Echeverry Andrea, Schesser Kurt, Adkins Becky
Department of Microbiology and Immunology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Infect Immun. 2007 May;75(5):2234-43. doi: 10.1128/IAI.01681-06. Epub 2007 Feb 26.
Neonates are considered highly susceptible to gastrointestinal infections. This susceptibility has been attributed partially to immaturity in immune cell function. To study this phenomenon, we have developed a model system with murine neonates, using the natural orogastric route of transmission for the enteropathogen Yersinia enterocolitica. The susceptibilities of 7-day-old and adult mice to orogastric Y. enterocolitica infection were assessed in 50% lethal dose experiments. Remarkably, neonatal mice of either the BALB/c or C57BL/6 mouse strain showed markedly enhanced survival after infection compared to adult mice. The resistance of neonates was not due to failure of the bacteria to colonize neonatal tissues; Y. enterocolitica was readily detectable in the intestine and mesenteric lymph nodes (MLN) for at least 1 week after infection. In adult mice, Y. enterocolitica rapidly disseminated to the spleen and liver. In striking contrast, bacterial invasion of the spleen and liver in neonates was limited. Using flow cytometry and histology, we found substantial increases in the percentages of neutrophils and macrophages in the neonatal MLN, while influx of these cells into the adult MLN was limited. Similar results were obtained using two different high-virulence Y. enterocolitica strains. Importantly, depletion of neutrophils with a specific antibody led to increased translocation of the bacteria to the spleens and livers of neonates. Together, these experiments support the hypothesis that the neonatal intestinal immune system can rapidly mobilize innate phagocytes and thereby confine the bacterial infection to the gut, resulting in a high level of resistance.
新生儿被认为极易感染胃肠道疾病。这种易感性部分归因于免疫细胞功能的不成熟。为了研究这一现象,我们利用鼠类新生儿开发了一个模型系统,采用肠道病原菌小肠结肠炎耶尔森菌的自然经口途径进行传播。在半数致死剂量实验中评估了7日龄和成年小鼠经口感染小肠结肠炎耶尔森菌的易感性。值得注意的是,与成年小鼠相比,BALB/c或C57BL/6小鼠品系的新生小鼠在感染后存活率显著提高。新生儿的抵抗力并非由于细菌未能在新生儿组织中定殖;感染后至少1周内,在肠道和肠系膜淋巴结(MLN)中很容易检测到小肠结肠炎耶尔森菌。在成年小鼠中,小肠结肠炎耶尔森菌迅速扩散到脾脏和肝脏。与之形成鲜明对比的是,新生儿脾脏和肝脏中的细菌入侵受到限制。通过流式细胞术和组织学方法,我们发现新生儿MLN中中性粒细胞和巨噬细胞的百分比大幅增加,而这些细胞向成年MLN的流入受到限制。使用两种不同的高毒力小肠结肠炎耶尔森菌菌株也得到了类似的结果。重要的是,用特异性抗体清除中性粒细胞会导致细菌向新生儿脾脏和肝脏的易位增加。总之,这些实验支持了这样一种假设,即新生儿肠道免疫系统可以迅速动员先天性吞噬细胞,从而将细菌感染限制在肠道内,产生高度的抵抗力。