Department of Physiology, Immunology laboratory, University of Calcutta, University Colleges of Science and Technology, Calcutta, India.
J Inflamm Res. 2015 Jan 22;8:29-47. doi: 10.2147/JIR.S76045. eCollection 2015.
This study aimed to determine any alteration in the killing of Staphylococcus aureus in murine peritoneal macrophages when chloroquine (CQ) is used alone compared with when it is used in combination with ciprofloxacin (CIP) or azithromycin (AZM). The study also aimed to find out the implication of reactive oxygen species (ROS) production and cytokine release in the intracellular killing of S. aureus in macrophages. We present here data obtained with a model of S. aureus-infected mouse peritoneal macrophages in which the intracellular growth of the bacteria and the influence of antibiotics was monitored for 30, 60, and 90 minutes in the presence or absence of CQ along with the production of ROS and alteration in levels of antioxidant enzymes and cytokines. It was observed that S. aureus-triggered cytokine response was regulated when macrophages were co-cultured with CQ and AZM as compared with CQ stimulation only. It can be suggested that action of AZM in mediating bacterial killing is enhanced by the presence of CQ, indicating enhanced uptake of AZM during early infection that may be essential for bacteria killing by AZM. Reduction of oxidative stress burden on the S. aureus-infected macrophages may pave the way for better killing of internalized S. aureus by CQ plus ciprofloxacin (CIP) or CQ plus AZM. Based on these observations, one may speculate that in an inflammatory milieu, CQ loaded with AZM elicits a stronger proinflammatory response by increasing the intracellular uptake of AZM or CIP, thus enabling the immune system to mount a more robust and prolonged response against intracellular pathogens.
本研究旨在确定氯喹(CQ)单独使用与与环丙沙星(CIP)或阿奇霉素(AZM)联合使用时对小鼠腹腔巨噬细胞中金黄色葡萄球菌杀伤的任何变化。该研究还旨在探讨活性氧(ROS)产生和细胞因子释放对巨噬细胞中金黄色葡萄球菌胞内杀伤的影响。我们在此介绍了一种金黄色葡萄球菌感染的小鼠腹腔巨噬细胞模型的数据,该模型中监测了细菌的胞内生长以及抗生素的影响,在 30、60 和 90 分钟时,在存在或不存在 CQ 的情况下,监测 ROS 的产生以及抗氧化酶和细胞因子水平的变化。结果表明,与仅 CQ 刺激相比,当巨噬细胞与 CQ 和 AZM 共培养时,金黄色葡萄球菌触发的细胞因子反应受到调节。可以认为,AZM 在介导细菌杀伤中的作用是通过 CQ 的存在增强的,这表明在早期感染期间 AZM 的摄取增加,这对于 AZM 杀死细菌可能是必要的。减少金黄色葡萄球菌感染的巨噬细胞的氧化应激负担可能为 CQ 加 CIP 或 CQ 加 AZM 更好地杀死内化的金黄色葡萄球菌铺平道路。基于这些观察结果,人们可以推测,在炎症环境中,载有 AZM 的 CQ 通过增加 AZM 或 CIP 的细胞内摄取,引发更强的促炎反应,从而使免疫系统能够对细胞内病原体产生更强大和持久的反应。