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鼠肺孢子菌感染与接触香烟烟雾相互作用,导致小鼠体内病原体负荷增加、气腔扩大以及肺部炎症。

Pneumocystis murina infection and cigarette smoke exposure interact to cause increased organism burden, development of airspace enlargement, and pulmonary inflammation in mice.

作者信息

Christensen Paul J, Preston Angela M, Ling Tony, Du Ming, Fields W Bradley, Curtis Jeffrey L, Beck James M

机构信息

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan 48105, USA.

出版信息

Infect Immun. 2008 Aug;76(8):3481-90. doi: 10.1128/IAI.00165-08. Epub 2008 May 19.

Abstract

Chronic obstructive pulmonary disease (COPD) is characterized by the presence of airflow obstruction and lung destruction with airspace enlargement. In addition to cigarette smoking, respiratory pathogens play a role in pathogenesis, but specific organisms are not always identified. Recent reports demonstrate associations between the detection of Pneumocystis jirovecii DNA in lung specimens or respiratory secretions and the presence of emphysema in COPD patients. Additionally, human immunodeficiency virus-infected individuals who smoke cigarettes develop early emphysema, but a role for P. jirovecii in pathogenesis remains speculative. We developed a new experimental model using immunocompetent mice to test the interaction of cigarette smoke exposure and environmentally acquired Pneumocystis murina infection in vivo. We hypothesized that cigarette smoke and P. murina would interact to cause increases in total lung capacity, airspace enlargement, and pulmonary inflammation. We found that exposure to cigarette smoke significantly increases the lung organism burden of P. murina. Pulmonary infection with P. murina, combined with cigarette smoke exposure, results in changes in pulmonary function and airspace enlargement characteristic of pulmonary emphysema. P. murina and cigarette smoke exposure interact to cause increased lung inflammatory cell accumulation. These findings establish a novel animal model system to explore the role of Pneumocystis species in the pathogenesis of COPD.

摘要

慢性阻塞性肺疾病(COPD)的特征是存在气流阻塞以及伴有气腔扩大的肺组织破坏。除吸烟外,呼吸道病原体在其发病机制中也起作用,但具体的病原体并不总是能被识别出来。最近的报告表明,在COPD患者的肺标本或呼吸道分泌物中检测到耶氏肺孢子菌DNA与肺气肿的存在之间存在关联。此外,吸烟的人类免疫缺陷病毒感染者会较早出现肺气肿,但耶氏肺孢子菌在发病机制中的作用仍存在推测性。我们使用免疫功能正常的小鼠建立了一种新的实验模型,以测试香烟烟雾暴露与环境中获得的鼠肺孢子菌感染在体内的相互作用。我们假设香烟烟雾和鼠肺孢子菌会相互作用,导致肺总量增加、气腔扩大和肺部炎症。我们发现,暴露于香烟烟雾会显著增加鼠肺孢子菌在肺部的菌负荷。鼠肺孢子菌肺部感染与香烟烟雾暴露相结合,会导致肺气肿特征性的肺功能改变和气腔扩大。鼠肺孢子菌与香烟烟雾暴露相互作用,导致肺部炎症细胞积聚增加。这些发现建立了一个新的动物模型系统,以探索肺孢子菌属在COPD发病机制中的作用。

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