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==Overview==
==Overview==
'''''Tropheryma whipplei''''' is a [[Bacteria|bacterium]] and the causative organism of [[Whipple's disease]].<ref name="La_Scola_2001">{{{cite journal |author=La Scola B, Fenollar F, Fournier P, Altwegg M, Mallet M, Raoult D |title=Description of ''Tropheryma whipplei'' gen. nov., sp. nov., the Whipple's disease bacillus |journal=Int J Syst Evol Microbiol |volume=51 |issue=Pt 4 |pages=1471-9 |year=2001 |url=http://ijs.sgmjournals.org/cgi/content/abstract/51/4/1471 |pmid=11491348}}</ref> While ''T. whipplei'' is categorized with the [[Gram-positive]] [[Actinobacteria]], the organism is commonly found to be [[Gram-negative]] or Gram-indeterminate when stained in the laboratory.<ref name="La_Scola_2001" /> [[George Hoyt Whipple|Whipple]] himself probably observed the organisms as rod-shaped structures with silver stain in his original case,<ref>{{cite journal | author=Whipple GH. | title=A hitherto undescribed disease characterized anatomically by deposits of fat and fatty acids in the intestinal and msenteric lymphatic tissues | journal=Johns Hopkins Hosp Bull | year=1907 | volume=18 | pages=382&ndash;91 }}</ref> but no name was given to the organism until 1991 when the name ''Tropheryma whippelii'' was proposed after sections of the bacterial [[genome]] were sequenced.<ref>{{cite journal |author=Relman D, Schmidt T, MacDermott R, Falkow S |title=Identification of the uncultured bacillus of Whipple's disease |journal=N Engl J Med |volume=327 |issue=5 |pages=293-301 |year=1992 |pmid=1377787}}</ref> The name was changed to ''Tropheryma whipplei'' in 2001 (correcting the spelling of Whipple's name) after deposition in bacterial collections.<ref name="La_Scola_2001" />
'''''Tropheryma whipplei''''' is a [[Bacteria|bacterium]] and the causative organism of [[Whipple's disease]]. While ''Tropheryma whipplei'' is categorized with the [[gram-positive]] [[Actinobacteria|''Actinobacteria'']], the organism is commonly found to be [[gram-negative]] or gram-indeterminate when stained in the laboratory. [[George Hoyt Whipple|Whipple]] himself probably observed the [[organisms]] as [[rod]]-shaped structures with [[silver stain]] in his original case, but no name was given to the [[organism]] until 1991 when the name ''Tropheryma whippelii'' was proposed after sections of the bacterial [[genome]] were sequenced. The name was changed to ''Tropheryma whipplei'' in 2001 (correcting the spelling of Whipple's name) after deposition in [[bacterial]] collections.


==Description==
==Description==
Tropheryma whipplei is a gram-positive rod-shaped bacterium. It was finally isolated in eukaryotic cells in the year 2000 and propagated in a culture at 37 degrees Celsius, but was believed to resist culturing for a long time. In fact, it still can only be cultured if part of its eukaryotic host is present. The isolation from human cells and the culturing has allowed more characterization, including sequencing its genome that has resulted in 808 predicted protein-coding gene sequences, even though it grows at a very slow rate of about 4 to 17 days.
''Tropheryma whipplei'' is a [[gram-positive]] rod-shaped [[Bacteria|bacterium]]. It was finally isolated in [[Eukaryote|eukaryotic]] cells in the year 2000 and propagated in a culture at 37 degrees Celsius, but was believed to resist culturing for a long time. In fact, it still can only be cultured if part of its [[Eukaryote|eukaryotic]] host is present. The isolation from human [[Cell (biology)|cells]] and the culturing has allowed more characterization, including sequencing its [[genome]] that has resulted in 808 predicted protein-coding [[gene]] [[Sequence (biology)|sequences]], even though it grows at a very slow rate of about 4 to 17 days.<ref name="pmid12902375">{{cite journal |vauthors=Raoult D, Ogata H, Audic S, Robert C, Suhre K, Drancourt M, Claverie JM |title=Tropheryma whipplei Twist: a human pathogenic Actinobacteria with a reduced genome |journal=Genome Res. |volume=13 |issue=8 |pages=1800–9 |year=2003 |pmid=12902375 |pmc=403771 |doi=10.1101/gr.1474603 |url=}}</ref><ref name="CrapouletBarbry2006">{{cite journal|last1=Crapoulet|first1=N.|last2=Barbry|first2=P.|last3=Raoult|first3=D.|last4=Renesto|first4=P.|title=Global Transcriptome Analysis of Tropheryma whipplei in Response to Temperature Stresses|journal=Journal of Bacteriology|volume=188|issue=14|year=2006|pages=5228–5239|issn=0021-9193|doi=10.1128/JB.00507-06}}</ref>
It is mesophilic, meaning it grows best at moderate temperatures ranging between 25 and 40 degrees Celsius. Its optimal temperature is 37 degrees Celsius. However, Tropheryma whipplei has a special ability as even though it is not affected by heat shock, it can modify its transcriptome following cold shock at a temperature of 4 degrees Celsius; this proves that although it lacks a lot of typical regulatory elements, it still has a highly adaptive response to thermal stresses that would be typical with its potential environmental origin being that of something probably at lower temperatures (something still being studied), thereby allowing it to live and adapt in cold conditions.
 
It is mesophilic, meaning it grows best at moderate temperatures ranging between 25 and 40 degrees Celsius. Its optimal temperature is 37 degrees Celsius. However, ''Tropheryma whipplei'' has a special ability as even though it is not affected by [[heat shock]], it can modify its [[transcriptome]] following cold shock at a temperature of 4 degrees Celsius; this proves that although it lacks a lot of typical regulatory elements, it still has a highly adaptive response to thermal stresses that would be typical with its potential environmental origin being that of something probably at lower temperatures (something still being studied), thereby allowing it to live and adapt in cold conditions.<ref name="pmid12902375">{{cite journal |vauthors=Raoult D, Ogata H, Audic S, Robert C, Suhre K, Drancourt M, Claverie JM |title=Tropheryma whipplei Twist: a human pathogenic Actinobacteria with a reduced genome |journal=Genome Res. |volume=13 |issue=8 |pages=1800–9 |year=2003 |pmid=12902375 |pmc=403771 |doi=10.1101/gr.1474603 |url=}}</ref><ref name="CrapouletBarbry2006">{{cite journal|last1=Crapoulet|first1=N.|last2=Barbry|first2=P.|last3=Raoult|first3=D.|last4=Renesto|first4=P.|title=Global Transcriptome Analysis of Tropheryma whipplei in Response to Temperature Stresses|journal=Journal of Bacteriology|volume=188|issue=14|year=2006|pages=5228–5239|issn=0021-9193|doi=10.1128/JB.00507-06}}</ref>


==Structure==
==Structure==
===Genome structure===
===Genome structure===
Tropheryma whipplei has a 0.92 Mb genome, placing it in a high-G+C-content gram-positive bacterial group. it is the only known human pathogen with a reduced genome sequence within the class of Actinobacteria. This means that this pathogen is the smallest known within its class. It is a reduced genomic species and it does not have many genes regulating transcription. It has a circular genome of 927,303 base pairs. Tropheryma whipplei has a low G+C content at 46%. Yet, it was originally considered high because 552/808 identified Open Reading Frames have their closest homologs within other actinobacteria class genomes. An ORF is important to determine once a gene has been sequenced, as it deals with where the encoded proteins are first transcribed into messenger RNA and then translated into a protein. A particular nucleotide will start and another will stop (known as a stop codon) translation; this is an ORF. Due to its small genomic size, much has yet to be discovered.
''Tropheryma whipplei'' has a 0.92 Mb [[genome]], placing it in a high-[[GC-content]] [[Gram-positive bacteria|gram-positive bacterial]] group.<ref name="CrapouletBarbry2006">{{cite journal|last1=Crapoulet|first1=N.|last2=Barbry|first2=P.|last3=Raoult|first3=D.|last4=Renesto|first4=P.|title=Global Transcriptome Analysis of Tropheryma whipplei in Response to Temperature Stresses|journal=Journal of Bacteriology|volume=188|issue=14|year=2006|pages=5228–5239|issn=0021-9193|doi=10.1128/JB.00507-06}}</ref> It is the only known human [[pathogen]] with a reduced [[Genome|genome sequence]] within the class of [[Actinobacteria]]. This means that this [[pathogen]] is the smallest known within its class. It is a reduced [[Genomics|genomic]] species and it does not have many [[Gene|genes]] regulating [[Transcription (genetics)|transcription]]. It has a circular [[genome]] of 927,303 base pairs. ''Tropheryma whipplei'' has a low [[GC-content|GC content]] at 46%. Yet, it was originally considered high because 552/808 identified [[Open reading frame|open reading frames]] have their closest homologs within other [[Actinobacteria]] class [[Genome|genomes]]. An [[Open reading frame|open reading frames]] ([[Open reading frame|ORF]]) is important to determine once a [[gene]] has been sequenced, as it deals with where the encoded [[Protein|proteins]] are first transcribed into [[messenger RNA]] and then translated into a [[protein]]. A particular [[nucleotide]] will start and another will stop (known as a [[stop codon]]) [[Translation (genetics)|translation]]; this is an [[Open reading frame|ORF]]. Due to its small [[Genomics|genomic]] size, much has yet to be discovered.<ref name="La_Scola_2001">{{{cite journal |author=La Scola B, Fenollar F, Fournier P, Altwegg M, Mallet M, Raoult D |title=Description of ''Tropheryma whipplei'' gen. nov., sp. nov., the Whipple's disease bacillus |journal=Int J Syst Evol Microbiol |volume=51 |issue=Pt 4 |pages=1471-9 |year=2001 |url=http://ijs.sgmjournals.org/cgi/content/abstract/51/4/1471 |pmid=11491348}}</ref><ref>{{cite journal |author=Relman D, Schmidt T, MacDermott R, Falkow S |title=Identification of the uncultured bacillus of Whipple's disease |journal=N Engl J Med |volume=327 |issue=5 |pages=293-301 |year=1992 |pmid=1377787}}</ref>


===Cell structure===
===Cell structure===
The most interesting thing about Tropheryma whipplei is the fact that it has such a tiny genome. "Dr Stephen Bentley, who led the team at The Wellcome Trust Sanger Institute, said, 'This really is a wolf in sheep's clothing. Within this amazingly small genome, it has packed a sophisticated array of tools to escape our defense mechanisms. It's an incredibly adept operator which can tell us a great deal about bacteria and their evolution'". It is the "master of disguise", as even though it has only caused a few cases of disease and, once again, has such a small genome, it really molds itself to its environment in a noteworthy way. Just to put into perspective how small it is, most bacterial genomes are three to four times larger, code for about 3,000 genes as opposed to around 800, and have hardly any repetitive DNA.  
The most interesting thing about ''Tropheryma whipplei'' is the fact that it has such a tiny [[genome]]. "Dr Stephen Bentley, who led the team at The Wellcome Trust Sanger Institute, said, 'This really is a wolf in sheep's clothing. Within this amazingly small [[genome]], it has packed a sophisticated array of tools to escape our [[Defence mechanism|defense mechanisms]]. It's an incredibly adept operator which can tell us a great deal about [[bacteria]] and their evolution'". It is the "master of disguise", as even though it has only caused a few cases of disease and, once again, has such a small [[genome]], it really molds itself to its environment in a noteworthy way. Just to put into perspective how small it is, most bacterial [[Genome|genomes]] are three to four times larger, code for about 3,000 genes as opposed to around 800, and have hardly any repetitive [[DNA]].<ref name="CrapouletBarbry2006">{{cite journal|last1=Crapoulet|first1=N.|last2=Barbry|first2=P.|last3=Raoult|first3=D.|last4=Renesto|first4=P.|title=Global Transcriptome Analysis of Tropheryma whipplei in Response to Temperature Stresses|journal=Journal of Bacteriology|volume=188|issue=14|year=2006|pages=5228–5239|issn=0021-9193|doi=10.1128/JB.00507-06}}</ref> ''Tropheryma whipplei'' has about five percent of its [[DNA]] sequences repeated which also aides in its ability to deviate itself over and over again. It "carries a set of [[DNA]] sequences unlike anything previously seen in bacterial [[Genome|genomes]]." This is the case because it, as far as research has come to discover, selects new regions that it then incorporates into the [[Gene|genes]] that encode its single outer coating; this is the reason why Dr. Stephen is quoted saying it is like a wolf in sheep's clothing, because it never gives its host a chance to realize what it is, as it is constantly morphing and changing into something repeatedly different. Not only does it disguise itself in this manner, but it also takes the membranes from the host [[Cell (biology)|cells]] to "hide" in as well. Hence, with these two forms of camouflage, the body doesn't or has a hard time detecting the presence of ''Tropheryma whipplei'', as it hides in the lining of the human [[Gastrointestinal tract|gut]], where it gains its energy.<ref name="CrapouletBarbry2006">{{cite journal|last1=Crapoulet|first1=N.|last2=Barbry|first2=P.|last3=Raoult|first3=D.|last4=Renesto|first4=P.|title=Global Transcriptome Analysis of Tropheryma whipplei in Response to Temperature Stresses|journal=Journal of Bacteriology|volume=188|issue=14|year=2006|pages=5228–5239|issn=0021-9193|doi=10.1128/JB.00507-06}}</ref> Even though it is so small, it still is well equipped for its metabolic activities. However, there are deficiencies of ten [[Amino acid|amino acids]] in the biosynthetic pathways. For example, there is a lack of [[thioredoxin]] and [[thioredoxin reductase]] [[gene]] homologues. [[Thioredoxin]] is usually in its reduced state in an [[Nicotinamide adenine dinucleotide phosphate|NADPH]]-dependent reaction, acting as an electron donor. ''Tropheryma whipplei'' also has a [[mutation]] in the [[DNA gyrase]], which relates to the fact that it is resistant to [[quinolone]] [[antibiotic]]. Because of its metabolic deficiencies, like the major energy producing system, which is the [[Citric acid cycle|Krebs]] or [[Citric acid cycle|TCA]] it must get the [[Nutrient|nutrients]] it needs from the environment, in this case, the [[stomach]] lining. It also has to rely on its host for the synthesis of essential [[Amino acid|amino acids]] like [[arginine]] and [[histidine]], as it cannot produce these for itself either.<ref name="BoulosRolain2005">{{cite journal|last1=Boulos|first1=A.|last2=Rolain|first2=J. M.|last3=Mallet|first3=M. N.|last4=Raoult|first4=D.|title=Molecular evaluation of antibiotic susceptibility of Tropheryma whipplei in axenic medium|journal=Journal of Antimicrobial Chemotherapy|volume=55|issue=2|year=2005|pages=178–181|issn=1460-2091|doi=10.1093/jac/dkh524}}</ref><ref>{{cite journal | author=Whipple GH. | title=A hitherto undescribed disease characterized anatomically by deposits of fat and fatty acids in the intestinal and msenteric lymphatic tissues | journal=Johns Hopkins Hosp Bull | year=1907 | volume=18 | pages=382&ndash;91 }}</ref>
Tropheryma whipplei has about five percent of its DNA sequences repeated which also aides in its ability to deviate itself over and over again. It "carries a set of DNA sequences unlike anything previously seen in bacterial genomes." This is the case because it, as far as research has come to discover, selects new regions that it then incorporates into the genes that encode its single outer coating; this is the reason why Dr. Stephen is quoted saying it is like a wolf in sheep's clothing, because it never gives its host a chance to realize what it is, as it is constantly morphing and changing into something repeatedly different. Not only does it disguise itself in this manner, but it also takes the membranes from the host cells to "hide" in as well. Hence, with these two forms of camouflage, the body doesn't or has a hard time detecting the presence of Tropheryma whipplei, as it hides in the lining of the human gut, where it gains its energy.
Even though it is so small, it still is well equipped for its metabolic activities. However, there are deficiencies of ten amino acids in the biosynthetic pathways. For example, there is a lack of thioredoxin and thioredoxin reductase gene homologues. Thioredoxin is usually in its reduced state in an NADPH-dependent reaction, acting as an electron donor. Tropheryma whipplei also has a mutation in the DNA gyrase, which relates to the fact that it is resistant to quinolone antibiotic. Because of its metabolic deficiencies, like the major energy producing system, which is the Kreb's or TCA it must get the nutrients it needs from the environment, in this case, the stomach lining. It also has to rely on its host for the synthesis of essential amino acids like arginine and histidine, as it cannot produce these for itself either.


==Ecology==
==Ecology==
Tropheryma whipplei is suspected to have an environmental origin because its closest known relatives originated from the soil. However, Tropheryma whipplei is solely dependent on humans. Tropheryma whipplei inside its host is constantly reshaping itself and invade other organs. The fact that it is also very difficult to cultivate without human cells, makes understanding this pathogen harder.
''Tropheryma whipplei'' is suspected to have an environmental origin because its closest known relatives originated from the soil. However, ''Tropheryma whipplei'' is solely dependent on humans. ''Tropheryma whipplei'' inside its host is constantly reshaping itself and invade other organs. The fact that it is also very difficult to cultivate without human [[Cell (biology)|cells]], makes understanding this [[pathogen]] harder.<ref name="RolainFenollar2007">{{cite journal|last1=Rolain|first1=Jean-Marc|last2=Fenollar|first2=Florence|last3=Raoult|first3=Didier|title=False positive PCR detection of Tropheryma whipplei in the saliva of healthy people|journal=BMC Microbiology|volume=7|issue=1|year=2007|pages=48|issn=14712180|doi=10.1186/1471-2180-7-48}}</ref>
 
==Natural Reservoir==


==Pathogenesis==
==Pathogenesis==
Line 43: Line 39:
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
 
==External links==
==External links==
*[https://www.ncbi.nlm.nih.gov/Taxonomy/Browser/wwwtax.cgi?mode=Info&id=2039&lvl=3&lin=f&keep=1&srchmode=1&unlock NCBI Tropheryma whipplei Taxonomy Browser]
*[https://www.ncbi.nlm.nih.gov/Taxonomy/Browser/wwwtax.cgi?mode=Info&id=2039&lvl=3&lin=f&keep=1&srchmode=1&unlock NCBI Tropheryma whipplei Taxonomy Browser]
*[https://microbewiki.kenyon.edu/index.php/Tropheryma_whipplei Tropheryma whipplei Microbe Wiki Page]
*[https://microbewiki.kenyon.edu/index.php/Tropheryma_whipplei Tropheryma whipplei Microbe Wiki Page]
[[Category:Medicine]]
[[Category:Gastroenterology]]
[[Category:Infectious disease]]
[[Category:Up-To-Date]]

Latest revision as of 00:29, 30 July 2020


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

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Tropheryma whipplei
Scientific classification
Kingdom: Bacteria
Phylum: Actinobacteria
Class: Actinobacteria
Subclass: Actinobacteridae
Order: Actinomycetales
Genus: Tropheryma
Species: T. whipplei
Binomial name
Tropheryma whipplei
La Scola et al 2001

Overview

Tropheryma whipplei is a bacterium and the causative organism of Whipple's disease. While Tropheryma whipplei is categorized with the gram-positive Actinobacteria, the organism is commonly found to be gram-negative or gram-indeterminate when stained in the laboratory. Whipple himself probably observed the organisms as rod-shaped structures with silver stain in his original case, but no name was given to the organism until 1991 when the name Tropheryma whippelii was proposed after sections of the bacterial genome were sequenced. The name was changed to Tropheryma whipplei in 2001 (correcting the spelling of Whipple's name) after deposition in bacterial collections.

Description

Tropheryma whipplei is a gram-positive rod-shaped bacterium. It was finally isolated in eukaryotic cells in the year 2000 and propagated in a culture at 37 degrees Celsius, but was believed to resist culturing for a long time. In fact, it still can only be cultured if part of its eukaryotic host is present. The isolation from human cells and the culturing has allowed more characterization, including sequencing its genome that has resulted in 808 predicted protein-coding gene sequences, even though it grows at a very slow rate of about 4 to 17 days.[1][2]

It is mesophilic, meaning it grows best at moderate temperatures ranging between 25 and 40 degrees Celsius. Its optimal temperature is 37 degrees Celsius. However, Tropheryma whipplei has a special ability as even though it is not affected by heat shock, it can modify its transcriptome following cold shock at a temperature of 4 degrees Celsius; this proves that although it lacks a lot of typical regulatory elements, it still has a highly adaptive response to thermal stresses that would be typical with its potential environmental origin being that of something probably at lower temperatures (something still being studied), thereby allowing it to live and adapt in cold conditions.[1][2]

Structure

Genome structure

Tropheryma whipplei has a 0.92 Mb genome, placing it in a high-GC-content gram-positive bacterial group.[2] It is the only known human pathogen with a reduced genome sequence within the class of Actinobacteria. This means that this pathogen is the smallest known within its class. It is a reduced genomic species and it does not have many genes regulating transcription. It has a circular genome of 927,303 base pairs. Tropheryma whipplei has a low GC content at 46%. Yet, it was originally considered high because 552/808 identified open reading frames have their closest homologs within other Actinobacteria class genomes. An open reading frames (ORF) is important to determine once a gene has been sequenced, as it deals with where the encoded proteins are first transcribed into messenger RNA and then translated into a protein. A particular nucleotide will start and another will stop (known as a stop codon) translation; this is an ORF. Due to its small genomic size, much has yet to be discovered.[3][4]

Cell structure

The most interesting thing about Tropheryma whipplei is the fact that it has such a tiny genome. "Dr Stephen Bentley, who led the team at The Wellcome Trust Sanger Institute, said, 'This really is a wolf in sheep's clothing. Within this amazingly small genome, it has packed a sophisticated array of tools to escape our defense mechanisms. It's an incredibly adept operator which can tell us a great deal about bacteria and their evolution'". It is the "master of disguise", as even though it has only caused a few cases of disease and, once again, has such a small genome, it really molds itself to its environment in a noteworthy way. Just to put into perspective how small it is, most bacterial genomes are three to four times larger, code for about 3,000 genes as opposed to around 800, and have hardly any repetitive DNA.[2] Tropheryma whipplei has about five percent of its DNA sequences repeated which also aides in its ability to deviate itself over and over again. It "carries a set of DNA sequences unlike anything previously seen in bacterial genomes." This is the case because it, as far as research has come to discover, selects new regions that it then incorporates into the genes that encode its single outer coating; this is the reason why Dr. Stephen is quoted saying it is like a wolf in sheep's clothing, because it never gives its host a chance to realize what it is, as it is constantly morphing and changing into something repeatedly different. Not only does it disguise itself in this manner, but it also takes the membranes from the host cells to "hide" in as well. Hence, with these two forms of camouflage, the body doesn't or has a hard time detecting the presence of Tropheryma whipplei, as it hides in the lining of the human gut, where it gains its energy.[2] Even though it is so small, it still is well equipped for its metabolic activities. However, there are deficiencies of ten amino acids in the biosynthetic pathways. For example, there is a lack of thioredoxin and thioredoxin reductase gene homologues. Thioredoxin is usually in its reduced state in an NADPH-dependent reaction, acting as an electron donor. Tropheryma whipplei also has a mutation in the DNA gyrase, which relates to the fact that it is resistant to quinolone antibiotic. Because of its metabolic deficiencies, like the major energy producing system, which is the Krebs or TCA it must get the nutrients it needs from the environment, in this case, the stomach lining. It also has to rely on its host for the synthesis of essential amino acids like arginine and histidine, as it cannot produce these for itself either.[5][6]

Ecology

Tropheryma whipplei is suspected to have an environmental origin because its closest known relatives originated from the soil. However, Tropheryma whipplei is solely dependent on humans. Tropheryma whipplei inside its host is constantly reshaping itself and invade other organs. The fact that it is also very difficult to cultivate without human cells, makes understanding this pathogen harder.[7]

Pathogenesis

See Whipple's disease

References

  1. 1.0 1.1 Raoult D, Ogata H, Audic S, Robert C, Suhre K, Drancourt M, Claverie JM (2003). "Tropheryma whipplei Twist: a human pathogenic Actinobacteria with a reduced genome". Genome Res. 13 (8): 1800–9. doi:10.1101/gr.1474603. PMC 403771. PMID 12902375.
  2. 2.0 2.1 2.2 2.3 2.4 Crapoulet, N.; Barbry, P.; Raoult, D.; Renesto, P. (2006). "Global Transcriptome Analysis of Tropheryma whipplei in Response to Temperature Stresses". Journal of Bacteriology. 188 (14): 5228–5239. doi:10.1128/JB.00507-06. ISSN 0021-9193.
  3. {La Scola B, Fenollar F, Fournier P, Altwegg M, Mallet M, Raoult D (2001). "Description of Tropheryma whipplei gen. nov., sp. nov., the Whipple's disease bacillus". Int J Syst Evol Microbiol. 51 (Pt 4): 1471–9. PMID 11491348.
  4. Relman D, Schmidt T, MacDermott R, Falkow S (1992). "Identification of the uncultured bacillus of Whipple's disease". N Engl J Med. 327 (5): 293–301. PMID 1377787.
  5. Boulos, A.; Rolain, J. M.; Mallet, M. N.; Raoult, D. (2005). "Molecular evaluation of antibiotic susceptibility of Tropheryma whipplei in axenic medium". Journal of Antimicrobial Chemotherapy. 55 (2): 178–181. doi:10.1093/jac/dkh524. ISSN 1460-2091.
  6. Whipple GH. (1907). "A hitherto undescribed disease characterized anatomically by deposits of fat and fatty acids in the intestinal and msenteric lymphatic tissues". Johns Hopkins Hosp Bull. 18: 382&ndash, 91.
  7. Rolain, Jean-Marc; Fenollar, Florence; Raoult, Didier (2007). "False positive PCR detection of Tropheryma whipplei in the saliva of healthy people". BMC Microbiology. 7 (1): 48. doi:10.1186/1471-2180-7-48. ISSN 1471-2180.

External links