LLNL-PRES-658976 
This work was performed under the auspices of the 
U.S. Department of Energy by Lawrence Livermore 
National Laboratory under contract DE-AC52-07NA27344. 
Lawrence Livermore National Security, LLC 
Sahar El-Etr, Biomedical Scientist
 Develop better methods for transport of 
pathogens from the field to the laboratory at room 
temperature without loss of viability to enable live 
pathogen characterization. 
 Existing transport devices are modification of a 
swab with a transport medium. Storage containers 
are usually cryogenic vials frozen at -80oC. Sample 
clean up and enrichment currently occurs using 
pathogen-specific transport/culture media. 
Lawrence Livermore National Laboratory LLNL-PRES-658976 
2
 Environmental amoeba exist as trophozoites (active feeding form) 
under favorable conditions and encyst (make cysts) under stress. 
 Technology takes advantage of the fact that many microbial 
pathogens are known to survive in amoeba cysts for many years 
and to emerge after the amoeba excyst. 
 Decided to make use of mother nature and developed first living 
system for the transport and storage of pathogens. 
Lawrence Livermore National Laboratory LLNL-PRES-658976 
3 
Trophozoites Cysts
Add nutrient 
rich media 
cysts 
transport to 
lab 
encystment 
replication 
survival 
in cysts 
: Pathogen of Interest 
: Skin/ Environmental 
Flora 
excystment 
trophozoites 
excystment 
Lab: pure pathogen 
recovery and ID 
Field 
Inoculate 
Device 
Swab wound 
Sample 
Decontamination 
and Pathogen 
Enrichment in 
Amoeba 
Lawrence Livermore National Laboratory LLNL-PRES-658976 4
 We have demonstrated the ability of the system to detect as few as 
10 bacterial colony forming units (CFUs) after 6-weeks of 
inoculation at temperatures ranging from 4-42oC with no loss of 
viability. 
 We can detect Gram-negative (e.g. A. baumannii), Gram-positive 
(e.g. MRSA) fastidious bacterial pathogens, select agents and 
gastroenteritis causing viruses. 
 Emerging microbes do not show enhanced resistance to antibiotics 
or biocides and do not show mutations due to growth in amoeba. 
 May not work for anaerobic bacteria or enveloped viruses. 
 We are currently building a prototype device for field deployment. 
Lawrence Livermore National Laboratory LLNL-PRES-658976 
5
 System can be kept at ambient temperatures with no requirement 
of freezing or cold chain. 
 Bacterial pathogens maintain their clinical phenotype with no loss 
of virulence, since they demonstrate similar rates of survival in 
mammalian cells as macrophage grown strains. 
 Since Amoeba naturally feed on bacteria, samples contaminated 
with patient or environmental flora are “cleaned up” during 
transport. 
 System enriches for the pathogen of interest. 
Lawrence Livermore National Laboratory LLNL-PRES-658976 
6
Application 
Description 
Setting Target Customers Current Practice 
#1 Sample 
collection device 
Field and hospital 
deployment 
Military Medical Service 
personnel 
Lawrence Livermore National Laboratory LLNL-PRES-658976 
Use of traditional media-containing swabs at ambient 
temperatures, major problem of sample 
contamination or loss of genetic mobile elements 
#2 Sample 
collection device 
Clinic/hospital 
deployment 
Civilian physicians and 
nurses 
Use of traditional media-containing swabs at ambient 
temperatures, major problem of sample 
contamination or loss of genetic mobile elements 
#3 Sample cleanup 
and enrichment 
device 
Diagnostic Military 
and civilian 
laboratories 
Diagnostic laboratory 
personnel 
Attempting to culture samples and isolate pathogen 
of interest 
#4 Storage Device Research 
Laboratories 
Research Personnel Long-term storage at -80 oC. Requires freezing and 
does not protect sample from contamination and loss 
of virulence 
7
Kevin Christopher 
christopher6@llnl.gov 
Lawrence Livermore National Laboratory LLNL-PRES-658976 8

Amoeba pure

  • 1.
    LLNL-PRES-658976 This workwas performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under contract DE-AC52-07NA27344. Lawrence Livermore National Security, LLC Sahar El-Etr, Biomedical Scientist
  • 2.
     Develop bettermethods for transport of pathogens from the field to the laboratory at room temperature without loss of viability to enable live pathogen characterization.  Existing transport devices are modification of a swab with a transport medium. Storage containers are usually cryogenic vials frozen at -80oC. Sample clean up and enrichment currently occurs using pathogen-specific transport/culture media. Lawrence Livermore National Laboratory LLNL-PRES-658976 2
  • 3.
     Environmental amoebaexist as trophozoites (active feeding form) under favorable conditions and encyst (make cysts) under stress.  Technology takes advantage of the fact that many microbial pathogens are known to survive in amoeba cysts for many years and to emerge after the amoeba excyst.  Decided to make use of mother nature and developed first living system for the transport and storage of pathogens. Lawrence Livermore National Laboratory LLNL-PRES-658976 3 Trophozoites Cysts
  • 4.
    Add nutrient richmedia cysts transport to lab encystment replication survival in cysts : Pathogen of Interest : Skin/ Environmental Flora excystment trophozoites excystment Lab: pure pathogen recovery and ID Field Inoculate Device Swab wound Sample Decontamination and Pathogen Enrichment in Amoeba Lawrence Livermore National Laboratory LLNL-PRES-658976 4
  • 5.
     We havedemonstrated the ability of the system to detect as few as 10 bacterial colony forming units (CFUs) after 6-weeks of inoculation at temperatures ranging from 4-42oC with no loss of viability.  We can detect Gram-negative (e.g. A. baumannii), Gram-positive (e.g. MRSA) fastidious bacterial pathogens, select agents and gastroenteritis causing viruses.  Emerging microbes do not show enhanced resistance to antibiotics or biocides and do not show mutations due to growth in amoeba.  May not work for anaerobic bacteria or enveloped viruses.  We are currently building a prototype device for field deployment. Lawrence Livermore National Laboratory LLNL-PRES-658976 5
  • 6.
     System canbe kept at ambient temperatures with no requirement of freezing or cold chain.  Bacterial pathogens maintain their clinical phenotype with no loss of virulence, since they demonstrate similar rates of survival in mammalian cells as macrophage grown strains.  Since Amoeba naturally feed on bacteria, samples contaminated with patient or environmental flora are “cleaned up” during transport.  System enriches for the pathogen of interest. Lawrence Livermore National Laboratory LLNL-PRES-658976 6
  • 7.
    Application Description SettingTarget Customers Current Practice #1 Sample collection device Field and hospital deployment Military Medical Service personnel Lawrence Livermore National Laboratory LLNL-PRES-658976 Use of traditional media-containing swabs at ambient temperatures, major problem of sample contamination or loss of genetic mobile elements #2 Sample collection device Clinic/hospital deployment Civilian physicians and nurses Use of traditional media-containing swabs at ambient temperatures, major problem of sample contamination or loss of genetic mobile elements #3 Sample cleanup and enrichment device Diagnostic Military and civilian laboratories Diagnostic laboratory personnel Attempting to culture samples and isolate pathogen of interest #4 Storage Device Research Laboratories Research Personnel Long-term storage at -80 oC. Requires freezing and does not protect sample from contamination and loss of virulence 7
  • 8.
    Kevin Christopher christopher6@llnl.gov Lawrence Livermore National Laboratory LLNL-PRES-658976 8