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一种慢性、可传播性中耳炎的小鼠模型。

A model of chronic, transmissible Otitis Media in mice.

机构信息

Department of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens, Georgia, United States of America.

Center for Vaccines and Immunology, College of Veterinary Medicine, University of Georgia, Athens, Georgia, United States of America.

出版信息

PLoS Pathog. 2019 Apr 10;15(4):e1007696. doi: 10.1371/journal.ppat.1007696. eCollection 2019 Apr.

Abstract

Infection and inflammation of the middle ears that characterizes acute and chronic otitis media (OM), is a major reason for doctor visits and antibiotic prescription, particularly among children. Nasopharyngeal pathogens that are commonly associated with OM in humans do not naturally colonize the middle ears of rodents, and experimental models in most cases involve directly injecting large numbers of human pathogens into the middle ear bullae of rodents, where they induce a short-lived acute inflammation but fail to persist. Here we report that Bordetella pseudohinzii, a respiratory pathogen of mice, naturally, efficiently and rapidly ascends the eustachian tubes to colonize the middle ears, causing acute and chronic histopathological changes with progressive decrease in hearing acuity that closely mimics otitis media in humans. Laboratory mice experimentally inoculated intranasally with very low numbers of bacteria consistently have their middle ears colonized and subsequently transmit the bacterium to cage mates. Taking advantage of the specifically engineered and well characterized immune deficiencies available in mice we conducted experiments to uncover different roles of T and B cells in controlling bacterial numbers in the middle ear during chronic OM. The iconic mouse model provides significant advantages for elucidating aspects of host-pathogen interactions in otitis media that are currently not possible using other animal models. This natural model of otitis media permits the study of transmission between hosts, efficient early colonization of the respiratory tract, ascension of the eustachian tube, as well as colonization, pathogenesis and persistence in the middle ear. It also allows the combination of the powerful tools of mouse molecular immunology and bacterial genetics to determine the mechanistic basis for these important processes.

摘要

中耳的感染和炎症是急性和慢性中耳炎 (OM) 的特征,是医生就诊和开抗生素处方的主要原因,尤其是在儿童中。与人类 OM 常相关的鼻咽病原体不会自然定植于啮齿动物的中耳,而大多数情况下的实验模型涉及将大量人类病原体直接注入啮齿动物的中耳鼓室,在那里它们会引起短暂的急性炎症,但无法持续存在。在这里,我们报告一种呼吸道病原体博德特氏假单胞菌,它会自然、高效且快速地通过咽鼓管上升到中耳,引起急性和慢性组织病理学变化,导致听力逐渐下降,这与人类中耳炎非常相似。经实验鼻腔接种少量细菌的实验室小鼠始终会使其中耳定植,并随后将细菌传播给笼内的同伴。利用小鼠中特有的经过精心设计和明确特征的免疫缺陷,我们进行了实验,以揭示 T 和 B 细胞在控制慢性 OM 期间中耳中细菌数量方面的不同作用。这个具有标志性的小鼠模型为阐明中耳炎中宿主-病原体相互作用的各个方面提供了重要优势,而这些方面目前使用其他动物模型是无法实现的。这种天然的中耳炎模型允许研究宿主之间的传播、呼吸道的早期高效定植、咽鼓管的上升以及中耳的定植、发病机制和持续存在。它还允许将小鼠分子免疫学和细菌遗传学的强大工具结合起来,以确定这些重要过程的机制基础。

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