Ganer A, Brummer E, Stevens D A
Division of Infectious Diseases, Department of Medicine, Santa Clara Valley Medical Center, San Jose, CA 95128-2699, USA.
Infect Immun. 2000 Dec;68(12):6833-9. doi: 10.1128/IAI.68.12.6833-6839.2000.
Immature mice are highly susceptible to blastomycosis, which is similar to other mycoses and has parallels in humans. The murine susceptibility is noteworthy in that it persists beyond the development of resistance to other, nonfungal pathogens and the maturation of most immune functions. As the susceptibility to blastomycosis appeared to be related to an early event after infection, primary effector cell function was studied. We found that peritoneal inflammatory cells, enriched for neutrophils, from immature (3-week-old) mice killed nonphagocytizable Blastomyces dermatitidis cells less (25%) than did cells from mature (8-week) mice (70%) (P<0.01), a defect intrinsic to the neutrophils. This correlated with an impaired immature cell oxidative burst. Killing of phagocytizable Candida albicans was not significantly different, 73 versus 87%. Thioglycolate-elicited cells were more impaired; killing of B. dermatitidis was insignificant, and killing of C. albicans was more impaired in immature (16% killing) than in mature (45%) cells (P<0.02). Peripheral blood neutrophils from mature animals killed B. dermatitidis (41%) more than did those from immature animals (10%) (P<0.02); C. albicans was killed efficiently by both. Resting or activated peritoneal macrophages from both types of animals showed no differences in B. dermatitidis killing. These results suggest that the susceptibility of immature mice is related at least in part to the depressed capacity of their neutrophils to kill B. dermatitidis.
幼鼠对芽生菌病高度易感,芽生菌病与其他真菌病相似,在人类中也有类似情况。鼠类的易感性值得注意,因为这种易感性在对其他非真菌病原体产生抵抗力以及大多数免疫功能成熟之后仍然存在。由于对芽生菌病的易感性似乎与感染后的早期事件有关,因此对主要效应细胞功能进行了研究。我们发现,来自未成熟(3周龄)小鼠的富含中性粒细胞的腹膜炎性细胞杀死不可吞噬的皮炎芽生菌细胞的能力(25%)低于成熟(8周龄)小鼠的细胞(70%)(P<0.01),这是中性粒细胞固有的缺陷。这与未成熟细胞氧化爆发受损相关。可吞噬的白色念珠菌的杀伤率没有显著差异,分别为73%和87%。硫乙醇酸盐诱导的细胞受损更严重;未成熟(16%杀伤率)细胞对皮炎芽生菌的杀伤不显著,对白色念珠菌的杀伤比成熟(45%)细胞受损更严重(P<0.02)。成熟动物的外周血中性粒细胞杀死皮炎芽生菌(41%)的能力高于未成熟动物的(10%)(P<0.02);两种动物的外周血中性粒细胞对白色念珠菌的杀伤效率都很高。两种动物的静息或活化腹膜巨噬细胞在杀死皮炎芽生菌方面没有差异。这些结果表明,未成熟小鼠的易感性至少部分与其中性粒细胞杀死皮炎芽生菌的能力降低有关。