中性粒细胞减少对小鼠8型肺炎球菌肺炎病程的影响。
Influence of neutropenia on the course of serotype 8 pneumococcal pneumonia in mice.
作者信息
Marks Matthew, Burns Tamika, Abadi Maria, Seyoum Beza, Thornton Justin, Tuomanen Elaine, Pirofski Liise-anne
机构信息
Division of Infectious Diseases, Albert Einstein College of Medicine, Forchheimer Bldg., 1300 Morris Park Avenue, Bronx, NY 10461, USA.
出版信息
Infect Immun. 2007 Apr;75(4):1586-97. doi: 10.1128/IAI.01579-06. Epub 2007 Feb 12.
Polymorphoneutrophils (PMNs) are important effector cells in host defense against pneumonia. However, PMNs can also induce inflammation and tissue damage. To investigate the contribution of PMNs to host defense against pneumococcal pneumonia, we determined the effect of the PMN-depleting rat monoclonal antibody RB6-8C5 (RB6) on survival and inflammatory and cellular response in the lungs to a lethal intranasal infection with a serotype 8 pneumococcus in BALB/c mice. Control mice received rat immunoglobulin G (rIgG). Strikingly, the survival of RB6-treated mice was significantly prolonged compared to that of rIgG-treated mice. Although the numbers of CFU in the lungs were statistically similar in both groups 4, 24, and 32 h after infection, rIgG-treated mice developed higher levels of bacteremia, and histopathological examination of the lungs of infected mice revealed marked differences between RB6- and rIgG-treated mice. RB6-treated mice had focal, perivascular lesions without accompanying parenchymal inflammation, and rIgG-treated mice had diffuse, interstitial parenchymal inflammation. Lung homogenates from the rIgG-treated mice had more leukocytes and significantly more total and apoptotic PMNs as determined by fluorescence-activated cell sorter analysis with Annexin V and terminal deoxynucleotidyltransferase-mediated dUTP-biotin nick end labeling staining of lung tissue samples. Studies with a pneumolysin-deficient mutant of the serotype 8 strain we used also demonstrated the prolonged survival of RB6- compared to rIgG-treated mice. Taken together, our findings suggest that PMNs enhance the likelihood of early death and alter the pathological response to pneumococcal lung infection in BALB/c mice with serotype 8 pneumonia without significantly affecting bacterial clearance or the cytokine response.
多形核中性粒细胞(PMNs)是宿主抵御肺炎的重要效应细胞。然而,PMNs也可诱导炎症和组织损伤。为了研究PMNs在宿主抵御肺炎球菌肺炎中的作用,我们测定了耗竭PMNs的大鼠单克隆抗体RB6-8C5(RB6)对BALB/c小鼠经鼻致死性感染8型肺炎球菌后存活率以及肺部炎症和细胞反应的影响。对照小鼠接受大鼠免疫球蛋白G(rIgG)。令人惊讶的是,与rIgG处理的小鼠相比,RB6处理的小鼠存活率显著延长。虽然感染后4、24和32小时两组小鼠肺内的菌落形成单位(CFU)数量在统计学上相似,但rIgG处理的小鼠发生了更高水平的菌血症,对感染小鼠肺部的组织病理学检查显示RB6处理组和rIgG处理组小鼠之间存在明显差异。RB6处理的小鼠有局灶性血管周围病变,无实质炎症,而rIgG处理的小鼠有弥漫性间质实质炎症。通过对肺组织样本进行膜联蛋白V荧光激活细胞分选分析和末端脱氧核苷酸转移酶介导的dUTP生物素缺口末端标记染色测定,rIgG处理小鼠的肺匀浆中有更多白细胞以及显著更多的总PMN和凋亡PMN。我们使用的8型菌株的肺炎溶血素缺陷突变体研究也表明,与rIgG处理的小鼠相比,RB6处理的小鼠存活期延长。综上所述,我们的研究结果表明,PMNs增加了BALB/c小鼠8型肺炎早期死亡的可能性,并改变了对肺炎球菌肺部感染的病理反应,而对细菌清除或细胞因子反应无显著影响。
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