Molecular characterization of Mycoplasma genitalium species-specific and cross-reactive determinants: identification of an immunodominant protein of M. genitalium.

Species-specific proteins of Mycoplasma genitalium as well as proteins cross-reactive with M. pneumoniae have been identified using monoclonal antibodies generated against these mycoplasmas in enzyme-linked immunosorbent assays (ELISA) and Western blot analyses. Specificity of the antibodies was examined using M.

The prolonged persistence of mycoplasmas in culture.

Mycoplasma fermentans organisms in medium containing 20% horse serum multiplied to 10(7)-10(10) ccu/ml within 5 days at 37 degrees C and were dead usually after 9 days. There was no growth in medium without serum, nor in such medium with the addition of cholesterol or palmitic acid or both, but in some experiments addition of bovine plasma albumin (BPA) increased the number of organisms by up to 1000-fold and some remained viable for up to 84 days. BPA and cholesterol or BPA, palmitic acid and cholesterol more often enhanced growth, in terms of the maximum number of organisms and their survival, than did the addition of BPA alone.

Evaluation of enzyme immunoassay (Chlamydiazyme) for detecting Chlamydia trachomatis in genital tract specimens.

An enzyme immunoassay (Chlamydiazyme) for detecting Chlamydia trachomatis was evaluated on genital specimens from 96 men and 272 women attending a clinic for sexually transmitted diseases (STD clinic). Compared with a direct immunofluorescence test for chlamydial elementary bodies, the enzyme immunoassay had a sensitivity of 58% on specimens from men, a specificity of 90%, a positive predictive value of 93%, and a negative predictive value of 88%; the assay had a sensitivity of 67% on specimens from women, a specificity of 89%, a positive predictive value of 63% and a negative predictive value of 90%. Immunofluorescence provided the most stringent test for the performance of the enzyme immunoassay as values were improved a little when a cell culture procedure was used for comparison.

Chlamydia trachomatis and reactive arthritis: the missing link.

Reactive inflammatory arthritis is a common sequel to sexually acquired non-gonococcal genital-tract infection. Approximately 50% of cases are associated with Chlamydia trachomatis infection in the genital tract, although conventional cultures of joint material are sterile. Synovium, synovial-fluid cells, or both, from eight patients with sexually acquired reactive arthritis (SARA) and eight with knee effusions associated with other rheumatic diseases were examined by means of a fluorescein-labelled monoclonal antibody to C trachomatis ('Micro Trak'; Syva).

Ureaplasma urealyticum in the immunocompromised host.

The lack of antibody in hypogammaglobulinemic patients probably results in failure of mycoplasmas to be "neutralized" and accounts for the diminished ability of the patients to cope with these organisms escaping hematogenously from the respiratory and urogenital tracts. Furthermore Ureaplasma urealyticum and other mycoplasmas are ingested by neutrophils in the absence of opsonins, indicated by the fact that they are able to trigger the release of chemiluminescence from these cells; ureaplasmas are not killed during this process and it is possible that carriage occurs within phagocytes to various sites. Several mycoplasmal species have localized in joints and U.

The male reservoir of Ureaplasma urealyticum.

Ureaplasma urealyticum organisms are often transmitted at birth from mothers to their infants. In males the organisms disappear from all anatomical sites usually within a few months. Around puberty they begin to be found again in the male urogenital tract and are present in the urethra of a varying proportion of men thereafter.

A numerical taxonomic study of anaerobic gram-negative bacilli classified as Bacteroides ureolyticus isolated from patients with non-gonococcal urethritis.

A numerical taxonomic study of 64 strains of anaerobic Gram-negative bacilli isolated from men with non-gonococcal urethritis, two unclassified laboratory strains of 'corroding bacilli', and 12 other strains of anaerobic Gram-negative bacilli, including nine received as anaerobic curved rods and three as 'Bacteroides corrodens' (B. ureolyticus), isolated from women with bacterial vaginosis, was undertaken. Seventeen reference anaerobic strains belonging to the genera Bacteroides, Fusobacterium, Mobiluncus, Mitsuokella and Wolinella were included.

Clinical antibiotic resistance of Ureaplasma urealyticum.

The antibiotic sensitivity of strains of Ureaplasma urealyticum is measured usually by a metabolism inhibition technique. Antibiotic-resistant strains have been detected, usually not by testing many randomly collected strains but by testing organisms recovered from patients after treatment. On this selection basis about 10% of strains isolated between 1973 and 1976 from patients with nongonococcal urethritis attending sexually transmitted disease clinics in London were resistant to tetracyclines, as were strains isolated in 1983 to 1984.

Evaluation of the role of Ureaplasma urealyticum in infertility.

The involvement of Ureaplasma urealyticum in male infertility has been suggested in 10 studies in which strains were found more often in the semen of infertile than fertile men and/or were associated with poor motility or other abnormalities. In contrast these findings have not been supported by those of an equal number of other studies. Ureaplasmas adhere to sperm and therefore have an opportunity to affect them.

The effect of interferon on human papillomaviruses associated with cervical intraepithelial neoplasia.

A double-blind, placebo-controlled, trial of leucocyte interferon showed that, contrary to previous reports, interferon had no significant effect on cervical intraepithelial neoplasia (CIN) when applied topically in a gel. DNA hybridization of cervical scrapes was used to monitor the effect of interferon on the human papillomaviruses (HPV) associated with CIN. There was, however, no significant difference in the expression of HPV 6 or 16 in the cervical epithelium of patients treated with interferon compared with those given a placebo.

Microbiological survey of acute epididymitis.

In an 18 month period, 198 men presented with a painful, swollen, and tender epididymis or testicular or scrotal pain. Fifty were excluded from analysis because of prior antibiotic treatment or a history of the disease, or both. Of the remaining patients, epididymitis was not diagnosed in 108, though 23 (21%) of them had urethritis.

Infertility in mice infected genitally with a human strain of Chlamydia trachomatis.

Progesterone-treated C3H and TO mice were inoculated genitally with a human C. trachomatis strain, serovar E, designated N.I.

Spontaneous early preterm labour associated with abnormal genital bacterial colonization.

The association between infection and preterm labour was studied in 72 women in spontaneous preterm labour between 26 and 34 weeks gestation and in 26 control subjects having an elective caesarean section at the same gestational age. The genital microbial flora of each group was studied comprehensively and included mycoplasmas, chlamydiae, ureaplasmas and anaerobes. Subsequent neonatal infection and chorioamnionitis was also studied.

Salpingitis in mice induced by human strains of Chlamydia trachomatis.

Human strains of Chlamydia trachomatis were inoculated unilaterally into the genital tracts of female TO, CBA, CBA/nu and C3H mice via the intrauterine route or under the ovarian bursa. Inflammatory changes were not seen in the oviducts or uterus of mice given two laboratory-adapted LGV serovars (L1 and L2), although chlamydiae were recovered from the lower genital tract. However, salpingitis and endometritis occurred after each of three chlamydial strains (serovars D and E) had been inoculated.

Detection of a species-specific antigen of Gardnerella vaginalis by Western blot analysis.

Western blot analysis was used to identify antigenic components of Gardnerella vaginalis. Polypeptides bound to nitrocellulose membranes were probed with murine antisera raised to two strains of G. vaginalis, and antibody-antigen complexes were detected with 125I-labelled antimouse immunoglobulin followed by autoradiography.

Urinary-tract infection by Mycoplasma pulmonis in mice and its wider implications.

Young adult mice were inoculated intravenously with strains JB or Peter C of Mycoplasma pulmonis. A few were inoculated intranasally with strain JB. This strain but not Peter C was isolated for 50 days or more from the urines of more than half of the mice.

Immunity to mycoplasmal infection of the genital tract: a mouse model.

Thirty-three TO mice, 24 of which had received progesterone, were infected originally by Mycoplasma pulmonis given vaginally. Thirty-one of the mice were free of the organisms in the genital tract 236 days later at which time all of them were treated again with progesterone and rechallenged with M. pulmonis vaginally.

Urogenital challenge of primate species with Mycoplasma genitalium and characteristics of infection induced in chimpanzees.

Eighteen male and eight female primates, representing five subhuman species, were inoculated urogenitally with Mycoplasma genitalium, a microorganism recovered from men with nongonococcal urethritis. Male rhesus (Macaca mulatta) and cynomolgus (Macaca fascicularis) monkeys apparently were resistant. Female squirrel monkeys (Saimiri sciureus) and female tamarins (Saguinus mystax) exhibited low-level, genital-tract infections.