Rossi G, Rossi M, Vitali C G, Fortuna D, Burroni D, Pancotto L, Capecchi S, Sozzi S, Renzoni G, Braca G, Del Giudice G, Rappuoli R, Ghiara P, Taccini E
Department of Animal Pathology, Prophylaxis and Food Hygiene, University of Pisa, 50100 Pisa, Italy.
Infect Immun. 1999 Jun;67(6):3112-20. doi: 10.1128/IAI.67.6.3112-3120.1999.
Helicobacter pylori has been widely recognized as an important human pathogen responsible for chronic gastritis, peptic ulcers, gastric cancer, and mucosa-associated lymphoid tissue (MALT) lymphoma. Little is known about the natural history of this infection since patients are usually recognized as having the infection only after years or decades of chronic disease. Several animal models of H. pylori infection, including those with different species of rodents, nonhuman primates, and germ-free animals, have been developed. Here we describe a new animal model in which the clinical, pathological, microbiological, and immunological aspects of human acute and chronic infection are mimicked and which allows us to monitor these aspects of infection within the same individuals. Conventional Beagle dogs were infected orally with a mouse-adapted strain of H. pylori and monitored for up to 24 weeks. Acute infection caused vomiting and diarrhea. The acute phase was followed by polymorphonuclear cell infiltration, interleukin 8 induction, mononuclear cell recruitment, and the appearance of a specific antibody response against H. pylori. The chronic phase was characterized by gastritis, epithelial alterations, superficial erosions, and the appearance of the typical macroscopic follicles that in humans are considered possible precursors of MALT lymphoma. In conclusion, infection in this model mimics closely human infection and allows us to study those phases that cannot be studied in humans. This new model can be a unique tool for learning more about the disease and for developing strategies for treatment and prevention.
幽门螺杆菌已被广泛认为是一种重要的人类病原体,可导致慢性胃炎、消化性溃疡、胃癌以及黏膜相关淋巴组织(MALT)淋巴瘤。由于患者通常在经历数年或数十年的慢性疾病后才被确诊感染,因此对这种感染的自然病程了解甚少。目前已建立了多种幽门螺杆菌感染的动物模型,包括不同种类的啮齿动物、非人灵长类动物和无菌动物模型。在此,我们描述一种新的动物模型,该模型可模拟人类急性和慢性感染的临床、病理、微生物学及免疫学特征,并能让我们在同一个体中监测感染的这些方面。将适应小鼠的幽门螺杆菌菌株经口感染常规比格犬,并对其进行长达24周的监测。急性感染导致呕吐和腹泻。急性期之后出现多形核细胞浸润、白细胞介素8诱导、单核细胞募集以及针对幽门螺杆菌的特异性抗体反应。慢性期的特征为胃炎、上皮改变、浅表糜烂以及出现典型的肉眼可见的滤泡,在人类中这些滤泡被认为可能是MALT淋巴瘤的前体。总之,该模型中的感染与人类感染极为相似,使我们能够研究那些在人类中无法进行研究的阶段。这个新模型可能是一个独特的工具,有助于我们更多地了解该疾病,并制定治疗和预防策略。