Gölz Greta, Karadas Gül, Alutis Marie E, Fischer André, Kühl Anja A, Breithaupt Angele, Göbel Ulf B, Alter Thomas, Bereswill Stefan, Heimesaat Markus M
Institute of Food Hygiene, Freie Universität Berlin, Berlin, Germany.
Department of Microbiology and Hygiene, Charité-University Medicine Berlin, Berlin, Germany.
PLoS One. 2015 Sep 25;10(9):e0139402. doi: 10.1371/journal.pone.0139402. eCollection 2015.
The immunopathological impact of human Arcobacter (A.) infections is under current debate. Episodes of gastroenteritis with abdominal pain and acute or prolonged watery diarrhea were reported for A. butzleri infected patients. Whereas adhesive, invasive and cytotoxic capacities have been described for A. butzleri in vitro, only limited information is available about the immunopathogenic potential and mechanisms of infection in vivo.
METHODOLOGY/PRINCIPAL FINDINGS: Gnotobiotic IL-10-/- mice were generated by broad-spectrum antibiotic treatment and perorally infected with the A. butzleri strains CCUG 30485 and C1 shown to be invasive in cell culture assays. Bacterial colonization capacities, clinical conditions, intestinal, extra-intestinal and systemic immune responses were monitored at day six and 16 postinfection (p.i.). Despite stable intestinal A. butzleri colonization at high loads, gnotobiotic IL-10-/- mice were virtually unaffected and did not display any overt symptoms at either time point. Notably, A. butzleri infection induced apoptosis of colonic epithelial cells which was paralleled by increased abundance of proliferating cells. Furthermore A. butzleri infection caused a significant increase of distinct immune cell populations such as T and B cells, regulatory T cells, macrophages and monocytes in the colon which was accompanied by elevated colonic TNF, IFN-γ, nitric oxide (NO), IL-6, IL-12p70 and MCP-1 concentrations. Strikingly, A. butzleri induced extra-intestinal and systemic immune responses as indicated by higher NO concentrations in kidney and increased TNF, IFN-γ, IL-12p70 and IL-6 levels in serum samples of infected as compared to naive mice. Overall, inflammatory responses could be observed earlier in the course of infection by the CCUG 30485 as compared to the C1 strain.
CONCLUSION/SIGNIFICANCE: Peroral A. butzleri infection induced not only intestinal but also extra-intestinal and systemic immune responses in gnotobiotic IL-10-/- mice in a strain-dependent manner. These findings point towards an immunopathogenic potential of A. butzleri in vertebrate hosts.
目前关于人弓形杆菌(A.)感染的免疫病理学影响存在争议。有报道称感染布氏弓形杆菌(A. butzleri)的患者出现伴有腹痛以及急性或持续性水样腹泻的肠胃炎发作。虽然在体外已描述了布氏弓形杆菌的黏附、侵袭和细胞毒性能力,但关于其体内免疫致病潜力及感染机制的信息有限。
方法/主要发现:通过广谱抗生素治疗培育出无菌的白细胞介素-10基因敲除(IL-10-/-)小鼠,并经口感染在细胞培养试验中显示具有侵袭性的布氏弓形杆菌菌株CCUG 30485和C1。在感染后第6天和第16天监测细菌定植能力、临床状况、肠道、肠外和全身免疫反应。尽管无菌的IL-10-/-小鼠肠道内布氏弓形杆菌在高负荷下稳定定植,但在两个时间点该小鼠实际上均未受影响且未表现出任何明显症状。值得注意的是,布氏弓形杆菌感染诱导结肠上皮细胞凋亡,同时增殖细胞丰度增加。此外,布氏弓形杆菌感染导致结肠中不同免疫细胞群体(如T细胞、B细胞、调节性T细胞、巨噬细胞和单核细胞)显著增加,同时结肠中肿瘤坏死因子(TNF)、干扰素-γ(IFN-γ)、一氧化氮(NO)、白细胞介素-6(IL-6)、白细胞介素-12p70和单核细胞趋化蛋白-1(MCP-1)浓度升高。引人注目的是,与未感染小鼠相比,布氏弓形杆菌感染导致肾脏中NO浓度升高以及感染小鼠血清样本中TNF、IFN-γ、IL-12p70和IL-6水平升高,表明其诱导了肠外和全身免疫反应。总体而言,与C1菌株相比,CCUG 30485菌株在感染过程中炎症反应出现得更早。
结论/意义:经口感染布氏弓形杆菌不仅在无菌的IL-10-/-小鼠中诱导了肠道免疫反应,还以菌株依赖的方式诱导了肠外和全身免疫反应。这些发现表明布氏弓形杆菌在脊椎动物宿主中具有免疫致病潜力。