Monack Denise M, Bouley Donna M, Falkow Stanley
Department of Microbiology and Immunology, Stanford University School of Medicine, Stanford University, Stanford, CA 94305, USA.
J Exp Med. 2004 Jan 19;199(2):231-41. doi: 10.1084/jem.20031319.
Host-adapted strains of Salmonella are capable of establishing a persistent infection in their host often in the absence of clinical disease. The mouse model of Salmonella infection has primarily been used as a model for the acute systemic disease. Therefore, the sites of long-term S. typhimurium persistence in the mouse are not known nor are the mechanisms of persistent infection clearly understood. Here, we show that S. typhimurium can persist for as long as 1 yr in the mesenteric lymph nodes (MLNs) of 129sv Nramp1(+)(/)(+) (Slc11a1(+)(/)(+)) mice despite the presence of high levels of anti-S. typhimurium antibody. Tissues from 129sv mice colonized for 60 d contain numerous inflammatory foci and lesions with features resembling S. typhi granulomas. Tissues from mice infected for 365 d have very few organized inflammatory lesions, but the bacteria continue to persist within macrophages in the MLN and the animals generally remain disease-free. Finally, chronically infected mice treated with an interferon-gamma neutralizing antibody exhibited symptoms of acute systemic infection, with evidence of high levels of bacterial replication in most tissues and high levels of fecal shedding. Thus, interferon-gamma, which may affect the level of macrophage activation, plays an essential role in the control of the persistent S. typhimurium infection in mice.
适应宿主的沙门氏菌菌株通常能够在宿主中建立持续感染,且往往不伴有临床疾病。沙门氏菌感染的小鼠模型主要被用作急性全身性疾病的模型。因此,鼠伤寒沙门氏菌在小鼠体内长期存在的部位尚不清楚,持续感染的机制也未被清楚理解。在此,我们表明,尽管存在高水平的抗鼠伤寒沙门氏菌抗体,但鼠伤寒沙门氏菌仍能在129sv Nramp1(+)(/)(+)(Slc11a1(+)(/)(+))小鼠的肠系膜淋巴结(MLN)中持续存在长达1年。来自定殖60天的129sv小鼠的组织含有大量炎症病灶和病变,其特征类似于伤寒沙门氏菌肉芽肿。感染365天的小鼠组织中几乎没有组织化的炎症病变,但细菌继续在MLN的巨噬细胞内持续存在,且动物通常保持无病状态。最后,用干扰素-γ中和抗体治疗的慢性感染小鼠表现出急性全身感染的症状,在大多数组织中有高水平细菌复制的证据以及高水平的粪便排菌。因此,可能影响巨噬细胞活化水平的干扰素-γ在控制小鼠体内鼠伤寒沙门氏菌的持续感染中起重要作用。