I N a recent paper (Bisset and Bartlett, 1978) it was postulated that approximately 30% of clinically normal persons carry a gram-positive bacillus as an L-form in their blood stream. Work in this laboratory has demonstrated that these L-forms and intermediate forms are derived from a sporing bacillus classifiable as Bacillus licheniformis var. endoparasiticus (Benedek), here referred to as BLE (Pease, 1974;Bisset, 1977;Tedeschi et al., 1978); it is held that BLE occurs in various forms as a cryptoparasite associated with the erythrocytes of human beings (Bisset and Bartlett, 1978). The spheroplast forms of BLE have often been described as mycoplasmas, which they closely resemble (see Dumonde, 1976, for references); the relationship of mycoplasma-like organisms with Bacillus species of the B. subtilisl licheniformis type, implied by the work of Pease (1974) and Bisset (1977), was recently clarified by the tRNA analyses of Walker and RajBhandary (1978).The identification of these various morphological forms as phases of BLE tends to be obscured by their exceedingly slow development, i.e., reversion to the true bacterial form, in primary culture. The entire process takes many months, and complete reversion to a sporogenous phase, although common in strains from arthritic joint fluids (Pease, 1974), is rather rare in those from healthy subjects, especially in subculture (Bisset and Bartlett, 1978). It was observed, however, that speedier and more complete reversion might be induced by growth of the L-form in the presence of cultural products of Staphylococcus epidermidis. This was suggested by Professor G. Tedeschi (personal communication), and the principle was employed by Madoff (1974). In the present work, experimental trial has been made of hog gastric mucin, which had previously been employed by Wittler, Cary and Lindberg (I 956) for inducing reversion of L-forms, and lysine, riboflavin and diaminopimelic acid.The aim of this communication is to reinforce our information upon the relationship of the cell-wall-deficient L-forms and intermediate L-forms to one another and to the completely reverted sporing bacillus, and to provide practical information for the further investigation of the postulated BLE carrier state.
MATERIALS AND METHODSBacteria. The strain of B. lichenijormis var. endoparasiticus (Benedek) was a phase-A, L-form, isolated from normal human blood (Bisset and Bartlett, 1978), and purified by repeated subculture and picking of colonies. Phase A of BLE is a small, pleomorphic, non-sporing, gram-positive rod, often slightly acid-fast, exhibiting uneven, bipolar or banded staining, and larger filamentous or spherical cell-wall-deficient forms, more typical of the L-form. On agar, it produces small transparent colonies of mycoplasma type, but not the " fried egg " appearance.The strain selected was consistently oxidase-positive, which enabled its phase-B " diphtheroid " revertants to be readily distinguishable from morphologically similar corynebacteria, with which they have been confused by some wo...