Qiu Hongyu, KuoLee Rhonda, Harris Greg, Chen Wangxue
Institute for Biological Sciences, National Research Council Canada, 100 Sussex Drive, Ottawa, Ontario K1A 0R6, Canada.
Microbes Infect. 2009 Oct;11(12):946-55. doi: 10.1016/j.micinf.2009.06.003. Epub 2009 Jun 30.
Acinetobacter baumannii is an important cause of both community-associated and nosocomial pneumonia, which have become increasingly difficult to treat because of the rapid development of resistance to multiple antibiotics. Despite its clinical importance, the pathogenesis of and host defense against respiratory A. baumannii infection remains largely unknown. To examine host factors that could contribute to the defense, we compared the susceptibilities of A/J and C57BL/6 mice to intranasal (i.n.) inoculation with A. baumannii. We found that A/J mice were significantly more susceptible to infection with higher mortality (P<0.05) and tissue bacterial burdens (P<0.01) as well as greater histopathology in the lung and spleen than C57BL/6 mice. More importantly, the high susceptibility of A/J mice was associated with a reduced local proinflammatory cytokine/chemokine (particularly IL-1beta, MIP-2 and TNF-alpha) responses and a significant delay and reduction in the early influx of neutrophils in the lung (P<0.05). Intranasal administration of neutrophil-inducing chemokine MIP-2 to A/J mice enhanced pulmonary neutrophil influx and partially restored host resistance to A. baumannii to a level comparable to the more resistant C57BL/6 mice. Our results imply that the early recruitment of neutrophils into the lung is critical for initiating an efficient host defense against respiratory A. baumannii infection.
鲍曼不动杆菌是社区获得性肺炎和医院获得性肺炎的重要病因,由于其对多种抗生素的耐药性迅速发展,这些肺炎的治疗变得越来越困难。尽管其具有临床重要性,但呼吸道鲍曼不动杆菌感染的发病机制和宿主防御机制在很大程度上仍不清楚。为了研究可能有助于防御的宿主因素,我们比较了A/J和C57BL/6小鼠经鼻内接种鲍曼不动杆菌后的易感性。我们发现,A/J小鼠对感染的易感性明显更高,死亡率更高(P<0.05),组织细菌载量更高(P<0.01),并且与C57BL/6小鼠相比,肺和脾中的组织病理学变化更大。更重要的是,A/J小鼠的高易感性与局部促炎细胞因子/趋化因子(特别是IL-1β、MIP-2和TNF-α)反应降低以及肺中中性粒细胞早期流入的显著延迟和减少有关(P<0.05)。向A/J小鼠鼻内给予诱导中性粒细胞的趋化因子MIP-2可增强肺中性粒细胞流入,并将宿主对鲍曼不动杆菌的抵抗力部分恢复到与更具抵抗力的C57BL/6小鼠相当的水平。我们的结果表明,中性粒细胞早期募集到肺中对于启动针对呼吸道鲍曼不动杆菌感染的有效宿主防御至关重要。