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Parasitol Res (2010) 106:387–394

DOI 10.1007/s00436-009-1673-9

ORIGINAL PAPER

Ultrastructural and molecular characterization


of Balantidium coli isolated in the Philippines
Ma. Lourdes Nilles-Bije & Windell L. Rivera

Received: 28 September 2009 / Accepted: 21 October 2009 / Published online: 10 November 2009
# Springer-Verlag 2009

Abstract Balantidium coli is a ciliated protozoon inhabiting similarity to other B. coli isolates reported in the GenBank.
the colon of swine, rodents, horses, nonhuman primates and Phylogenetic analysis revealed that the isolate clustered with
humans. In association with disease triggered by other previously reported B. coli isolates from gorillas, pig, and
infectious agents, B. coli may become a pathogenic oppor- ostrich. To date, no studies on the ultrastructure and
tunist. This study describes the isolation, cultivation, phylogeny of B. coli isolated in the Philippines have been
morphological as well as molecular characterization of reported. Results from this study may serve as a baseline
B. coli isolated from the large intestine of a pig in the data for further ultrastructural and phylogenetic studies on
Philippines. Based on scanning and transmission electron this organism. This study also suggests that morphological
microscopy, this protozoon presents a dense ciliation in the characteristics along with molecular identification are essen-
oral structure and somatic cilia that are arranged in a more tial for validating and identifying species of Balantidium.
transverse field. Oral and somatic monokinetids were
identified in the cortex of the organism. The presence of
heterokaryotic nuclear condition is evident, and the cell Introduction
body of the ciliate shows numerous mucocysts, several food
vacuoles, mitochondria, endoplasmic reticulum, and con- Balantidium coli is considered as the largest protozoon and
tractile vacuoles. Polymerase chain reaction and phylo- the only parasitic ciliate known to infect humans (Solaymani-
genetic analysis based on the small subunit ribosomal RNA Mohammadi and Petri 2006). The parasite is often seen
gene were performed in order to compare our isolate with in the lumen of the cecum and large intestine of swine,
other previously reported B. coli isolates. The full-length nonhuman primates, and humans as a commensal organism
sequence of the SSU rRNA gene of the isolate showed 99% (Cho et al. 2006). However, in association with disease
triggered by other infectious agents, B. coli may become a
pathogenic opportunist (Headley et al. 2008). As opportu-
nistic organisms, the trophozoites of B. coli tend to become
M. L. Nilles-Bije : W. L. Rivera (*) invasive and penetrate the linings of the mucosa and sub-
Institute of Biology, College of Science,
mucosa of the damaged intestine and within the lymphoid
University of the Philippines, Diliman,
Quezon City 1101, Philippines tissue of affected hosts, from which they travel throughout
e-mail: wlrivera@science.upd.edu.ph the rest of the body (Cho et al. 2006; Headley et al. 2008).
In the intestinal lumen of swine and humans, encystment
M. L. Nilles-Bije
occurs and the large cysts transmit the infection through
Institute of Clinical Laboratory Sciences, Silliman University,
Dumaguete City, Negros Oriental 6200, Philippines contaminated food or water (Schmidt and Roberts 2004).
Balantidiasis, an infectious disease caused by the organism
W. L. Rivera B. coli, is a zoonotic disease. The infection is acquired
Molecular Protozoology Laboratory,
by humans via fecal-oral route. Humans infected with the
Natural Sciences Research Institute,
University of the Philippines, Diliman, organism may appear asymptomatic, as does the pig, its
Quezon City 1101, Philippines normal host, or may develop dysentery similar to that of
388 Parasitol Res (2010) 106:387–394

amebiasis (Schuster and Ramirez-Avila 2008). Although 10% heat-inactivated horse serum and to which a sprinkle of
this disease in humans is rare, it is most prevalent in areas heat-sterilized rice starch was added (Glaser and Coria
where pigs are raised and slaughtered (Anargyrou et al. 1935). The isolate was maintained in culture at room
2003). Infection with B. coli affecting the swine often temperature with subcultures done subsequently every 24 h.
presents nonspecific symptoms and is most often asymp-
tomatic. Yet these asymptomatic pigs serving as the major Scanning electron microscopy
hosts of the parasite are capable of transmitting the disease.
Such mode of transmission highlights the significance of Motile trophozoites of B. coli were collected by centrifu-
public health interventions. gation at 2,000×g for 5 min. The final pellets were fixed
In this study, B. coli isolated from the large intestine of a with 2.5% glutaraldehyde. After several washes, the cells
pig in the Philippines is described based on scanning were secondarily fixed with 1% OsO4, dehydrated in a
(SEM) and transmission electron microscopy (TEM). The series of ethanol solutions, substituted with isoamyl acetate
full-length small subunit ribosomal RNA (SSU rRNA) gene and then critical-point-dried using CO2. Samples were
sequence was also obtained and was used in constructing a coated with gold and observed in Hitachi S-510 scanning
phylogenetic tree that determined its position relative to electron microscope (SEM).
previously reported B. coli isolates. To date, no studies on
the ultrastructure and phylogeny of B. coli isolated in the Transmission electron microscopy
Philippines have been reported. Results of this study may
serve as a baseline data for further ultrastructural and B. coli cells were subjected to centrifugation at 2,000×g for
phylogenetic studies on this organism. 5 min and were fixed with 2.5% glutaraldehyde. Ciliates were
washed three times with phosphate-buffered saline (PBS) to
remove excess fixative and were post-fixed in 1% OsO4. The
Materials and methods samples were washed with PBS, dehydrated in a graded
series of acetone solutions, and gradually impregnated in
Isolation and cultivation of Balantidium coli Epon resin with heat polymerization. Semi-thin survey
sections were cut with glass knives stained with toluidine
Fecal samples from the large intestine of a pig slaughtered in blue and were used to orientate sections. Ultra-thin sections
abattoir in Bais City, Negros Oriental, Philippines, were mounted on uncoated copper grids were stained with uranyl
collected and washed with Ringer's solution (consisting of acetate and lead citrate and viewed in a JEOL JEM TEM
NaCl, KCl, CaCl2, and NaHCO3). The pig's intestinal organs 1010 electron microscope.
were opened in a collecting vessel, flooded with Ringer's
solution, and were emptied to remove the fecal contents DNA extraction, polymerase chain reaction,
(Glaser and Coria 1935). Fresh wet mounts were carried out and DNA sequencing
to detect trophozoites of B. coli using a light microscope
viewed at ×100 and ×400 magnifications. Sample prepara- B. coli cells from culture tubes were pooled and subjected to
tion was done following the protocol of Klaas (1974) with genomic DNA extraction using the Chelex method (Walsh et
some modifications. Briefly, Balantidium-positive fecal con- al. 1991). Polymerase chain reaction (PCR) of the SSU
tents were emulsified and mixed thoroughly with Ringer's rRNA genes was performed using Go Taq® Hot Start
solution. The samples were strained through several layers of Polymerase Kit (Promega) and oligonucleotide primers,
gauze and were transferred to 15 ml centrifuge tubes for Euk A (5′-AACCTGGTTGATCCTGCCAGT-3′), and Euk
centrifugation at 15 g for 5 min. Samples were washed with B (5′-TGATCCTTCTGCAGGTTCACCTAC-3′) (Medlin et
Ringer's solution three to five times or until the supernatant al. 1988). The PCR assay was carried out in ASTEC PC707
fluid was clear. The sediment was then resuspended in a Programmable Thermal Controller consisting of 35 cycles
small amount of Ringer's solution after the final wash. with the following stringent parameters: 30 s denaturation
Approximately 1 ml of the sediment was inoculated in a at 94°C, 45 s annealing at 50°C, and 130 s extension at
liquid medium of Ringer's solution previously warmed to 72°C. An initial denaturation step consisting of incubation
37°C. Isolation of B. coli by limiting dilution was done in a at 94°C for 130 s and final extension step consisting of
96-well microtiter plate containing Ringer's solution. Motile incubation at 72°C for 7 min were also included. The
trophozoites of B. coli were picked out from the liquid resulting products were separated by gel electrophoresis on
medium, washed with Ringer's solution using a micropipette a 1.5% agarose gel stained with ethidium bromide. PCR
and were positively identified on a clean glass slide under a products were purified using magnetic beads. DNA
light microscope. The B. coli isolate was routinely cultivated sequencing was performed using the same primers in ABI
in a liquid medium of Ringer's solution supplemented with PRISM Big Dye® Terminator v1.1 Cycle Sequencing Kit
Parasitol Res (2010) 106:387–394 389

(Applied Biosystems, Foster City, CA) on an automated increased bacterial density and the protozoa gradually
sequencer (ABI PRISM 3100 model; Applied Biosystems). decreased in number. The cultures grew well at room
temperature. Figure 1 shows the schematic image of the
Phylogenetic analysis isolate as seen under a light microscope. General structures
such as cilia, vestibulum, macronucleus, and contractile
Sequences were uploaded into the Basic Local Alignment vacuoles are clearly seen.
Search Tool program to search for the most similar
reference sequences. These were then aligned and removed Electron microscopy
of ambiguous nucleotide positions along with reference
sequences. The trees, rooted to a sequence of Dasytricha Using SEM, the surface arrangement of the oral and
ruminantium, were constructed using the GTR+Γ model of somatic cilia of B. coli was determined. The oral apparatus,
the model-based neighbor-joining (NJ) as well as the non- surrounded by radiating field of oral cilia was found at or
model based maximum parsimony (MP). D. ruminantium near surface of the body, located apically. A depression was
was chosen as an outgroup in view of its close relationship also observed on the oral apparatus or cell mouth of the
with Balantidium in a previous phylogenetic study (Strüder- organism (Fig. 2a). The somatic cilia which covered most
Kypke et al. 2006). The program PAUP* v. 4.0b10 of the body surface were arranged in a more transverse
(Swofford 2000) was used for NJ and MP analyses with field, extending to the oral and the caudal region, located at
1,000 bootstrap replicates. Clusters in the phylogenetic trees the base of the organism. The cell surface was filled with
were considered valid if these had bootstrap support values interkinetal ridges that were found between adjacent cilia
of greater than 50% from NJ and MP analyses. The trees were (Fig. 2b and b).
viewed using the version 1.6.6 of TreeView (Page 1996). Examinations under TEM revealed the internal structure
of the organism. The cell body was rounded posteriorly and
GenBank references narrowing anteriorly. Scattered in the cytoplasm were the
nuclei and several food vacuoles of the organism. Contrac-
The SSU rRNA gene sequence of the isolate generated in tile vacuoles located in the anterior, mid-body, and posterior
this study was deposited in GenBank as accession no. of the ciliate which function for osmoregulation were also
GQ903678. The reference sequences used in the construc- present in the cytoplasm (Fig. 3a).
tion of the phylogenetic tree are listed in Table 1. The anterior portion of the cell body harbored the oral
apparatus of the trophozoite. Ultra-thin section of the
isolate showed the apparent oral apparatus surrounded by
Results oral cilia (Fig. 3b). In contrast, situated in the posterior part,
was the caudal region of the isolate. The region was lined
Isolation and cultivation of B. coli with longitudinal rows of cilia. Found in this region was the
cytopyge, which functions as the anus of the ciliate. Food
Several attempts were made to clone B. coli by isolating a vacuoles with ingested bacteria and food particles were also
single cell through limiting dilution; however, the results found near the cytopyge of the trophozoite (Fig. 3b).
were unsuccessful. Our findings showed that a sufficient Transverse section of the kineties in the buccal cavity of
number of B. coli cells must be present in the initial the trophozoite showed that several fibrils which appeared
inoculation in order to produce successful subcultures. as cross striations in the electron micrograph were found
Positive cultures containing B. coli, survived for 14 days along with the kinetosomes. The kinetosomes or basal
with subcultures done every 24 h. Cultures of the isolate bodies of the oral cilia were seen as a singular component,
observed at 48 h without subcultures resulted to an appearing as oral monokinetids (Fig. 4a).

Table 1 Genbank reference sequences used in the construction of the phylogenetic tree

Species/isolate Location/source Genbank accession no.

Balantidium coli Gorilla gorilla AF029763


Balantidium coli Sus scrofa (wild pig) from Spain AM982722
Balantidium coli Struthio camelus (ostrich) from Spain AM982723
Balantidium coli BC34706 Gorilla gorilla from Limbe Wildlife Center, Cameroon EU680309
Balantidium entozoon Italy EU581716
Dasytricha ruminantium Guelph, Canada U57769
390 Parasitol Res (2010) 106:387–394

The cilia of B. coli originated from the kinetosomes or


basal bodies. The surface of the cilium was enclosed by a
membrane found to be continuous with the plasma membrane
covering the outer surface of the cell. The plasmalemma was
underlaid by another membrane which formed alveolar
spaces surrounding the kinetid (Fig. 4c). Located inside of
the cytoplasm was an axoneme, surrounded by long
peripheral and central fibrils. Longitudinal thin section
showed that the interior of kinetosome which anchored the
axoneme is frequently separated by a septum and that the
fibrils in the center and the axoneme frequently end at a
round darkened structure, the axosome (Fig. 4c). Rows of
cilia arising from single rows of subsurface kinetosomes and
their associated fibrils were also found in the cortex of the
isolated B. coli, thus, the ciliate was shown to have uniform
rows of monokinetid somatic cilia covering the surface of
the organism’s cell body (Fig. 4c and d).
Fig. 1 Schematic illustration of the Philippine B. coli isolate showing Among the cytoplasmic organelles surrounding the
the general structures as seen under the light microscope: vestibulum
(vb), macronucleus (man), food particles (fp) and contractile vacuoles nuclei of B. coli were mitochondrion, endoplasmic reticu-
(cv). Bar, 15 μm lum, contractile vacuoles, and several food vacuoles. The
mitochondrion of the organism was a double-membrane
A higher magnification of the cell periphery exhibited organelle. Found inside of the mitochondrion, were cristae
the cortical plasma or the cortex of B. coli. The plasma- that were seen as internal membranous tubules (Fig. 4e).
lemma, belonging to the pellicle of the organism along with Along with the ribosomes, is the endoplasmic reticulum
its associated structures comprised the cortex of the of B. coli which appeared as flat, extending membranous
organism (Fig. 4b). Located immediately beneath the cell tubules. Small membrane bound vesicles are also found at
membrane or plasmalemma were alveoli. This alveolar the periphery of the endoplasmic reticulum of the isolate
system was seen as flattened vacuoles lined by the outer (Fig. 4f).
alveolar membrane. In addition to these alveoli were
numerous mucocysts. The membrane bound mucocysts of Molecular characterization
B. coli apparently were docked just below the plasma
membrane. These mucocysts, the only type of extrusomes PCR of the SSU rRNA genes of B. coli isolate generated
found in the organism were seen in their resting state as DNA fragments of the size ∼1.5 kb as determined by
polyhedral crystalline bodies (Fig. 4b). agarose gel electrophoresis (data not shown). These frag-

Fig. 2 Scanning electron micrographs of the Philippine B. coli isolate. shown. Bar, 10 μm. b Magnified somatic cilia (ci) and interkinetal
a General view showing the oral apparatus (oa) and the caudal region ridges (ir). Bar, 1 μm
(cr). The interkinetal ridges (ir) along with its adjacent cilia (ci) are
Parasitol Res (2010) 106:387–394 391

Fig. 3 Transmission electron


micrographs of the Philippine
B. coli isolate. a Longitudinal
thin section showing the general
aspect. The conspicuous
macronucleus (man) and smaller
micronucleus (min) are seen.
Four contractile vacuoles (cv)
and several food vacuoles (fv)
are also observed. Bar, 6.25 μm.
b Ultra-thin section showing the
oral apparatus (oa) and caudal
region (cr). The large macro-
nucleus (man) is seen near the
middle portion of the cell body.
Micronucleus is no longer
visible. Bar, 5.71 μm

ments were excised and purified for DNA sequencing. The after several attempts of isolating a single cell of B. coli. In
length of the SSU rDNA sequence obtained from the B. coli our study, it was noted that a considerable number of B. coli
isolate was 1,543 bp. cells must be present to initiate successful subcultures.
The Philippine B. coli isolate was found to be 99% similar Thus, results of our study agreed with those of Levine
to the four B. coli sequences reported in the GenBank, with (1939) that the protozoa would survive in cell cultures only
98% coverage. These reference isolates were collected from if sufficient number of B. coli cells were present at the start,
a lowland gorilla (accession no. AF029763), a captive gorilla to ensure favorable results in subculturing the organism.
(accession no. EU680309), a wild pig (accession no. This perhaps is due to the fact that the fission rate of
AM982722), and an ostrich (accession no. AM982723). the protozoa is slow compared to the bacteria present in the
The phylogenetic position of the Philippine B. coli isolate cultures, and that these bacteria were able to utilize the
relative to reference B. coli isolates and the outgroup, constituents of the growth medium or release inhibiting
D. ruminantium, was determined based on the constructed substances detrimental to the protozoa long enough before
phylogenetic tree. It is apparent that the Philippine B. coli the propagation of these trophic ciliates has progressed.
isolate clustered with reference B. coli isolates and separate Cultivations of B. coli were often made in xenic culti-
from D. ruminantium and another related species of vation media (Clark and Diamond 2002). B. coli, whether
Balantidium, B. entozoon (Fig. 5). derived from swine or human hosts, is difficult to maintain
in cell cultures for any length of time and that this was
probably due to certain bacteria and their metabolic products
Discussion that are harmful to the growth of the ciliate and that short
interval transplantation is necessary to keep the organisms
B. coli is regarded as a common commensal parasite of the under cultivation (Glaser and Coria 1935). Certain variables
large intestine of pigs and has been reported in camels, are involved in the cultivation of B. coli in vitro. Among
horses, rodents, nonhuman primates, and humans (Headley these are the growth medium, pH (optimal range, 5.4–8) of
et al. 2008). Human cases of B. coli infection have been the culture medium, associated undefined bacterial flora, and
found in individuals who had contact with pigs (Esteban et strain differences of the parasites (Schuster and Ramirez-
al. 1998), pig excreta (Sharma and Harding 2003), and food Avila 2008).
or water contaminated with the parasite (Esteban et al. The Philippine B. coli isolate presented morphological
1998). B. coli has been reported in immunocompromised features coincident with previous B. coli descriptions
patients causing pulmonary infection (Anargyrou et al. (Anargyrou et al. 2003; Sharma and Harding 2003; Yazar
2003) and dysentery (Yazar et al. 2004). et al. 2004; Solaymani-Mohammadi and Petri 2006; Schuster
In this study, B. coli was isolated from the large intestine and Ramirez-Avila 2008). The isolate also presented ultra-
of a pig. Efforts made to produce cloned cells of B. coli structural features similar to those described by Skotarczak
were unsuccessful. Our findings are in agreement with the and Kołodziejczyk (2005). Mucocysts described as single-
report of Levine (1939) who also failed to obtain pure lines membrane, polyhedral crystalline structures deposited
392 Parasitol Res (2010) 106:387–394
Parasitol Res (2010) 106:387–394 393

RFig. 4 Transmission electron micrographs of the Philippine B. coli isolate. This supports the findings of Skotarczak and
isolate showing the detailed internal structures. a Horizontal section
through kineties of B. coli showing the kinetosomes (ks) found in the
Kołodziejczyk (2005) that Golgi bodies were not found in
oral apparatus of the ciliate. Bar, 0.57 μm. b Thin section showing the B. coli and that some membranes of the endoplasmic
cortex. The surrounding plasma membrane (pm) and outer alveolar reticulum and small vesicles assume a similar role to the
membrane (oalm) lining the alveoli system (al alveolus) can be seen. Golgi complex. The mitochondrion of the protozoon was
Membrane-bound mucocysts (mu) are also observed below the plasma
membrane. Cilium in transverse section with its 9+2 representation is
reported in this study as a spheroidal double-membrane
also shown. Peripheral (pmt) and central (cmt) microtubules of the organelle with internal membranous tubules. The tropho-
ciliary base are also observed. Bar, 0.19 μm. c Longitudinal thin zoites of the isolate are often found at the bottom of the
section of the kinetids. The alveoli (al) system lined by the plasma culture tubes. Thus, the presence of the mitochondria in the
membrane (pm) is shown. Peripheral (pf) and central fibrils (cf)
enclosing the axoneme (a) anchored by the kinetosomes (ks) are
protozoon makes the organism a facultative anaerobe.
observed. Septum (s) and axosome (ax) found at the junction of Several food vacuoles with ingested bacteria and food
the kinetosomes and axonemes are also present. Bar, 0.23 μm. particles were also described in this study. Contractile
d Horizontal thin section showing the somatic monokinetids. Bar, vacuoles were also found in the cell body of the isolate.
0.23 µm. e Ultra-thin section showing the mitochondrion with several
free ribosomes (ri) scattered in the cytoplasm. Bar, 0.23 µm. f Thin
These contractile vacuoles act as ion regulating organelles by
section showing the endoplasmic reticulum (er). Bar, 0.31 μm expelling excess ions that have accumulated from the
environment (Anderson 1988). The cell body of the isolate
was entirely covered by uniform rows of somatic mono-
kinetid cilia where ciliary rows arise from single rows of
below the plasma membrane of the trophic ciliate were iden- subsurface kinetosomes and their associated fibrils (Schuster
tified. Balantidium along with other ciliates, Tetrahymena, and Ramirez-Avila 2008). The somatic cilia are arranged in a
Colpidium, Ophryoglena, Holophyra, and Didinium have more transverse field extending to the oral and caudal region
sac-like extensions called mucocysts, below their pellicle where the cytopyge of the organism is located. The oral
whose mucoid content is expelled upon stimulation (Grell apparatus of the protozoon was densely ciliated and
1973). Endoplasmic reticulum appearing as flat, extending composed of simple oral monokinetid cilia. Hence, the
membranous tubules was also described in this study along results of our ultrastructural analysis clearly placed the
with several scattered free ribosomes in the cytoplasm of the isolate under the genus Balantidium, based on the new
organism. Golgi bodies were not seen in the cell body of the taxonomy recently revised by the committee of International

Fig. 5 Consensus phylogenetic Balantidium coli from an ostrich (Struthio camelus) AM982723
tree of Balantidium coli isolated
from a pig in the Philippines
and from Balantidium
sp. sequences from Genbank
based on 1,250 unambiguously Balantidium coli isolate BC34706 from a captive gorilla (Gorilla gorilla) EU680309
aligned base pairs of the SSU
rDNA region. This tree is
constructed using the GTR+Γ
model of the model-based
neighbor-joining (NJ) method 64/-- Balantidium coli from a wild pig (Sus scrofa) AM982722
and rooted to a sequence of
Dasytricha ruminantium.
Figures on the branches
represent percentage bootstrap 94/100
Balantidium coli, from a lowland gorilla (Gorilla gorilla) AF029763
support from NJ and the
nonmodel-based maximum
parsimony (MP) methods,
respectively (bootstrap support
percentages below 50% are not Balantidium coli isolate from a pig in the Philippines GQ903678
shown). The scale bar on the
lower left side represents one
substitution change per
100 nucleotide positions
Balantidium entozoon EU581716

Dasytricha ruminantium U57769


0.01
394 Parasitol Res (2010) 106:387–394

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would encourage propagation and longer survival of B. coli
protozoan Balantidium coli. Can J Infect Dis 14:163–166
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identify species of Balantidium must be based on morpho- of the phosphatases in the ciliate Balantidium coli. Folia Morphol
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Acknowledgements This work was supported financially by a grant Strüder-Kypke MC, Wright AG, Foissner W, Chatzinotas A, Lynn DH
from the Faculty Development Committee of Silliman University. We (2006) Molecular phylogeny of litostome ciliates (Ciliophora,
thank Neilfred G. Bije, Davin Edric V. Adao, and John Anthony D.L. Litostomatea) with emphasis on free-living haptorian genera.
Yason for their technical assistance. The experiments conducted in this Protist 157:261–278
study comply with the current laws of the Philippines. Swofford DL (2000) PAUP*. Phylogenetic analysis using parsimony
(*and other methods). V. 4.0b10. Sinauer Associates, Sunderland
Walsh PS, Metzger DA, Higuchi R (1991) Chelex 100 as a medium
for simple extraction of DNA for PCR-based typing from
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