Abstract. Melioidosis is the term given to any infection caused by Burkholderia pseudomallei. This bacteria is one of the important causative agents of life-threatening pulmonary infections in the tropical and subtropical areas. The initiation of respiratory infections is attachment of this bacteria to pharyngeal cells. The precise mechanism of attachment of B. pseudomallei is not known. In this study, we found that asialoganglioside GM1 at concentrations of 25, 12.5, and 5 g/ml significantly decreased the attachment of B. pseudomallei strain Sp-186 in a dose-dependent manner. On the other hand, asialoganglioside GM2 decreased the attachment of B. pseudomallei, but only at a concentration of 25 g/ml. At a concentration of 1 mg/ml, glucose, N-acetyl-galactosamine, and galactose caused a significant decrease in attachment. However, at concentrations of 250 g/ml, no decrease in attachment was observed in B. pseudomallei treated with these carbohydrates. Mannose and fucose at concentrations of 1 mg/ml had no effects on the inhibition of attachment of B. pseudomallei. Four other isolates of B. pseudomallei showed a significant decrease in attachment after treatment with asialoganglioside GM1. We conclude that asialogangliosides GM1 and GM2 are part of the receptor complex for B. pseudomallei on human pharyngeal epithelial cells.Burkholderia pseudomallei can cause a variety of serious and life-threatening infections, collectively known as melioidosis. 1,2 High relapse, treatment failure, slow response to antibiotic treatment, and drug resistance have made this situation more difficult. 3-7 Septicemia and pulmonary infections are two main form of infection caused by B. pseudomallei. Kanaphun and others have shown that there is a relationship between pulmonary infection and pharyngeal colonization by this bacteria. 8 The initial step in the pathogenesis of respiratory infection is the attachment of bacteria to pharyngeal epithelial cells. The bacteria then enter the lower respiratory tract by microaspiration 9 and establish an infection by overcoming a series of body defense mechanisms. In a recent report, we have shown that B. pseudomallei has the capacity to attach to pharyngeal epithelial cells, and have developed a method for the in vitro study of the attachment of this bacteria to these cells. 10 Bacteria express adhesin, which mediates attachment to a specific receptor present on the host cell. It has been suggested that the receptor of B. pseudomallei on the pharyngeal epithelial cells is a polysaccharide. 10 Unraveling the mechanism of attachment will help in understanding the pathogenesis of this infection and aid in the development of prevention or treatment strategies based on the anti-attachment mechanism. Therefore, the present study was undertaken to identify the receptor for B. pseudomallei on human pharyngeal epithelial cells.
MATERIALS AND METHODSBacteria. Five isolates of B. pseudomallei were used in this study. Three strains (Sp-186, Sp-335 and Sp-140) were isolated from sputum of patients with respir...