Malik Meenakshi, Bakshi Chandra Shekhar, McCabe Kathleen, Catlett Sally V, Shah Aaloki, Singh Rajendra, Jackson Patricia L, Gaggar Amit, Metzger Dennis W, Melendez J Andres, Blalock J Edwin, Sellati Timothy J
Center for Immunology and Microbial Disease, Albany Medical College, 47 New Scotland Avenue, Albany, NY 12208, USA.
J Immunol. 2007 Jan 15;178(2):1013-20. doi: 10.4049/jimmunol.178.2.1013.
A striking feature of pulmonary infection with the Gram-negative intracellular bacterium Francisella tularensis, a category A biological threat agent, is an intense accumulation of inflammatory cells, particularly neutrophils and macrophages, at sites of bacterial replication. Given the essential role played by host matrix metalloproteinases (MMPs) in modulating leukocyte recruitment and the potentially indiscriminate destructive capacity of these cells, we investigated whether MMP-9, an important member of this protease family released by neutrophils and activated macrophages, plays a role in the pathogenesis of respiratory tularemia. We found that F. tularensis induced expression of MMP-9 in FVB/NJ mice and that the action of this protease is associated with higher bacterial burdens in pulmonary and extrapulmonary tissues, development of more extensive histopathology predominated by neutrophils, and increased morbidity and mortality compared with mice lacking MMP-9 (MMP-9(-/-)). Moreover, MMP-9(-/-) mice were able to resolve infection with either the virulence-attenuated type B (live vaccine strain) or the highly virulent type A (SchuS4) strain of F. tularensis. Disease resolution was accompanied by diminished leukocyte recruitment and reductions in both bacterial burden and proinflammatory cytokine production. Notably, neutrophilic infiltrates were significantly reduced in MMP-9(-/-) mice, owing perhaps to limited release of Pro-Gly-Pro, a potent neutrophil chemotactic tripeptide released from extracellular matrix through the action of MMP-9. Collectively, these results suggest that MMP-9 activity plays a central role in modulating the clinical course and severity of respiratory tularemia and identifies MMPs as novel targets for therapeutic intervention as a means of modulating neutrophil recruitment.
革兰氏阴性细胞内细菌土拉弗朗西斯菌(一种 A 类生物威胁因子)引起的肺部感染的一个显著特征是在细菌复制部位有大量炎症细胞,特别是中性粒细胞和巨噬细胞积聚。鉴于宿主基质金属蛋白酶(MMPs)在调节白细胞募集中发挥的重要作用以及这些细胞潜在的不加区分的破坏能力,我们研究了 MMP-9(中性粒细胞和活化巨噬细胞释放的该蛋白酶家族的一个重要成员)是否在呼吸道土拉菌病的发病机制中起作用。我们发现土拉弗朗西斯菌在 FVB/NJ 小鼠中诱导 MMP-9 的表达,并且该蛋白酶的作用与肺组织和肺外组织中更高的细菌载量、以中性粒细胞为主的更广泛的组织病理学发展以及与缺乏 MMP-9(MMP-9(-/-))的小鼠相比更高的发病率和死亡率相关。此外,MMP-9(-/-)小鼠能够清除土拉弗朗西斯菌的减毒 B 型(活疫苗株)或高毒力 A 型(SchuS4 株)感染。疾病的缓解伴随着白细胞募集减少以及细菌载量和促炎细胞因子产生的降低。值得注意的是,MMP-9(-/-)小鼠中的中性粒细胞浸润显著减少,这可能是由于通过 MMP-9 的作用从细胞外基质释放的强效中性粒细胞趋化三肽脯氨酰-甘氨酰-脯氨酸(Pro-Gly-Pro)释放受限。总的来说,这些结果表明 MMP-9 活性在调节呼吸道土拉菌病的临床病程和严重程度中起核心作用,并将 MMPs 确定为作为调节中性粒细胞募集手段的治疗干预的新靶点。