CD14缺乏会导致肺炎球菌感染时MIP-2生成增加、CXCR2表达增加、中性粒细胞迁移增加以及早期死亡。

CD14 deficiency leads to increased MIP-2 production, CXCR2 expression, neutrophil transmigration, and early death in pneumococcal infection.

作者信息

Echchannaoui Hakim, Frei Karl, Letiembre Maryse, Strieter Robert M, Adachi Yoshiyuki, Landmann Regine

机构信息

Department of Research, University Hospital, Hebelstrasse 20, CH-4031 Basel, Switzerland.

出版信息

J Leukoc Biol. 2005 Sep;78(3):705-15. doi: 10.1189/jlb.0205063. Epub 2005 Jun 7.

Abstract

CD14 is a myeloid receptor for bacterial cell membrane/wall components, for which we previously showed a strong induction in cerebrospinal fluid (CSF) during meningitis. Here, we studied CD14 function in murine Streptococcus pneumoniae meningitis by using wild-type (WT), CD14(-/-) mice, and WT mice pretreated with neutralizing anti-CD14 antibodies. Early polymorphonuclear leukocytes (PMN) immigration was more pronounced in CSF of CD14(-/-) than of WT mice. This was not a result of altered adherence molecule expression in blood and CSF PMN or brain endothelial cells. Macrophage inflammatory protein-2 (MIP-2) and keratinocyte-derived chemokine levels were similar in CSF in both strains, but MIP-2 was higher in infected brain and in brain-derived endothelial cells infected in vitro in CD14(-/-) than in WT mice. CD14(-/-) PMN demonstrated increased expression of CXC chemokine receptor 2 (CXCR2) after infection and stronger in vitro chemotaxis than WT PMN toward CSF from WT or CD14(-/-) mice and toward MIP-2. Excess PMN migration in CD14(-/-) mice did not result in improved bacterial clearing but in increased tumor necrosis factor in CSF, higher disease severity, and earlier death. Pretreatment with anti-CXCR2 reduced PMN infiltration into CSF and brain MIP-2 production and abolished earlier mortality in CD14(-/-) mice. In conclusion, CD14 plays a protective role in pneumococcal meningitis by slowing PMN migration via MIP-2 and CXCR2 modulation.

摘要

CD14是一种针对细菌细胞膜/细胞壁成分的髓系受体,我们之前发现,在脑膜炎期间,其在脑脊液(CSF)中会被强烈诱导表达。在此,我们通过使用野生型(WT)、CD14基因敲除(-/-)小鼠以及用中和性抗CD14抗体预处理的WT小鼠,研究了CD14在小鼠肺炎链球菌脑膜炎中的功能。早期多形核白细胞(PMN)向脑脊液中的迁移在CD14(-/-)小鼠的脑脊液中比在WT小鼠中更为明显。这并非是血液和脑脊液中的PMN或脑内皮细胞中黏附分子表达改变所致。两品系小鼠脑脊液中巨噬细胞炎性蛋白-2(MIP-2)和角质形成细胞衍生趋化因子水平相似,但在感染的脑以及体外感染的脑源性内皮细胞中,CD14(-/-)小鼠的MIP-2水平高于WT小鼠。感染后,CD14(-/-)PMN显示CXC趋化因子受体2(CXCR2)表达增加,且在体外比WT PMN对WT或CD14(-/-)小鼠脑脊液以及对MIP-2的趋化性更强。CD14(-/-)小鼠中PMN过度迁移并未导致细菌清除改善,反而导致脑脊液中肿瘤坏死因子增加、疾病严重程度更高以及死亡更早。用抗CXCR2进行预处理可减少PMN向脑脊液中的浸润以及脑MIP-2的产生,并消除CD14(-/-)小鼠的早期死亡。总之,CD14在肺炎球菌脑膜炎中发挥保护作用,其通过MIP-2和CXCR2调节来减缓PMN迁移。

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