An Chun Li, Gigliotti Francis, Harmsen Allen G
Trudeau Institute, Saranac Lake, NY 12983, USA.
Infect Immun. 2003 Apr;71(4):2065-70. doi: 10.1128/IAI.71.4.2065-2070.2003.
There has been emerging evidence that immunocompetent hosts can harbor Pneumocystis in their lungs. The purpose of this study was to determine the kinetics of Pneumocystis carinii f. sp. muris infection in adult immunocompetent mice and the host immune response to the organisms. To accomplish this, we exposed adult immunocompetent mice to SCID mice infected with P. carinii f. sp. muris by cohousing. We found that P. carinii f. sp. muris was detectable in the lungs of cohoused immunocompetent mice by PCR by 3 weeks after the beginning of cohousing. At about 4 weeks of cohousing, P. carinii f. sp. muris was readily detectable in the lungs of mice by microscopic techniques. Also at this time, P. carinii f. sp. muris-specific immunoglobulin G was found in the sera of the mice, and CD62(low) CD4- and CD8-positve T cells accumulated in the lungs. Shortly after this immune response, the P. carinii f. sp. muris organisms were cleared from the lungs. Adult mice cohoused for only 1 week also contained P. carinii f. sp. muris cysts detectable by silver staining at 5 and 6 weeks after the beginning of cohousing. We also found that the P. carinii f. sp. muris organisms grew to greater numbers in the lungs of BALB/c mice than in those of C57BL6 mice. This indicates that immunocompetent hosts develop a mild infection with P. carinii f. sp. muris which resolves in 5 to 6 weeks when there is a detectable immune response to the organism. Once an acquired immune response was initiated, the P. carinii f. sp. muris organisms were quickly eliminated without clinical signs of disease.
越来越多的证据表明,具有免疫能力的宿主肺部可携带肺孢子菌。本研究的目的是确定成年免疫功能正常小鼠感染卡氏肺孢子虫鼠亚种的动力学过程以及宿主对该病原体的免疫反应。为实现这一目的,我们将成年免疫功能正常的小鼠与感染了卡氏肺孢子虫鼠亚种的重症联合免疫缺陷(SCID)小鼠同笼饲养。我们发现,同笼饲养开始3周后,通过聚合酶链反应(PCR)可在同笼饲养的免疫功能正常小鼠的肺部检测到卡氏肺孢子虫鼠亚种。同笼饲养约4周时,通过显微镜技术很容易在小鼠肺部检测到卡氏肺孢子虫鼠亚种。同样在这个时候,在小鼠血清中发现了卡氏肺孢子虫鼠亚种特异性免疫球蛋白G,并且肺部积聚了CD62(低)CD4 +和CD8 +阳性T细胞。在这种免疫反应后不久,卡氏肺孢子虫鼠亚种病原体从肺部清除。仅同笼饲养1周的成年小鼠在同笼饲养开始5周和6周时,通过银染色也可检测到卡氏肺孢子虫鼠亚种囊肿。我们还发现,卡氏肺孢子虫鼠亚种病原体在BALB / c小鼠肺部的生长数量比在C57BL6小鼠肺部更多。这表明免疫功能正常的宿主会发生轻度的卡氏肺孢子虫鼠亚种感染,当对该病原体有可检测到的免疫反应时,感染会在5至6周内消退。一旦启动获得性免疫反应,卡氏肺孢子虫鼠亚种病原体就会迅速被清除,且无疾病的临床症状。