition in t i s s u e culture, o r complement fixation t e s t s , this approach h a s failed t o produce a p a t t e r n suitable f o r taxonomic c l a s sification ( F r a s e r and B e r m a n 1965). P a s t experience indic a t e s that specific serology as a b a s i s f o r s p e c i e s s e p a r a tion leads t o long l i s t s of n a m e s which a s s i s t epidemiology but d e t r a c t f r o m taxonomy, especially when e m b a r r a s s i n g c r o s s reactions occur. DNA homology t e s t s a l s o have not aided clsssification because of the high d e g r e e of homology between t h e DNA's of different s t r a i n s (Gerloff e t g. 1966). A solution t o this nomenclatural and taxonomic dilemma was suggested by the work of Gordon and Quan (1965) who reported that a number of chlamydia1 s t r a i n s r e c o v e r e d f r o m a variety of d i s e a s e d t i s s u e s and hosts could be s e p a r a t e d into two m a j o r groups on t h e b a s i s of morphological and chemical c h a r a c t e r i s t i c s of the o r g a n i s m s alone. Gordon and Quan observed (as had o t h e r s previously) t h a t o r g a n i s m s a s s o c i a t e d with t r a c h o m a , inclusion conjunctivitis, lymphogranuloma venereum, and m o u s e pneumonitis developed ( inclusions i n compact intracytoplasmic microcolonies t i s s u e c e l l s ) which produced sufficient quantities of glycogen detectable by staining with iodine solution. Lin and Moulder (1966) confirmed these observations and added another apparently stable c h a r a c t e r i s t i c . They found that the multiplication in chicken e m b r y o s of the chlamydiae that f o r m e d compact microcolonies and produced glycogen was inhibited by sodium sulfadiazine. The s t r a i n s in the nonglycogen producing, sulfadiazine, r e s i s t a n t group w e r e o r g a n i s m s frequently a s s o c i a t e d with psittacosis, meningopneumonitis, guinea pig conjunctivitis, bovine encephalomyelitis, feline pneumonitis, o r caprine pneumonitis. The s e morphological and chemical c h a r a c t e r is t i c s we r e t e s t e d recently and confirmed by the author f o r a group of 15 s t r a i n s of chlamydiae isolated f r o m m a n , t u r k e y s , a pigeon, a s p a r r o w , p a r a k e e t s , a gull, a m o u s e , cattle, sheep and a m u s k r a t . Representative s t r a i n s f r o m both biological groups mentioned by Gordon and Quan w e r e a l s o tested. All s t r a i n s fit the expected pattern ( s a v e the well known "6BC" p a r a k e e t s t r a i n which i s glycogen negative but sensitive t o sulfadiazine) and w e r e readily s e p a r a t e d into one o r the other m a j o r group ( P a g e 1967, unpublished observations). T h e r e s u l t s of Gordon and Quan and Lin and Moulder e s tablished the f i r s t n a t u r a l grouping of t h e s e o r g a n i s m s based Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 56 INTERNATIONAL JOURNAL on r e l a t i v e l y s t a b l e m o r p h o l o g i c a l a n d c h e m i c a l c h a r a c t e r i s t i c s of t h e o r g a n i s m s t h e m s e l v e s , r a t h e r t h a n on v a r i a b l e r e s p o n s e s of a n i m a l h o s t s t o infection o r on a m u l t i t u d e of s p e c i f i c c e l l w a l l antigens. Moreover, the c h a r a c t e r i s t i c s u s e d a r e o n e s t h a t a r e s u b j e c t t o t e s t i n any l a b o r a t o r y equipped t o i s o l a t e and study chlamydiae. T h e s e a r e condit i o n s that g r e a t l y a s s i s t t h e t a s k of taxonomy. It is e x p e c t e d t h a t o t h e r r e l a t i v e l y s t a b l e c h a r a c t e r i s t i c s of c h l a m y d i a e w i l l be r e c o g n i z e d and u t i l i z e d t o s u b s t a n t i a t e e i t h e r t h e p r e s e n t dichotomous grouping or t o justify t h e introduction of new groupings. Such i s the d y n a m i s m and flexibility of taxonomy. T h e r e f o r e , i t is p r o p o s e d t h a t two s p e c i e s be r e c o g n i z e d f o r the o r g a n i s m s of t h e genus Chlamydia ( J o n e s , R a k e a n d S t e a r n s 1945) which include t h e c a u s a t i v e a g e n t s of t r a c h o m a , p s i t t a c o s i s and r e l a t e d d i s e a s e s . T h e s e two s p e c i e s a r e Chlamydia t r a c h o m a t i s ( B u s a c c a ) Rake 1957, which is t h e p r e v i o u s l y e s t a b l i s h e d type s p e c i e s , a n d Chlamydia p s i t t a c i ( L i l l i e ) comb. nov. A definition of t h e genus and of e a c h s p e c i e s , a s i m p l e key f o r t h e d i f f e r e n t i a t i o n of t h e s p e c i e s , a n d a n explanation of the l a b o r a t o r y t e s t s u s e d f o r t h e diffe r e n t i a t i o n , follow. GENERAL LIMITS O F T H E ORGANISMS I N THE GENUS CHLAMYDIA JONES, RAKE AND STEARNS 1945 Morphology a n d Mode of Reproduction. T h e o r g a n i s m s a r e s p h e r o i d a l , bounded by -a r i g i d c e l l w a l l when m a t u r e , and nonmotile. T h e y have a unique, obligately i n t r a c e l l u l a r d e v e l o p m e n t a l cycle c h a r a c t e r i z e d by t h e change of t h e p r i m a r y infectious o r g a n i s m i n the c y t o p l a s m of t h e h o s t c e l l t o a r e t i c u l a t e thin walled s p h e r o i d , 0. 9-1.0 p i n d i a m e t e r , which divides by fission. Division continues, while s o m e daughter cells gradually reduce in s i z e t o become dense s p h e r u l e s , 0. 3 p in d i a m e t e r , which a r e t h e f i n a l infectious f o r m of t h e o r g a n i s m . Intracytoplasmic microcolonies, o r p l a q u e s , 2-12 p i n d i a m e t e r , m a y contain all s t a g e s of init i a l , i n t e r m e d i a t e , and m a t u r e f o r m s of the o r g a n i s m . T h e o r g a n i s m s c a n be s e p a r a t e d i n t o two g r o u p s b a s e d onwhethe r t h e m i c r o c o l o n y i s r i g i d and c o m p a c t , o r w h e t h e r i t is diffused throughout the h o s t c e l l ' s cytoplasm. When t h e h o s t c e l l i s d a m a g e d , t h e infectious s p h e r u l e s a r e r e l e a s e d t o r e p e a t the cycle in o t h e r h o s t c e l l s , although s e c o n d a r y m i c r o c o l o n i e s m a y be e s t a b l i s h e d in a s i n g l e h o s t cell. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 SYSTEMATIC BACTERIOLOGY 57 C h e m i s t r y of t h e O r g a n i s m s . Both deoxyribo- and ribon u c l e i c a c i d s have been d e m o n s t r a t e d i n the o r g a n i s m s a t a l l s t a g e s of growth. T h e i r c e l l w a l l s a r e s i m i l a r i n g e n e r a l c h e m i c a l composition t o t h o s e of G r a m - n e g a t i v e b a c t e r i a . T h e o r g a n i s m s have a negative G r a m r e a c t i o n and s t a i n r e a d i l y by G i e m s a ' s , Macchiavello's, o r C a s t e n a d a ' s m e t h ods. S t r a i n s that f o r m c o m p a c t m i c r o c o l o n i e s c h a r a c t e r i s t i c a l l y produce glycogen t h a t i s d e m o n s t r a b l e by staining t h e m i c r o c o l o n y with a solution of iodine-potassium iodide. S t r a i n s that f o r m diffuse m i c r o c o l o n i e s fail t o p r o d u c e det e c t a b l e glycogen, O r g a n i s m s of a l l s t r a i n s have m e t a b o l i c capabilities independent of the h o s t c e l l , s u c h as t h e catabolism of glucose t o c a r b o n dioxide when provided with e s s e n tial i n o r g a n i c and o r g a n i c c o f a c t o r s . T h e i n t r a c e l l u l a r m u l tiplication of o r g a n i s m s of e v e r y s t r a i n (except e x p e r i m e n t a l m u t a n t s ) i s inhibited by t e t r a c y c l i n e antibiotics. T h e m u l t i pli c a t i on of glycogen- producing s t r a i n s i s cha ract e r is ti cally inhibited by s o d i u m sulfadiazine. E v e r y s t r a i n contains a n antigeni cally s i m i l a r lipo-protein- c a rbohyd r a t e c o m p l e x which is s t a b l e a t 100°C. S t r a i n - s p e c i f i c a n t i g e n s a r e found i n t h e c e l l walls. N a t u r a l Habitat and Cultivation. T h e o r g a n i s m s a r e p a r a s i t e s of t i s s u e c e l l s of v e r t e b r a t e s , although they m a y be found in o r on e c t o p a r a s i t i c a r a c h n i d s . T h e y a r e t r a n s m i t t e d between v e r t e b r a t e h o s t s by t h e inhalation' of infectious exc r e m e n t s of b i r d s and mammals, by contamination of conjunctiva o r o t h e r m u c o u s m e m b r a n e with infectious u r o g e n i t a l exudates during b i r t h o r v e n e r e a l contact. I n t r a v e n o u s t r a n s m i s s i o n m a y t a k e place m e d i a t e d by sanguivorous a r t h r o p o d s . T h e o r g a n i s m s may p r o d u c e g e n e r a l i z e d infections i n a given h o s t , but s o m e s t r a i n s l o c a l i z e and c a u s e pronounced c e l l u l a r changes i n one o r m o r e t i s s u e s o r o r g a n s , s u c h a s , the conjunctiva, e y e s , lungs, liver, s p l e e n , v a s c u l a r endothelium, joints , u r e t h r a , vagina, lymph nodes, f e t a l and placental m e m b r a n e s , m e n i n g e s , o r brain. A f t e r a p p r o p r i a t e adaptation, all of the s t r a i n s m a y be p r o p a g a t e d i n t h e yolk s a c of chicken e m b r y o s o r i n c u l t u r e s of v e r t e b r a t e t i s s u e s . T o d a t e , e x t r a c e l l u l a r propagation of the o r g a n i s m s h a s not been achieved. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 58 INTERNATIONAL JOURNAL DEFINITION O F THE TYPE SPECIES AND ONE ADDITIONAL SPECIES I N THE GENUS CHLAMYDIA 1. Chlamydia t r a c h o m a t i s ( B u s a c c a ) Rake 1957, 958. (Rickettsia t r a c h o m a e (sic) Busacca 1935,567; R i c k e t t s i a t r a c h o m a t i s F o l e y and P a r r o t 1937,230; Chlamydozoon t r a c h o m a t i s Moshkovsky 1945,18; Chlamydazoon t r a c h o m i a t i ( s i c ) Ryzhkov 1950,17. ) T h e following s p e c i e s previously d e s c r i b e d i n B e r g e y ' s 7th Edition and e l s e w h e r e a r e h e r e c o n s i d e r e d putative synonyms of _C. t r a c h o m a t i s ( B u s a c c a ) Rake: Chlamydia oculogenitalis (Moshkovsky, 1945) Rake 1957; Chlamydozoon oculopenitale Moshkovsky op. cit. ; Miyagawanella lymphogranulomatosis, Brumpt, Ann. de P a r a s i t o l . 16, 1938, 155; E h r l i c h i a (Miyagawanella) lymphogranulomatosis Moshkovsky, op. cit. ; Ricketts i a f o r m i s lymphogranulomatis Zhdanov and Korenblit, op. cit. ; Chlamydozoon lymphophilus , Ryzhkov, op. cit. ; Miyagawanella bronchopneumoniae (Moshkovs ky, 1945) Rake 1948, 1118; E h r l i c h i a bronchopneumoniae Moshkovsky, op. cit. ; Cystidium bronchopneumoniae m u r i s Ruska (Ruska and Poppe 1947); Cystidium gonne rtianum, Rus ka, op. cit. ; R i c k e t t s i a f o r m i s m u r i s , Zhdanov and Korenblit, op. cit. ; Chlamydozoon m u r i n u s Ryzhkov, op. cit. tra. cho'ma. tis. Gr. n. t r a c h o m a roughness; M. L. n. t r a c h o m a t r a c h o m a ; M. L. gen. n. t r a c h o m a t i s of t r a c h o m a . Spheroidal, nonmotile o r g a n i s m s whose d i a m e t e r s range f r o m 0. 3 t o 0. 9 p depending upon t h e i r s t a g e of development in a n obligately i n t r a c e l l u l a r multiplication cycle. During the f i r s t two t o t h r e e d a y s of growth, the o r g a n i s m s f o r m rigid , compact i n t r a c y t o p l a s m i c m i c r o c o l o n i e s which m a y contain o r g a n i s m s i n all s t a g e s of development. In t i m e , s e v e r a l hundred m a t u r e infectious f o r m s , which a r e small, d e n s e s p h e r u l e s 0.3 p i n d i a m e t e r , m a y e m e r g e f r o m rupt u r e d plaques t o f i l l t h e h o s t cell's cytoplasm. S e c o n d a r y m i c r o c o l o n i e s m a y be formed. T h e s p h e r u l e s a r e r e l e a s e d t o infect o t h e r c e l i s when the h o s t c e l l is damaged. F o r a limited period (two o r t h r e e d a y s ) glycogen is a c c u m u l a t e d i n the i n t r a c e l l u l a r plaque i n sufficient quantities t o be Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 SYSTEMATIC BACTERIOLOGY 59 demonstrable microscopically a f t e r fixing the iflfected host cells i n methyl alcohol and then staining t h e m with an alcoholic solution of W0.iodine-potas s i u m iodide. The o r g a n i s m s a r e Gram-negative and can be readily s e e n microscopically a f t e r staining them by G i e m s a ' s method. In cell c u l t u r e s , the o r g a n i s m s may be s e e n without any staining i f phase contrast optics a r e used. Multiplication of the o r g a n i s m s in the yolk s a c m e m b r a n e of the chick e m b r y o is inhibited at l e a s t one hundred fold by The d e g r e e of inhibition is 1 m g of sodium sulfadiazine. determined by a dual t i t r a t i o n of a suspension of o r g a n i s m s containing a t l e a s t one million e m b r y o lethal doses 50% p e r ml i n chicken embryos by the yolk s a c route i n the p r e s e n c e and absence of 1 mg of sodium sulfadiazine (inoculated separately into the yolk s a c ) p e r embryo. Intracellular multiplication of the o r g a n i s m s is inhibited by tetracycline also. The o r g a n i s m s contain a lipo-protein-carbohydrate complex that i s antigenically s i m i l a r to a complex found i n all s t r a i n s of both s p e c i e s of the genus. The antigen is stable a t 100°C and r e a c t s with antibodies against any other s t r a i n t o fix complement. Various s e r o t y p e s , however, can be distinguished on the basis of the antigenic specificity of components of the o r g a n i s m s ' c e l l walls. The o r g a n i s m s a r e p a r a s i t e s of t i s s u e c e l l s of v e r t e b r a t e s and m a y be t r a n s m i t t e d between v e r t e b r a t e hosts, especially man, by t r a n s f e r of ophthalmic o r urogenital exudates f r o m m e m b r a n e s of the susceptible host. T r a n s m i s s i o n o c c u r s through various f o r m s of contact contamination such a s that of a fetus during birth o r that of mucous m e m b r a n e s during v e n e r e a l contact. In man, the o r g a n i s m s m a y localize i n one o r m o r e t i s s u e s o r organs and cause pronounced cellular changes i n the conjunctiva, cornea, synovial m e m b r a n e s , u r e t h r a and adjoining lymph nodes, meninges, or brain. S t r a i n s of ig.' t r a c h o m a t i s a r e usually responsible f o r various d i s e a s e s o r syndromes in m a n called t r a c h o m a , inclusion conjunctivitis , lymphogranuloma venereum, and m a y include a r t h r i t i s and meningitis. One s t r a i n c a u s e s endemic pneumonitis i n colonies of m i c e and is probably t r a n s m i t t e d via the r e s p i r a t o r y route. The o r g a n i s m s m a y be isolated and propagated in the yolk s a c of chicken embryos incubated at 35 to 37OC. S e r i a l blind passage of the culture in chicken e m b r y o s may be nec e s s a r y before any effects on the e m b r y o can be observed. Some s t r a i n s have a stenothermal r e q u i r e m e n t growing only a t 35°C 1OC. They m a y be propagated in cultures of v e r - Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 60 INTERNATIONAL JOURNAL t e b r a t e t i s s u e s . S t r a i n s t h a t a r e f r e q u e n t l y a s s o c i a t e d with o p h t h a l m i c d i s e a s e s of m a n m a y be p r o p a g a t e d i n t h e lungs of m i c e and guinea pigs, and t h e s k i n of guinea pigs. In subhuman p r i m a t e s they readily cause ophthalmic abnormalities a n d i n s o m e c a s e s m a y d i s s e m i n a t e throughout the body via t h e blood s t r e a m . O t h e r s t r a i n s c a n be p r o p a g a t e d i n t h e lungs o r b r a i n s of young m i c e a f t e r inoculation by t h e app r o p r i a t e route. 2. Chlamydia p s i t t a c i ( L i l l i e ) comb. nov. (Rickettsia paittaci, Lillie, 1930,773; Microbacterium m u l t i f o r m e p s i t t a c o s i s , Levinthal, 1930,523; E h r l i c h i a p s i t t a c i Moshkovsky, 1956,18; R i c k e t t s i a f o r m i s p s i t t a c o s i s Zhdanov and K o t e n b l i t , 1950,43; Chlamydozoon p s i t t a c i Ryzhkov, 1950,17. ) H e r e i n c o n s i d e r e d a s putative s y n o n y m s a r e : Miyagawanella p s i t t a c i , M. o r n i t h o s i s , 3. pneumoniae, M. f e l i s , ,M. l o u i s i a n a e , M. i l l i n i i , M. o p o s s u m i , &I. M. b o v i s , a n d M . p e c o r i s which Rake placed i n t h e genus Miyanawanella i n t h e 7th edition of B c r g e y ' s Manual ( 1 957); R i c k e t t s i a f o r m i s o r n i t h o s i s , 3.p n e u m o n i a e , _R. m e n i n g o p n e u m o n i a e , and &. f a s , Zhdanov a n d K o r e n b l i t , op. cit. a n d R . c o l u m b a r u m , 5. o p o s s u m , &. bovis, 3. o v i s y Zhdanov, 1953; Chlamydozoon S i , ,C. f e l i s , mening o p h i l u s , ,C. c r i c e t i s , ,C. h o m i n i s , ,C. o s t e o p h i l u s , G. o p o s s u m i , and C. bovis, Ryzhkov, op. cit. a, - c. psit'ta. ci. G r . n. p s i t t a c u s a p a r r o t ; M. L. gen. n. p s i t t a c i of a p a r r o t . S p h e r o i d a l , nonmotile o r g a n i s m s , 0.3 t o 1. 0 p i n d i a m e t e r , r e s e m b l i n g t h o s e of C h l a m y d i a t r a c h o m a t i s . D u r i n g t h e f i r s t day of obligate, i n t r a c e l l u l a r growth, t h e o r g a n i s m s f o r m l o o s e l y bound int r a c y t o p l a s m i c m i c r o c o l o n i e s which give t h e o r g a n i s m s t h e a p p e a r a n c e of being d i s t r i b u t e d about c y t o p l a s m of t h e h o s t cell. In t h i s r e s p e c t t h e y d i f f e r f r o m C h l a m y d i a t r a c h o m a t i s , but t h e m o d e of m u l t i p l i c a t i o n i s the s a m e . T h e m i c r o c o l o n i e s d o not f o r m any glycogen d e t e c t a b l e by iodine staining. The organisms a r e Gram-negative and c a n be r e a d i l y s e e n m i c r o s c o p i c a l l y after s t a i n i n g by G i e m s a ' s , M a c c h i a v e l l o ' s o r C a s t e n a d a ' s m e t h o d s , , o r without s t a i n i n g i f p h a s e c o n t r a s t o p t i c s a r e used. . Multiplication of t h e o r g a n i s m s i n t h e yolk s a c of chicken e m b r y o s is inhibited by t e t r a c y c l i n e a n t i b i o t i c s but not by s o d i u m sulfadiazine. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 SYSTEMATIC BACTERIOLOGY 61 T h e o r g a n i s m s contain a l i p o - p r o t e i n - c a r b o h y d r a t e c o m plex t h a t i s antigenically s i m i l a r t o that found in a l l s t r a i n s of Chlamydia. T h e antigen c a n be used t o d e t e c t c o m p l e m e n t fixing antibodies t o t h i s c o m p l e x s t i m u l a t e d by any other strain. N u m e r o u s s e r o t y p e s , h o w e v e r , can be d i s tinguished on the b a s i s of the antigenic s p e c i f i c i t y of the components of the c e l l w a l l s of the o r g a n i s m s . T h e s e antigens c a n be s e p a r a t e d when r e a c t e d s e p a r a t e l y with homologous and h e t e r o l o g o u s antibodies i n toxin p r o t e c t i o n t e s t s i n m i c e , growth inhibition t e s t s i n t i s s u e c u l t u r e s and complem e n t fixation t e s t s . T h e o r g a n i s m s a r e p a r a s i t e s of . t i s s u e c e l l s of v e r t e brates. T h e y m a y be t r a n s m i t t e d between v e r t e b r a t e h o s t s by inhalation of a e r o s o l s of n a s a l o r f e c a l e x c r e m e n t s of inf e c t e d b i r d s o r m a m m a l s , by v a r i o u s f o r m s of contact cont a m i n a t i o n possibly including the bite of s a n g u i v o r o u s a r a c h n i d s , and by t r a n s o v a r i a n p a s s a g e t o t h e fetus i n m a m m a l s . T h e o r g a n i s m s g e n e r a l l y p r o d u c e s y s t e m i c infection i n a b r o a d r a n g e of a v i a n and m a m m a l i a n h o s t s , although s o m e s t r a i n s a p p e a r t o have a n a r r o w h o s t s p e c t r u m . R e s p i r a t o r y t r a n s m i s s i o n of the o r g a n i s m s is r e a d i l y a c c o m p l i s h e d when a s u s c e p t i b l e h o s t i n h a l e s fine d u s t containing d r i e d n a s a l o r cloaca1 e x c r e m e n t of infected b i r d s . T h i s m e t h o d h a s been r e s p o n s i b l e f o r e p i d e m i c s of p s i t t a c o s i s i n m a n and o t h e r animals. T h e o r g a n i s m s have been d e t e c t e d i n o v e r 100 s p e c i e s of wild and d o m e s t i c b i r d s , m o s t d o m e s t i c a t e d animals, and i n m a n y wild mammals. S o m e of t h e d i s e a s e s c a u s e d by v a r i o u s s t r a i n s of Chlamydia p s i t t a c i have been d e s c r i b e d as: p s i t t a c o s i s , o r n i t h o s i s , meningopneumonitis; feline, bovine , ovine , p o r c i n e , c a p r i n e , o r human pneumon i t i s ; o p o s s u m e n c e p h a l i t i s ; s p o r a d i c bovine encephalomyel i t i s ; ovine, bovine , o r p o r c i n e a r t h r i t i s ; epizootic bovine a b o r t i o n ; enzootic a b o r t i o n of e w e s ; guinea pig conjunctivitis; f a t a l epizootic d i s e a s e of h a r e s and m u s k r a t s . In g e n e r a l i z e d infections, t h e o r g a n i s m s m a y m u l t i p l y i n i t i a l l y i n e p i t h e l i a l c e l l s of s e v e r a l o r g a n s , e s p e c i a l l y the l o w e r r e s p i r a t o r y t r a c t , and then a r e d i s t r i b u t e d throughout t h e body via the blood s t r e a m . D a m a g e t o v a s c u l a r endothelia c a u s e s s p r e a d of the o r g a n i s m s and p l a s m a t o t h e s u r f a c e s of m a n y o r g a n s w h e r e f i b r i n o u s i n f l a m m a t o r y e x u d a t e s a c c u m u l a t e r e s u l t i n g i n c h a r a c t e r i s t i c l e s i o n s . C o m m o n findings accompanying pneumonitis a r e p e r i c a r d i t i s , p e r i h e p a t i t i s , p e r i t o n i t i s , a s c i t e s , hepatomegaly, s p l e n o m e g a l y , and o t h e r s i g n s of g e n e r a l i z e d infection. The organisms cause Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 62 INTERNATIONAL JOURNAL a wide range of e f f e c t s depending upon a l l of the c l a s s i c f a c t o r s affecting h o s t - p a r a s i t e r e l a t i o n s h i p s . Many h o s t s of v a r i o u s s p e c i e s b e c o m e a s y m p t o m a t i c c a r r i e r s of Chlamyd i a p s i t t a c i t h e r e b y perpetuating t h e o r g a n i s m s in n a t u r e . S o m e s t r a i n s localize in c e r t a i n t i s s u e s o r o r g a n s of the h o s t c a u s i n g splenomegaly, o r t r a n s i e n t pneumonitis, a r t h r i t i s , f e t a l o r placental inflammation r e s u l t i n g i n abortion. T h e o r g a n i s m s a r e r e a d i l y i s o l a t e d and propagated i n t h e yolk s a c s of chicken e m b r y o s incubated a t 37 t o 40'C. Many s t r a i n s r e c o v e r e d f r o m mammals with high n o r m a l body t e m p e r a t u r e s have o p t i m a l growth t e m p e r a t u r e s of 3 9 ° C o r above. Most s t r a i n s c a n be propagated i n t h e lungs, b r a i n s , o r p e r i t o n e a l cavity of l a b o r a t o r y m i c e o r guinea pigs. S t r a i n s c a n be grouped a c c o r d i n g t o t h e i r d i s e a s e producing c a p a b i l i t i e s in m i c e , guinea pigs and pigeons. T h e o r g a n i s m s c a n be propagated in c u l t u r e s of v e r t e b r a t e t i s s u e s , and s o m e s t r a i n s produce d e s t r u c t i o n of h o s t cells after s e r i a l passage. All s t r a i n s c a n be p r e s e r v e d indefinitely a f t e r propagation in chicken e m b r y o s by s t o r i n g infected yolk s a c s a t -70°C;h o w e v e r , the l a r g e a m o r p h o u s f o r m of t h e o r g a n i s m which develops i n the e a r l y s t a g e s of multiplication i s inact i v a t e d by f r e e z i n g . Key t o the s p e c i e s of Chlamydia I. I n t r a c y t o p l a s m i c m i c r o c o l o n y is rigid and compact ranging f r o m 2-10 )I i n diameter. T h e plaque contains glycogen detectable by staining with iodine. Growth i n t h e yolk sac of t h e chicken e m b r y o is inhibited by s o d i u m sulfadiazine (1 m g p e r e m b r y o ) . Chlamydia t r a c h o m a t i s ( B u s a c c a ) Rake ...... LI. I n t r a c y t o p l a s m i c m i c r o c o l o n y is nonrigid, i r r e g u l a r in s h a p e and u p t o 12 p wide. T h e m i c r o c o l o n y does not contain glycogen d e t e c t a b l e by staining with iodine. Growth i n the yolk s a c of t h e chicken e m b r y o is not inhibited by s o d i u m sulfadiazine ( 1 m g p e r e m b r y o ) . Chlamydia p s i t t a c i ( L i l l i e ) comb. nov. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 SYSTEMATIC BACTERIOLOGY 63 T e s t s f o r the Identification and Differentiation of Chlamydiae New i s o l a n t s of c h l a m y d i a e c a n be conclusively identified a s Chlamydia t r a c h o m a t i s o r Chlamydia p s i t t a c i by t h r e e tests. These are: ( 1 ) Identification of t h e o r g a n i s m s as m e m b e r s of the genus Chlamydia. A p u r e c u l t u r e of t h e o r g a n i s m s which have b e e n shown t o be unable t o colonize on l i f e l e s s b a c t e r i o l o g i c m e d i a , e. g., blood a g a r , i s propagated i n the yolk s a c of chicken e m b r y o s a t a p p r o p r i a t e incubation t e m p e r a t u r e s ( 3 5 - 3 7 " C f o r human urogenital t r a c t s t r a i n s ; 37-39°C f o r strains f r o m a n i m a l s with n o r , m a l body t e m p e r a t u r e s t h a t a r e h i g h e r than 3 7 ° C ) . At t h e t i m e of death o r obvious r e t a r a a t i o n of growth of infected e m b r y o s , t h e yolk s a c s a r e r e m o v e d , t r i t u r a t e d with s a n d and a buffered diluent (pH 7. 0 ) t o m a k e a 20 t o 30% suspension. T h e s u s p e n s i o n i s boiled f o r 30 m i n u t e s , cooled, a n d a q u e o u s 5% phenol is a d d e d t o m a k e a f i n a l c o n c e n t r a t i o n of 0. 5T0 phenol. One day l a t e r , t h e s u s p e n s i o n i s t i t r a t e d i n a c o m p l e m e n t fixation t e s t a g a i n s t a c o n s t a n t dilution of s e r u m p r e v i o u s l y shown t o contain 8 c o m p l e m e n t fixing units of c h l a m y d i a l g r o u p antibodies p e r unit volume. T h e boiled and phenolized s u s p e n s i o n is a l s o t i t r a t e d a g a i n s t s e r u m p r e v i o u s l y shown not t o contain s u c h antibodies. F i x a t i o n of c o m p l e m e n t a t dilutions of antigen beyond any a n t i c o m p l e m e n t a r y l e v e l i s conclusive evidence that the yolk s a c s cont a i n e d c h l a m y d i a l o r g a n i s m s . Usually a m i n i m u m of 1 0 , 0 0 0 o r g a n i s m s i s sufficient t o p r o d u c e c o m p l e t e fixatiori of two e x a c t units of c o m p l e m e n t i n t h e p r e s e n c e of one C F unit of antibody. Antigens p r e p a r e d by boiling and phenolizing c h l a m y d i a l o r g a n i s m s grown in c u l t u r e s of v e r t e b r a t e t i s s u e s a l s o m a y be u s e d in s i m i l a r t e s t s f o r detection of the c h l a m y d i a l g r o u p antigen, but s u c h a n t i g e n s a r e usually of l o w e r t i t e r . ( 2 ) T e s t f o r t h e p r e s e n c e of glycogen in i n t r a c y t o p l a s m i c m i c r ocolonie s . T h e c h l a m y d i a e a r e p r o p a g a t e d in c u l t u r e s of v e r t e b r a t e tissues. The tissue cultures a r e examined microscopically at 1, 2 and 3 d a y s a f t e r inoculation t o a s c e r t a i n t h e p r e s e n c e of i n t r a c y t o p l a s m i c c l u s t e r s of c h l a m y d i a e o r m i c r o c o l o n i e s . Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 64 INTERNATIONA L JOURNAL T h e f o r m a t i o n of glycogen by t h e m i c r o c o l o n y is a t r a n s i e n t phenomenon t h a t o c c u r s f r o m t h e f i r s t through t h e t h i r d day of growth. During t h i s period, infected t i s s u e c e l l s growing on c o v e r s l i p s a r e r e m o v e d intact and fixed in a b s o l u t e m e t h y l alcohol f o r a m i n i m u m of four h o u r s . The c o v e r s l i p s a r e then i m m e r s e d in a 1:l m i x t u r e of 5. 0% iodine in 100’?70 e t h y l alcohol and aqueous 5.0% p o t a s s i u m iodide f o r f o u r h o u r s . T h e c o v e r s l i p s a r e t h e n placed c e l l s i d e down on a d r o p of the iodine m i x t u r e in 50% g l y c e r i n on a m i c r o s c o p e slide. At magnifications g r e a t e r t h a n 200X, m i c r o c o l o n i e s containing glycogen w i l l a p p e a r brown a g a i n s t a light t a n background. Nonglycogen f o r m i n g m i c r o c o l o n i e s cannot be distinguished f r o m o t h e r c e l l u l a r m a t e r i a l by t h i s iodine staining method. It is i m p o r t a n t however t h a t t h e r e be c o r a l l a r y proof that growth and m u l t i p l i c a t i o n of the o r g a n i s m s a c t u a l l y o c c u r r e d i n t h e t i s s u e c u l t u r e s before a s t r a i n of chlamydiae i s d e c l a r e d glycogen negative. Infected t i s s u e c u l t u r e s m u s t be incubated at t e m p e r a t u r e t h a t i s o p t i m a l f o r growth of t h e o r g a n i s m s . ( 3 ) T e s t f o r s u s c e p t i b i l i t y of chlamydia1 s t r a i n s t o s o d i u m sulfadiazine. D e c i m a l dilutions of a s u s p e n s i o n of c h l a m y d i a e p r e viously propagated i n 6-day-old chicken e m b r y o s a r e inoculated i n t o two groups of chicken e m b r y o s . One g r o u p of t h e e m b r y o s is inoculated via . t h e yolk sac r o u t e with 1 m g of s o d i u m sulfadiazine in a diluent buffered a t pH 7.0. The second g r o u p of e m b r y o s is inoculated via t h e yolk sac with a n e q u a l volume of the diluent without sulfadiazine. The e m b r y o s a r e candled twice daily and d e a t h s r e c o r d e d f o r 14 d a y s , at which t i m e a calculation of the LDSo/unit volume of t h e o r i g i n a l s u s p e n s i o n is m a d e f o r both s e t s of e m b r y o s . F o r p u r p o s e s of taxonomic differentiation, s u s c e p t i b i l i t y t o sulfadiazine is defined a s a hundredfold o r m o r e reduction i n t h e n u m b e r of e m b r y o l e t h a l d o s e s 50% in a s u s p e n s i o n of one m i l l i o n o r m o r e c h l a m y d i a e p e r unit volume t i t r a t e d in chicken e m b r y o s i n the p r e s e n c e and a b s e n c e of 1 m g of s o d i u m sulfadiazine. T h i s m e a n s that t h e ELDSO d e t e r m i n a t i o n s f o r the t i t r a t i o n s should d i f f e r by a f a c t o r of 100 o r more. Downloaded from www.microbiologyresearch.org by IP: 88.99.165.207 On: Sat, 17 Jun 2017 22:27:19 SYSTEMATIC BACTERIOLOGY 65 REFERENCES B r u m p t , E. 1938. R i c k e t t s i a i n t r a c e l l u l a i r e s t o m a c a l e ( R i c k e t t s i a c u l i c i s n. sp. ) de Culex fatigans. Ann. d e P a r a s i t o l o g i e 16:153-158. B u s a c c a , A. 1935. 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