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Demonstration of the Phenomena of Microbial Persistence and Reversion with Bacterial L-Forms in Human Embryonic Kidney Cells aDepartments of Surgery (Section of Biology), and of Anatomy, Microbiology and Immunology, Tulane University School of Medicine, New Orleans, Louisiana 70112 1 Present address: 11800 Porter Dr., Northridge, Calif. 2 Present address: Department of Anatomy, Univ. of Iowa College of Medicine, Iowa City, Iowa. This article has been cited by other articles in PMC.Abstract A series of experiments was undertaken in which human embryonic kidney (HEK) fibroblasts were infected with either relatively stable or stable L-forms of Streptococcus faecalis. The infected cells were maintained by splitting over long periods (1 to 2 months) while samples were withdrawn for culture and electron microscopic studies. Relatively stable S. faecalis L-forms could be cultured from infected cells only during the first week after infection, although L-form-like material was frequently detected at later periods by electron microscopy. HEK cells continued to proliferate and showed no gross histopathology until reversion occurred. At reversion, electron microscopy revealed the presence of intracellular L-forms, transitional variants, and intra- and extracellular bacterial forms. Unlike relatively stable L-forms, stable L-forms were culturable throughout the experimental period. These experiments demonstrate the phenomena of persistence and reversion in vitro. Electron microscopy indicated that the L-forms entered the HEK cells, where they underwent morphological changes. Observations suggested that these altered L-forms (elementary bodies) persisted in the cell until reversion to the parent bacterial form was triggered. Infected cells, when treated with L-form antiserum and stained with fluorescein-conjugated goat anti-rabbit serum, were consistently positive regardless of cultural findings. Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (10M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References. Images in this article Click on the image to see a larger version. Selected References These references are in PubMed. This may not be the complete list of references from this article.
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