Riggs Margaret A, Maunsell Fiona P, Reyes Leticia, Brown Mary B
Department of Infectious Diseases and Pathology, University of Florida College of Veterinary Medicine, Gainesville, FL, USA.
Am J Obstet Gynecol. 2008 Mar;198(3):318.e1-7. doi: 10.1016/j.ajog.2007.09.042. Epub 2008 Feb 20.
The specific objective of this study was to conduct a dose response experiment with Mycoplasma pulmonis in Sprague-Dawley rats to develop a reproducible animal model of maternal and fetal infection that would provide a versatile mechanism to address the innate fetal immune response during intrauterine infection.
Pregnant rats were infected intravenously at gestation day 14 with 0 (control), 10(1), 10(3), 10(5), and 10(7) colony forming units of M. pulmonis and necropsied at gestational day 18. Quantitative culture of maternal and fetal tissues as well as histopathologic examination of the placenta were performed.
We have characterized a rat model of maternal and fetal infection that can be manipulated by alteration of infectious dose. Colonization of Sprague-Dawley rat dam and fetal tissues by M. pulmonis occurred in a dose-dependent manner after intravenous inoculation (P < .001). Placental lesion severity increased with infection dose (P = .0001). The minimum threshold dose required to establish infection of the dam and fetus was at least 10(3) colony forming units, with consistent colonization of maternal and fetal tissues achieved only with 10(7) colony forming units. In some instances, rat fetal tissues could be colonized in the absence of concomitant amniotic fluid colonization. Interestingly, there appeared to be a predilection for colonization of the reproductive tissues.
In the Sprague-Dawley rat, the infection rate of both the dam and fetus can be controlled by the inoculum dose. Our data support the concept that hematogenous spread of M. pulmonis to the rat fetus can occur without amniotic fluid infection and suggest that the fetus itself can potentially seed the amniotic fluid with microorganisms. Importantly, manipulation of both the route of infection as well as infection dose provide a reproducible way to study both maternal and fetal immune response to infection during pregnancy.
本研究的具体目标是在斯普拉格-道利大鼠中进行肺炎支原体剂量反应实验,以建立一种可重复的母胎感染动物模型,该模型将提供一种通用机制来研究宫内感染期间胎儿的先天免疫反应。
在妊娠第14天,对怀孕大鼠静脉注射0(对照)、10(1)、10(3)、10(5)和10(7)个肺炎支原体菌落形成单位,并在妊娠第18天进行尸检。对母胎组织进行定量培养,并对胎盘进行组织病理学检查。
我们已经确定了一种可通过改变感染剂量来操控的母胎感染大鼠模型。静脉接种后,肺炎支原体在斯普拉格-道利大鼠母体和胎儿组织中的定植呈剂量依赖性(P <.001)。胎盘病变严重程度随感染剂量增加而增加(P =.0001)。建立母体和胎儿感染所需的最低阈值剂量至少为10(3)个菌落形成单位,只有10(7)个菌落形成单位才能使母体和胎儿组织持续定植。在某些情况下,大鼠胎儿组织可在羊水性状未受影响的情况下被定植。有趣的是,生殖组织似乎更容易被定植。
在斯普拉格-道利大鼠中,母体和胎儿的感染率均可通过接种剂量来控制。我们的数据支持肺炎支原体可通过血行传播至大鼠胎儿而无需羊水感染这一概念,并表明胎儿自身可能将微生物接种到羊水中。重要的是,操控感染途径和感染剂量为研究孕期母体和胎儿对感染的免疫反应提供了一种可重复的方法。