Qi Jialong, Gao Ruiyu, Liu Cunbao, Shan Bin, Gao Fulan, He Jinrong, Yuan Mingcui, Xie Hanghang, Jin Shumei, Ma Yanbing
Department of Molecular Immunology, Institute of Medical Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Kunming, People's Republic of China.
Department of Clinical Lab, The First Affiliated Hospital of Kunming Medical University, Kunming, People's Republic of China.
Infect Drug Resist. 2019 Sep 23;12:2865-2874. doi: 10.2147/IDR.S217020. eCollection 2019.
, an antimicrobial peptide (AMP), provides protection against multidrug-resistant (MDR) bacterial infections and shows cytotoxicity to mammalian cells. Mixed bacterial infections, of which plus is the most common and dangerous combination, are critical contributors to the morbidity and mortality of long-term in-hospital respiratory medicine patients. Therefore, the development of effective therapeutic approaches to mixed bacterial infections is urgently needed.
In this study, we demonstrated that compared with individual infections, mixed infections with MDR bacteria and cause more serious diseases, with increased pro-inflammatory cytokines (IL-1β, IL-6, TNF-α) and chemokines (MCP-1/MIP-2) and reduced mouse survival. In vitro treatment with enhanced phagocytosis in a mouse alveolar macrophage cell line (MH-S). Strikingly, in vivo, demonstrated a potential role against mixed-MDR bacterial coinfection. The bacterial burden in bronchoalveolar lavage fluid (BALF) was significantly reduced in the treated group. In addition, a systemic reduction in pro-inflammatory cytokines and decreased lung injury occurred with therapy.
Therefore, our study demonstrated that represents a potential therapeutic treatment against mixed-MDR bacterial infection in vivo, which sheds light on the development of therapeutic strategies against mixed-MDR bacterial infections.
一种抗菌肽(AMP)可抵御多重耐药(MDR)细菌感染,并对哺乳动物细胞表现出细胞毒性。混合细菌感染是长期住院呼吸内科患者发病和死亡的关键因素,其中[细菌名称1]加[细菌名称2]是最常见且危险的组合。因此,迫切需要开发针对混合细菌感染的有效治疗方法。
在本研究中,我们证明与单一感染相比,MDR细菌[细菌名称1]和[细菌名称2]的混合感染会导致更严重的疾病,促炎细胞因子(IL-1β、IL-6、TNF-α)和趋化因子(MCP-1/MIP-2)增加,小鼠存活率降低。在小鼠肺泡巨噬细胞系(MH-S)中,用[抗菌肽名称]进行体外处理可增强吞噬作用。引人注目的是,在体内,[抗菌肽名称]对混合MDR细菌共感染显示出潜在作用。治疗组支气管肺泡灌洗液(BALF)中的细菌载量显著降低。此外,[抗菌肽名称]治疗导致促炎细胞因子系统性减少,肺损伤减轻。
因此,我们的研究表明[抗菌肽名称]在体内对混合MDR细菌感染具有潜在的治疗作用,这为开发针对混合MDR细菌感染的治疗策略提供了线索。