Pj. Vandalen et al., PATHOGENICITY OF PEPTOSTREPTOCOCCUS-MICROS MORPHOTYPES AND PREVOTELLASPECIES IN PURE AND MIXED CULTURE, Journal of Medical Microbiology, 47(2), 1998, pp. 135-140
Recently, an atypical rough colony morphotype of Peptostreptococcus mi
cros, a species which is found in ulcerating infections, including per
iodontitis, was isolated. The virulence of morphotypes alone and in co
mbination with Prevotella intermedia and P. nigrescens was investigate
d both in vivo and in vitro. All strains tested induced abscesses cont
aining fluid pus in a mouse skin model, and lesions caused by monocult
ures of the rough morphotype strains of P. micros were statistically s
ignificantly larger than those induced by the smooth morphotype strain
s. Inocula containing both morphotypes produced similar sized abscesse
s compared to mono-inocula containing the same bacterial load. Both Pr
evotella species induced small abscesses when inoculated alone, and wh
en Pr. nigrescens was inoculated with one of the other strains, the ab
scesses were not significantly different from the abscesses induced by
the mono-infections of this strain. Synergy, in terms of higher numbe
rs of colony forming units (cfu) in the mixed inocula, was found for a
ll combinations of the rough morphotypes of P. micros and both Prevote
lla spp. Pus from abscesses caused by combinations of Peptostreptococc
us and Prevotella spp. transmitted the infection to other mice, but no
abscesses were formed in mice inoculated with pus induced by mono-ino
cula. These results demonstrated synergic activity between both rough
and smooth P. micros strains and oral Prevotella strains. The in-vitro
co-culture experiments produced no evidence of growth stimulation. Th
e effect of P. micros strains on the immune system was investigated by
testing their ability to initiate luminol-dependent chemiluminescence
of polymorphonuclear leucocytes in the presence and absence of human
serum. In the latter, the rough morphotype strains initiated higher co
unts than the smooth morphotype strains. Further work is needed to elu
cidate the difference in virulence between the smooth and the rough mo
rphotype cells of P. micros and the nature of the interaction with the
Prevotella spp.