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CEA CHRU CNRS CPU INRA INRIA INSERM INSTITUT PASTEUR IRD U R 3 3 rd rd meeting international research - June 10, 2011 meeting international research - June 10, 2011 Infectious disease and Microbiology Ignorance, speculative deductions, unconfirmed predictions - H factor - Highest grant = 73 M€- I.H.U Didier Raoult - Didier Raoult - [email protected] [email protected] - - Marseille - France Marseille - France

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CEA CHRU CNRS CPU INRA INRIA INSERM INSTITUT PASTEUR IRD

UR

33rdrd meeting international research - June 10, 2011 meeting international research - June 10, 2011

Infectious disease and MicrobiologyIgnorance, speculative deductions, unconfirmed predictions

- H factor

- Highest grant = 73 M€- I.H.U

Didier Raoult - Didier Raoult - [email protected]@gmail.com - - Marseille - FranceMarseille - France

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ObjectiveObjectiveCompleting the Genes repertoire- Microorganisms- Genomes

Where- In environnement (water, goil, animals, vectors plants)- Healthy humans- Patients

Comparing repertoires to identify links with diseases -Microbes- Genomes- Genes

Tools for diagnostic

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Unknown genosphere by metagenomics Unknown genosphere by metagenomics studiesstudies

10-15% organisms with Ribosomes

15-30% known viruses

55-70% ???

DNA sequences of the living in the XXIDNA sequences of the living in the XXIth th

centurycentury

Edwards RA, Rohwer F. Viral metagenomics. Nature Rev Microbiol. 2005;3:504-510. U

R

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UR

• TABASCO, Hot Ketchup and human stool

• Positive detection by RT-PCR

TEM ~ 109/ml

• Is it multiplying in humans?

• Is it causing something?P.Colson.Pepper Mild Mottle Virus, a Plant Virus Associated with Specific Immune Responses, Fever, Abdominal Pains, and Pruritus in Humans.Plos one.2010

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Tools Culture- introducing culturomics

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Free-living bacterial community

264 lost COGs

Facultative host-associatedBacteria

GS 2.92 ± 1.6GC 43.0 ± 11.7Op 3.36 ± 2.6

TR 65.7 ± 56.0

615 lost COGs

Core of lost genesMetabolismCellular processes

↑ Atypical rDNA operon

↓ Growth rate

Merhej V, et al. Biol Direct. 2009 Apr 10;4:13.

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Genome sequencing and analysis

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In point of care for diagnostic and treatment POC

Timone Senegal

Molecular diagnostic Molecular diagnostic

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ResultsResults1) Giant viruses2) Microbiota and obesity3) Repertoire of causes fever in Africa (45%)4) New culture media (TB, T.whipplei, Coxiella burnetii for vaccine)5) Reversion of pathogenocity paradigm more pathogenic less genes

(except toxins) => vaccine interest6) New antibiotics (pentamidine)7) Multiplexed serologic microaray