Abstract
Legionella pneumophila is considered the etiologic agent of legionellosis and may cause severe respiratory infection in susceptible individuals, including man and guinea pigs (1–8). These organisms are fastidious opportunistic pathogens which are ubiquitously found in nature but only occasionally causes disease in man under normal circumstances. Guinea pigs are extremely susceptible to these bacteria and are widely used as an animal model for legionellosis. In contrast, rodents such as mice and rats are highly resistant to infection by these bacteria (7,8,10,11). Mice are difficult to infect with strains of Legionella highly virulent for guinea pigs. In several situations, it has been observed that Legionella may infect immunocompromised individuals, although no particular immunological lesion has been associated with acquisition of the disease (12–14). Indeed, in the first recognized outbreak of legionellosis, i.e., the upper respiratory infection in Pennsylvania State Legionnaires attending a convention in Philadelphia, specific immunologic depression was not observed although individuals who developed the disease drank more liquor, smoked more cigarettes and generally had less sleep than those companions who did not contact the disease.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Fraser, D.W., T.R. Tsai, W. Orenstein, W.E. Parkin, H.J.Beecham, P.G. Sharrar, J. Harris, G.F. Mallison, S.M. Martin, J.E. McDade, C.C. Shepart, P.S. Brachman, and The Field Investigation Team. 1977. Legionnaires’ disease. Description of an epidemic of pneumonia. N. Engl. J. Med. 297: 1198.
Meyer, R.P. and S.M. Finegold. 1980. Legionnaires’ disease. Ann. Rev. Med. 31: 219.
Fraser, D.W., C. Bopp, I.K. Wachsmuth, J.C. Feeley, and T. Tsai. 1978. Antibiotic treatment of guinea pigs infected with agent of Legionnaires’ disease. Lancet. 1: 175.
Chandler, F.W., J.E. McDade, M.D. Hicklin, J.A. Blackmon, B.M. Thomason, and E.P. Ewing. 1979. Pathologic findings in guinea pigs inoculated intraperitoneally with the Legionnaires’ disease bacterium. Ann. Inter. Med. 90: 671.
Berendt, R.F., H.W. Young, R.G. allen, and G.L. Knutsen. 1980. Dose-response of guinea pigs experimentally infected with aerosols of Legionella pneumophila J. Infect. Dis. 141: 186.
Katz, S.M., and S. Hashemi. 1982. Electron microscopic examination of the inflammatory response to Legionella pneumophila in guinea pigs. Lab. Invest. 46: 24.
Winn, W.C., Jr., G.S. Davis, D.W. Gump, J.E. Craighead, and H.N. Beaty. 1982. Legionnaires’ pneumonia after intratracheal inoculation of guinea pigs and rats. Lab. Invest. 47: 568.
Davis, G.S., W.C. Winn, Jr., D.W. Gump, J.E. Craighead and H.N. Beaty. 1982. Legionnaires’ pneumonia after aerosols exposure of guinea pigs and rats. Am. Rev. Respir. Dis. 126: 1050.
Hedlund, K.W., V.G. McGann, D.S. Copeland, S.F. Little and R.G. Allen. 1979. Immunological protection against the Legionnaires’ disease bacterium in the AKR/J mouse. Ann. Intern. Med. 90: 676–679.
Rolstadt, B. and P.B. Berdal. 1981. Immune defenses against Legionella pneumophila in rats. Inf. and Immun. 32: 805–812.
Eisenstein, T.K. and H. Friedman. 1985. Immunity to Legionella in Legionellosis. 2nd ed., p. 159–169, CRC Press, Boca Raton, Florida.
Saravolatz, L.D., R.H. Burch, E. Fisher, T. Madhavan, D. Kiani, T. Neblett and E.L. Quinn. 1979. The compromised host and Legionnaires’ disease. Ann. Intern. Med. 90: 533.
Cutz, E., P.S. Thorner, P. Rao, S. Toma, R. Gold and E.W. Gelfand. 1982. Desseminated Legionella pneumophila infection in an infant with severe combined immunodeficiency.
Saravolatz, L.D., R.H. Burch, E. Fisher, T. Madhavan, D. Kiani, T. Neblett and E.L. Quinn. 1979. The compromised host and Legionnaires’ disease. Ann. of Inter. Med. 90: 533–537.
Arko, R.J., K.H. Wong and J. Feeley. 1979. Immunologic factors affecting the in vivo and in vitro survival of the Legionnaires’ disease bacterium. Ann. Inter. Med. 90: 630–683.
Friedman, A.P. and S.M. Katz. 1981. The prevalence of serum antibodies to Legionella pneumophila in patients with chronic pulmonary disease. Am. Rev. Respir. Dis. 123: 238–239.
Davis, G.S., W.C. Winn and H.N. Beaty. 1981. Legionnaires’ disease: Infections caused by Legionella pneumophila and Legionella-like organisms. Clin. Chest. Med. 2: 145–66.
Winn, W.C.,Jr. and R.L. Myerowitz. 1981. The pathology of the Legionella pneumonias. A review of 74 cases and the literature. Human Pathol. 12: 401–422.
Winn, W. 1984. Pathology and pathogenesis of Legionella infections. In: Legionella, (C.Thornsberry, A. Ballows, J.C. Feeley and W. Jakubowski, Eds.). p. 115–122. Amer. Soc. Microbiol. Press, Washington, D.C.
Berendt, R.F., H.W. Young, R.G. Allen et al. 1980. Dose response of guinea pigs experimentally infected with aerosols of Legionella pneumophila. J. Infect. Dis. 141: 186–192.
Broome, C.V., W.B. Cherry, W.C. Winn,Jr. and B.R. MacPherson. 1979. Rapid diagnosis of Legionnaires’ disease by direct immunofluorescent staining. Ann. Inter. Med. 90: 1–4.
Edson, D.C., H.E. Stiefel, B.B. Wentworth and D.D. Wilson. 1979. Prevalence of antibodies to Legionnaires’ disease. A seroepidemiologic survey of Michigan residents using the hemagglutination test. Ann. Inter. Med. 90: 691–694.
Holliday, M.G. 1980. The diagnosis of Legionnaires’ diesease by counterimmunoelectrophoresis. J. Clin. Pathol. 33: 1174–1181.
Horwitz, M.A. 1982. Demonstration of cell-mediated immunity in Legionnaires’ disease. Clin. Res. 30: 369A.
Wilkinson, H.W., B.J. Fikes and D.D. Cruce. 1979. Indirect immunofluorescence test for serodiagnosis of Leginnaires disease: evidence for serogroup diversity of Legionnaires’ disease bacterial antigens and for multiple specificity of human antibodies. J. Clin. Microbiol. 9: 379–383.
Wilkinson, H.W., A.L. Reingold, B.J. Brake, D.L. McGiboney, G.W. Gorman and C.V. Broome. 1983. Reactivity of serum from patients with suspected legionellosis against 29 immunofluorescence assay. J. Infect. Dis. 147: 23–31.
Elliot, J.A., W. Johnson and C.M. Helms. 1981. Ultrastructural localization and protective activity of high-molecular-weight antigen isolated from Legionella pneumophila. Infec. Immun. 31: 822–824.
Johnson, W., J.A. Elliott, C.M. Helms and E.D. Renner. 1979. A high molecular weight antigen in Legionnaires’ disease bacterium: isolation and partial characterization. Ann. In. Med. 90: 638–641.
Elliott, J.A. and W. Johnson. 1981. Immunological and biochemical relationships among flagella isolated from Legionella pneumophila serogroups 1, 2, and 3. Inf. and Immun. 33: 602–609.
Friedman, H., R. Widen, T. Klein and W. Johnson. 198. Legionella pneumophila-induced immunostimulation and blastogenesis of normal mouse spleen cells in vitro. Proc. Soc. Exp. Biol. Med. 174: 212–216.
Friedman, H., R. Widen, T. Klein and W. Johnson. 1984. Immunostimulation by Legionella pneumophila antigen preparations in vivo and in vitro. Infec. Immun. 43: 347–352.
Friedman, H., C. Newton, K.D. Blanchard, T.W. Klein, R. Widen and K.H. Wong. 1986. Immunogenicity and adjuvanticity of lipopolysaccharide from Legionella pneumophila. Proc. Soc. Exp. Biol. Med. (in press).
Vogel, F.R., T.W. Klein, S. Specter, M. Hitchings and H. Friedman. 1981. Detection of antibodies for Legionella pneumophila in immune guinea pig serum by solid phase immunofluorescence. J. Clin. Microbiol. 13: 726–729.
Friedman, H., R. Widen and T. Klein. 1983. Cellular immunity to Legionella antigen. Clin. Immunol. Newsletter, 4: 92–96.
Friedman, H., T. Klein and R. Widen. 1983. Cellular and humoral immunity to Legionella pneumophila. In: Infect. Colloquium 1: p. 99–111. C. Krasemann, ed. W. deGruytes Press, Amsterdam, The Netherlands.
Friedman, H., R. Widen, and T. Klein. 1983. Immunodiagnostic assays for legionellosis. Lab. Mgmt. 21: 19–24.
Wong, K.H., P.R.B. McMaster, J.C. Feeley, R.J. Arko, W.O. Schalla and F.W. Chandler. 1980. Detection of hypersensitivity to Legionella pneumophila in guinea pigs by skin test. Cur. Microbiol. 4: 105–110.
Klein, T., H. Friedman and R. Widen. 1984. The relative potency of virulent vs avirulent Legionella pneumophila for the induction of cell-mediated immunity. Infec. Immun. (in press).
Plouffe, J.F. and I.M. Bair. 1981. Lymphocyte transformation to Legionella pneumophila. J. Clin. Lab. Immunol. 5: 149–152.
Plouffe, J.F. and I.M. Baird. 1982. Lymphocyte blastogenic responses to L. pneumophila in acute legionellosis. J. Clin. L.b. Immunol. 7: 43: 44.
Friedman, H., T. Klein and R. Widen. 1984. Immunity to Legionella pneumophila. In: Legionella p. 145–152. J.C. Feeley, C. Thornsbery, A. Balows and W. Jakubowski. eds. Amer. Soc. Microbiol. Washington, D.C.
T. Klein, R. Widen, K. Cabrian, L. Searles and H. Friedman. 1984. Development of cellular immunity in guinea pigs exposed to Legionella pneumophila. In: Legionella p. 178–180. J.C. Feeley, C. Thornsberry, A. Balows and W. Jakubowski, Eds. Amer. Soc. Microbiol., Washington, D.C.
Widen, R., I. Lee, T. Klein and H. Friedman. 1983. Blastogenic responsiveness of spleen cells from guinea pigs sensitized to Legionella pneumophila antigen. Proc. Soc. Exp. Biol. Med., 143: 547–544.
Friedman, H., R. Widen, I. Lee and T. Klein. 1983. Cellular immunity to Legionella pneumophila in guinea pigs assessed by direct and indirect migration inhibition reactions in vitro. Infec. Immun. 41: 1132–1137.
Friedman, H., R. Widen, T. Klein, L. Searles and K. Cabrian. 1984. Legionella pneumophila-induced blastogenesis of murine lymphoid cells in vitro. Infect. Immun. 43: 314–319.
Friedman, H., C. Newton, A. Friedman, R. Widen, T. Klein. 1986. Blastogenic responsiveness of spleen cells from Legionella pneumphila-infected mice immunosuppressed with cyclophosphamide. Current Microbiol. 14: 35–39.
H. Friedman, R.Widen, C. Newton and T. Klein. 1986. Distinctive cytokinetics of blastogenic responses by spleen cells from Legionella pneumophila sensitized mice. Current Microbiol. (in press).
Widen, R., C. Newton, T.W. Klein, and H. Friedman. 1985. Interleukin induction by Legionellia pneumophila antigens. Proc. Am. Soc. Mibriol. Ann. Mtg. p. 82.
Blanchard, D.K., T.W. Klein, H. Friedman and W.E. Stewart II. 1985. Kinetics and characterization of interferon induction by murine spleen cells stimulated with Legionella pneumophila antigen. Infec. Immun. 49: 719–723.
Horwitz, M.A. and S.C. Silverstein. 1981. Interaction of the Legionnaires’ disease bacterium (Legionella pneumophila) with human phagocytes. I. J. Exp. Med. 153: 386–397.
Horwitz, M.A. and S. C. Silverstein. 1981. Interaction of the Legionnaires’ disease bacterium (Legionella pneumophila) with human phagocytes. H. J. Exp. Med. 153: 398–406.
Horwitz, M.A. 1984. Interactions between Legionella pneumophila and human mononuclear phagocytes. p. 159–166. In: Legionella C. Thornsberry, A. Balows, J.C. Feeley and W. Jakubowski, eds. Amer. Soc. Microbiol. Press. Washington, D.C.
Kishimoto, R.A., M.D. Kastello, J.D. White, F.G. Shirey, V.G. McGann, E.W. Larson and K.W. Hedlund. 1979. In vitro interaction between normal cynomolgus monkey alveolar macrophages and Legionnaires’ disease bacteria. Infec. Immun. 25: 761–763.
Kishimoto, R.A., J.D. White, F.G. Shirey, V.G. McGann, R.F. Berendt, E.W. Larson and K.W. Hedlund. 1981. In vitro response of guinea pig peritoneal macrophages to Legionella pneumophila. Inf. and Immun. 31: 1209–1213.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1988 Springer Science+Business Media New York
About this chapter
Cite this chapter
Friedman, H., Klein, T.W., Widen, R., Newton, C., Blanchard, D.K., Yamamoto, Y. (1988). Legionella Pneumophila Immunity and Immunomodulation: Nature and Mechanisms. In: Eisenstein, T.K., Bullock, W.E., Hanna, N. (eds) Host Defenses and Immunomodulation to Intracellular Pathogens. Advances in Experimental Medicine and Biology, vol 239. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-5421-6_32
Download citation
DOI: https://doi.org/10.1007/978-1-4757-5421-6_32
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4757-5423-0
Online ISBN: 978-1-4757-5421-6
eBook Packages: Springer Book Archive