Department of Pediatrics, Washington University School of Medicine, Saint Louis, MO 63110-1093, USA.
J Infect Dis. 2012 Jun 15;205(12):1830-9. doi: 10.1093/infdis/jis280. Epub 2012 Apr 3.
Uropathogenic Escherichia coli (UPEC) are the chief cause of urinary tract infections. Although neutrophilic inflammation is a hallmark of disease, previous data indicate that UPEC promotes local dampening of host innate immune responses. Here, we show that UPEC attenuates innate responses to epithelial infection by inducing expression of indoleamine 2,3-dioxygenase (IDO), a host enzyme with previously defined roles in adaptive immune regulation. UPEC induced IDO expression in human uroepithelial cells and polymorphonuclear leukocytes (PMN) in vitro and in bladder tissue during murine cystitis via a noncanonical, interferon-independent pathway. In the bladders of UPEC-infected IDO-deficient mice, we observed augmented expression of proinflammatory cytokines and local inflammation, correlated with reduced survival of extracellular bacteria. Pharmacologic inhibition of IDO also increased human PMN transepithelial migration. Stimulation of IDO expression therefore represents a pathogen strategy to create local immune privilege at epithelial surfaces, attenuating innate responses to promote colonization and the establishment of infection.
尿路致病性大肠杆菌(UPEC)是尿路感染的主要原因。尽管中性粒细胞炎症是疾病的标志,但先前的数据表明 UPEC 促进了宿主固有免疫反应的局部抑制。在这里,我们表明 UPEC 通过诱导吲哚胺 2,3-双加氧酶 (IDO) 的表达来减弱上皮感染的固有反应,IDO 是一种宿主酶,先前在适应性免疫调节中具有明确的作用。UPEC 在体外的人尿路上皮细胞和多形核白细胞(PMN)中以及在小鼠膀胱炎期间的膀胱组织中通过非经典的干扰素非依赖性途径诱导 IDO 表达。在 UPEC 感染的 IDO 缺陷型小鼠的膀胱中,我们观察到促炎细胞因子的表达增加和局部炎症,这与细胞外细菌的存活率降低相关。IDO 的药理学抑制也增加了人 PMN 的跨上皮迁移。因此,刺激 IDO 表达代表了病原体在上皮表面创造局部免疫特权的策略,减弱固有反应以促进定植和感染的建立。
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