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doi: 10.2965/jwet.23-149 Journal of Water and Environment Technology, Vol.22, No.

3: 133–143, 2024

Original Article
Influence of Legionella pneumophila Viability States on Colonization
in Granular Activated Carbon Filters
Tomohiro Nakanishi a*, Masataka Kimura a, Yasuhiro Asada b, c, Sadahiko Itoh a

aDepartment of Environmental Engineering, Graduate School of Engineering, Kyoto University, Kyoto, Japan
b Department of Environmental Health, National Institute of Public Health, Wako, Japan

c Research Center for Environmental Quality Management, Graduate School of Engineering, Kyoto University, Otsu, Japan

ABSTRACT
Legionella is an important opportunistic pathogen in drinking water distribution and premise plumb-
ing systems. This study investigated the potential growth of Legionella pneumophila during granular
activated carbon (GAC) filtration, considering their viability states in the filter beds. Laboratory-scale
biologically active GAC columns were used, and L. pneumophila cells were spiked with different
viability states (culturable, viable but non-culturable (VBNC), and dead cells). The gene concentra-
tions in the effluents were monitored for 70 days. In columns spiked with the culturable cells, high
levels of L. pneumophila were detected in the effluents even after 70 days of operation, suggesting
that the GAC filter bed could serve as an ecological niche for L. pneumophila colonization. However,
when VBNC-cells were introduced, the levels of L. pneumophila in the effluents were significantly
lower, though still higher than in the column spiked with dead cells. This suggested that the growth
potential of L. pneumophila was influenced by their viability states in the influent water. These find-
ings underscored the ecological potential for Legionella regrowth and emphasized the necessity of
monitoring their behavior during GAC treatment, particularly when incomplete inactivation during
ozonation is concerned.

Keywords: Legionella, granular activated carbon, viable but non-culturable, biofilm, spiking
experiment

INTRODUCTION are frequently employed in drinking water treatment to ef-


fectively remove dissolved organic carbon, micropollutants,
Legionella spp. represents a notably significant oppor- and compounds responsible for taste and odor [6,7]. As the
tunistic pathogen within drinking water distribution and GAC filter bed operates without residual disinfectant, the
premise (i.e., building) water plumbing systems [1,2]. Due surface of the GAC is prone to colonization by microorgan-
to its opportunistic nature, Legionella contamination in isms. While these microbes can be beneficial due to their
buildings housing high-risk populations (e.g., hospitals and biodegradation capabilities, caution should be exercised
elderly care facilities) can result in outbreaks of Legion- regarding microbial leakage. Given that Legionella has
naires’ disease [3–5]. Controlling Legionella solely through been reported to reside in biofilms and can infect free-living
water treatment would be challenging, given its capacity to amoeba (FLA) within these biofilms [8], a biologically active
regrow in distribution and plumbing systems [1]. Nonethe- GAC filter is considered a preferable environment for their
less, understanding the behavior of this organism in the proliferation. Consequently, the GAC filter may serve as a
water treatment process remains crucial. potential source of Legionella in the water treatment process.
Ozonation and granular activated carbon (GAC) filtration Although disinfection is conducted as a final barrier, bacteria

Corresponding author: Tomohiro Nakanishi, E-mail: nakanishi.tomohiro.8r@kyoto-u.ac.jp


Received: December 28, 2023, Accepted: April 9, 2024, Published online: June 10, 2024
Open Access This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY) 4.0 License. http://
creativecommons.org/licenses/by/4.0/

133
134 Journal of Water and Environment Technology, Vol. 22, No. 3, 2024

in GAC-treated water have been reported to be associated that operates in the Kansai region of Japan, sourcing water
with fine carbon particles [9], which could potentially sur- from the Yodo River. The plant utilizes the following pro-
vive subsequent disinfection. cess trains: coagulation/sedimentation, rapid sand filtration,
Several field observations have identified the GAC filter ozonation, GAC filtration, and chlorination. During the sam-
bed as a potential source of Legionella. Li et al. [10] directly pling event, the GAC had been in operation for more than
observed a high abundance of Legionella genes on GAC five years, thereby indicating its biological maturity. The
filters in an operational treatment plant, and increases in GAC sample was obtained from the uppermost layer of the
Legionella gene concentration through GAC filtration were bed because it was technically challenging to take samples
observed [10,11]. Sharma [12] conducted a laboratory-scale from the lower layer while the filter bed remained in opera-
experiment in which L. pneumophila was introduced into tion. The GAC sample was stored in 2-litter sterile plastic
GAC columns, and notable Legionella colonization on the containers. Additionally, ozonated water was weekly col-
GAC particles was observed concurrently with the formation lected to serve as the feed water for laboratory-scale columns
of biofilms. Molloy et al. [13] also observed the long-term (see below). The basic water quality (turbidity, pH, TOC, and
persistence of spiked Legionella in the effluents of point-of- UV260) of the ozonated water is presented in Table S1 in
use GAC filters. On the other hand, Liu et al. [14] have sug- Supplementary Materials. The collected GAC samples and
gested that the GAC filter may function as a less preferable ozonated water were transported to Kyoto University and
environment for opportunistic pathogens due to potential kept at 4°C for 24 h (GAC) or maximum period of 1 week
competition and/or antagonism with indigenous bacteria. (ozonated water) before use.
In the aquatic environment, gram-negative bacteria like
Legionella can enter the viable but non-culturable (VBNC) GAC column setup and operation
state when exposed to stressors such as starvation and A total of nine laboratory-scale GAC columns were pre-
chemical oxidation [15,16]. Legionella in the VBNC state is pared. Approximately 100 mL of the collected GAC samples
of potential concern since they retain the capability to infect were aseptically deposited into glass columns, each with
and replicate within FLA present in biofilms [17]. Con- a length of 300 mm, an inner diameter of 2.5 cm, and a
sequently, they can make an ecological balance with FLA volume of 150 mL. These columns were sealed with rubber
within the biofilm environment, leading to their long-term lids. The height of the filter beds within the columns was
persistence [8]. In the ozonation − GAC filtration process, set at 200 mm. Since the GAC sample was originated solely
the presence of VBNC pathogenic bacteria, such as Pseudo- from the uppermost layer of the operational filter bed, the
monas aeruginosa and Salmonella spp., have been observed microbial abundance along the filter depth could be po-
in ozonated water [18]. Therefore, it is highly probable that tentially different from the real situation. To mitigate this,
VBNC-Legionella in ozonated water continuously flows into each column underwent a 70-day period of being supplied
GAC filter beds. However, the direct investigation of the im- with ozonated water (i.e., stabilization period) to develop
pact of Legionella viability states on their growth potential and stabilize mature biofilms throughout the filter depth.
within the filter is yet to be conducted. Throughout the stabilization phase, the columns experienced
The objective of this study is to obtain fundamental insights daily water replacements, where 100–150 mL of water was
into the ecology and growth potential of L. pneumophila in carefully decanted from the bottom, with minimal disrup-
the GAC filter bed, taking into consideration their viability tion to the filter beds, and simultaneously replenished with
states in the influent water. To this end, culturable, VBNC, an equal volume of fresh ozonated water. All columns were
and dead L. pneumophila were prepared and introduced into operated in the dark at a room temperature of 20°C.
lab-scale biologically active GAC columns. Subsequently,
the trends in L. pneumophila gene concentrations in the ef- Preparation of spiking microorganisms in different
fluents were monitored over 60 days. viable states
Culturable L. pneumophila and amoeba
MATERIALS AND METHODS Legionella pneumophila (ATCC 33152; obtained from the
American Type Culture Collection [ATCC], Rockvile, MD,
Column setup and stabilization USA) was cultivated on BCYE (Buffered Charcoal Yeast
GAC filter and ozonated water Extract) agar plates (Nissui Pharmaceutical, Tokyo, Japan)
GAC was sampled from a drinking water treatment plant at 35°C for 24 to 48 hours. Several colonies were suspended
Journal of Water and Environment Technology, Vol. 22, No. 3, 2024 135

in autoclaved PBS. These suspended colonies underwent a Spike of microbes in GAC columns
washing process, involving three rounds of centrifugation at Following the stabilization period, GAC columns were
8000 g for 10 minutes, discarding the supernatant each time, spiked with L. pneumophila and Acanthamoeba cells, exhib-
and resuspending the cells in fresh PBS through vortexing. iting various viable states as outlined in Table 1. The objec-
Subsequently, the aliquots were immediately spiked to the tive was to investigate the behavior of L. pneumophila within
GAC columns after dilution. the GAC, considering whether the spiked cells were cultur-
Acanthamoeba castellanii (ATCC 30234), an amoeba able (columns No. 1, 2, 3, 4) or in a VBNC state (columns
host of L. pneumophila commonly found in anthropogenic No. 5, 6, 7, 8). Additionally, A. castellanii was co-spiked in
aquatic environments and water supply systems [19,20], was columns No. 3, 4, 7, 8 to examine the potential effects of
also co-spiked with L. pneumophila in specific columns. coexisting FLA. Each spiking condition was replicated in
A. castellanii was axenically cultivated in PYG (proteose duplicate columns, as shown in Table 1. For comparison
peptone-yeast extract-glucose) medium (ATCC Medium purposes, autoclaved L. pneumophila and amoeba were
712) within 25 cm 2 cell-culture flasks at 30°C. Once the tro- spiked as dead cells in column No. 9.
phozoites reached confluence, they were rinsed by replacing The spiked concentrations of L. pneumophila and amoeba
the medium with PAGE’s saline (composed of NaCl: 120 mg, were set as approximately 104 cells/mL and 102 trophozoites/
MgSO4: 4 mg, Na2HPO4: 142 mg, KH2PO4: 136 mg, CaCl2: mL, respectively. One hundred milliliter suspension contain-
4 mg, in 1000 mL MQW, prepared according to the instruc- ing L. pneumophila and amoeba (if necessary) were poured
tions of ATCC Medium 1323). The trophozoites were then into the GAC columns, while simultaneously decanting the
suspended in the same saline solution and utilized as the old ozonated water. The suspension was allowed to contact
spike to the GAC columns. the GAC bed for 1 day to facilitate the colonization of the
spiked microorganisms. Subsequently, the column water was
L. pneumophila in VBNC state replaced every day with fresh ozonated water using the same
L. pneumophila was transformed to a VBNC state under procedure as during the stabilization period. This replace-
oligotrophic conditions, as oligotrophs are widely recognized ment process was repeated for 70 days. Throughout this pe-
as primary inducers of the VBNC state in natural water riod, the genes of L. pneumophila and the heterotrophic plate
environments [15]. Culturable L. pneumophila, as described count (HPC) bacteria in the effluent water were regularly
earlier, were suspended in 500 mL of autoclaved PBS, result- analyzed using qPCR and culture methods, respectively.
ing in a viable cell concentration of 2.3 × 105 cells/mL (quan- Following the operation, core samples were collected from
tified via carboxyfluorescein diacetate (CFDA) staining). the upper surfaces of the GAC beds for the analysis of L.
Subsequently, the cell suspension was incubated without pneumophila.
agitation at a temperature of 20°C in the dark for up to 143
days. Throughout this period, the viability of the bacteria Analytical methods
was assessed using two distinct indicators: culturability and Culturability and enzymatic activity of L. pneumophila
esterase activity. Cells that displayed ongoing intracellular cells
enzymatic activity but lacked culturability were categorized The culturability of starving L. pneumophila cells was
as VBNC-state cells [15,16]. These analyses were regularly assessed by spreading 100 µL of the undiluted sample onto
conducted for 120 days during the starvation period. Since duplicate BCYE-agar plates, followed by incubation at 35°C
the majority of the cells transitioned into the VBNC state by
day 80, the suspension obtained on day 83 was used as the Table 1 Spiked microorganisms and their viability states in
spike into the GAC columns. GAC columns.
Spiked microorganism
Column ID
Dead L. pneumophila and amoeba L. pneumophila A. castellanii
The suspensions containing culturable L. pneumophila or No.1, 2 Culturable NA
A. castellanii, prepared as previously described, were sub- No.3, 4 Culturable Culturable
jected to inactivation by autoclaving at 121°C for 20 minutes. No.5, 6 VBNC NA
Subsequently, these inactivated suspensions were introduced No.7, 8 VBNC Culturable
into the columns. No.9 Dead Dead
NA: not added
136 Journal of Water and Environment Technology, Vol. 22, No. 3, 2024

under humidified conditions. The plates were monitored for limit of quantification (LOQ) for all qPCR assays was set at
a minimum of 10 days, checking for the presence of Legio- a concentration of 10 copies/µL. Samples in which all three
nella colonies. Loss of culturability was confirmed when no replicates exhibited values above the LOQ were considered
colonies were observed on the both plates. quantifiable. Samples that showed significant amplification
Enzymatic activity was examined microscopically us- in only one or two wells were considered to be below the
ing CFDA as an esterase substrate, following established LOQ but still positive for the presence of the target gene.
staining procedures [21,22]. In brief, 965 µL of starving L. The total number of HPC bacteria in the column effluent
pneumophila suspension was spiked with 20 µL of 25 mM was determined by culturing on R2A agar (Daigo, Nihon
EDTA and 15 µL of 10 mg/mL CFDA (Sigma-Aldrich, St. Pharmaceutical, Tokyo, Japan) at 20°C in the dark for one
Louis, USA) in a microcentrifuge tube, and then incubated at week.
35°C for 60 minutes. The suspension was filtered through a
polycarbonate membrane with 0.22 µm pores (K020N025A, Data analysis
Advantec, Tokyo, Japan). The retained green cells on the The HPC in effluents from each column were analyzed by
membrane were counted using an epifluorescent microscope R (version 3.5.1) within the RStudio environment. Paramet-
(Eclipse 80i, Nikon, Tokyo, Japan) equipped with an excita- ric one-way analysis of variance (ANOVA) was used and fol-
tion/emission filter set at 488 nm and 515 nm, respectively. lowed by the Bonferroni p-value corrected t-test. Statistical
Microscopic observation was conducted at a magnification significance was set at p < 0.05.
of x400 or x200 in at least ten fields.
RESULTS
DNA extraction from water and GAC core samples
DNA extraction was carried out on the column effluents Viability states of L. pneumophila during the starva-
and core GAC samples using the DNeasy PowerWater Kit tion period
(Qiagen, Tokyo, Japan). For the column effluent, 100 mL was Figure 1 presents the concentrations of L. pneumophila
filtered through polycarbonate filters with 0.22 µm pores throughout the starvation period, considering both culturable
(K020N047A, Advantec). As for the core GAC samples, 0.14 cells and enzymatically active cells. The culturable cell con-
to 0.31 grams (wet weight) of GAC were suspended in 20 mL centrations started at 3.5 × 103 CFU/mL on day 0. However,
of sterile PBS, vortexed for 1 minute to detach the adhered they exhibited a rapid decline after one month and became
biomass, and then the supernatant was filtered through the undetectable after day 80. On the other hand, the concentra-
same filters. The treatment condition for detaching biomass tions of enzymatically active cells remained relatively stable
was determined in a preliminary experiment (see Text S1 until day 123. From these results, we can conclude that the
and Table S2). The DNA was extracted and eluted to 100 µL majority of the spiked L. pneumophila cells at day 83 of the
following the manufacturer’s protocol. starvation period were in the VBNC state.

Quantification of L. pneumophila and HPC Fluctuations of influent water quality


Enumeration of L. pneumophila was performed using During the GAC column operation, ozonated water ob-
qPCR assays targeting the mip gene [23]. The qPCR assays tained from the actual treatment plant was utilized as the in-
were conducted on a StepOnePlus™ platform (Thermo fluent water. Throughout the experimental period, basic water
Fisher Scientific, Waltham, USA) in 20 µL reaction mix- quality parameters displayed small fluctuations (Table S1),
tures, consisting of TaqPath™ qPCR Master Mix (Applied and no notable impact of such variations on the abundance of
Biosystems, Tokyo, Japan), 400 nM of each primer, 100 nM L. pneumophila genes in the column effluent was observed.
of the probe, and 2 µL of DNA template. Primer sequences, Thus, it was inferred that fluctuations in influent water qual-
target regions, and PCR conditions are provided in Table S3 ity did not have a major effect on L. pneumophila growth in
in Supplementary Materials. Each qPCR run included DNA this experiment.
extracts, negative controls, and 10-fold serial dilutions of
the standard, all in triplicate. Oligo DNAs containing the HPC bacteria in effluent water
qPCR target sequences (synthesized by Thermo Fisher HPC bacteria in the effluent water from each GAC column
Scientific, Tokyo, Japan) were used as the DNA standards. were enumerated during the spiking experiment, as depicted
The amplification efficiency ranged from 96% to 105%. The in Fig. 2. The HPC counts exhibited a typical range from 103
Journal of Water and Environment Technology, Vol. 22, No. 3, 2024 137

Fig. 1 Change of culturable and viable L. pneumophila concentration during the


starvation period.

to 105 CFU/mL in each column effluent, and no statistically mophila concentrations.


significant differences were observed among the spiking
conditions (Bonferroni-adjusted p > 0.05). These HPC bac- Gene abundance of L. pneumophila in GAC core
teria were higher than those observed in ozonated water (101 samples
to 102 CFU/mL, data not shown) during preliminary mea- Figure 4 displays the gene abundance of L. pneumophila
surements. This marked difference in HPC counts strongly in the GAC filters before spiking microbes and after the
indicates the extensive bacterial colonization within all the monitoring period. Prior to spiking, L. pneumophila was not
GAC columns. detected in the GAC filters. Following the 70-day operation,
L. pneumophila was detected in all nine columns, with mip
L. pneumophila concentration in effluent water from gene abundances ranging from 3.6 to 6.3 log10 copies/g-wet.
GAC columns Although no clear trends were observed among the different
The concentrations of L. pneumophila (mip gene) in the spiking conditions, the results demonstrate the long-term
column effluents are presented in Fig. 3. During the initial persistence of the spiked L. pneumophila in the filter bed.
phase up to day 21, the gene abundance showed a declin-
ing trend in all nine columns. The subsequent trends after DISCUSSION
day 21 varied depending on the viability states of the spiked
L. pneumophila. In columns No. 1, 2, 3, and 4, which were This study investigated the possibility of L. pneumophila
spiked with culturable cells, the concentrations after day 21 for long-term persistence or even growth within the GAC
remained relatively high, ranging from 2 to 3 log copies/mL. filter bed using lab-scale columns. L. pneumophila cells
On the other hand, in columns No. 5, 6, 7, and 8, which were were spiked in different viability states, with consideration
spiked with the VBNC-cells, the gene levels were less stable. for their VBNC state, which is relevant to the actual presence
The concentration in columns No. 5 and 7 was below the in aquatic environment and water treatment processes [15].
limit of quantification but still detectable after day 21, while
sporadic high concentrations were observed in columns No. Induction of L. pneumophila to VBNC state
6 and 8 after day 42. In column No.9, which was spiked In this study, VBNC cells were induced through incuba-
with autoclaved microbes, L. pneumophila was mostly not tion under an oligotrophic condition. During the starvation
detected after day 21. The spiking of A. castellani (columns periods, complete loss of culturability was observed within
No.3, 4, 7, and 8) did not show clear impact on the L. pneu- 80 days, while enzymatically active cell number did not
138 Journal of Water and Environment Technology, Vol. 22, No. 3, 2024

Fig. 2 Change in HPC bacteria in the effluents of columns No. 1–4 (upper half) and
No.5–9 (lower half) during the experiments. L. pneumophila was spiked at day 0.

decrease significantly even after 125 days. This trend is be considered as initial proxies for VBNC L. pneumophila in
in agreement with the previous observation [24], in which ozonated water, particularly after incomplete ozone contact.
they observed long persistence of esterase activity of L.
pneumophila serogroup-6 strain for more than 200 days. Persistence of L. pneumophila in GAC filter bed as
Therefore, the long persistence of L. pneumophila in oligo- assessed by qPCR
trophic condition was again confirmed in this study. It should In the spiking experiments, we utilized qPCR method to
be noted that the actual inducer during ozonation would be monitor L. pneumophila concentrations in the column ef-
oxidative stress, and the oligotrophic stressor may elicit fluent water, aiming to evaluate the potential growth of the
different physiological and regulatory responses from the spiked L. pneumophila. It is important to acknowledge that
VBNC cells compared to those induced by oxidation [16]. qPCR analysis is not able to differentiate between culturable,
Nevertheless, it is highly probable that starved VBNC cells VBNC, and dead cells. However, assessing culturability or
originating prior to the ozonation steps remain abundant enzymatic activity using cultivation or microscopy-based
in the ozonated water. Nonideal flow conditions such as methods, respectively, has limited selectivity for detecting
short-circuiting and internal recirculation in ozone contac- L. pneumophila species. Therefore, qPCR analysis, being a
tors can result in insufficient mixing and reduced ozone sensitive and selective method, was deemed appropriate as
exposure [25]. Consequently, significant concentrations of the primary approach. Thus, long-term monitoring of gene
viable bacteria within ozone contact chambers are actually concentrations in each column effluent is expected to enable
reported in full-scale plants [26]. Thus, not all the VBNC a qualitative assessment of the influence of the viability
cells in ozonated water may be the result of oxidative stress. states of spiked L. pneumophila.
Therefore, the starved VBNC cells prepared in this study can During the initial 21 days after the spiking, L. pneumophila
Journal of Water and Environment Technology, Vol. 22, No. 3, 2024 139

Fig. 3 Change in L. pneumophila (mip) gene levels in the effluents of GAC columns spiked with:
a) culturable L. pneumophila (Lp), b) culturable Lp + viable A. castellanii (Ac), (c) VBNC Lp, (d)
VBNC Lp + viable Ac, and e) dead Lp + dead Ac. Microbes were spiked at day 0. Data points are
obtained from single replicate trials. Detected data below the LOQ are presented as 1 log copies/
mL with a downward arrow. Undetected data is shown as 0 log copies/mL.

concentration in the effluents declined during all the GAC a continual release of Legionella from the carbon filter over
columns. This indicated that the spiked L. pneumophila cells six weeks after spiking this organism. In the experiment
physically entrapped in GAC filters were discharged during conducted by Sharma [12], the colonization of the spiked Le-
daily water exchange. gionella in the GAC filter became evident after the matura-
In columns spiked with culturable L. pneumophila (No. 1, tion of the biofilms within the filter bed. In the current study,
2, 3, and 4), the concentration after day 21 remained at high the GAC columns were heavily colonized by biofilms, as
levels, clearly differing from the column No. 9. This result evidenced by the rapid increase (> 2 log) in HPC between the
strongly implied that a fraction of the spiked cells success- influent and effluent water. Moreover, although not explicitly
fully established a stable colonization within the filter bed, verified in this study, it is highly probable that amoeba hosts
resulting in the continuous sloughing off of L. pneumophila- colonized those biofilms, as observed in previous research
harboring biofilms into the effluent. This scenario closely with Acanthamoeba spp. [27] or Echinamoeba spp. [20] in
aligns with earlier observations. Molloy et al. [13] observed operational GAC filters. Thus, the above results strongly
140 Journal of Water and Environment Technology, Vol. 22, No. 3, 2024

Fig. 4 Gene abundance of L. pneumophila at the surface of the GAC core be-
fore and after the spiking experiments. Before spiking the microbes, L. pneu-
mophila were not detected from any columns.

suggest that GAC filters may serve as potential niches for indicating the presence of specific conditions that triggered
L. pneumophila colonization if culturable L. pneumophila is the regrowth. Nevertheless, it is important to highlight that,
introduced. even in columns No. 5 and 7, L. pneumophila genes were
On the other hand, the columns spiked with VBNC cells more frequently detected (though mostly below the LOQ)
(No. 5–8) exhibited different trends after day 21, character- than the column No. 9. This implies that VBNC cells still
ized by predominantly lower concentrations than those retained the potential for longer persistence in the GAC filter
spiked with culturable cells (No. 1–4). According to the bed than the dead cells.
previous infectivity assay [28], starved VBNC Legionella
strains exhibited reduced efficacy in infecting FLA or hu- L. pneumophila abundance within GAC core sam-
man macrophages compared to their culturable state. Thus, ples
the less efficient growth of VBNC cells may explain the After the monitoring period, gene abundance of L. pneu-
observed low abundance of L. pneumophila in the effluents. mophila in the GAC core from the surface layer of the filter
Upon closer examination of the gene levels of L. pneu- bed was measured (Fig. 4). However, no distinct patterns
mophila in each column effluent, the behavior under each were evident among each column, which was inconsistent
column was variable: No. 6 and 8 exhibited a rapid increase with the above monitoring results of the column effluent.
after day 40, while No. 5 and 7 displayed mostly lower In column No. 9, unexpectedly high gene abundance was
concentrations than LOQ. Elevated L. pneumophila levels in observed within the GAC core. It can be inferred that the
columns No. 6 and 8 might be attributed to the resuscita- detected genes originated from extracellular DNA released
tion of VBNC cells after prolonged contact with biofilms, from lysed cells during the autoclaving process, and that
subsequently leading to replication. Similar trends were also these DNA fragments were irreversibly adsorbed onto the
reported in previous studies [17,28], in which starved VBNC GAC when the autoclaved microbes were introduced into
L. pneumophila maintained the capacity to invade FLA and the column. This aligns with the relatively low initial L.
undergo replication. On the other hand, such observation pneumophila concentration observed in the effluent from
was not reproduced in columns No. 5 and 7. The factors column No. 9 (Fig. 3), indicating that a significant portion
contributing to these fluctuations between column replicates of extracellular L. pneumophila genes from dead cells re-
(i.e., No. 5 and 6, and No. 7 and 8) remain unknown, possibly mained at the surface of the filter via adsorption during the
Journal of Water and Environment Technology, Vol. 22, No. 3, 2024 141

column operation. efficacy due to inadequate mixing conditions [25,26]. In


Moreover, with respect to columns No. 1–4 (culturable Lp) such scenarios, our findings would be significant to consider
and No. 5–8 (VBNC Lp), no clear difference was observed regarding the possible impact on public health risks.
between them. One possible explanation is the heterogeneous It should be noted, however, that these findings do not im-
distribution of L. pneumophila within the filter, leading to mediately imply a public health risk in operational drinking
significant deviations in measured abundances, particularly water treatments. This study introduced excessively large
among columns No. 1–4. As demonstrated in a previous quantity of L. pneumophila (approx. 106 cells) into the small
study [29], GAC is characterized by a heterogeneous cov- GAC columns to ensure clear observations. According to
erage of biofilms, rather than forming a dense, cotton-like Camper et al. (1985), autochthonous microbial community
biofilm. Thus, the collected quantity (0.14 to 0.31 grams) of within the GAC filter could influence the survival of patho-
the GAC core in the current study may not have adequately gens through competition for nutrients and space [30]. In
represented the true conditions. case of lower L. pneumophila concentration in the ozonated
Although it was difficult to provide quantitative discus- water, more vigorous competition might occur, potentially
sions about the impact of L. pneumophila viability states, the resulting in a lesser magnitude of growth within the GAC
analysis of GAC core could confirm the persistence of spiked filter. Such potential effect of L. pneumophila concentration
L. pneumophila for more than 70 days within the filter bed needs to be further investigated.
(columns No. 1–8). This study has other significant limitations. Firstly, due to
the utilization of the qPCR method to monitor L. pneumoph-
Effect of co-spiked amoebae ila levels, precise differentiation among culturable, VBNC
The co-spiking of A. castellanii (No. 3, 4, 7, and 8) had no (e.g., enzymatically active cells or those with intact mem-
discernible impact on the concentration of L. pneumophila in branes), and dead cells was not feasible. Evaluating these
the effluents. Although we selected this specific FLA species viability states would be valuable for elucidating the ability
as it is known to be a host for Legionella [19], it is likely that of L. pneumophila growth in GAC filter beds. Secondly, our
A. castellanii failed to establish colonization in the current observations are limited in lab-scale experiments. Further
GAC filter. Further investigations using indigenous FLA investigation under realistic conditions is desirable to fully
species are warranted to evaluate the potential effects of FLA understand the significance of this regrowth phenomenon on
introduction on the behavior of Legionella in the system. public health.

Implications to public health risk CONCLUSIONS


This study was conducted to gather fundamental insights
into the ecology of L. pneumophila in GAC filter beds, with This study investigated the possibility of L. pneumophila
a focus on the regrowth potential of various viability states. growth within the biofilm environment of GAC filter bed,
In summary, two significant possibilities were highlighted focusing on the influence of their viability states through
under the present experimental conditions. Firstly, culturable lab-scale spiking experiments. Notably, when culturable
L. pneumophila most likely had the capability to establish cells were spiked, the L. pneumophila concentration in the
a stable colonization within the GAC filter, which in turn effluents remained high for 70 days, suggesting the poten-
resulted in the release of this bacterium into the treated ef- tial of the GAC filter bed as a niche for their colonization.
fluents. Secondly, despite their reduced growth potential, Conversely, when VBNC-cells were introduced, the levels of
VBNC L. pneumophila retained at least the potential for long L. pneumophila in the effluents exhibited significant reduc-
persistence within the filter bed. These findings underscore tions. This underscored the considerable impact that the vi-
the ecological significance of the GAC filter as a niche for ability states have on their growth potential. Simultaneously,
L. pneumophila proliferation, even when they are in starved higher gene detection rates were observed in these columns
VBNC states. Moreover, these results emphasize the impor- compared to the column spiked with autoclaved microbes,
tance of closely monitoring Legionella behavior during GAC implying that the VBNC L. pneumophila still had the po-
treatment, especially when incomplete inactivation during tential to persist for a longer time than the dead cells. These
ozonation is a concern. As discussed in the “Induction of findings underscored the ecological potential for L. pneu-
L. pneumophila to VBNC state” section, full-scale ozone mophila regrowth and emphasized the necessity of closely
contactors sometimes suffer from incomplete inactivation monitoring their behavior during GAC treatment, particu-
142 Journal of Water and Environment Technology, Vol. 22, No. 3, 2024

larly when concerns arise regarding incomplete inactivation [5] Holsinger H, Tucker N, Regli S, Studer K, Roberts VA,
during ozonation. Further research is essential to determine Collier S, Hannapel E, Edens C, Yoder JS, Rotert K:
the potential impacts of this regrowth on public health. Characterization of reported legionellosis outbreaks as-
sociated with buildings served by public drinking water
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