This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowReprints and Permissions
Right arrow Copyright Information
Right arrow Books from ASM Press
Right arrow MicrobeWorld
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Müllbacher, A.
Right arrow Articles by Simon, M. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Müllbacher, A.
Right arrow Articles by Simon, M. M.

 Previous Article  |  Next Article 

Journal of Virology, February 1999, p. 1665-1667, Vol. 73, No. 2
0022-538X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

Perforin Is Essential for Control of Ectromelia Virus but Not Related Poxviruses in Mice

Arno Müllbacher,1,* Ron Tha Hla,1 Crisan Museteanu,2 and Markus M. Simon2

Division of Immunology and Cell Biology, John Curtin School of Medical Research, Australian National University, Canberra, Australia,1 and Max-Planck-Institut für Immunbiologie, Freiburg, Germany2

Received 27 July 1998/Accepted 15 October 1998


    ABSTRACT
Top
Abstract
Text
References

Lack of perforin renders the relatively resistant mouse strain C57BL/6 highly susceptible to the natural mouse pathogen ectromelia virus, a cytopathic orthopoxvirus. This is indicated by increased mortality, elevated virus titers and pathology in liver and spleen, and increased levels of liver enzymes in blood. Cowpox virus on the other hand is more virulent in the presence of perforin than in its absence. An additional lack of granzyme A which together with perforin is a constituent of cytoplasmic granules from cytotoxic T cells increases the virulence of cowpox virus.


    TEXT
Top
Abstract
Text
References

Cytototoxic T (Tc) cells are of primary importance in the recovery of mice from infection with mousepox ectromelia virus (ECT) (1, 2). Tc cells exert their effector function by two very different mechanisms, with one being mediated by cytokines such as gamma interferon and interleukins (11) and the other being mediated by cytotoxic molecules. To date two major pathways of target cell killing by cytolytic leukocytes (mainly natural killer [NK] and Tc cells) have been described. Firstly, the granule exocytosis pathway mediated by perforin or cytolysin and serine proteases or granzymes (Gzm) (5, 13). This is generally believed to be the dominant mechanism by which Tc and NK cells eliminate virus-infected cells (7). The second mechanism, called the Fas-mediated pathway, requires the interaction of the Fas receptor on the target cell with the Fas ligand on the killer cell (14) and is supposedly involved in immunregulation and tolerance (12).

From the three main constituents of the granules involved in the exocytosis pathway---perforin and the two Gzm, GzmA and GzmB---only GzmA has been thoroughly investigated so far for its role in recovery of mice from ECT infection. By comparing gzmA-/- knockout (KO) mice with wild-type C57BL/6 (B6) mice (10) it was found that the lack of GzmA does not affect the cytolytic potential of ECT-immune Tc cells but leads to increased mortality and morbidity, as well as higher virus titers and tissue damage in liver and spleen. The actual role of GzmA in recovery from ECT infection is still elusive but possibly involves reduction of progeny virus infectivity by its own proteolyic activity or via secondary mediators (10). As for the role of perforin, conclusions have been reached only in regard to the non-mouse pathogen vaccinia virus (VV). In their study, concerning a comparison of the role of perforin on protection against cytopathic and noncytopathic viruses, Kägi et al. (8) came to the conclusion that cytopathic viruses are not controlled by perforin, as mice survived infection with this virus in the absence of perforin. However, it was already known that mice survive even high doses of VV in the absence of CD8+ T cells (16).

Thus, it was of interest to us to have a fresh look at the role of perforin in the survival of mice to two additional poxvirus infections, one being the natural pathogen ECT and the other being cowpox virus (CPV). The virulent Moscow strain of ECT was grown in mice and prepared from infected spleens and titrated as described previously (10). CPV was grown on CV-1 cell monolayers and titrated as was ECT. B6 animals are relatively resistant to ECT administered via the hind footpad. Doses of >106 PFU of virulent Moscow strain are required to cause disease ending in mortality. We used three strains of mice, wild-type B6, the perforin-defective KO strain (6) (perf-/-), and the double-KO mouse lacking both the perforin and gzmA genes (gzmA-/- × perf-/-). The latter strain was obtained by crossing the perf-/- mice with the gzmA-/- mice (4) and breeding to homozygosity. All animals were monitored for the correct genotype by PCR analysis as has been described (see reference 15 and the legend to Fig. 1). In Fig. 1 the results of a dose-response experiment using ECT, ranging from 101 to 106 PFU/mouse (administered via the footpad), are illustrated. B6 mice were only infected with the two highest doses, and although morbidity was noticed no mortality occurred. On the other hand, mice of the two KO strains started to die at the highest dose 6 to 7 days postinfection and all had died at day 8. Even at the lowest inoculum of only 10 PFU, the mutant mice started to die at day 9 and all had succumbed by day 10. These results indicate that the animals are as susceptible to ECT as the least-resistant strains known (3) and clearly point to perforin's being of paramount importance in the recovery from primary ECT infection. No statistically significant differences were found between the single perf-/- KO mice and the double-KO mice also defective in GzmA, again suggesting perforin is the overriding prerequisite for survival. However as shown before, the presence of GzmA contributes to control of ECT infection by a mechanism(s) other than cytolytic activity (10). To obtain a more detailed analysis, a kinetic study was undertaken using the three mouse strains and an infectious dose of 102 PFU of ECT. Three individual mice of each strain were sacrificed 2, 4, 6, and 8 days after infection. Livers and spleens were analyzed for virus titers (Table 1) and histology and blood samples were assayed for liver enzyme (Fig. 2). Virus was not detectable 2 days postinfection in any of the mouse strains. In B6 mice virus titers in liver and spleen reached a maximum by day 6 and then declined in liver to undetectable levels by day 8. In the perf-/- and gzmA-/- × perf-/- mice virus titers were at least 1 log higher in both organs on day 6. By day 8 the difference was at least 3 logs in liver and up to 2 logs in spleen. One animal of the perf-/- genotype had died by day 8 (Table 1). Histological examinations of liver and spleen mirror virus load, with increased necrosis and cellular infiltration in the KO mice from day 6 on compared to B6 wild-type mice (data not shown). Using an objective assay of liver damage, namely levels in the blood of the liver-derived enzyme aspartate aminotransferase (AST) (10), and using the same animals for which virus titer determinations (Table 1) and histology examinations were undertaken, we found that at day 8 postinfection, despite the generally observed high variability in this assay (10, 17) the perf-/- and gzmA-/- × perf-/- mice had significantly higher liver enzyme levels than B6 mice (Fig. 2).


View larger version (14K):
[in this window]
[in a new window]
 
FIG. 1.   Dose-response curves for ECT infection via the footpad of C57BL/6 (), perforin-deficient (open circle ), and GzmA-plus perforin-deficient (triangle ) mice. Surviving mice were monitored for 21 days. For detection of the respective mutations, DNA of all individual mice was analyzed by PCR, as described previously (15), using the following primers: for gzmA-/- mice, 5'-AGG AGC AAT ATA TAC CAA TGG-3' and 5'-AGG TAG GTG AAG GAT AGC CAC-3' (neo-primer 5'-CGG AGA ACC TGC GTG CAA TC-3'); for perf-/- mice, 5'-CCA CTC CAC CTT GAC TTC AAA AAG GCG-3' and 5'-TGG GCA GCA GTC CTG GTT GGT GAC CTT-3'.

                              
View this table:
[in this window]
[in a new window]
 
TABLE 1.   Kinetics of virus titers in liver and spleen of individual micea infected with ECT


View larger version (22K):
[in this window]
[in a new window]
 
FIG. 2.   Liver enzyme levels in serum of ECT-infected mice. Shown are mean AST levels in units per liter of serum (± standard deviations [error bars]) from three individual animals---B6 (), perf-/- (), and gzmA-/- × perf-/- ()---immunized via the footpad with 102 PFU of ECT (Moscow strain). Values are enzyme levels from a single surviving animal.

In contrast to ECT, CPV is much less virulent in mice, and mortality is obtained most consistently after intraperitoneal infections. The same three strains of mice were infected with 105, 1 × 106, and 2 × 106 PFU of CPV (Fig. 3). None of the animals died as a result of receiving the lowest concentration. At the two higher doses it was found that the lack of both GzmA and perforin made the double-KO mice more susceptible than wild-type B6 mice. This was especially significant at 106 PFU. Comparing perf-/- mice with wild-type B6 mice, the absence of perforin provided a significant protective effect, with 0 versus 50% mortality at 106 PFU of CPV and only 30 versus 100% mortality at the highest dose, respectively. This striking contrast in virulence between these two closely related cytopathic orthopoxviruses, ECT and CPV, in the presence or absence of perforin must reflect totally different pathogenic mechanisms which control these two viruses. Thus, for a meaningful interpretation of host-parasite relationships only natural pathogens will uncover strategies of either host or virus which are of evolutionary significance.


View larger version (17K):
[in this window]
[in a new window]
 
FIG. 3.   Dose-response curves for (intraperitoneally induced) CPV infection of C57BL/6 (), perforin-deficient (open circle ), and the GzmA-plus perforin-deficient (triangle ) mice. Surviving mice were monitored for 21 days.

The finding that perforin is essential in the recovery of mice from ECT infection questions the proposed role of poxvirus-encoded serpins, one of interfering in the death pathway, in the evasion of poxviruses from the Tc cell response (9). Thus, perforin is an essential element in the survival strategy of mice to recover from cytopathic and noncytopathic viruses.


    ACKNOWLEDGMENTS

This work was supported in part by a grant from the Deutsche Forschungsgemeinschaft (Si 214/7-1).


    FOOTNOTES

* Corresponding author. Mailing address: Division of Immunology and Cell Biology, John Curtin School of Medical Research, Australian National University, P.O. Box 334, Canberra, ACT 2601, Australia. Phone: 61 26 249-4392. Fax: 61 26 248-6271. E-mail: arno.mullbacher{at}anu.edu.au.


    REFERENCES
Top
Abstract
Text
References

1. Blanden, R. V. 1971. Mechanisms of recovery from a generalized viral infection: mousepox. II. Passive transfer of recovery mechanisms with immune lymphoid cells. J. Exp. Med. 133:1074-1089[Abstract].
2. Blanden, R. V. 1974. Progress in immunology. II. Clinical aspects, p. 117-125. In L. Brent, and J. Holborow (ed.), Mechanisms of cell-mediated immunity in viral infection. North Holland, Amsterdam, The Netherlands.
3. Blanden, R. V., B. D. Deak, and H. O. McDevitt. 1989. Immunology of virus diseases, 125-138. In R. V. Blanden (ed.), Strategies in virus-host interactions. Brolga Press, Curtin, Australia.
4. Ebnet, K., M. Hausmann, F. Lehmann-Grube, A. Müllbacher, M. Kopf, M. Lamers, and M. M. Simon. 1995. Granzyme A-deficient mice retain potent cell-mediated cytotoxicity. EMBO J. 14:4230-4239[Medline].
5. Henkart, P. A. 1994. Lymphocyte-mediated cytotoxicity: two pathways and multiple effector molecules. Immunity 1:343-346[Medline].
6. Kägi, D., B. Ledermann, K. Bürki, P. Seiler, B. Odermatt, K. J. Olsen, E. R. Podack, R. M. Zinkernagel, and H. Hengartner. 1994. Cytotoxicity mediated by T cells and natural killer cells is greatly impaired in perforin-deficient mice. Nature 369:31-37[Medline].
7. Kägi, D., B. Ledermann, K. Bürki, R. M. Zinkernagel, and H. Hengartner. 1995. Lymphocyte-mediated cytotoxicity in vitro and in vivo: mechanisms and significance. Immunol. Rev. 146:95-115[Medline].
8. Kägi, D., P. Seiler, P. Pavlovic, B. Ledermann, K. Bürki, R. M. Zinkernagel, and H. Hengartner. 1995. The roles of perforin- and fas-dependent cytotoxicity in protection against cytopathic and non cytopathic viruses. Eur. J. Immunol. 25:3256-3262[Medline].
9. Macen, J. L., R. S. Garner, P. Y. Musy, M. A. Brooks, P. C. Turner, R. W. Moyer, G. McFadden, and R. C. Bleackley. 1996. Differential inhibition of Fas- and granule-mediated cytolysis pathways by the orthopoxvirus cytokine response modifier A/SPI-2 and SPI-1 protein. Proc. Natl. Acad. Sci. USA 93:9108-9113[Abstract/Free Full Text].
10. Müllbacher, A., K. Ebnet, R. V. Blanden, T. Stehle, C. Museteanu, and M. M. Simon. 1996. Granzyme A is essential for recovery of mice from infection with the natural cytopathic viral pathogen, ectromelia. Proc. Natl. Acad. Sci. USA 93:5783-5787[Abstract/Free Full Text].
11. Nabholz, M., and H. R. MacDonald. 1983. Cytolytic T lymphocytes. Annu. Rev. Immunol. 1:273-306[Medline].
12. Nagata, S. 1997. Apoptosis by death factor. Cell 88:355-365[Medline].
13. Podack, E. R., H. Hengartner, and M. G. Lichtenheld. 1991. A central role of perforin in cytolysis? Annu. Rev. Immunol. 9:129-157[Medline].
14. Rouvier, R., M.-F. Luciani, and P. Golstein. 1993. Fas involvement in Ca2+-independent T-cell-mediated cytotoxicity. J. Exp. Med. 177:195-200[Abstract/Free Full Text].
15. Simon, M. M., M. Hausmann, T. Tran, K. Ebnet, J. Tschopp, R. Tha Hla, and A. Müllbacher. 1997. In vitro and ex vivo-derived cytolytic leukocytes from granzyme AxB double knockout mice are defective in granule-mediated apoptosis but not lysis of target cells. J. Exp. Med. 186:1781-1786[Abstract/Free Full Text].
16. Spriggs, M. K., B. H. Koller, T. Sato, P. J. Morrissey, W. C. Fanslow, O. Smithies, R. F. Voice, M. B. Widmer, and C. R. Maliszewski. 1992. Beta 2-microglobulin-, CD8+ T-cell-deficient mice survive inoculation with high doses of vaccinia virus and exhibit altered IgG responses. Proc. Natl. Acad. Sci. USA 89:6070-6074[Abstract/Free Full Text].
17. Zinkernagel, R. M., E. Haenseler, T. Leist, A. Cerny, H. Hengartner, and A. Althage. 1986. T cell-mediated hepatitis in mice infected with lymphocytic choriomeningitis virus. Liver cell destruction by H-2 class I-restricted virus-specific cytotoxic T cells as a physiological correlate of the 51-Cr-release assay? J. Exp. Med. 164:1075-1092[Abstract/Free Full Text].


Journal of Virology, February 1999, p. 1665-1667, Vol. 73, No. 2
0022-538X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.



This article has been cited by other articles:

  • Walch, M., Rampini, S. K., Stoeckli, I., Latinovic-Golic, S., Dumrese, C., Sundstrom, H., Vogetseder, A., Marino, J., Glauser, D. L., van den Broek, M., Sander, P., Groscurth, P., Ziegler, U. (2009). Involvement of CD252 (CD134L) and IL-2 in the Expression of Cytotoxic Proteins in Bacterial- or Viral-Activated Human T Cells. J. Immunol. 182: 7569-7579 [Abstract] [Full Text]  
  • Chattopadhyay, P. K., Betts, M. R., Price, D. A., Gostick, E., Horton, H., Roederer, M., De Rosa, S. C. (2009). The cytolytic enzymes granyzme A, granzyme B, and perforin: expression patterns, cell distribution, and their relationship to cell maturity and bright CD57 expression. J. Leukoc. Biol. 85: 88-97 [Abstract] [Full Text]  
  • Zelinskyy, G., Balkow, S., Schimmer, S., Werner, T., Simon, M. M., Dittmer, U. (2007). The Level of Friend Retrovirus Replication Determines the Cytolytic Pathway of CD8+ T-Cell-Mediated Pathogen Control. J. Virol. 81: 11881-11890 [Abstract] [Full Text]  
  • Parker, A. K., Parker, S., Yokoyama, W. M., Corbett, J. A., Buller, R. M. L. (2007). Induction of Natural Killer Cell Responses by Ectromelia Virus Controls Infection. J. Virol. 81: 4070-4079 [Abstract] [Full Text]  
  • Sutton, V. R., Waterhouse, N. J., Browne, K. A., Sedelies, K., Ciccone, A., Anthony, D., Koskinen, A., Mullbacher, A., Trapani, J. A. (2007). Residual active granzyme B in cathepsin C-null lymphocytes is sufficient for perforin-dependent target cell apoptosis. JCB 176: 425-433 [Abstract] [Full Text]  
  • Estella, E., McKenzie, M. D., Catterall, T., Sutton, V. R., Bird, P. I., Trapani, J. A., Kay, T. W., Thomas, H. E. (2006). Granzyme B-Mediated Death of Pancreatic {beta}-Cells Requires the Proapoptotic BH3-Only Molecule Bid.. Diabetes 55: 2212-2219 [Abstract] [Full Text]  
  • Chaudhri, G., Panchanathan, V., Bluethmann, H., Karupiah, G. (2006). Obligatory requirement for antibody in recovery from a primary poxvirus infection.. J. Virol. 80: 6339-6344 [Abstract] [Full Text]  
  • Storm, P., Bartholdy, C., Sorensen, M. R., Christensen, J. P., Thomsen, A. R. (2006). Perforin-Deficient CD8+ T Cells Mediate Fatal Lymphocytic Choriomeningitis despite Impaired Cytokine Production. J. Virol. 80: 1222-1230 [Abstract] [Full Text]  
  • Bade, B., Boettcher, H. E., Lohrmann, J., Hink-Schauer, C., Bratke, K., Jenne, D. E., Virchow, J. C. Jr, Luttmann, W. (2005). Differential expression of the granzymes A, K and M and perforin in human peripheral blood lymphocytes. Int Immunol 17: 1419-1428 [Abstract] [Full Text]  
  • Esteban, D. J., Buller, R. M. L. (2005). Ectromelia virus: the causative agent of mousepox. J. Gen. Virol. 86: 2645-2659 [Abstract] [Full Text]  
  • Pao, L. I., Sumaria, N., Kelly, J. M., Dommelen, S. v., Cretney, E., Wallace, M. E., Anthony, D. A., Uldrich, A. P., Godfrey, D. I., Papadimitriou, J. M., Mullbacher, A., Degli-Esposti, M. A., Smyth, M. J. (2005). Functional Analysis of Granzyme M and Its Role in Immunity to Infection. J. Immunol. 175: 3235-3243 [Abstract] [Full Text]  
  • Gupta, M., Greer, P., Mahanty, S., Shieh, W.-J., Zaki, S. R., Ahmed, R., Rollin, P. E. (2005). CD8-Mediated Protection against Ebola Virus Infection Is Perforin Dependent. J. Immunol. 174: 4198-4202 [Abstract] [Full Text]  
  • Rock, M. T., Yoder, S. M., Wright, P. F., Talbot, T. R., Edwards, K. M., Crowe, J. E. Jr (2005). Differential Regulation of Granzyme and Perforin in Effector and Memory T Cells following Smallpox Immunization. J. Immunol. 174: 3757-3764 [Abstract] [Full Text]  
  • Loh, J., Thomas, D. A., Revell, P. A., Ley, T. J., Virgin, H. W. IV (2004). Granzymes and Caspase 3 Play Important Roles in Control of Gammaherpesvirus Latency. J. Virol. 78: 12519-12528 [Abstract] [Full Text]  
  • Chaudhri, G., Panchanathan, V., Buller, R. M. L., van den Eertwegh, A. J. M., Claassen, E., Zhou, J., de Chazal, R., Laman, J. D., Karupiah, G. (2004). Polarized type 1 cytokine response and cell-mediated immunity determine genetic resistance to mousepox. Proc. Natl. Acad. Sci. USA 101: 9057-9062 [Abstract] [Full Text]  
  • Katano, H., Ali, M. A., Patera, A. C., Catalfamo, M., Jaffe, E. S., Kimura, H., Dale, J. K., Straus, S. E., Cohen, J. I. (2004). Chronic active Epstein-Barr virus infection associated with mutations in perforin that impair its maturation. Blood 103: 1244-1252 [Abstract] [Full Text]  
  • Moore, M. L., Brown, C. C., Spindler, K. R. (2003). T Cells Cause Acute Immunopathology and Are Required for Long-Term Survival in Mouse Adenovirus Type 1-Induced Encephalomyelitis. J. Virol. 77: 10060-10070 [Abstract] [Full Text]  
  • Mullbacher, A., Lobigs, M., Hla, R. T., Tran, T., Stehle, T., Simon, M. M. (2002). Antigen-Dependent Release of IFN-{gamma} by Cytotoxic T Cells Up-Regulates Fas on Target Cells and Facilitates Exocytosis-Independent Specific Target Cell Lysis. J. Immunol. 169: 145-150 [Abstract] [Full Text]  
  • Licon Luna, R. M., Lee, E., Mullbacher, A., Blanden, R. V., Langman, R., Lobigs, M. (2002). Lack of both Fas Ligand and Perforin Protects from Flavivirus-Mediated Encephalitis in Mice. J. Virol. 76: 3202-3211 [Abstract] [Full Text]  
  • Mullbacher, A., Lobigs, M. (2001). Creation of Killer Poxvirus Could Have Been Predicted. J. Virol. 75: 8353-8355 [Full Text]  
  • Balkow, S., Kersten, A., Tran, T. T. T., Stehle, T., Grosse, P., Museteanu, C., Utermohlen, O., Pircher, H., von Weizsacker, F., Wallich, R., Mullbacher, A., Simon, M. M. (2001). Concerted Action of the FasL/Fas and Perforin/Granzyme A and B Pathways Is Mandatory for the Development of Early Viral Hepatitis but Not for Recovery from Viral Infection. J. Virol. 75: 8781-8791 [Abstract] [Full Text]  
  • Topham, D. J., Cardin, R. C., Christensen, J. P., Brooks, J. W., Belz, G. T., Doherty, P. C. (2001). Perforin and Fas in murine gammaherpesvirus-specific CD8+ T cell control and morbidity. J. Gen. Virol. 82: 1971-1981 [Abstract] [Full Text]  
  • Smyth, M. J., Kelly, J. M., Sutton, V. R., Davis, J. E., Browne, K. A., Sayers, T. J., Trapani, J. A. (2001). Unlocking the secrets of cytotoxic granule proteins. J. Leukoc. Biol. 70: 18-29 [Abstract] [Full Text]  
  • Sandberg, J. K., Fast, N. M., Nixon, D. F. (2001). Functional Heterogeneity of Cytokines and Cytolytic Effector Molecules in Human CD8+ T Lymphocytes. J. Immunol. 167: 181-187 [Abstract] [Full Text]  
  • Turner, S. J., Silke, J., Kenshole, B., Ruby, J. (2000). Characterization of the ectromelia virus serpin, SPI-2. J. Gen. Virol. 81: 2425-2430 [Abstract] [Full Text]  
  • Simon, M. M., Waring, P., Lobigs, M., Nil, A., Tran, T., Hla, R. T., Chin, S., Mullbacher, A. (2000). Cytotoxic T Cells Specifically Induce Fas on Target Cells, Thereby Facilitating Exocytosis-Independent Induction of Apoptosis. J. Immunol. 165: 3663-3672 [Abstract] [Full Text]  
  • Mullbacher, A., Waring, P., Tha Hla, R., Tran, T., Chin, S., Stehle, T., Museteanu, C., Simon, M. M. (1999). Granzymes are the essential downstream effector molecules for the control of primary virus infections by cytolytic leukocytes. Proc. Natl. Acad. Sci. USA 96: 13950-13955 [Abstract] [Full Text]  
  • Mullbacher, A., Wallich, R., Moyer, R. W., Simon, M. M. (1999). Poxvirus-Encoded Serpins Do Not Prevent Cytolytic T Cell-Mediated Recovery from Primary Infections. J. Immunol. 162: 7315-7321 [Abstract] [Full Text]  

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowReprints and Permissions
Right arrow Copyright Information
Right arrow Books from ASM Press
Right arrow MicrobeWorld
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Müllbacher, A.
Right arrow Articles by Simon, M. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Müllbacher, A.
Right arrow Articles by Simon, M. M.