Lower Recovery of Nontuberculous Mycobacteria from Outdoor Hawai’i Environmental Water Biofilms Compared to Indoor Samples

Nontuberculous mycobacteria (NTM) are environmental organisms that can cause opportunistic pulmonary disease with species diversity showing significant regional variation. In the United States, Hawai’i shows the highest rate of NTM pulmonary disease. The need for improved understanding of NTM reserv...

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Main Authors: Ravleen Virdi, Melissa E. Lowe, Grant J. Norton, Stephanie N. Dawrs, Nabeeh A. Hasan, L. Elaine Epperson, Cody M. Glickman, Edward D. Chan, Michael Strong, James L. Crooks, Jennifer R. Honda
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/9/2/224
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author Ravleen Virdi
Melissa E. Lowe
Grant J. Norton
Stephanie N. Dawrs
Nabeeh A. Hasan
L. Elaine Epperson
Cody M. Glickman
Edward D. Chan
Michael Strong
James L. Crooks
Jennifer R. Honda
author_facet Ravleen Virdi
Melissa E. Lowe
Grant J. Norton
Stephanie N. Dawrs
Nabeeh A. Hasan
L. Elaine Epperson
Cody M. Glickman
Edward D. Chan
Michael Strong
James L. Crooks
Jennifer R. Honda
author_sort Ravleen Virdi
collection DOAJ
description Nontuberculous mycobacteria (NTM) are environmental organisms that can cause opportunistic pulmonary disease with species diversity showing significant regional variation. In the United States, Hawai’i shows the highest rate of NTM pulmonary disease. The need for improved understanding of NTM reservoirs led us to identify NTM from patient respiratory specimens and compare NTM diversity between outdoor and indoor locations in Hawai’i. A total of 545 water biofilm samples were collected from 357 unique locations across Kaua’i (<i>n</i> = 51), O’ahu (<i>n</i> = 202), Maui (<i>n</i> = 159), and Hawai’i Island (<i>n</i> = 133) and divided into outdoor (<i>n</i> = 179) or indoor (<i>n</i> = 366) categories. <i>rpoB</i> sequence analysis was used to determine NTM species and predictive modeling applied to develop NTM risk maps based on geographic characteristics between environments. <i>M. chimaera</i> was frequently identified from respiratory and environmental samples followed by <i>M. chelonae</i> and <i>M. abscessus;</i> yet significantly less NTM were consistently recovered from outdoor compared to indoor biofilms, as exemplified by showerhead biofilm samples. While the frequency of <i>M. chimaera</i> recovery was comparable between outdoor and indoor showerhead biofilms, phylogenetic analyses demonstrate similar <i>rpoB</i> gene sequences between all showerhead and respiratory <i>M. chimaera</i> isolates, supporting outdoor and indoor environments as possible sources for pulmonary <i>M. chimaera</i> infections.
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spelling doaj.art-036bf958bfc3462898cd1d2f1246ac1c2023-12-03T14:18:06ZengMDPI AGMicroorganisms2076-26072021-01-019222410.3390/microorganisms9020224Lower Recovery of Nontuberculous Mycobacteria from Outdoor Hawai’i Environmental Water Biofilms Compared to Indoor SamplesRavleen Virdi0Melissa E. Lowe1Grant J. Norton2Stephanie N. Dawrs3Nabeeh A. Hasan4L. Elaine Epperson5Cody M. Glickman6Edward D. Chan7Michael Strong8James L. Crooks9Jennifer R. Honda10Center for Genes, Environment, and Health, National Jewish Health, Denver, CO 80206, USADivision of Biostatistics and Bioinformatics, National Jewish Health, Denver, CO 80206, USACenter for Genes, Environment, and Health, National Jewish Health, Denver, CO 80206, USACenter for Genes, Environment, and Health, National Jewish Health, Denver, CO 80206, USACenter for Genes, Environment, and Health, National Jewish Health, Denver, CO 80206, USACenter for Genes, Environment, and Health, National Jewish Health, Denver, CO 80206, USAComputational Biosciences, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USADepartment of Medicine and Academic Affairs, National Jewish Health, Denver, CO 80206, USACenter for Genes, Environment, and Health, National Jewish Health, Denver, CO 80206, USADivision of Biostatistics and Bioinformatics, National Jewish Health, Denver, CO 80206, USACenter for Genes, Environment, and Health, National Jewish Health, Denver, CO 80206, USANontuberculous mycobacteria (NTM) are environmental organisms that can cause opportunistic pulmonary disease with species diversity showing significant regional variation. In the United States, Hawai’i shows the highest rate of NTM pulmonary disease. The need for improved understanding of NTM reservoirs led us to identify NTM from patient respiratory specimens and compare NTM diversity between outdoor and indoor locations in Hawai’i. A total of 545 water biofilm samples were collected from 357 unique locations across Kaua’i (<i>n</i> = 51), O’ahu (<i>n</i> = 202), Maui (<i>n</i> = 159), and Hawai’i Island (<i>n</i> = 133) and divided into outdoor (<i>n</i> = 179) or indoor (<i>n</i> = 366) categories. <i>rpoB</i> sequence analysis was used to determine NTM species and predictive modeling applied to develop NTM risk maps based on geographic characteristics between environments. <i>M. chimaera</i> was frequently identified from respiratory and environmental samples followed by <i>M. chelonae</i> and <i>M. abscessus;</i> yet significantly less NTM were consistently recovered from outdoor compared to indoor biofilms, as exemplified by showerhead biofilm samples. While the frequency of <i>M. chimaera</i> recovery was comparable between outdoor and indoor showerhead biofilms, phylogenetic analyses demonstrate similar <i>rpoB</i> gene sequences between all showerhead and respiratory <i>M. chimaera</i> isolates, supporting outdoor and indoor environments as possible sources for pulmonary <i>M. chimaera</i> infections.https://www.mdpi.com/2076-2607/9/2/224nontuberculous mycobacteriabiofilmsenvironmentHawai’i
spellingShingle Ravleen Virdi
Melissa E. Lowe
Grant J. Norton
Stephanie N. Dawrs
Nabeeh A. Hasan
L. Elaine Epperson
Cody M. Glickman
Edward D. Chan
Michael Strong
James L. Crooks
Jennifer R. Honda
Lower Recovery of Nontuberculous Mycobacteria from Outdoor Hawai’i Environmental Water Biofilms Compared to Indoor Samples
Microorganisms
nontuberculous mycobacteria
biofilms
environment
Hawai’i
title Lower Recovery of Nontuberculous Mycobacteria from Outdoor Hawai’i Environmental Water Biofilms Compared to Indoor Samples
title_full Lower Recovery of Nontuberculous Mycobacteria from Outdoor Hawai’i Environmental Water Biofilms Compared to Indoor Samples
title_fullStr Lower Recovery of Nontuberculous Mycobacteria from Outdoor Hawai’i Environmental Water Biofilms Compared to Indoor Samples
title_full_unstemmed Lower Recovery of Nontuberculous Mycobacteria from Outdoor Hawai’i Environmental Water Biofilms Compared to Indoor Samples
title_short Lower Recovery of Nontuberculous Mycobacteria from Outdoor Hawai’i Environmental Water Biofilms Compared to Indoor Samples
title_sort lower recovery of nontuberculous mycobacteria from outdoor hawai i environmental water biofilms compared to indoor samples
topic nontuberculous mycobacteria
biofilms
environment
Hawai’i
url https://www.mdpi.com/2076-2607/9/2/224
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