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白细胞介素-17 通路在播散性念珠菌病和酵母聚糖诱导的多器官衰竭中的差异作用。

Differential effects of IL-17 pathway in disseminated candidiasis and zymosan-induced multiple organ failure.

机构信息

Department of Medicine, Radboud University Nijmegen Medical Centre, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

出版信息

Shock. 2010 Oct;34(4):407-11. doi: 10.1097/SHK.0b013e3181d67041.

Abstract

The role of the IL-17 pathway in antifungal host defense is controversial. Several studies suggested that IL-17 is crucial for the protection against Candida infection, whereas other studies reported that IL-17 may contribute to inflammatory pathology and worsening of fungal disease. To address these discrepancies, we assessed the differential role of IL-17 pathway in two models of fungal sepsis: intravenous infection with live Candida albicans, in which fungal growth is the main cause of mortality, and zymosan-induced multiple organ failure, in which the inflammatory pathology drives the mortality. First, IL-17 receptor-deficient (IL-17RA) mice showed increased mortality and higher fungal loads in the kidneys in the model of disseminated candidiasis, partly caused by lower neutrophil recruitment in the IL-17RA mice. Second, IL-17RA mice were not protected against the multiorgan failure induced by zymosan. These data demonstrate that IL-17 does not have a major contribution to the inflammatory pathology leading to organ failure in fungal sepsis and support the concept that the IL-17 pathway is protective in antifungal host defense.

摘要

IL-17 通路在抗真菌宿主防御中的作用存在争议。一些研究表明,IL-17 对于对抗念珠菌感染至关重要,而其他研究则表明,IL-17 可能有助于炎症病理和真菌感染的恶化。为了解决这些差异,我们评估了 IL-17 通路在两种真菌性败血症模型中的差异作用:静脉内感染活白色念珠菌,其中真菌生长是导致死亡率的主要原因,以及酵母聚糖诱导的多器官衰竭,其中炎症病理导致死亡率。首先,IL-17 受体缺陷(IL-17RA)小鼠在播散性念珠菌病模型中表现出更高的死亡率和肾脏中更高的真菌负荷,部分原因是 IL-17RA 小鼠中性粒细胞募集减少。其次,IL-17RA 小鼠不能防止酵母聚糖引起的多器官衰竭。这些数据表明,IL-17 在导致真菌性败血症中器官衰竭的炎症病理中没有主要作用,并支持 IL-17 通路在抗真菌宿主防御中具有保护作用的概念。

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