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初始阶段脾脏Th1反应缺陷可能解释了为什么脾切除术有助于预防李斯特菌感染。

A defective Th1 response of the spleen in the initial phase may explain why splenectomy helps prevent a Listeria infection.

作者信息

Kuranaga N, Kinoshita M, Kawabata T, Shinomiya N, Seki S

机构信息

Department of Microbiology, National Defense Medical College, Tokorozawa, Japan.

出版信息

Clin Exp Immunol. 2005 Apr;140(1):11-21. doi: 10.1111/j.1365-2249.2005.02735.x.

Abstract

Listeria monocytogenes (Listeria) are known to grow and proliferate in the liver while a splenectomy induces host resistance against a Listeria infection despite the fact that a splenectomy inhibits the Th1 response. Therefore, the mechanism by which a splenectomy helps to prevent the growth of Listeria still remains to be elucidated. After an i.v. challenge of Listeria (1 x 10(6) CFU) in C57BL/6 mice, Listeria rapidly increased in the spleen but not in the liver until 48 h. However, after this initial phase, Listeria remarkably grew in the liver. In contrast, when the mice received a splenectomy beforehand, no remarkable growth of Listeria in the liver was observed after Listeria challenge despite the fact that serum IFN-gamma and IL-12 levels at 24 h after Listeria challenge were significantly lower than those in the sham mice. However, the liver leucocytes from mice by 6 h after infection produced a substantial amount of IFN-gamma while spleen MNC did not, whereas spleen leucocytes at 24 h after Listeria challenge did. Consistently, the IFN-gamma and IL-12 levels in the tissue homogenates of the spleen were significantly lower than in those of the liver until 6 h after infection. This defective spleen Th1 response in the early phase of Listeria infection was corrected by an IL-18 i.p. injection just after the Listeria challenge. Our findings suggest that Listeria exploit the defective Th1 environment of the spleen in the initial phase and afterwards overcome the host defense mechanism of the liver.

摘要

已知单核细胞增生李斯特菌(李斯特菌)可在肝脏中生长和增殖,而脾切除可诱导宿主抵抗李斯特菌感染,尽管脾切除会抑制Th1反应。因此,脾切除有助于预防李斯特菌生长的机制仍有待阐明。给C57BL/6小鼠静脉注射李斯特菌(1×10⁶CFU)后,直到48小时,李斯特菌在脾脏中迅速增加,但在肝脏中没有。然而,在这个初始阶段之后,李斯特菌在肝脏中显著生长。相比之下,当小鼠预先接受脾切除时,李斯特菌攻击后肝脏中未观察到李斯特菌的显著生长,尽管李斯特菌攻击后24小时血清IFN-γ和IL-12水平显著低于假手术小鼠。然而,感染后6小时小鼠肝脏白细胞产生大量IFN-γ,而脾脏单个核细胞则不产生,而李斯特菌攻击后24小时脾脏白细胞产生。同样,直到感染后6小时,脾脏组织匀浆中的IFN-γ和IL-12水平显著低于肝脏。在李斯特菌攻击后立即腹腔注射IL-18可纠正李斯特菌感染早期脾脏Th1反应的缺陷。我们的研究结果表明,李斯特菌在初始阶段利用脾脏有缺陷的Th1环境,然后克服肝脏的宿主防御机制。

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