Electron Microscopy of Giardia lamblia Cysts - Applied and ...

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APPLIED AND ENVIRONMENTAL MICROBIOLOGY, Oct. 1980, p. 821-832                                       Vol. 40, No. 4
0099-2240/80/10-0821/12$02.00/0

              Electron Microscopy of Giardia lamblia Cysts
          DANIEL L. LUCHTEL,* WILLIAM P. LAWRENCE, AND FOPPE B. DEWALLE
  Department of Environmental Health, School of Public Health and Community Medicine, University of
                               Washington, Seattle, Washington 98195
           The flagellated protozoan Giardia lamblia is a recognized public health prob-
         lem. Intestinal infection can result in acute or chronic diarrhea with associated
         symptoms in humans. As part of a study to evaluate removal of G. lamblia cysts

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         from drinking water by the processes of coagulation and dual-media filtration, we
         developed a methodology by using 5.0-,um-porosity membrane filters to evaluate
         the filtration efficiency. We found that recovery rates of G. lamblia cysts by
         membrane filtration varied depending upon the type and diameter of the mem-
         brane filter. Examination of membrane-filtered samples by scanning electron
         microscopy revealed flexible and flattened G. lamblia cysts on the filter surface.
         This feature may be responsible for the low recovery rates with certain filters
         and, moreover, may have implications in water treatment technology. Formation
         of the cyst wall is discussed. Electron micrographs of cysts apparently undergoing
         binary fission and cysts exhibiting a possible bacterial association are shown.
  Exposure to the waterborne pathogen Giardia           ably flexible and concluded that the interaction
lamblia is a current public health problem (10)         of the flexible cyst wall in the filter pore may
as exemplified by recent outbreaks of giardiasis        explain the different recovery rates on different
reported from Vail, Colo. (7), Berlin, N.H. (15),       types and sizes of filters.
and Camas, Wash. (11). These outbreaks oc-
curred in municipalities that use surface water                   MATERIALS AND METHODS
for drinking purposes. Each of their seemingly             Fecal material was collected from human giardiasis
adequate water treatment facilities failed to fol-      patients in cooperation with the Washington State
low proper treatment procedures of the raw              Parasitology Laboratory, Seattle. The material was
water. G. lamblia cysts were detected in the            fixed in either 5% buffered Formalin or 2% glutaral-
finished water at both Berlin and Camas. The            dehyde in 0.1 M cacodylate, which was done immedi-
percentages of stool specimens positive for G.          ately after positive identification of G. lamblia cysts
lamblia cysts reported by U.S. state laboratories       in the feces. A given quantity of the fecal material was
                                                        diluted 1:2 in distilled water, stirred into a liquid
in 1976 were 9.2 in California, 9.6 in Colorado,        suspension, and filtered through three layers of gauze
10.6 in Minnesota, 9.5 in Maine, and 6.3 in Wash-       that approximated a 50- to 80-,um-mesh sieve. The
ington (2).                                             filtrate was centrifuged at 400 x g. After the super-
   The work reported here is part of a study that       natant was decanted, the sediment was emulsified with
determined the efficiency of a water treatment          an equal amount of distilled water.
plant for removing G. lamblia cysts. Experi-               We used the method of Sheffield and Bjorvatn (20)
ments showed that >99% of the cysts introduced          to further separate the cysts from other fecal material.
into a water treatment pilot plant can be re-           A 5-ml amount of the fecal suspension was added to a
moved by the processes of coagulation-floccula-         discontinuous density sucrose gradient consisting of 5
                                                        ml each of 1.5, 1.0, 0.75, and 0.5 M sucrose solutions
tion, sedimentation, and dual-media filtration          added successively to a 40-ml conical centrifuge tube.
(W. P. Lawrence, Masters thesis, University of          After centrifugation for 30 min at 1,000 x g, approxi-
Washington, Seattle, 1979). The efficiency of           mately 4 ml was collected by capillary pipette from
cyst removal was evaluated by filtering the fin-        both the water-0.5 M sucrose and 0.5 M-0.75 M su-
ished water from the pilot plant. In also evalu-        crose interfaces. This suspension, consisting of cysts
ating the reproducibility of our filtration proce-      and small noncyst particulate debris, was diluted 10-
dure with known concentrations of cysts, we             fold with distilled water and centrifuged for 3 to 5 min
found that the recovery rates of cysts that were        at 400 x g. The sediment, consisting of a high number
passed through two different types (Millipore           of cysts relatively free of debris, was again diluted 10-
and Nuclepore) and diameters (47 and 293 mm)            fold with distilled water and kept at 4°C until use. We
                                                        eliminated the final filtration, as recommended by
of membrane filters varied considerably.                Sheffield and Bjorvatn (20), through a 20-/um filter to
   Electron microscopy was used to determine            remove any remaining debris.
the possible causes of these various rates. We             Known quantities of cysts were added to an exper-
found that the cyst wall of G. lamblia is remark-       imental water supply and tested in a pilot water treat-
                                                     821
822     LUCHTEL, LAWRENCE, AND DEWALLE                                               APPL. ENVIRON. MICROBIOL.
ment plant for the efficiency of cyst removal (W. P.         filtered by gravity through 47-mm-diameter 5.0-gum-
Lawrence, Masters thesis, University of Washington,          porosity Millipore or Nuclepore membrane filters. The
Seattle, 1979). It was necessary to develop a quanti-        filters were air dried, and small pieces of the filters
tative method with a known recovery efficiency that          were cut out and stuck onto stubs covered with double-
would retain any cysts still remaining in the finished       stick tape. Other cyst suspensions were critical point
water after passing through the water treatment plant.       dried to avoid membrane filtration and air drying. The
   We developed a recovery method that used mem-             aqueous suspensions were postfixed in 1% OS04 in 0.15
brane filters of 5-,um pore size to retain G. lamblia        M cacodylate, dehydrated in ethanol, and critical-
cysts. We first tested two filters of a small diameter       point dried with C02. After each step of the postfixa-
(47 mm). We soon found that it was necessary to test         tion and dehydration procedure, the suspensions were
more expensive, larger-diameter filters (293 mm) to          briefly centrifuged, and the fluid was decanted. For
maintain filtering efficiency for the relatively large       the critical-point drying step, the suspensions were
                                                             encosed in BEEM capsules (Better Equipment for

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volumes of water from the treatment plant. The re-
covery efficiency of the filters was tested in the follow-   Electron Microscopy, Inc., Bronx, N.Y.) capped on the
ing way.                                                     two ends with 5.0-gm-porosity Nuclepore filters (a
   Aqueous suspensions of fixed G. lamblia cysts were        modification of the procedure of Hayunga [8]). After
passed by vacuum through 5.0-,um-porosity Millipore          critical-point drying, the BEEM capsules were opened,
 (Millipore Corp., Bedford, Mass.) or 5.0-,um-porosity       and the dried cysts were sprinkled onto stubs covered
Nuclepore (Nuclepore Corp., Pleasanton, Calif.) mem-         with double-stick tape. The stubs were coated with
brane filters. Concentrations of cysts before and after      gold-palladium in a Denton Vacuum Desk-1 sputter
filtration were determined by enumeration on a Clay-         coater and viewed in a JEOL JSM-35 scanning elec-
Adams model 4011 Spencer Bright Line hemacytom-              tron microscope (JEOL, Tokyo, Japan).
 eter and collaborated with counts on a Coulter                 For the transmission electron microscopy studies,
 Counter (Coulter Electronics, Hialeah, Fla.). Cysts         aqueous suspensions of fixed G. lamblia cysts were
 were removed from the 47-mm filters by immersing            postfixed in osmium, dehydrated in ethanol, and
 each ifiter in 10 ml of distilled water in a small flask    embedded in Epon. Thin sections were stained with
 and agitating gently by hand. The filter was then           uranyl acetate and lead citrate and viewed with a
 discarded, and the liquid was examined for presence         JEOL JEM 100S electron microscope.
 and quantity of G. lamblica cysts. The larger 293-mm
 membrane filters were processed by using a two-step                           RESULTS
 centrifugation process summarized in Fig. 1. Recovery
 rates of cysts from the different types and diameters         Since a subsequent part of the overall study is
 of filters were then calculated.                            concerned with the efficiency of a water treat-
    For the scanning electron microscopic studies,           ment pilot plant for the removal of G. lamblia
 aqueous suspensions of fixed G. lamblia cysts were          cysts (Lawrence and DeWalle, manuscript in
                                                             preparation), we needed to develop and evaluate
        20 liters of prefiltered (5.0 ,um) tap water         a quantitative method with a known recovery
                             I                               efficiency that could be used to determine the
        Pass through 293-mm (5.0-,um-pore size)              number of cysts in a given volume of water.
       Nuclepore filter at 10 lb/in2 with nitrogen           Known quantities of cysts were filtered, and the
           gas. 0.2-gum filter on nitrogen tank              recovery efficiency was determined. Four differ-
                             I                               ent methods were checked against each other.
       Filter removed and placed in shallow dish.
       Cysts washed off by agitation of filter in 0.3           Recovery rates of G. lamblia cysts with the
             liter of water (platform shaker,                47-mm-diameter 5.0-gum-porosity Millipore and
             Toothmaster Co., Racine, Wis.)                  Nuclepore filters were comparable (Fig. 2). The
                              I                               same recovery rate,      approximately 75%,       was
         Centrifuge retentate at 1,500 rpm for 10         found when the 293-mm-diameter Nuclepore fil-
         min in eight 50-ml conical bottom tubes          ter was used (Fig. 3). A significantly lower recov-
                             I                            ery rate, approximately 25%, was found after
            Retain "sediment" (approximately              filtering cysts with the 293-mm-diameter Milli-
                        10 ml x 8)                        pore  filter. Coulter Counter and hemacytometer
                             4                            counts    of the filtrates showed that no cysts
        Transfer to two 50-ml conical tubes and
                       recentrifuge                       passed through the filters. The reasons for the
                             4                            less than 100% recovery from the filters and the
            Retain "sediment" (approximately              strikingly lower recovery on the large Millipore
                         5 ml x 2)                        filter were unclear. Therefore, it was decided to
                             4                            study the filter surface with scanning electron
            Enumerate on Coulter Counter and              microscopy.
             compare with initial concentration              Cysts collected on either air-dried Millipore
   FIG.  1.  Summary   of method   used for the recovery  or  Nuclepore membrane filters exhibited dis-
 of G. lamblia cysts from      293-mm-diameter   5.0-p,m- torted   or flattened cyst walls (Fig. 4 to 11). The
 porosity Nuclepore filters.                              pattern    of such flattening of the cyst wall was
VOL. 40, 1980                                           ULTRASTRUCTURE OF GIARDIA CYSTS                   823
         100 __              __ _A
                                     * --                 lipore filters. Although there seemed to be fewer
                         -

                                                          cysts on the Millipore filters, it was more difficult
   0

                                     A                    to detect the cysts on the rough Millipore sur-
   b-
            U'                                            face.
   0
           0    '-
                                                            We observed sectioned material by transmis-
         10'0        -                                    sion  electron microscopy (Fig. 12) to confirm the
                                         ___, ____        presence of Giardia cysts. Cysts prepared via
   40
   a.                                                     critical-point drying were not flattened (Fig. 13;
                             A       B                    see also Fig. 14 to 17). Rather, such specimens
                                                          appeared ovoid or spherical and agreed with the
           01                                             transmission electron microscopic observations.

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            103                          04     s5 1O     The possible forces that may act on cysts to
                                                          distort them during the processes of filtration
                         Cyst CoInc. (no,/m I             and air drying are considered below.
                                                            Some additional observations were made on
  FIG. 2. Recovery rates (A) of G. lamblia cysts from     the material that had been prepared for electron
(A) 47-mm Nuclepore 5.0-ym -porosity filters and (B)      microscopy. Some of the cysts appeared to show
47-mm Millipore 5.0-pum-poroosity filters.                a process of division (Fig. 8 and 9). One
                                                          "stretched" cyst was found, apparently an arti-
       4IiAn                                              fact caused by the preparative procedures (Fig.
                                                          10).
                                                             With the scanning electron microscope, a va-
                         A                                riety of material was observed on the cyst wall.
    0
                     e-                                   This was particularly evident on critical-point-
                                                          dried specimens (Fig. 13 to 17). Air-dried cysts
         50i                                              were usually free of such material (Fig. 6). Oc-
                                                          casionally, bacterium-like structures were asso-
   40~
                                                          ciated with the cysts (at the upper right and
                                                          lower left of the double cyst shown in Fig. 10
                                                          and at the right of the cyst shown in Fig. 15).
                                                          One cyst in the sections prepared for transmis-
           o                                              sion electron microscopy showed a bacterium-
                              104                105      like structure associated with the cyst wall (Fig.
                                                          18).
                  Cyst Co nc. Ino./ml I                      Our transmission electron microscopic prepa-
                                                          rations usually showed a rather wide space be-
  FIG. 3. Recovery rates (0) of G. lamblia cysts from tween the organism and the cyst wall (Fig. 12
(A) 293-mm Nuclepore 5.0-,1n L-porosity filters and (B) and 19). A peripheral array of vesicles was char-
293-mm Millipore 5.0-p,m-por-osity filters.               acteristic for most organisms. A dense-staining
                                                          material coated the inside surface of these pe-
different for cysts collect ed on Millipore filters ripheral vesicles. A few larger peripheral lacunae
compared with cysts on INuclepore filters. The were seen (asterisk in Fig. 19). The inner surfaces
surface of the Millipore filter consists of inter- of the lacunae were lined with a dense-staining
meshed strands (Fig. 4 an d 5), and the diameter material. A dense material also coated the inner
of the individual strands is much smaller than surface of the cyst wall and the surface of the
the -5.0-Um
         r-
         -.  r-.   --. The distortion -
             nore size.                        "'-scvst
                                            of the   .7 - encysted organism.
on the Millipore surface seemed to be deter-
mined to some extent by how it rested on the                               DISCUSSION
small individual strands (Fig. 5). For the cysts             Information about the biology of Giardia or-
retained on the surface of a Nuclepore filter, the ganisms, the incidence of giardiasis, and the
pattern of distortion was distinctly different (Fig. ultrastructure of these parasitic protozoans is
6 and 7), apparently because of the smoothness reviewed in three recent publications (1, 10, 13).
of the Nuclepore surface. A fairly uniform, rim- Several scanning electron microscopy studies on
like structure was apparent around those cysts the trophozoite (4, 17, 23) complement transmis-
that rested on the flat surface of the filter (Fig. sion electron microscopy studies (3, 6, 18, 19;
7 and 8). Cysts that overlapped the filter pore additional references in 13). Previous ultrastruc-
were sharply bent into the pores (Fig. 6, 10, and         tural studies of the cyst are those of Sheffield
11). Overall, more cysts per unit of area were and Bjorvatn (20), Sheffield (19), and Tombes
readily seen on the Nuclepore than on the Mil- et al. (21).
824

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         LUCHTEL, LAWRENCE, AND DEWALLE

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   FIG. 4. A low-magnification view that shows three G. lamblia cysts (arrows) on a 5.0-,um-porosity Millipore
filter. Bar, 20 ,pm.
   FIG. 5. A higher-magnification view of the middle cyst shown in Fig. 4. The cyst is flattened and distorted.
The distortions seem to depend on how the cyst rests on the contours of the filter surface. Bar, 5 ,um.
   FIG. 6. A low-magnification view of a 5.0-tim-porosity Nuclepore filter that shows several cysts (arrows)
and some unidentified debris, presumably consisting of fecal material and ruptured cysts (arrowhead). Bar,
20 ,um.
   FIG. 7. A higher-magnification view of a cyst, comparable to those shown in Fig. 6. The cyst is flattened on
the filter surface and typically shows a thin outer rim or flange. The central convex portion of the cyst is
caused by the encysted organism. Bar, 2 uin.
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VOL. 40, 1980

                 t|                                         ULTRASTRUCTURE OF GIARDIA CYSTS                825

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  FIG. 8-11. Air-dried cysts collected on Nuclepore filters. Apparently, encysted organisms are able to divide,
and the cyst, wall is then restructured to enclose separately each of the two newly formed organisms.
  FIG. 8. A single cyst in which the organism inside appears to be in the process of dividing. Bar, 5 rim.
  FIG. 9. A double cyst, apparently formed after an organism within a single cyst had divided. The arrows
indicate a line of demarcation that separates the two cysts. Presumably, this double cyst breaks apart to form
two separate cysts. Bar, 5 n.tm
   FIG. 10. A double cyst that has been stretched artifactually during the preparation and filtration proce-
dures. Bar, 5 p5m.
  FIG. 11. A cyst that has become distorted, apparently because of settling into a pore of the filter. Bar, ,im.
                                                                                                            2

flattened shapes for Giardia cysts (Fig. 5 and 7) not filtering; air drying versus critical-point
are not consistent with the ovoid outlines of drying), most of the flattening is probably due
cysts shown by various light microscopic studies to the surface tension of water as the specimen
(13) and the transmission electron microscopy is being air dried. Some of the critical-point-
observations of Sheffield and Bjorvatn (20). We dried cysts were somewhat distorted (insert, Fig.
then confirmed that our material was Giardia 13), possibly due to some transient air drying
cysts by transmission electron microscopy (Fig. during the several fluid exchanges before the
12) and subsequently showed that ovoid cysts critical-point-drying step. But overall, although
could be prepared for scanning electron micro- the critical-point-dried cysts underwent several
scopic observation if the cysts are critical-point filtering and centrifugation steps, they retained
dried (Fig. 13). Although we did not check each their ovoid shape. On the other hand, filtration
set of variables independently (filtering versus had some effect on the cyst morphology as the
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VOL. 40, 1980                                        ULTRASTRUCTURE OF GIARDIA CYSTS                      827
cysts appeared distinctly different on the Milli-       noted that there was no morphological effect on
pore surface (Fig. 5) compared with those on the        the cysts with the sucrose flotation technique if
Nuclepore surface (Fig. 7).                             the cysts were removed immediately from the
   Tombes et al. (21) studied the cysts of Giardia      interface and placed in physiological saline. With
collected from a variety of mammals, including          the methodology of Sheffield and Bjorvatn (20),
humans. The morphology of the cysts they col-           the suspensions are diluted 10-fold with water
lected from humans is different from that ob-           after collecting them from the interfaces.
served by us. The cysts they studied by phase              Another possible effect of the sucrose flotation
microscopy had the typical elliptical shape; by         method is that it may change the width of the
scanning electron microscopy, the cysts seemed          space between the cyst wall and the organism.
to be distorted, having a cuboidal shape. Possible      Sheffield (19) believes that these spaces are not

                                                                                                                  Downloaded from http://aem.asm.org/ on January 26, 2021 by guest
reasons for our different results are difficult to      caused by the different isotonic pressures of the
decide upon since Tombes et al. used a variety          flotation solutions. We found a much wider
of fixation and preparative techniques, and for         space between the cyst wall and the organism
any particular micrograph, the data are not             than that shown by Sheffield and co-workers
given as to how the cysts were fixed, whether           (19, 20) or the cyst shown by transmission elec-
the material was fixed immediately or after some        tron microscopy in the study of Nemanic et al.
initial filtrations (sucrose flotation techniques       (18). The material studied by Nemanic et al.
were not used), how long the material was stored        (18) was not exposed to a sucrose flotation tech-
in aldehyde before drying, and whether the cysts        nique as the organisms were prepared for elec-
were air dried or critical-point dried. Overall,        tron microscopy by washing pieces of gut and
Tombes et al. noted no consistent differences in        centrifuging the wash. Perhaps species differ-
cysts after air or critical-point drying. We found      ences may be a factor in comparing our results
substantial differences in cyst morphology when         with those of Nemanic et al. (18) but the reasons
cysts were air dried or critical-point dried. We        for our results being different from those of
suggest that a possible procedural error that           Sheffield and Bjorvatn (20) are not apparent
Tombes et al. mention in their discussion may           unless they fixed the cysts after sucrose flotation.
be a significant factor in our different results.       Perhaps selection of micrographs may be a con-
   Sucrose flotation technique. We used the             tributing factor as Sheffield, in a discussion after
sucrose flotation method of Sheffield and Bjor-         his paper (19), states that a variety of cyst types
vatn (20) to prepare suspensions of cysts. They         were seen; that is, cysts in which the cytoplasm
 apparently fixed the cysts after the sucrose pro-      was closely applied to the cyst wall, whereas
 cedure. If so, they obtained remarkably good           others showed large, open areas between cyto-
 fixation after a lengthy concentration process.        plasm and wall. We also saw sections of cysts in
 We fixed the fecal material before the sucrose          which the cytoplasm was closely applied to the
flotation. For laboratory diagnosis of giardiasis       cyst wall, but since most of the sectioned cysts
 in unfixed stools, the basic method is a zinc          showed an open space (Fig. 12), our interpreta-
 sulfate flotation method (13). With this tech-          tion is that the organism does not occupy the
 nique, the cytoplasm of the cells is plasmolyzed        entire space of the cyst. The rimlike structure
 by the hypertonic zinc sulfate solution, and the        on air-dried cysts (Fig. 7) would also indicate
 cytoplasm is characteristically concentrated at         that the cyst wall collapsed into a space not
 one side of the cyst (see Fig. 23 in reference 13).     occupied by the encysted organism. We ob-
 Although the cyst wall is apparently stable             served that the cyst walls are usually 0.15 to 0.25
 throughout the zinc sulfate flotation process, it       pm thick, which is less than the 0.3-,um thickness
 seems much more delicate when sucrose flota-            observed by Sheffield and Bjorvatn (20).
 tion is used. Levine (14) observed that Giardia            Composition of cyst wall. The composition
 cysts concentrated by sugar flotation shrivel and       of the cyst wall is unknown. Filice (5) was not
 become unrecognizable in a matter of minutes.           able to obtain any positive histochemical infor-
 Stevens, in a discussion after Levine's paper (14),     mation, although he did show that it was Feul-

   FIG. 12. A transmission electron micrograph of encysted Giardia organisms. The cyst walls usually form
smooth ovoid outlines, although a couple of examples of acutely folded cyst walls (arrows) can be seen (also
see insert of Fig. 18). Bar, 10 ,um.
   FIG. 13. Smooth, ovoid cysts after critical-point drying. These cysts are embedded in a mat or clump of
debris, bacteria, and fecal material. A low-magnification micrograph of the entire clump is shown in the
lower right insert. The upper left insert shows examples of single, isolated cysts after critical-point drying.
Such cysts may show some moderate degree of distortion. Bar, 10 pim. Lower right insert bar, 100 ,um. Upper
left insert bar, 5 ,um.
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   FIG. 14-17. A variety of cyst morphologies as seen after critical point drying. Almost all cysts had some
sort of material or debris stuck on the cyst walL In some cases, structures that could be identified as bacteria
were attached to the cyst wall (Fig. 15). In other cases, unidentified fibrous forms were seen on the cyst walls
(Fig. 16 and 17). Bars, 2 pm.
   FIG. 18. A transmission electron micrograph showing a structure, presumably bacterial in nature, attached
to the cyst walL The fibrous coat of the attached structure seems to interact with the fibrous cyst wall. The
insert shows a low magnification view of the entire cyst and attached structure. Bar, I pm. Insert bar, 2 pm.
VOL. 40, 1980                                          ULTRASTRUCTURE OF GIARDIA CYSTS                        829

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   FIG. 19. An encysted organism with its typical array of peripheral vesicles (also see Fig. 12). N, nuclei; A,
axonemes of the flagellae; S, microtubule-ribbon complexes of the fragmented sucking disk. The arrow points
to a portion of the cyst wall that has apparently retained a staining density similar to the staining density of
the inner surface of the cyst wall. The asterisk is in a peripheral lacuna. Bar, 1 pm.

gen stain negative; it did not stain with a lipid        stand the surface tension of water during air
stain, Sudan IV, and it did not seem to be               drying, and its flexible nature, even after fixa-
affected by various enzyme digestions (pepsin,           tion, may lower the filtering efficiency of various
trypsin, and papain). In any case, the cyst wall         water filtration plants. The nature of the cyst
is not fixed adequately with aldehydes to with-          wall needs to be taken into consideration when
830     LUCHTEL, LAWRENCE, AND DEWALLE                                       APPL. ENVIRON. MICROBIOL.
various cyst model systems are being tested. For       filters (sand and anthracite) before any turbidity
example, Logsdon et al. (16) used 9-,m-diameter        breakthrough, indicating that the filter column
radioactive microspheres as a model for Giardia        was still intact. Although an equivalent pore size
cysts because the cysts are difficult to obtain,       cannot be determined in dual-media filters, that
detect, and count, whereas the radioactive mi-         G. lamblia cysts can somehow penetrate the
crospheres are similar in size to Giardia cysts        dual-media filter again indicates their flexible
and are easy to trace. Our observations suggest        nature.
that such microspheres would be filtered more            Some cysts are probably lost because they are
efficiently than Giardia cysts in pilot water fil-     destroyed during the preparative steps. What is
tration plants.                                        probably a remnant of a cyst is shown in Fig. 6.
    Loss of cysts during membrane filtration.          Overall, destruction of cysts probably accounts
The maximum rate of recovery obtained from             for most of the 25% loss of cysts during the

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the Millipore and Nuclepore membrane filters           recovery procedure on membrane filters. A fur-
was 75%. A number of factors may account for           ther loss occurs with the Millipore filter, proba-
the 25% loss. Cysts may remain attached or             bly because of the embedding of cysts in the
embedded in the filter after the recovery proce-       filter.
dure, adhere to nonfilter surfaces of the filtration      Formation of cyst wall. The staining den-
assembly, pass through the filter, or be de-           sity of the material lining the inner surfaces of
stroyed during the filtration or centrifugation        the peripheral vesicles and lacunae is similar to
process or both.                                       the staining density of the material on the sur-
    The filters were agitated by hand as vigorously    face of the encysted organism and the inner
as possible without destroying the filters. It was     surface of the cyst wall (Fig. 18 and 19). The
later suggested that perhaps a better method           vesicles thus seem to contain a secretory mate-
would be to vigorously and systematically wash         rial that eventually is used to make the cyst
the fiter surfaces with strong streams of distilled    wall. The cyst wall has a fibrous substructure,
water with 0.01% Tween 20 from a capillary             as if it were formed by successive layers of
pipette. We did not test such a washing proce-         material. We suggest that the successive layers
dure. Compared with the unidimensional surface         arise from successive waves of vesicles that co-
of the Nuclepore filter, the convoluted fibrous        alesce to form enlarging peripheral lacunae.
structure of the Millipore filter may permit cysts     Eventually, one giant lacuna in effect completely
and other material to become embedded within           surrounds the organism, and, in the process,
the depth of the filter, and, by our recovery          another layer of the cyst wall has been laid
 procedure, the cysts would not be readily washed      down. By some type of maturational process,
out. Such differences in the filter characteristics    the newly formed layer of the cyst wall then
may explain the difference in recovery rates           loses much of its staining density. Occasionally,
between the 293-mm-diameter Millipore filter           however, the staining density is retained, as in-
 and the 293-mm-diameter Nuclepore filter.             dicated by the arrow in Fig. 19.
 What is still puzzling are the comparable recov-         Hemmes and Hohl (9) ventured a similar hy-
 ery rates of the 47-mm-diameter Millipore and         pothesis for encystment of Phytophthora par-
 the 47-mm-diameter Nuclepore filters. However,        asitica zoospores. Encystment involved the fu-
 a 293-mm-diameter filter has approximately 39         sion of peripheral vesicles with the plasma-
 times more surface area than a 47-mm-diameter         lemma, followed by the release of glycoprotein
 filter. Thus, although there may be some differ-      and possibly other cell wall precursor materials.
 ence in recovery rates for the 47-mm-diameter         Friend (6) suggested that the location of the
 Millipore and Nuclepore filters, perhaps we were      peripheral vacuoles in the trophozoites of Giar-
 not able to detect this difference until the larger   dia muris were consistent with a secretory func-
 surface area of the large-diameter filter (with its   tion, perhaps the secretion of the cyst wall.
 larger number of cysts) made it apparent.             Mucocytes in other protozoa are rows of globular
    Part of the overall 25% loss could be attrib-      elements beneath the pellicle that discharge ge-
 utable to cysts passing through the filters. The      latinous or mucoid secretions (6). Finally, Filice
 flexibility of the cysts is suggestive evidence for    (5) observed that, in living organisms, the cyst
 how cysts could pass through individual pores of      forms first on the dorsal surface of the tropho-
 smaller diameter than the size of the cysts (Fig.     zoite from refractile granules in the peripheral
  11). With the optical and Coulter Counter meth-       cytoplasm. On the other hand, Sheffield (19)
 ods used, however, no cysts were detected in the       discounted the role of the peripheral vesicles as
 filtrates. In our removal study (W. P. Lawrence,       secretory vesicles involved in cyst wall formation
 Masters thesis, University of Washington, Se-          since he noted their abundance after wall for-
 attle, 1979), some G. lamblia cysts were found        mation. Although our observations also showed
 to pass through a 4-ft column of dual-media            this abundance of vesicles (Fig. 12 and 19), their
VOL. 40, 1980                                        ULTRASTRUCTURE OF GIARDIA CYSTS                              831
density was usually decreased where the organ-        air-dried specimens. Whether material is depos-
ism was apposed against the cyst wall. We sug-        ited on the cyst wall during the procedure of
gest that such an area of apposition represents       critical-point drying, washed off the cyst wall
a zone where a number of vesicles had been            during filtering, or removed by aqueous surface
secreted just before fixation, and that the re-       tension during air drying is unknown. We sug-
maining vesicles would have subsequently ex-          gest that the association is real since the purpose
panded this zone of secretion as the process of       of critical-point drying is to preserve the delicate
laying down another layer of the cyst wall would      details of biological structure.
have proceeded. If our interpretation is correct,        Conclusions. The physiological nature of the
the fascinating question still remains of how         G. lamblia cyst wall remains unclear. Flexibility
these vesicles are generated since there does not     of the cyst wall has resulted in experimental

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appear to be a vesicle-generating system present,     difficulties with membrane filtration of the cysts
such as a Golgi apparatus.                            in aqueous suspension. These findings point to
   Double cysts. We observed a variety of dou-        potential difficulties in removing cysts from wa-
ble cysts (Fig. 8 to 10). Kofoid and Swezy (12)       ter with present water treatment technology.
concluded that such cysts resulted from binary
fission of a zooid. In their discussion, it is not                    ACKNOWLEDGMENTS
explicitly clear whether the "sister zooids"             This study was funded in part by U.S. Environmental
formed by the process of binary fission are en-       Protection Agency grant R 806127.
                                                         We thank John Boykin, Department of Environmental
cysted after division but before separation (and      Health, University of Washington, for his help with photog-
then separate after the joined zooids each form       raphy and Yvonne Fichtenau, formerly of the State of Wash-
a cyst) or an encysted zooid undergoes binary         ington Parasitology Lab, for her cooperation in providing
fission, and then each sister zooid becomes en-       specimens.
closed in a separate cyst. Apparently, Giardia                           LITERATURE CITED
can multiply by binary fission both at the tro-        1. Barlough, J. E. 1979. Canine giardiasis: a review. J. Small
phozoite and cyst stages (13). Although the en-             Anim. Pract. 20:613-623.
cysted organism can divide inside the cyst (13,        2. Center for Disease Control. 1977. Intestinal parasite
19), it is not so clear whether the pair of organ-          surveillance, p. 4-7. In Annual summary 1976. Center
                                                            for Disease Control, Atlanta, Ga.
isms can separate and form two new cysts. The          3. Cheissin, E. M. 1964. Ultrastructure of Lamblia duoden-
sister zooids may remain enclosed within a single           alis. I. Body surface, sucking disc, and median bodies.
cyst. Barlough (1) states that during excystation,          J. Protozool. 11:91-98.
each cyst gives rise to two trophozoites. Kulda        4. Erlandsen, S. L. 1974. Scanning electron microscopy of
                                                            intestinal giardiasis: lesions of the microvillus border of
and Nohinkov&i (13) conclude that the encysted              villus epithelial cells produced by trophozoites of giar-
Giardia organism undergoes a maturational                   dia. Scanning Electron Microsc. 1974:775-782.
process as mature cysts have four nuclei (com-         5. Filice, F. P. 1952. Studies on the cytology and life history
pared with two nuclei in trophozoites). At excys-            of a Giardia from the laboratory rat. Univ. Calif. Berke-
                                                            ley Publ. Zool. 57:53-146.
tation, a double individual excysts and com-           6. Friend, D. S. 1966. The fine structure of Giardia muris.
pletes its division by plasmotomy. Figures 8 and            J. Cell. Biol. 29:317-332.
9 are interpreted as showing a temporal se-            7. Gietzan, T., N. S. Hayner, P. Landis, T. M. Vernon,
quence whereby an encysted zooid divides, the                and D. 0. Lyman. 1978. Giardiasis-Vail, Colorado.
                                                            Morbid. Mortal. Weekly Rep. 27:155.
zooids separate, and a separate cyst forms             8. Hayunga, E. G. 1977. A specimen holder for dehydrating
around each zooid. If this interpretation is cor-            and processing very small tissue samples. Trans. Am.
rect, it remains to be explained how a seemingly             Microsc. Soc. 96:156-158.
inert extracellular layer, the cyst wall, can be       9. Hemmes, D. E., and H. R. Hohl. 1971. Ultrastructural
modified to form two separate cysts.                        aspects of encystation and cyst germination in Phyto-
                                                            phthora parasitica. J. Cell Sci. 9:175-191.
   Biology of cysts. The absence of cellular          10. Jakubowski, W., and J. C. Hoff (ed.). 1979. Waterbome
organelles such as mitochondria, endoplasmic                transmission of giardiasis. U.S. Environmental Protec-
reticulum, Golgi bodies, and lysosomes confirms             tion Agency, Cincinnati, Ohio.
                                                      11. Kirner, J., J. Littler, and L. Angelo. 1978. A waterborne
previous ultrastructural observations (3, 6, 18,             outbreak of giardiasis in Camas, Washington. J. Am.
19, 20, 22) on Giardia sp. The absence of such              Water Works Assoc. 70:35-40.
organelles is not, however, true for other flagel-    12. Kofoid, C. A., and 0. Swezy. 1922. Mitosis and fission
lated protozoans (6).                                       in the active and encysted phases of Giardia enterica
   G. lamblia cysts, after critical-point drying,            (Grassi) of man, with a discussion of the method of
                                                            origin of bilateral symmetry in the polymastigote flag-
often have bacterium-like structures or debris              ellates. Univ. Calif. Berkeley Publ. Zool. 20:199-234.
attached to the outer surface (Fig. 14 to 18).        13. Kulda, J., and E. Nohynkova. 1978. Flagellates of the
Such associations have not been reported before,            human intestine and of intestines of other species, p. 1-
although an interesting example of endosym-                  138. In J. P. Kreier (ed.), Parasitic protozoa, vol. 2.
                                                            Academic Press, Inc., New York.
biosis has recently been observed in G. lamblia       14. Levine, N. D. 1979. Giardia lamblia: classification, struc-
(18). Much less material was seen on the filtered,          ture, and identification, p. 2-8. In W. Jakubowski and
832         LUCHTEL, LAWRENCE, AND DEWALLE                                                     APPL. ENVIRON. MICROBIOL.
        J. C. Hoff (ed.), Waterborne transmnission of giardiasis.   19. Sheffield, H. G. 1979. The ultrastructural aspects of
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