Lin Yuh-Yih, Huang Jan-Hung, Lai Yo-Yin, Huang Han-Ching, Hu Suh-Woan
Department of Dentistry, Chung Shan Medical University, No. 110 Chien-Kuo N. Road, Taichung, 402, Taiwan.
Infect Immun. 2005 Dec;73(12):7946-52. doi: 10.1128/IAI.73.12.7946-7952.2005.
Intrachamber challenge with Porphyromonas gingivalis strain 381 in a mouse subcutaneous chamber model results in a local infection that progresses to exfoliation of the chambers within 15 days. This study was designed to elucidate the contribution of host reactions to tissue destruction manifested by chamber exfoliation in animals infected with P. gingivalis. Chamber fluids showed increasing levels of prostaglandin E(2) with infection, and the levels of tumor necrosis factor (TNF) in chamber fluids peaked just before chamber exfoliation. Intraperitoneal injection of a TNF inhibitor, thalidomide (TH), reduced the number of exfoliated chambers, while indomethacin had no effect. Exogenous TNF in chambers without bacterial infection did not cause chamber exfoliation but induced neutrophil infiltration. In a dual-chamber model, two chambers were implanted in the same mouse. One chamber was infected with P. gingivalis, and 9 days later exogenous TNF was added to the other chamber. Altogether, 66.67% of uninfected chambers were exfoliated between day 11 and day 16, although no bacteria were recovered from uninfected chambers. TH treatment alleviated both infected and uninfected chamber exfoliation. In this study, tissue destruction caused by P. gingivalis 381 infection was due to the elevation of the TNF levels and not due to local bacterial activities. Our results further indicate that local infection by P. gingivalis 381, a nondisseminating strain, actually has systemic effects on the host pathological outcome.
在小鼠皮下腔室模型中用牙龈卟啉单胞菌381菌株进行腔内攻击会导致局部感染,该感染在15天内发展为腔室剥脱。本研究旨在阐明宿主反应对感染牙龈卟啉单胞菌的动物中腔室剥脱所表现出的组织破坏的作用。随着感染的发生,腔室液中前列腺素E(2)水平升高,腔室液中肿瘤坏死因子(TNF)水平在腔室剥脱前达到峰值。腹腔注射TNF抑制剂沙利度胺(TH)可减少剥脱腔室的数量,而吲哚美辛则无作用。在无细菌感染的腔室中注入外源性TNF不会导致腔室剥脱,但会诱导中性粒细胞浸润。在双腔室模型中,在同一只小鼠体内植入两个腔室。一个腔室感染牙龈卟啉单胞菌,9天后向另一个腔室添加外源性TNF。尽管在未感染的腔室中未检测到细菌,但在第11天至第16天期间,共有66.67%的未感染腔室发生了剥脱。TH治疗减轻了感染和未感染腔室的剥脱。在本研究中,牙龈卟啉单胞菌381感染引起的组织破坏是由于TNF水平升高,而非局部细菌活性所致。我们的结果进一步表明,非播散性菌株牙龈卟啉单胞菌381的局部感染实际上对宿主病理结局具有全身影响。