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INTERNATIONAL.

JOURNAL OF LEPROSY^ Volume 51, Number 2


Printed 10 the U.S.A.

Electron Microscopic Study of


Mycobacterium leprae Membrane'
M. T. Silva and Paula M. Macedo 2

In recent publications 11 12 ) we presented


( . fected armadillos. The infected tissues were
preliminary results pointing to the conclu- stored frozen until processed for electron
sion that the membrane of normal Myco- microscopy. Al. lemur cells isolated from
bacterium leprac cells present in the skin of the liver of infected armadillos were also
lepromatous (LL) patients appears to be ul- used. Both the infected tissues and the iso-
trastructurally different from that of all oth- lated bacilli were kindly supplied by Dr.
er Gram-positives (including acid-fasts) Hugo L. David (Institut Pasteur, Paris,
studied so far. The difference, not previ- France). M. tubercu/osis (strain H37Ra from
ously recognized by other workers studying the Institut Pasteur) and M. aurum (strain
the micromorphology of Mycobacterium A' from the Institut Pasteur) were grown in
cells, lies in the profile of the membrane as TB Broth (Difco Laboratories, Detroit,
seen with the transmission electron micro- Michigan, U.S.A.) supplemented with 5%
scope in lead-stained, ultrathin sections of glycerol, at 37°C, with occasional shaking
chemically fixed, plastic-embedded sam- (twice a day) for 6 days and 2 days, respec-
ples. Such a profile was found to be asym- tively. The bacteria in the cultures or in the
metric (with the outer layer thicker and suspensions of isolated M. leprae were col-
denser than the inner layer) in several acid- lected by centrifugation (2000 X g, 10 min).
fast (") and non-acid-fast ('.") Gram-pos- Several fixation schedules were tested in
itive bacteria grown in vitro, while it is sym- the present study. In all cases large amounts
metric in the case of leprac (1.12). of fixatives were used to ensure that an ex-
Since the electron microscopic profile of cess of fixative was always present. In the
biological membranes reflects their native case of liver tissue, we fixed duplicate sam-
architecture in terms of distribution of ples: in addition to small fragments (not
chemical components between the two more than 1 mm 3 ), we used tissue fragments
halves of the membrane bilayer (see refs. 9, rapidly homogenized in the fixative to fa-
13, 17 for discussion of this point), the re- cilitate the access of the fixative components
ported difkrence in membrane profile be- to the bacteria. For isolated A/. Ieprae and
tween cultivable mycobacteria and Al. lep- for M. tuberculosis and A/. auru► cultures,
rae, if confirmed, would have interesting the pelleted bacteria were quickly mixed with
implications. the fixative by vortexing. The following pro-
In the present communication we present cedures were used for the fixation: a) Form-
new data obtained by the study at high mag- aldehyde(4%) + glutaraldehyde(1.25%)+
nification of ultrathin sections of A!. /mac Ca "(10 mM) followed by 1% Os°, + Ca'
cells in experimentally infected armadillo followed by uranyl acetate (0.5-1.0%), as
tissues which confirm our previous results. described ("' 2 ). b) The same as in a), but
'

with 10% or 20% di methyl sulloxide


MATERIALS AND METHODS (DMSO) in the aldehyde mixture. c) One
We studied AL leprae cells in situ in liver percent 050, supplemented with 10 mM
and skin lepromas of experimentally in- Ca" 5 ). d) As in c), but 0s0, supplemented
(

with 30 mM Mg". e) As in c), but 050,


' Received for publication on 13 September 1982:
accepted for publication on 14 December 1982.
supplemented with 10 mM many' acetate.
= M. T. Silva, M.D., Ph.D., Research Worker, Centro Fixations a) to e) were followed by a post-
de Citologica Experimental da Universidade do Porto. fixation with 1.0% uranvl acetate in water.
and Professor of Microbiology, Faculties of Medicine Fixation in the aldehyde mixture was car-
and Pharmacy, University of Porto, Porto, Portugal.
ried out for 24-48 hr in the refrigerator or
P. M. Macedo, Research Worker, Centro de Citologia
Experimental da Universidade do Porto, Porto, Por- at room temperature. 0s0 4 fixatives were
tugal, and fellowship holder of the Fundação Calouste used for 16-24 hr at room temperature.
Gulbenkian, Lisbon, Portugal. Uranyl postfixation was for 30-60 min at

219
2v2 0^ International Journal at Lepravy^ 1983

Fu;. 1. Normal M. leprae in armadillo liver. Fixation with formaldehyde+glutaraldehyde+Ca -0s0 4 -1-
-

Ca -uranyl acetate (procedure a). Section stained with uranyl and lead. Notice the symmetric membrane (M)
-

( X146,000).
W = dense layer of cell wall N nucleoid R = ribosome

room temperature. A wash with cacodylate acteristics of normal mycobacteria (see Dis-
buffer (50 mM, pH 7.0, supplemented with cussion). Bacteria with the same micro-
10 m M Ca") was done between aldehyde morphological characteristics as those
fixations and 0s0 4 . The fixed samples were shown in Figures 1 and 2 were present in
dehydrated in ethanol and embedded in the skin lepromas of infected armadillos and
Epon ( 3 ) using only mixture 13. Ultrathin in the suspensions of isolated .11. leprae.
sections were cut with an LK13 Ultratome Normal .11. tuberculosis and .11. (ninon
III, stained with lead citrate (") or with ura- cells fixed by the procedures indicated in
nyl acetate (") and lead citrate. and ob- the Materials and Methods section exhib-
served with Siemens Elmiskopes (I A and ited asymmetric membranes identical to
102). those shown in our previous report (see Figs.
2 and 3 in ref. 11).
RESULTS
Our observations show that the ultra- DISCUSSION
structural characteristics of .11. lepiac in ex-
perimentally infected armadillos are iden- An essential aspect to be considered when
tical to those exhibited by .11. /eprae in LL studying bacterial membranes by transmis-
patients. Figure 1 is a representative ex- sion electron microscopy is that particular
ample of normal J1. /emu(' in armadillo liv- requirements must be fulfilled by the fixa-
er fixed by procedure a) which was exten- tion procedure in order to achieve good
sively used in our previous study of skin preservation of those structures (9.1.4.1,16).
biopsies from leprosy patients ( ' 2 ). Figure This is particularly important in the present
2 shows the micromorphological aspect at situation: We found symmetric membranes
high magnification of the membrane of .11. in I/. leprac cells and symmetric mem-
leprac in armadillo liver after several fixa- branes may result from the inadequate fix-
tions. In all cases symmetric membranes are ation of membranes which, otherwise, will
present in bacilli with ultrastructural char- exhibit asymmetric profiles ('.')."). In other
51, 2^Silva and Macedo• EM of M. leprac Membrane^221

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FIG. 2. High magnification ( X226,000) of the membrane of normal M. leprae in armadillo liver. Sections
stained with lead.
a = fixation as in Figure 1.
b = fixation with 0s0,+ uranyl acetate (procedure e), sample homogenized in the fixative.
c = as in 2b, hut liver fragment fixed without previous homogenization.
d = fixation with 0s0,+Mg++ (procedure d).
Notice the symmetric profiles in all membranes.

words, to correctly characterize the ultra- Mg++ but not Ca++ was found to stabilize
structural pattern of ill. leprae membranes labile components of the membranes of
we have to be sure that the fixation is ad- Gram-positives like lipoteichoic acids (').
equate. The fixation conditions used in our Uranyl ions were found to have a strong,
preliminary study on the ultrastructure of membrane-stabilizing activit y 9,10, 14,16 ) and (

leprae ( 1 12 ) took into consideration sev- to preserve well bacterial membranes when
eral aspects already discussed as essential used as a primary fixative ( 16 ). The inclusion
for good preservation of bacterial mem- of DMSO in the aldehyde fixative was
branes ( 8 .". ' 6 ). We considered, however, that prompted by the observation that it in-
M. leprae might have special requirements creases the penetration rate of the fixative
regarding the fixation of their membranes components ( 6 ). As described in the Results
in comparison with the more "convention- section, all procedures now tested preserved
al" mycobacteria. We therefore tested ad- the membrane of M. leprae in armadillo
ditional fixation methods in M. leprac in tissues as a symmetric structure, while the
experimentally infected armadillo tissues in same methods revealed asymmetric mem-
comparison with the procedures used in our branes in M. tuberculosis and M. minim.
previous study. The methods now used were Another important aspect has to be con-
based on relevant aspects concerning fixa- sidered in the present discussion. To con-
tion and stabilization of bacterial mem- firm that the membrane of normal ,ll. lep-
branes not included in the other study. The rae cells is symmetric, we have to be sure
use of Mg++ at a relatively high concentra- that we are, indeed, looking at normal ba-
tion as a supplement for the 0s0, fixative cilli. This is a crucial point since as previ-
was based on the observations that this cat- ously shown ") the membranes of lysing
ion can replace Ca" in its stabilizing action Gram-positives, including acid-fasts, are
during the fixation of bacterial cells ( 4 ). Also symmetric even when preserved by the fix-
222^ International Journal of Leprosy^ 1983

ation procedures known to correctly fix bac- including the cultivable acid-fasts Al. tu-
terial membranes and to reveal asymmetric berculosis ("), M. auritm("), AI. phlei ( 8 ."),
membranes in normal bacteria. In other and Nocatylia asteroides ( 8 ."'"). Work in
words, we have to prove that the Al. leprae progress has shown that the membrane pro-
cells which we label as normal are, in fact, files of another 11 species of easily culti-
normal and not lysing bacilli. This is im- vable mycobacteria arc also asymmetric (M.
portant because it is known ( 2 ' ' 2 ) that hosts T. Silva and Paula M. Macedo, in prepa-
infected with AI. leprae, even when not ration).
treated with antileprosy drugs, have a bac- In the published reports from other lab-
terial population made up of varying pro- oratories on the ultrastructure of Al. leprae,
portions of normal and degenerating bacilli. no reference is given about its membrane
To get the confirmation that we were seeing profile although in the pictures that show
symmetric membranes in normal Al. leprae clear profiles these appear symmetric. We
cells we took into consideration the ultra- can advance at least two reasons for the fact
structural aspect of the whole mycobacterial that such a peculiar profile of Al. leprae
cell, that is, we classify as normal the bacilli membrane has not been recognized before.
which have continuous cell wall and mem- First are technical aspects, either in the fix-
branes, distinct ribosomes, and fibrilar DNA ation, sectioning, or microscopy steps, which
(Fig. 1; see also Figs. 4b and 5 in ref. 11 and in several cases have prevented obtaining
Figs. 2a, b, c in ref. 12). We also compared high resolution or high magnification im-
the data obtained with the electron micro- ages. Secondly, many electron microsco-
scope with that given by light microscopy. pists working with bacteria are not aware of
Although it is not entirely safe to assume the significance of the membrane profiles
that all solidly staining (Ziehl-Neelsen) ba- and of the dependence of these profiles on
cilli seen in skin smears represent bacteria the fixation conditions.
which were alive in the samples, as is usu- Since the electron microscopic profile of
ally admitted ( 2 ), the fact that no Al. leprae biomembranes is the morphological coun-
cells with asymmetric membranes have been terpart of the molecular architecture of the
found in dozens of electronmicrographs of membrane components ( 9 .' 3 ' 17 ), the report-
bacilli in samples from all tight patients with ed difference in the membrane profile be-
LL leprosy with a high Morphological Index tween Al. leprae and the other mycobacteria
(MI) and solid, fragmented, and granular most probably results from not yet eluci-
(SFG) index we have studied until now, is dated differences in the molecular organi-
a significant support to our contention that zation of the respective membranes. This
the characteristic membrane profile of nor- point is under current study in our labora-
mal Al. leprae is a symmetric one. tory and some data has been obtained in-
In conclusion, this work shows that the dicating the participation of polysaccharide
ultrastructural characteristics of Al. leprae residues in the unique membrane pattern of
in experimentally infected armadillos are M. leprae (M. T. Silva and Paula M. Ma-
identical to those described for AI. leprae in cedo, in preparation). Whether such a pe-
LL patients, exhibiting a pattern that, with culiar characteristic of M. leprae has some-
the exception of the membrane profile, is thing to do with its noncultivability remains
typical of Alycobacterium cells. The micro- to be elucidated. A comparative ultrastruc-
morphological aspect of the AI. leprae tural study between Al. leprae and Al. le-
membrane found in both studies is identical praentrium, a related species that only re-
and is characterized by a symmetric, triple- cently could be cultivated in bacteriological
layered profile. Moreover, in the present media, is pertinent and is being carried out
study we tested additional fixation proce- in our laboratory.
dures which used conditions known to be
efficient in the preservation of bacterial SUMMARY
membrane components. Consequently, our We report the results of the study by
present results strengthen the previous con- transmission electron microscopy of nor-
clusion that the membrane of M. leprae is mal Mycobacterium leprae in the tissues of
peculiar in having a profile not shared by experimentally infected armadillos. Several
any of the Gram-positives studied so far, fixation procedures were used and com-
51, 2^Silva and Macedo: EM of M. leprae Membrane^223

pared to those previously employed in the bacterial membranes. Biochem. J. 132 (1973) 83-
study of M. leprac in lepromatous leprosy 93.
patients. The results show that the ultra- 2. Jonimf, W. H. Handbook of Leprosy. London:
Heineman Medical Books, 1978, pp. 7-12.
structure of .11. leprac is identical in both
3. Lur r, J. H. Improvements in epoxy resin embed-
-
hosts. The demonstration of a symmetric
ding methods. J. Biophys. Biochem. Cytol. 9 (1961)
membrane profile in M. !mac in armadil- 409-414.
los confirms our previous results. This char- 4. NANNINGA, N. Structural features of mesosomes
acteristic of the .11. leprac membrane is pe- (chondrioids) of Bacillus suhtilis. J. Cell Biol. 39
culiar in that it is not shared by any of the (1968) 251-263.
easily cultivable species of mycobacteria we 5. RYTER, A. and KELLENBERCIER, E. Etude au mi-
have studied so far. croscope electronique de plasmas contenant de
l'acide désoxyribonucleique. I. Les nucleoides des
RESUMEN bactéries en croissance active. Z. Naturforsch. 13
(1958) 597-605.
Presentamos los resultados de un estudio por mi-
6. SCHWAB, D. W., JANNEY, A. H. and SCALA, J.
croscopia electránica do transmisión del Mycobacte-
Preservation of fine structure in yeast by fixation
rium leprae encontrado en los tejidos de armadillos
in a dimethyl-sulfoxide-acrolein-glutaraldchyde
infectados experimentalmente. Sc usaron varios pro-
solution. Stain Technol. 45 (1970) 143-149.
cedimientos de fijación y se compararon con los usados
previamente en el estudio del Mycobaderizun leprae 7. SILVA, M. T. Electron microscopic aspects of

de pacientes con lepra lepromatosa. Los resultados membrane alterations during bacterial cell lysis.
muestran que la ultraestructura del M. leprae as iden- Exp. Cell Res. 46 (1967) 245-251.
tica en ambos huespedes. La demostración de un perfil 8. SILVA, M. T. Changes induced in the ultrastruc-

membranal simétrico en el Al. leprae de armadillos ture of the cytoplasmic and intracytoplasmic
confirm nuestros resultados previos. Esta caracteris- membranes of several Gram-positive bacteria by
tica de la membrana del Al. leprae es peculiar en el variations in Os°, fixation. J. Microsc. (Oxford)
sentido de que no está presente en ninguna otra de las 93 (1971) 227-232.
especies micobacterianas facilmente cultivables estu- 9. SILVA, M. T. The ultrastructure of the membranes
diadas hasta ahora. of Gram-positive bacteria as influenced by fixa-
tives and membrane-damaging treatments. In:
RESUME Biontembranes: Lipids, Proteins and Receptors.
On relate les résultats dune etude par microscopic Burton, R. M. and Packer, L., eds. Webster Groves,
électronique de Mycobacterium leprae normaux dans Missouri, U.S.A.: 13I-Science Publications, 1975,
les tissus de tatous infectés experimentalement. Plu- pp. 255-289.
sieurs procedés de fixation ont etc utilises; ils sont 10. SILVA, M. T., GUERRA, F. C. and MAGAI IIALS, M.
compares a ceux qui ont etc anterieurement employes M. The fixative action of uranyl acetate in elec-
pour l'étude. .lf. leprae chez des malades soulfrant de tron microscopy. Experientia 24 (1968) 1074.
11. SILVA, M. T. and MAcEix), P. M. Ultrastructure
lepre lepromateuse. Les résultats montrent que l'ul-
trastructure de M. leprae est identiquc chez les dcux of Mycobacterium leprae and other acid-fast bac-
hôtes. La demonstration d'un profil de membrane sy- teria as influenced by fixation conditions. Ann.
métrique chez .11. lepraede tatous confirme les resultats Microbiol. (Paris) 13313 (1982) 59-73.
precedents. Cette caracteristique de la membrane de 12. SILVA, M. T., MAFIA)°, P. M., COSTA, M. H. L.,

leprae est particuliere car on nc la retrouve dans GOKALVES, H., TORGAL, J. and DAvii), H. L. UI-

aucune espèce de mycobacteries facilement cultivables trastructural alterations of Mycobacterium leprae


qui ont etc étudiées jusqu'd present. in skin biopsies of untreated and treated lepro-
matous patients. Ann. Microbiol. (Paris) 133B
Acknowledgments. The authors arc grateful to Dr. (1982) 75-92.
Hugo L. David for the gift of armadillo tissues and 13. SILVA, M. T., POLONIA, J. J., MAcEix), M. A. E.
Mycobacterium cultures, and for helpful discussions and MAFIA)°, P. M. Membrane splitting induced
and continuous support; to Dr. Philip Draper for help- by lipophilic molecules. Biol. Cell. 35 (1979) 175-
ful discussions, and to Miss M. Irene Barros and Mrs. 182.
M. Andrea Costa for excellent technical assistance. 14. SILVA, M. T., SANTOS MorA, J. M., MELO, J. V.
This work was supported in part by I.N.I.C. and C. and GuLRRA, F. C. Uranyl salts as fixatives
J.N.1.C.T., Lisbon, Portugal. The Siemens Elmiskop for electron microscopy. Study of the membrane
102 used in this work was a gift of Stiftung Volkswa- ultrastructure and phospholipid loss in bacilli.
genwerk, Hannover, West Germany. Biochim. Biophys. Acta 233 (1971) 513-520.
15. SILVA, M. T. and Sousa, J. C. F. Ultrastructurc
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16. SILVA,M. T., SOUSA, J. C. F., Poi.ONIA, J. J., MA- 18. TERZAKIS, J. A. Uranyl acetate, a stain and a fix-
CEDO, M. A. E. and PARENTE, A. M. Bacterial ative. J. Ultrastruct. Res. 22 (1968) 168-184.
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