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<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
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<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-id pub-id-type="doi">10.3389/fmicb.2024.1364620</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Editorial</subject>
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<title-group>
<article-title>Editorial: <italic>Legionella pneumophila</italic>-transmission, pathogenesis, host-pathogen interaction, prevention and treatment</article-title>
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<name><surname>Palusi&#x00144;ska-Szysz</surname> <given-names>Marta</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
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<contrib contrib-type="author" corresp="yes">
<name><surname>Sim&#x000F5;es</surname> <given-names>Manuel</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="c002"><sup>&#x0002A;</sup></xref>
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<aff id="aff1"><sup>1</sup><institution>Institute of Biological Sciences, Maria Curie-Sk&#x00142;odowska University</institution>, <addr-line>Lublin</addr-line>, <country>Poland</country></aff>
<aff id="aff2"><sup>2</sup><institution>LEPABE&#x02014;Laboratory for Process Engineering, Environment, Biotechnology and Energy, Faculty of Engineering, University of Porto</institution>, <addr-line>Porto</addr-line>, <country>Portugal</country></aff>
<aff id="aff3"><sup>3</sup><institution>ALiCE&#x02014;Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto</institution>, <addr-line>Porto</addr-line>, <country>Portugal</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited and reviewed by: Axel Cloeckaert, Institut National de recherche pour l&#x00027;agriculture, l&#x00027;alimentation et l&#x00027;environnement (INRAE), France</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Marta Palusi&#x00144;ska-Szysz <email>marta.palusinska-szysz&#x00040;mail.umcs.pl</email></corresp>
<corresp id="c002">Manuel Sim&#x000F5;es <email>mvs&#x00040;fe.up.pt</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>31</day>
<month>01</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1364620</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>01</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>01</month>
<year>2024</year>
</date>
</history>
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<copyright-statement>Copyright &#x000A9; 2024 Palusi&#x00144;ska-Szysz and Sim&#x000F5;es.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Palusi&#x00144;ska-Szysz and Sim&#x000F5;es</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
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<related-article id="RA1" related-article-type="commentary-article" xlink:href="https://www.frontiersin.org/researchtopic/42135/early-intervention-and-prevention-of-severe-mental-illness-a-child-and-adolescent-psychiatry-perspec" ext-link-type="uri">Editorial on the Research Topic <article-title><italic>Legionella pneumophila</italic>-transmission, pathogenesis, host-pathogen interaction, prevention and treatment</article-title></related-article>
<kwd-group>
<kwd>diagnosis</kwd>
<kwd><italic>Legionella</italic> spp.</kwd>
<kwd>legionellosis</kwd>
<kwd>prevention</kwd>
<kwd>sources</kwd>
<kwd>surveillance</kwd>
</kwd-group>
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<ref-count count="8"/>
<page-count count="2"/>
<word-count count="1376"/>
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<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Infectious Agents and Disease</meta-value>
</custom-meta>
</custom-meta-wrap>
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</front>
<body>
<p><italic>Legionella</italic> species are rod-shaped and Gram-negative bacteria, considered opportunistic that act as an intracellular pathogen, and are the leading cause of legionellosis. <italic>Legionella</italic> spp., including <italic>L. pneumophila</italic>, are known to survive in complex ecosystems, including soil, natural and artificial water environments, being the presence of other microorganisms of relevance for their persistence. Some of the microorganisms associated with enhanced growth and survival of <italic>Legionella</italic> spp. include other bacteria, cyanobacteria, algae, and protozoa (Tison et al., <xref ref-type="bibr" rid="B8">1980</xref>; McFeters, <xref ref-type="bibr" rid="B5">1990</xref>). In particular, systems dense in protozoa and/or highly colonized by biofilms have a high risk of being contaminated by <italic>L. pneumophila</italic>. <italic>Legionella</italic> survival is potentially increased when in a biofilm (functional consortia of microorganisms adhered to a surface and to each other and/or embedded within extracellular polymeric substances, concentrated products of their metabolism, ions, and nutrients from the environment; Declerck, <xref ref-type="bibr" rid="B2">2010</xref>).</p>
<p>There are more than 59 species and 70 serogroups of this bacterium (Springston and Yocavitch, <xref ref-type="bibr" rid="B7">2017</xref>). Among the <italic>Legionella</italic> species, <italic>L. pneumophila</italic> is the prevalent cause of legionellosis. <italic>L. pneumophila</italic> has 15 identified serogroups, of which serogroup 1 is the main causative agent of legionellosis (Gon&#x000E7;alves et al., <xref ref-type="bibr" rid="B4">2021b</xref>). Human infection by <italic>L. pneumophila</italic> can occur after the aspiration or inhalation of aerosols containing the bacteria. Upon infection, alveolar macrophages are invaded and used by <italic>L. pneumophila</italic> for replication. Virulence factors include flagella, fimbriae, types II and IV secretion systems, and iron-acquisition mechanisms. <italic>L. pneumophila</italic> outbreaks are increasing in occurrence regularity and are unavoidable, taking into account the current anthropogenic activities, the ineffective disinfection plans, and the source of the bacteria, as it is present in natural water and the soil. It is expected that <italic>Legionella</italic> outbreaks will continue increasing in numbers and severity, mostly because of the population aging in developed countries and the worldwide climate changes (Gon&#x000E7;alves et al., <xref ref-type="bibr" rid="B3">2021a</xref>). The articles contained in this Research Topic provide a remarkable contribution to the diagnosis of <italic>L. pneumophila</italic> at the serogroup level. Additional insights on the genomic characterization and assessment of the pathogenic potential of <italic>Legionella</italic> spp. are provided.</p>
<p>In an outbreak scenario, the sampling process is critical for determining whether <italic>L. pneumophila</italic> is present and at what levels. Bacteria in the environment are typically in a viable but non-culturable state&#x02014;VBNC (Colwell and Grimes, <xref ref-type="bibr" rid="B1">2000</xref>). It means that even if the bacteria is present and viable they are not able to grow in the medium used. The recovery of VBNC <italic>Legionella</italic> is typically very difficult, requiring for most cases co-culturing with protozoa (Ramamurthy et al., <xref ref-type="bibr" rid="B6">2014</xref>). The appearance of the VBNC state tends to increase when the microorganisms are exposed to stress conditions, such as disinfectants. In this Research Topic, <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fmicb.2023.1094877">Nisar et al.</ext-link> described a novel method to quantify VBNC <italic>Legionella</italic> from environmental water samples using a flow cytometry-cell sorting and qPCR assay. They demonstrated for the first time that flow cytometry-cell sorting in conjunction with qPCR is a rapid and direct method to quantify VBNC <italic>Legionella</italic> from environmental sources. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fmicb.2022.866426">Pascale et al.</ext-link> applied Fourier Transform Infrared Spectroscopy (FTIR) using the IR Biotyper<sup>&#x000AE;</sup> system for the identification of <italic>L. pneumophila</italic> at the serogroup level. They found that the FTIR-based approach used is a powerful and easy-to-use approach to identify <italic>L. pneumophila</italic> serogroups and highlighted the relevance of the approach for outbreak investigations, allowing to trace the source of the infection and promptly adopt preventive and control strategies. In <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fmicb.2023.1150942">Tata et al.</ext-link>, FTIR was used for <italic>L. pneumophila</italic> serogroup discrimination. The authors developed and validated a method, based on the coupling of FTIR and machine learning, for the automated serotyping of <italic>L. pneumophila</italic> serogroup 1, <italic>L. pneumophila</italic> serogroups 2&#x02013;15 as well as their successful discrimination from <italic>Legionella</italic> non-pneumophila species. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fmicb.2022.900936">Girolamini et al.</ext-link> studied putative novel species associated with the <italic>Legionella</italic> genus. For that, they used a diversity of methods including cultoromics, MALDI-TOF MS, gene sequencing, and whole-genome sequencing analysis. In <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fmicb.2022.1091964">Svetlicic et al.</ext-link> four potential new species in the <italic>Legionella</italic> genus were identified, and functional annotations concerning virulence and antimicrobial resistance were performed on the sequenced genomes. Finally, <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fmicb.2023.1199572">Lehfeld et al.</ext-link> provided an analysis of community-acquired cases of legionellosis, particularly cases where infection was likely acquired at home. They highlighted the hypothesis that <italic>Legionella</italic> in oral biofilms or dental plaque may be a relevant cause of infections likely acquired at home.</p>
<p>While this Research Topic provides pioneer results on <italic>Legionella</italic> diagnosis, surveillance, and prevention, it is still clear that much remains to be understood on the evolutionary aspects of <italic>Legionella</italic> species, their mechanisms of transmission, accurate detection, and preventive and therapeutic strategies.</p>
<sec sec-type="author-contributions" id="s1">
<title>Author contributions</title>
<p>MS: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Validation, Visualization, Writing &#x02013; original draft, Writing &#x02013; review &#x00026; editing. MP-S: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Validation, Visualization, Writing &#x02013; original draft.</p></sec>
</body>
<back>
<sec sec-type="funding-information" id="s2">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This research was funded by LA/P/0045/2020 (ALiCE), UIDB/00511/2020 and UIDP/00511/2020 (LEPABE), and funded by National Funds through FCT/MCTES (PIDDAC).</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.</p>
</sec>
<sec sec-type="disclaimer" id="s3">
<title>Publisher&#x00027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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