Department of Immunology and Infectious Diseases, Montana State University, Bozeman, Montana, USA.
J Leukoc Biol. 2012 Aug;92(2):375-87. doi: 10.1189/jlb.1211626. Epub 2012 May 25.
Human brucellosis exhibits diverse pathological manifestations that can affect almost any organ. In particular, osteoarticular complications are the most common focal manifestation of brucellosis and occur in 40-80% of patients. In immunocompetent mice, Brucella replication is generally restricted to the spleen, liver, and to a lesser extent, LNs, thereby limiting their use for study of focal inflammation often found in brucellosis. Here, we report that nasal, oral, or peritoneal infection of IFN-γ(-/-) mice with WT Brucella melitensis or Brucella abortus results in joint and periarticular tissue inflammation. Histological analysis of the affected joints revealed inflammatory infiltrates and debris within the joint space colocalizing with Brucella antigen. Osteoarthritis, necrosis, periarticular soft tissue inflammation, and substantial brucellae burdens were observed. Oral rifampicin was effective in clearing infection and halting further progression of focal inflammation from infected IFN-γ(-/-) mice, although some symptoms and swelling remained. Elevated IL-1 β, but not TNF-α, IL-6, or IL-17, was detected in joint homogenates from infected IFN-γ(-/-) mice. Whereas more susceptible to systemic infection, IL-1R(-/-) mice depleted of IFN-γ were more resistant to focal inflammation than WT mice similarly depleted of IFN-γ. Collectively, these results show IFN-γ(-/-) mice represent a potential model for study of focal inflammation attributed to Brucella infection and will allow evaluation of intervention strategies targeting IL-1, IL-1R, or other inflammatory mediators, with the potential to complement antibiotic-based therapies.
人布鲁氏菌病表现出多种病理表现,几乎可以影响任何器官。特别是,骨关节并发症是布鲁氏菌病最常见的局灶性表现,发生在 40-80%的患者中。在免疫功能正常的小鼠中,布鲁氏菌的复制通常局限于脾脏、肝脏,在较小程度上局限于 LNs,从而限制了它们用于研究布鲁氏菌病中经常发现的局灶性炎症的用途。在这里,我们报告说,用 WT 布鲁氏菌 melitensis 或 Brucella abortus 鼻腔、口腔或腹腔感染 IFN-γ(-/-) 小鼠会导致关节和关节周围组织炎症。受影响关节的组织学分析显示,关节腔内有炎症浸润和碎片,与布鲁氏菌抗原共定位。观察到骨关节炎、坏死、关节周围软组织炎症和大量布鲁氏菌负担。口腔利福平可有效清除感染并阻止受感染 IFN-γ(-/-) 小鼠的局灶性炎症进一步进展,尽管一些症状和肿胀仍然存在。在受感染的 IFN-γ(-/-) 小鼠的关节匀浆中检测到升高的 IL-1β,但未检测到 TNF-α、IL-6 或 IL-17。而对全身感染更敏感,缺乏 IFN-γ 的 IL-1R(-/-) 小鼠比同样缺乏 IFN-γ 的 WT 小鼠更能抵抗局灶性炎症。总之,这些结果表明 IFN-γ(-/-) 小鼠代表了研究归因于布鲁氏菌感染的局灶性炎症的潜在模型,并将允许评估针对 IL-1、IL-1R 或其他炎症介质的干预策略,有可能补充抗生素为基础的治疗。