Weber Andreas, Zimmermann Corinna, Mausberg Anne K, Dehmel Thomas, Kieseier Bernd C, Hartung Hans-Peter, Hofstetter Harald H
Department of Neurology, Medical Faculty, Heinrich Heine University, Dusseldorf, Germany
Department of Neurology, Medical Faculty, Heinrich Heine University, Dusseldorf, Germany.
Infect Immun. 2016 Apr 22;84(5):1413-1423. doi: 10.1128/IAI.00905-15. Print 2016 May.
Infections with Pseudomonas aeruginosa may cause many different diseases. The spectrum of such infections in general includes inflammation and bacterial sepsis. Hospital-acquired pneumonia, naturally resistant to a wide range of antibiotics, is associated with a particularly high mortality rate in mechanically ventilated patients. The pathogenesis of P. aeruginosa is complex and mediated by several virulence factors, as well as cell-associated factors. We have previously demonstrated that stimulation with different bacteria triggers the cytokine response of thymocytes. In this study, we investigated the effect of P. aeruginosa and its different components on the cytokine production of immature and mature immune cells. We found that the induced cytokine pattern in the thymus and the spleen after infections with P. aeruginosa is primarily mediated by lipopolysaccharide (LPS) of the outer cell membrane, but other components of the bacterium can influence the cytokine secretion as well. Stimulation with heat-killed P. aeruginosa and LPS does not influence the amount of cytokine-producing CD4(+) T cells but instead suppresses the emergence of Th17 cells. However, stimulation with P. aeruginosa or its components triggers the interleukin-17 (IL-17) response both in thymocytes and in splenocytes. We conclude that infections with P. aeruginosa affect the cytokine secretion of immature and mature cells and that IL-17 and Th17 cells play only a minor role in the development of pathological systemic inflammatory disease conditions during P. aeruginosa infections. Therefore, other inflammatory immune responses must be responsible for septic reactions of the host.
铜绿假单胞菌感染可引发多种不同疾病。此类感染的范围通常包括炎症和细菌性败血症。医院获得性肺炎对多种抗生素天然耐药,在机械通气患者中死亡率特别高。铜绿假单胞菌的发病机制复杂,由多种毒力因子以及细胞相关因子介导。我们之前已证明,用不同细菌刺激可触发胸腺细胞的细胞因子反应。在本研究中,我们调查了铜绿假单胞菌及其不同组分对未成熟和成熟免疫细胞细胞因子产生的影响。我们发现,铜绿假单胞菌感染后胸腺和脾脏中诱导的细胞因子模式主要由外细胞膜的脂多糖(LPS)介导,但该细菌的其他组分也可影响细胞因子分泌。用热灭活的铜绿假单胞菌和LPS刺激不会影响产生细胞因子的CD4(+) T细胞数量,但会抑制Th17细胞的出现。然而,用铜绿假单胞菌或其组分刺激会在胸腺细胞和脾细胞中触发白细胞介素-17(IL-17)反应。我们得出结论,铜绿假单胞菌感染会影响未成熟和成熟细胞的细胞因子分泌,并且IL-17和Th17细胞在铜绿假单胞菌感染期间病理性全身炎症性疾病状态的发展中仅起次要作用。因此,其他炎症免疫反应必定是宿主败血症反应的原因。