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chlamydia cell wall

chlamydia cell wall

Chlamydiae have a replicative cycle different from that of all other bacteria. [3], Most people infected with C. trachomatis are asymptomatic. Architecturally, the chlamydial cell wall is analogous to those of gram negative bacteria, with an inner and outer lipid membrane (See: The life cycle of chlamydia is complex since it cannot replicate outside of living cells but obviously must exit a cell in order to be transmitted. Everett et al. [12], Ocular infections take the form of inclusion conjunctivitis or trachoma, both in adults and children. Recently, a modified form of PG was detected biochemically in the Chlamydia-related bacteria Pr. [3] If several elementary bodies have infected a single cell, their inclusions will fuse at this point to create a single large inclusion in the host cell. The genus is composed of three species: C. psittaci, which causes psittacosis; Chlamydia trachomatis, various strains of which cause chlamydia, trachoma, lymphogranuloma venereum, and conjunctivitis; and C. Prevalence of Chlamydia trachomatis Genital Infection Among Persons Aged 14–39 Years — United States, 2007–2012 – MMWR September 26, 2014. muridarum (affects only mice and hamsters). It is this form that prevents phagolysosomal fusion, which then allows for intracellular survival of the bacteria. Chlamydia is an obligate intracellular bacterial pathogen that has significantly reduced its genome size in adapting to its intracellular niche. [18] Retesting during pregnancy can be performed three weeks after treatment. If the risk of reinfection is high, screening can be repeated throughout pregnancy. [9] (1996). [3] 8 to 16 hours after infection, another set of effectors are synthesized, driving acquisition of nutrients from the host cell. C. pnemoniae has been implicated in quite a number of chronic ill… Fox, A., Rogers, J. C., Gilbart, J., Morgan, S., Davis, C. H., Knight, S., & Wyrick, P. B. C. trachomatis exclusively infects humans. The key difference between mycoplasma and chlamydia is that mycoplasma is a genus of bacteria that lacks a cell wall while chlamydia is a genus of bacteria that includes gram-negative and obligate parasites.. Mycoplasma species are the smallest bacteria that have been discovered yet, with the smallest genomes and a minimum number of highly essential organelles. PMID 25132162. Chlamydia is a genus of pathogenic Gram-negative bacteria that are obligate intracellular parasites. C. trachomatis is the most common infectious cause of blindness and the most common sexually transmitted bacterium.[3]. Elementary bodies are 200 to 400 nanometers across, and are surrounded by a rigid cell wall that allows them to survive outside of a host cell. Chlamydiae have a gram-negative cell wall structure consisting of an outer membrane that contains lipopolysaccharide and an inner cytoplasmic membrane. Author Summary Pathogenic Chlamydia do not assemble their peptidoglycan (PG) cell wall in a classical, mesh-like sacculus, but instead apparently confine it to the mid-cell in the actively dividing, non-infectious form. [9] The recommended treatment consists of oral erythromycin base or ethylsuccinate 50 mg/kg/day divided into 4 doses daily for two weeks while monitoring for symptoms of infantile hypertrophic pyloric stenosis (IHPS) in infants less than 6 weeks old. [9], If the infection has progressed, ascending the reproductive tract and pelvic inflammatory disease develops, damage to the fallopian tubes may have already occurred. [5] Over the next several decades, "Chlamydozoa" was thought to be a virus as it was small enough to pass through bacterial filters and unable to grow on known laboratory media. Dordrecht: Kluwer Academic. Enzyme system: Chlamydiae comprise few enzymes for the synthesis of peptidoglycan. Chlamydia trachomatis, Chlamydophila genus, and C. trachomatis species is an obligate gram-negative anaerobic bacterium. Treating the mother of an infant with C. trachomatis of the eye, which can evolve into a pneumonia, is recommended. [20], Chlamydia species are readily identified and distinguished from other Chlamydia species using DNA-based tests. Advances in the diagnostic isolation of Chlamydia, including TRIC agent, from the eye, genital tract, and rectum", "Seventy Years of Chlamydia Vaccine Research – Limitations of the Past and Directions for the Future", https://en.wikipedia.org/w/index.php?title=Chlamydia_trachomatis&oldid=1000005224, Sexually transmitted diseases and infections, Infectious diseases with eradication efforts, Infections with a predominantly sexual mode of transmission, Articles with unsourced statements from September 2020, Creative Commons Attribution-ShareAlike License, Nucleic acid hybridization tests (DNA probe test) also find, This page was last edited on 13 January 2021, at 01:31. Due to its significance to human health, C. trachomatis is the subject of research in laboratories around the world. [5] C. trachomatis along with C. pneumoniae have been found to infect humans to a greater extent. Over the course of the C. trachomatis life cycle, the bacteria take on two distinct forms. However, the bacteria can present in one of three ways: genitourinary (genitals), pulmonary (lungs), and ocular (eyes). [3][4] This form can initiate a new infection if it comes into contact with a susceptible host cell. This bacteria is associated with causing the disease Chlamydia. Global Network for Neglected Tropical Diseases. Rapid replication of the bacteria inside the endosome can be observed microscopically as a membrane-bound cellular vacuole full of bacteria and is termed an "Inclusion Body". [3] From 24 to 72 hours after infection, reticulate bodies transition to elementary bodies which are released either by lysis of the host cell or extrusion of the entire inclusion into the host genital tract. [10], C. trachomatis is the single most important infectious agent associated with blindness (trachoma), and it also affects the eyes in the form of inclusion conjunctivitis and is responsible for about 19% of adult cases of conjunctivitis.[11]. The rigidity of the cell wall of elementary bodies is facilitated and maintained by extensive disulphide cross-linking of the major outer membrane protein, which is rich Chlamydiae are obligate intracellular gram-negative bacteria. Pilhofer et al. [] The C.trachomatis cell wall is unique in that it contains an outer lipopolysaccharide membrane, but it lacks peptidoglycan; within the cell wall, cysteine-rich proteins act as the functional peptidoglycan equivalent. It have an extra-chromosomal plasmid. Pulmonary infections can occur in infants born to women with active chlamydia infections, although the rate of infection is less than 10%. [11], When C. trachomatis is in the lungs in the form of a respiratory infection it typically has symptoms of a runny or stuffy nose, low-grade fever, hoarseness of voice, as well as other symptoms associated with general pneumonia. 14 C-labeled cell walls of the 6BC strain of Chlamydia psittaci, prepared from intrinsically labeled chlamydial cells by digestion with deoxycholate and trypsin, associated with mouse fibroblasts (L cells) in a manner comparable to that of intact C. psittaci. [3] These effectors trigger the host cell to take up the elementary bodies and prevent the cell from triggering apoptosis. Energy parasite: Microbiologist considers Chlamydiae as “Energy parasite” because of the fact they lack ATP generating system of their own but can obtain ATP from the host cell. Abstract. [citation needed], Other research has been conducted to try to get a feel for how to create a vaccine against C. trachomatis, finding that it would be very difficult to create a fully effective or even partially effective vaccine since the host’s response to infection involves complex immunological pathways that must first be fully understood to ensure that adverse effects are avoided. [18] Erythromycin is less preferred as it may cause gastrointestinal side effects, which can lead to non-adherence. [29][31], In the 1990s it was shown that there are several species of Chlamydia. Elementary bodies are spore-like and infectious, whereas reticulate bodies are the replicative stage and are seen only within host cells. [27][5] Thinking they had discovered a "mantled protozoan", they named the organism "Chlamydozoa" from the Greek "Chlamys" meaning mantle. [4] Infectious particles can be quantified by infecting cell layers and counting the number of inclusions, analogous to a plaque assay. Chlamydia trachomatis (/kləˈmɪdiə trəˈkoʊmətɪs/), commonly known as chlamydia,[2] is a bacterium that causes chlamydia, which can manifest in various ways, including: trachoma, lymphogranuloma venereum, nongonococcal urethritis, cervicitis, salpingitis, pelvic inflammatory disease. Chlamydiae are sensitive to beta-lactam antibiotics, which target cell-wall peptidoglycan (PG), but it is unclear whether these bacteria possess PG. Infection and immunity, 58(3), 835–7. [citation needed]. Genitourinary cases can include genital discharge, vaginal bleeding, itchiness (pruritus), painful urination (dysuria), among other symptoms. [5] Within the inclusion, C. trachomatis transforms into a larger, more metabolically active form called the reticulate body. [5] The massive number of intracellular bacteria then transition back to resistant elementary bodies, before causing the cell to rupture and being released into the environment. [28] The bacterium is still classified as gram-negative, C. trachomatis agent was first cultured and isolated in the yolk sacs of eggs by Tang Fei-fan et al. Muramic acid is not detectable in Chlamydia psittaci or Chlamydia trachomatis by gas chromatography-mass spectrometry. Over time, the RBs transition back to the environmentally-resistant EB form and the cell is lysed, releasing infectious EB particles. Trachoma interactive fact sheet.http://old.globalnetwork.org/sites/all/modules/ The chlamydial cell is roughly spherical and measures between 0.3 and 1.0 u in diameter, according to the stage of development. Inclusion conjunctivitis from C. trachomatis is responsible for about 19% of adult cases of conjunctivitis.[11]. Most strains of C. trachomatis are recognized by monoclonal antibodies (mAbs) to epitopes in the VS4 region of MOMP. It has a genome that consists of 1,042,519 nucleotide base pairs. globalnetwork/factsheetxml/disease.php?id=9. "HPV and Chlamydia trachomatis Co-Detection in Young Asymptomatic Women from High Incidence Area for Cervical Cancer". C. trachomatis may be treated with several antibiotic medications, including azithromycin, erythromycin, ofloxacin,[9] and tetracycline. Chlamydia, a genus of bacterial parasites that cause several different diseases in humans. Chlamydia trachomatis is a human pathogenic bacterium and is a member of the species of bacteria called Chalmydia. Morphology and Structure. [4] The role of this plasmid is unknown, though strains without the plasmid have been isolated, suggesting it is not required for survival of the bacterium. First, C. trachomatis attaches to a new host cell as a small spore-like form called the elementary body. Chlamydia refers to a genus of related bacterial species with similar cell walls, who are obligate intracellular parasites, and possess a similar life cycle. We characterize the assembly and aging of this PG-ring and link its synthesis to MreB, an actin-like protein associated with lateral cell wall synthesis in bacteria. [5] This is essentially due to the fact that they were found to possess DNA, RNA, and ribosomes like other bacteria. Discovering and Differentiating New and Emerging Clonal Populations of chlamydia trachomatis with a Novel Shotgun Cell Culture Harvest Assay. These are further subdivided into several serovars based on the surface antigens recognized by the immune system. Chlamydia trachomatis is a bacteria species in the genus Chlamydia. [5] These new elementary bodies are then shed in the semen or released from epithelial cells of the female genital tract, and attach to new host cells. [33] It is now known that C. trachomatis comprises 19 serovars which are identified by monoclonal antibodies that react to epitopes on the major outer-membrane protein (MOMP). Tetracycline is the most preferred antibiotic to treat C.trachomatis and has the highest success rate. [3] Several important metabolic functions are not encoded in the C. trachomatis genome, and instead, are likely scavenged from the host cell. 86 (11): 1920–1925. Azithromycin and doxycycline have equal efficacy to treat C. trachomatis with 97 and 98 percent success, respectively. The life cycle of Chlamydia trachomatis consists of two stages: elementary body and reticulate body. [13] In the form of inclusion conjunctivitis the infection presents with redness, swelling, mucopurulent discharge from the eye, and most other symptoms associated with adult conjunctivitis. [7], C. trachomatis strains are generally divided into three biovars based on the type of disease they cause. Levofloxacin and ofloxacin are generally no better than azithromycin or doxycycline and are more expensive. Azithromycin is the recommended medication and is taken as a 1 gram tablet taken by mouth as a single dose. DOI:10.1503/cmaj.1040286, Somboonna, N., Mead, S., Liu, J., & Dean, D. (2008). [4] Recent research has found that a pair of disulfide bond proteins, which are necessary for C. trachomatis to be able to infect host cells, is very similar to a homologous pair of proteins found in Escherichia coli (E. coli), though the reaction’s speed is slower in C. Emerging Infectious Diseases, 14(3), 445–453. Molecular evolution of viruses: Past and present (4th ed.). Different types of C. trachomatis cause different diseases. In the case of a patient who is pregnant, the medications typically prescribed are azithromycin, amoxicillin, and erythromycin. [22] However, these mAbs may also cross-react with two other Chlamydia species, C. suis and C. muridarum. The dispersal form is about 0.3 um in diameter and induces its own endocytosis upon exposure to target cells. DOI:10.1099/00221287-136-8-1559, Translocated actin-recruiting phosphoprotein, https://www.ncbi.nlm.nih.gov/books/NBK8091/, "Genital Chlamydia trachomatis: an update", "Molecular genetic methods for diagnosis and characterisation of, "A Systematic Approach to the Diagnosis and Treatment of Chronic Conjunctivitis", "Ocular Chlamydia trachomatis infection: elimination with mass drug administration", "Recommendations for the Prevention and Management of Chlamydia trachomatis Infections, 1993", "Investigation on silent bacterial infections in specimens from pregnant women affected by spontaneous miscarriage", "Chlamydial Infections in Adolescents and Adults", "In vitro evaluation of activities of azithromycin, erythromycin, and tetracycline against Chlamydia trachomatis and Chlamydia pneumoniae", "Molecular Mechanisms of Chlamydia trachomatis resistance to antimicrobial drugs", "Oral Chlamydia Home Testing, Symptoms and Treatment | myLAB Box™", "The natural history of Chlamydia trachomatis infection in women: a multi-parameter evidence synthesis", "Immunoglobulin-Based Investigation of Spontaneous Resolution of Chlamydia trachomatis Infection", "Genital Chlamydia trachomatis: Understanding the Roles of Innate and Adaptive Immunity in Vaccine Research", "Oxidoreductase disulfide bond proteins DsbA and DsbB form an active redox pair in Chlamydia trachomatis, a bacterium with disulfide dependent infection and development", "Chlamydial infection. [3] Over the course of the C. trachomatis life cycle, the bacteria take on two distinct forms. [29] This was a significant milestone because it became possible to preserve these agents which could then be used for future genomic and phylogenetic studies. suis (affects only swine), and Ch. Human health is particularly affected by Chlamydia pneumoniae (Cpn) and Chlamydia trachomatis. We recently detected PG in Chlamydia trachomatis by a new metabolic cell wall labeling method, however efforts to purify PG from pathogenic Chlamydiae have remained unsuccessful. [18] Treatment with generic doxycycline 100  mg twice a day for 7 days has equal success with expensive delayed-release doxycycline 200 mg once a day for 7 days. The chlamydial cell wall is devoid of peptidoglycan, but the enzymes involved in the synthesis of peptidoglycan accounts for the penicillin effect that disrupts peptid… Organism and Classification. [3] These effectors include a number of proteins that modify the inclusion membrane, called Inc proteins, as well as proteins that redirect host vesicles to the inclusion. [14], C. trachomatis may latently infect the chorionic villi tissues of pregnant women, thereby impacting pregnancy outcome.[15]. Three times as many women are diagnosed with genitourinary C. trachomatis infections than men. [5] The reticulate body substantially modifies the inclusion, making it a more hospitable environment for rapid replication of the bacteria, which occurs over the following 30 to 72 hours. Peptidoglycan is an essential structural component of the cell wall in the majority of bacteria, but the obligate intracellular human pathogen Chlamydia trachomatis was … [3] Once attached, the bacteria inject various effector proteins into the host cell using a type three secretion system. Both are common causes of multiple other conditions including pelvic inflammatory disease and urethritis. [4], Like other Chlamydia species, C. trachomatis has a life cycle consisting of two morphologically distinct forms. trachomatis. doi:10.1002/jmv.24041. Accessed February 6, 2011. [3] At this stage, the reticulate bodies begin to divide, causing the inclusion to expand. Chlamydia trachomatis was first described in historical records in Ebers papyrus written between 1553 and 1550 BC. Species include Chlamydia trachomatis (a human pathogen), Ch. [19] Tetracycline is not used because some children and even adults can not withstand the drug, causing harm to the mother and fetus. Chlamydiae species have a complex replication cycle consisting of 2 morphological forms: elementary bodies and reticulate bodies. EBs have a predilection for adhering to columnar epithelia and are probably internalized by a number of mechanisms, ultimately ending up in endosomes. Architecturally, the chlamydial cell wall is analogous to those of gram negative bacteria, with an inner and outer lipid membrane (See: Bacterial Cell Wall ). [5] However, in 1966 electron microscopy studies showed C. trachomatis to be a bacterium. Elementary bodies are generally present in the semen of infected men and vaginal secretions of infected women. This is the replicative form of the bacteria that exists inside a host cell's endosomes. Serotypes A through C cause chlamydia conjunctivitis in adults, which also called trachoma. [34] Comparison of amino acid sequences reveals that MOMP contains four variable segments: S1,2 ,3 and 4. .mw-parser-output table.clade{border-spacing:0;margin:0;font-size:100%;line-height:100%;border-collapse:separate;width:auto}.mw-parser-output table.clade table.clade{width:100%;line-height:inherit}.mw-parser-output table.clade td.clade-label{width:0.7em;padding:0 0.15em;vertical-align:bottom;text-align:center;border-left:1px solid;border-bottom:1px solid;white-space:nowrap}.mw-parser-output table.clade td.clade-fixed-width{overflow:hidden;text-overflow:ellipsis}.mw-parser-output table.clade td.clade-fixed-width:hover{overflow:visible}.mw-parser-output table.clade td.clade-label.first{border-left:none;border-right:none}.mw-parser-output table.clade td.clade-label.reverse{border-left:none;border-right:1px solid}.mw-parser-output table.clade td.clade-slabel{padding:0 0.15em;vertical-align:top;text-align:center;border-left:1px solid;white-space:nowrap}.mw-parser-output table.clade td.clade-slabel:hover{overflow:visible}.mw-parser-output table.clade td.clade-slabel.last{border-left:none;border-right:none}.mw-parser-output table.clade td.clade-slabel.reverse{border-left:none;border-right:1px solid}.mw-parser-output table.clade td.clade-bar{vertical-align:middle;text-align:left;padding:0 0.5em;position:relative}.mw-parser-output table.clade td.clade-bar.reverse{text-align:right;position:relative}.mw-parser-output table.clade td.clade-leaf{border:0;padding:0;text-align:left}.mw-parser-output table.clade td.clade-leafR{border:0;padding:0;text-align:right}.mw-parser-output table.clade td.clade-leaf.reverse{text-align:right}.mw-parser-output table.clade:hover span.linkA{background-color:yellow}.mw-parser-output table.clade:hover span.linkB{background-color:green}, Strains that cause lymphogranuloma venereum (Serovars L1 to L3), Most prevalent genital strains (Serovars D-F), Less prevalent genital strains (Serovars G-K, and some strains of Serovar D), Clinical signs and symptoms of C. trachomatis infection in the genitalia present as the chlamydia infection, which may be asymptomatic or may resemble a gonorrhea infection. This small and dense form is the infections particle that is transmitted from cell to cell and from individual to individual. The antigenic relatedness of the serovars reflects the homology levels of DNA between MOMP genes, especially within these segments. Chlamydia trachomatis is a gram negative organism, meaning that when stained in a laboratory, it will appear pink under a microscope. Chlamydiae share some of the unique attributes that make it different from the other. Journal of General Microbiology, 136(8), 1559–1566. However, it has been difficult to translate these results to the human species due to physiological and anatomical differences. It has approximately 894 likely protein coding sequences. They have a rigid cell wall but do not have a typical peptidoglycan layer. Unlike the cell walls of most other bacteria, Chlamydia lacks muramic acid which hinders staining of the cell wall. The elementary body is the dispersal form, which is analogous to a spore. Women aged 15–19 have the highest prevalence, followed by women aged 20–24, although the rate of increase of diagnosis is greater for men than for women. [18], There have been a few reported cases of C.trachomatis strains that were resistant to multiple antibiotic treatments. Like other Chlamydia species, the C. trachomatis life cycle consists of two morphologically distinct life stages: elementary bodies and reticulate bodies. In most cases, the C. trachomatis infection is then treated on an outpatient basis with azithromycin or doxycycline. C. trachomatis in the lungs presents as the chlamydia pneumoniae respiratory infection and can affect all ages. [3], C. trachomatis is thought to have diverged from other Chlamydia species around 6 million years ago. Therefore, the bacteria can transition between two basic forms, one of which is specialized for intracellular proliferation, and the other specialized for extracellular transmission. trachomatis. The isolation of C. trachomatis coined the term isolate to describe how C. trachomatis has been isolated from an in vivo setting into a "strain" in cell culture. Chlamydia harbour genes for PG biosynthesis … However, as of 2018, this is not a major cause of concern as antibiotic resistance is rare in C.trachomatis compared to other infectious bacteria. There are three other species in the genus. Having a C. trachomatis and one or more other sexually transmitted infections at the same time is possible. Chlamydiae are obligatory intracellular parasites which are responsible for various acute and chronic diseases in animals and humans. Journal of Medical Virology. C. pneumoniae is found to also infect horses, marsupials, and frogs. About 84 million worldwide suffer C. trachomatis eye infections and 8 million are blinded as a result of the infection. Chlamydia trachomatis or just C. trachomatis, is a gram-negative bacteria that strictly infects humans, and it’s divided into 15 serotypes, also known as serovars.. A serovar groups together bacteria with similar surface antigens, and so are likely to cause the same type of infection. [5] The elementary body enters the host cell, surrounded by a host vacuole, called an inclusion. [35], Furthermore, there have been over 220 Chlamydia vaccine trials done on mice and other non-human host species to target C. muridarum and C. trachomatis strains. [6], C. trachomatis are bacteria in the genus Chlamydia, a group of obligate intracellular parasites of eukaryotic cells. Both the small and the large cell types contain complete cell walls which are similar to the cell walls of gram-negative bacteria. Elementary bodies are 200 to 400 nanometers across, and are surrounded by a rigid cell wall that allows them to survive outside of a host cell. [26], C. trachomatis was first described in 1907 by Stanislaus von Prowazek and Ludwig Halberstädter in scrapings from trachoma cases. Abstract. All chlamydiae are obligate intracellular parasites that depend on infection of a host cell and transition through a biphasic developmental cycle. amoebophila by cell-wall extraction and HPLC/MS (Pilhofer et al., 2013). Bellaminutti, Serena; Seracini, Silva; De Seta, Francesco; Gheit, Tarik; Tommasino, Massimo; Comar, Manola (November 2014). Peptidoglycan (PG), an essential structure in the cell walls of the vast majority of bacteria, is critical for division and maintaining cell shape and hydrostatic pressure. Chlamydia refers to a genus of related bacterial species with similar cell walls, who are obligate intracellular parasites, and possess a similar life cycle. Chlamydia are bacteria that can infect human and animal cells. Chlamydia and Mycoplasma are types of microbes that can cause disease in humans. Treatment is often done with both partners simultaneously to prevent reinfection. Tests for Chlamydia can be ordered from a doctor, a lab or online.[21]. Co-infections with S. pneumoniae and M. pneumoniae occur frequently. DOI:10.1111/j.1749-6632.2011.06194.x, Weir, E. (2004). Only one serotype has been identified . The closest relative to C. trachomatis is C. muridarum, which infects mice. (Busacca 1935) Rake 1957 emend. [3] Serovars A through C cause trachoma, which is the world's leading cause of preventable infectious blindness. [4] Neither form is motile. Retrieved from. The microorganism is an intracellular type of bacteria that only becomes infectious after its entry into the host cells. [18] Despite amoxicillin having fewer side effects than the other medications for treating antenatal C. trachomatis infection, there have been concerns that pregnant women who take penicillin-class antibiotics can develop the persistence to chlamydia. Trachoma: Leading cause of infectious blindness. Chlamydia pneumoniae. Chlamydia infections are the most common bacterial sexually transmitted diseases in humans and are the leading cause of infectious blindness worldwide.. This genus contains a total of nine species: C. trachomatis, C. muridarum, C. pneumoniae, C. pecorum, C. suis, C. abortus, C. felis, C. caviae, and C. psittaci. Their cell walls resemble those of gram-negative bacteria but lack muramic acid. Bacteria comprising the Chlamydiales were thought to be one of the few exceptions. Intracytoplasmic invaginations of the plasma membrane (mesosomes) and ribosomes are also seen. Genome of Chlamydia trachomatis. Burton, Matthew J. ; Trachoma: an overview, British Medical Bulletin, Volume 84, Issue 1, 1 December 2007, Pages 99–116. [12] Often, symptoms are similar to those of a urinary tract infection. Risk factors for genitourinary infections include unprotected sex with multiple partners, lack of condom use, and low socioeconomic status living in urban areas. Chlamydia trachomatis is an obligate intracellular bacterium with a cell wall and ribosomes similar to those of gram-negative organisms. The intercellular property exhibited by the chlamydia makes it difficult to manage pharmacologically. [6] When they come into contact with a new host cell, the elementary bodies bind to the cell via interaction between adhesins on their surface and several host receptor proteins and heparan sulfate proteoglycans. [32] In the ancient world, it was known as the blinding disease trachoma. The evolutionary separated Gram-negative Chlamydiales show a biphasic life cycle and replicate exclusively within eukaryotic host cells. The reticulate body contains no cell wall and is detected as an inclusion in the cell. The EB membrane possesses a high density of cross-linked membrane proteins which render the particle resistant to environmental insults.

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