Bass D A
J Clin Invest. 1975 Jun;55(6):1229-36. doi: 10.1172/JCI108041.
Acute infection is accompanied by a characteristic reduction in circulating eosinophils. This study examined the generally held assumption that the eosinopenia of infection is a manifestation of adrenal stimulation. Trichinosis, Escherichia coli pyelonephritis, and early subcutaneous pneumococcal abscess were used as experimental infections of limited severity. Trichinosis is associated with eosinophilia, but pyelonephritis and pneumococcal infection produce eosinopenia. An assay for serum corticosterone was developed that is sufficiently sensitive to be performed with the small volumes of blood obtained sequentially from individual mice. The corticosterone response to trichinosis fits the sterotyped reaction previously reported for several other bacterial, viral, and rickettsial infections. The peak concentrations of corticosterone in serum from mice with trichinosis was approximately twice normal and occurred at the onset of clinical illness. Serum corticosterone levels gradually declined to the normal range over the next several days. E. coli pyelonephritis produced a similar adrenal response, although the peak serum corticosterone caused by pyelonephritis was less than the serum corticosterone occurring during the first peak of eosinophilia during trichinosis. Infection of a subcutaneous air pouch with penumococci produced eosinopenia within 6 h after inoculation, but there was no rise in serum corticosterone during the first 12 h of the pneumococcal infection. In addition, the eosinopenic response produced by a 12-hpneumococcal abscess occurred mice adrenalectomized 1-4 days before infection with pneumococci. The eosinopenia of acute infection cannot be ascribed to adrenal stimulation.
急性感染伴随着循环嗜酸性粒细胞的特征性减少。本研究检验了一种普遍的假设,即感染时的嗜酸性粒细胞减少是肾上腺刺激的一种表现。旋毛虫病、大肠杆菌肾盂肾炎和早期皮下肺炎球菌脓肿被用作严重程度有限的实验性感染。旋毛虫病与嗜酸性粒细胞增多有关,但肾盂肾炎和肺炎球菌感染会导致嗜酸性粒细胞减少。开发了一种血清皮质酮测定法,其灵敏度足以用于对从小鼠个体依次采集的少量血液进行检测。皮质酮对旋毛虫病的反应符合先前报道的其他几种细菌、病毒和立克次体感染的典型反应。旋毛虫病小鼠血清中皮质酮的峰值浓度约为正常水平的两倍,且出现在临床疾病发作时。在接下来的几天里,血清皮质酮水平逐渐下降至正常范围。大肠杆菌肾盂肾炎产生了类似的肾上腺反应,尽管肾盂肾炎引起的血清皮质酮峰值低于旋毛虫病嗜酸性粒细胞增多的第一个峰值期间出现的血清皮质酮水平。接种肺炎球菌后6小时内,皮下气囊感染肺炎球菌会导致嗜酸性粒细胞减少,但在肺炎球菌感染的前12小时内血清皮质酮没有升高。此外,在感染肺炎球菌前1 - 4天进行肾上腺切除术的小鼠,在12小时肺炎球菌脓肿形成时也出现了嗜酸性粒细胞减少反应。急性感染时的嗜酸性粒细胞减少不能归因于肾上腺刺激。