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吸烟会损害肺部清除细菌的能力,以及肺泡巨噬细胞补体介导的肺炎链球菌吞噬作用。

Cigarette smoke exposure impairs pulmonary bacterial clearance and alveolar macrophage complement-mediated phagocytosis of Streptococcus pneumoniae.

机构信息

Program in Toxicology, Department of Environmental Health Sciences, University of Michigan Health System, Ann Arbor, Michigan 48109-2029, USA.

出版信息

Infect Immun. 2010 Mar;78(3):1214-20. doi: 10.1128/IAI.00963-09. Epub 2009 Dec 14.

Abstract

Cigarette smoke exposure increases the risk of pulmonary and invasive infections caused by Streptococcus pneumoniae, the most commonly isolated organism from patients with community-acquired pneumonia. Despite this association, the mechanisms by which cigarette smoke exposure diminishes host defense against S. pneumoniae infections are poorly understood. In this study, we compared the responses of BALB/c mice following an intratracheal challenge with S. pneumoniae after 5 weeks of exposure to room air or cigarette smoke in a whole-body exposure chamber in vivo and the effects of cigarette smoke on alveolar macrophage phagocytosis of S. pneumoniae in vitro. Bacterial burdens in cigarette smoke-exposed mice were increased at 24 and 48 h postinfection, and this was accompanied by a more pronounced clinical appearance of illness, hypothermia, and increased lung homogenate cytokines interleukin-1beta (IL-1beta), IL-6, IL-10, and tumor necrosis factor alpha (TNF-alpha). We also found greater numbers of neutrophils in bronchoalveolar lavage fluid recovered from cigarette smoke-exposed mice following a challenge with heat-killed S. pneumoniae. Interestingly, overnight culture of alveolar macrophages with 1% cigarette smoke extract, a level that did not affect alveolar macrophage viability, reduced complement-mediated phagocytosis of S. pneumoniae, while the ingestion of unopsonized bacteria or IgG-coated microspheres was not affected. This murine model provides robust additional support to the hypothesis that cigarette smoke exposure increases the risk of pneumococcal pneumonia and defines a novel cellular mechanism to help explain this immunosuppressive effect.

摘要

吸烟会增加肺炎链球菌(最常从社区获得性肺炎患者中分离出来的病原体)引起的肺部和侵袭性感染的风险。尽管存在这种关联,但吸烟暴露降低宿主对肺炎链球菌感染防御能力的机制仍不清楚。在这项研究中,我们比较了经过 5 周的全身暴露箱内空气或香烟烟雾暴露后,BALB/c 小鼠经气管内接种肺炎链球菌后的反应,以及香烟烟雾对肺泡巨噬细胞吞噬肺炎链球菌的体外影响。感染后 24 和 48 小时,暴露于香烟烟雾的小鼠中的细菌负荷增加,这伴随着更明显的疾病临床症状、体温过低和肺部匀浆细胞因子白细胞介素-1β(IL-1β)、IL-6、IL-10 和肿瘤坏死因子-α(TNF-α)的增加。我们还发现,在接受热灭活肺炎链球菌挑战后,来自暴露于香烟烟雾的小鼠的支气管肺泡灌洗液中中性粒细胞数量增加。有趣的是,用 1%香烟烟雾提取物(不影响肺泡巨噬细胞活力的水平)对肺泡巨噬细胞进行过夜培养,降低了补体介导的肺炎链球菌吞噬作用,而未被调理的细菌或 IgG 包被的微球的摄取不受影响。该小鼠模型为吸烟暴露增加肺炎球菌性肺炎风险的假设提供了有力的补充证据,并定义了一种新的细胞机制来帮助解释这种免疫抑制作用。

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