Calcium ions in tap water may increase the adhesion ability of Acanthamoeba, potentially enhancing its cytopathic effects on corneal cells.

Acanthamoeba spp. are free-living amoebae found in various water sources, including domestic tap water. These amoebae are known to cause Acanthamoeba keratitis, a severe corneal infection that can lead to vision loss. Although Acanthamoeba keratitis is commonly associated with water exposure, the environmental factors that enhance Acanthamoeba adhesion to corneal epithelial cells remain poorly understood. In this study, we examined the effects of domestic tap water on Acanthamoeba adhesion and found that exposure to tap water significantly increased the number of adherent trophozoites, potentially enhancing their cytopathic effects on corneal cells. We hypothesized that the calcium ions present in tap water may play a key role in regulating amoebal adhesion. To investigate this further, we analyzed the expression levels of several adhesion-related genes following exposure to different water conditions. Our findings suggest that tap water facilitates Acanthamoeba attachment and may contribute to disease progression. Understanding the role of calcium and other potential regulatory factors in adhesion may provide new insights into Acanthamoeba keratitis pathogenesis and aid in the development of preventive strategies.