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Blood, 15 August 2005, Vol. 106, No. 4, pp. 1215-1222.
Prepublished online as a Blood First Edition Paper on April 28, 2005; DOI 10.1182/blood-2004-12-4670.
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Submitted December 7, 2004
Accepted April 10, 2005
Infection of human CD34+ progenitor cells with Bartonella henselae results in intraerythrocytic presence of B. henselae
Tanja Mandle, Hermann Einsele, Martin Schaller, Diana Neumann, Wichard Vogel, Ingo B Autenrieth, and Volkhard A Kempf*
Institut fur Medizinische Mikrobiologie und Hygiene, Eberhard-Karls-Universitat Tubingen, Tubingen, Germany
Medizinische Universitatsklinik II, Eberhard-Karls-Universitat Tubingen, Tubingen, Germany
Universitats-Hautklinik, Eberhard-Karls-Universitat Tubingen, Tubingen, Germany
* Corresponding author; email: volkhard.kempf{at}med.uni-tuebingen.de.
Although there is evidence that endothelial cells are important targets for human pathogenic Bartonella spp., the primary niche of infection is unknown. Here we elucidated whether human CD34+ hematopoietic progenitor cells (HPCs) internalize B. henselae and may serve as a potential niche of the pathogen. We showed that B. henselae does not adhere to or invade human erythrocytes. In contrast, B. henselae invades and persists in HPCs as shown by gentamicin protection assays, confocal laser scanning microscopy (CLSM) and electron microscopy (EM). FACS analysis of glycophorin A expression revealed that erythroid differentiation of HPCs was unaffected following infection with B. henselae. The number of intracellular B. henselae continuously increased over a 13-day period. When HPCs were infected with B. henselae immediately after isolation, intracellular bacteria were subsequently detectable in differentiated erythroid cells on day 9 and 13 post infection, as shown by CLSM, EM and FACS analysis. Our data provide for the first time evidence that a bacterial pathogen is able to infect and persist in differentiating HPCs, and suggests that HPCs might serve as a potential primary niche in Bartonella infections.

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