Mousavi Soraya, Schmidt Anna-Maria, Escher Ulrike, Kittler Sophie, Kehrenberg Corinna, Thunhorst Elisa, Bereswill Stefan, Heimesaat Markus M
CC5, Institute of Microbiology, Infectious Diseases and Immunology, Gastrointestinal Microbiology Research Group, Charité - University Medicine Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Campus Benjamin Franklin, FEM, Garystr. 5, 14195 Berlin, Germany.
2Institute for Food Quality and Food Safety, University of Veterinary Medicine Hannover, Hannover, Germany.
Gut Pathog. 2020 Jan 8;12:2. doi: 10.1186/s13099-019-0343-4. eCollection 2020.
The prevalence of human infections with the zoonotic pathogen is rising worldwide. Therefore, the identification of compounds with potent anti-pathogenic and anti-inflammatory properties for future therapeutic and/or preventive application to combat campylobacteriosis is of importance for global health. Results of recent studies suggested carvacrol (4-isopropyl-2-methylphenol) as potential candidate molecule for the treatment of campylobacteriosis in humans and for the prevention of colonization in farm animals.
To address this in a clinical murine infection model of acute campylobacteriosis, secondary abiotic IL-10 mice were subjected to synthetic carvacrol via the drinking water starting 4 days before peroral challenge. Whereas at day 6 post-infection placebo treated mice suffered from acute enterocolitis, mice from the carvacrol cohort not only harbored two log orders of magnitude lower pathogen loads in their intestines, but also displayed significantly reduced disease symptoms. Alleviated campylobacteriosis following carvacrol application was accompanied by less distinct intestinal apoptosis and pro-inflammatory immune responses as well as by higher numbers of proliferating colonic epithelial cells. Remarkably, the inflammation-ameliorating effects of carvacrol treatment were not restricted to the intestinal tract, but could also be observed in extra-intestinal organs such as liver, kidneys and lungs and, strikingly, systemically as indicated by lower IFN-γ, TNF, MCP-1 and IL-6 serum concentrations in carvacrol versus placebo treated mice. Furthermore, carvacrol treatment was associated with less frequent translocation of viable originating from the intestines to extra-intestinal compartments.
The lowered loads and alleviated symptoms observed in the here applied clinical murine model for human campylobacteriosis highlight the application of carvacrol as a promising novel option for both, the treatment of campylobacteriosis and hence, for prevention of post-infectious sequelae in humans, and for the reduction of colonization in the intestines of vertebrate lifestock animals.
人畜共患病原体导致的人类感染在全球范围内呈上升趋势。因此,鉴定具有强大抗病原体和抗炎特性的化合物,以便未来用于治疗和/或预防弯曲杆菌病,对全球健康至关重要。近期研究结果表明,香芹酚(4-异丙基-2-甲基苯酚)是治疗人类弯曲杆菌病以及预防农场动物感染的潜在候选分子。
为了在急性弯曲杆菌病的临床小鼠感染模型中验证这一点,在经口攻击前4天开始,通过饮用水给非生物性白细胞介素-10基因敲除小鼠施用合成香芹酚。感染后第6天,接受安慰剂治疗的小鼠患有急性小肠结肠炎,而香芹酚组的小鼠不仅肠道内病原体载量降低了两个对数数量级,而且疾病症状也明显减轻。施用香芹酚后弯曲杆菌病症状减轻,同时肠道细胞凋亡和促炎免疫反应也不那么明显,并且结肠上皮细胞增殖数量增加。值得注意的是,香芹酚治疗的炎症改善作用不仅限于肠道,在肝脏、肾脏和肺等肠道外器官也能观察到,而且显著地,在全身也有体现,表现为香芹酚处理组小鼠的血清干扰素-γ、肿瘤坏死因子、单核细胞趋化蛋白-1和白细胞介素-6浓度低于安慰剂处理组小鼠。此外,香芹酚治疗与肠道内活的弯曲杆菌向肠道外隔室的转移频率降低有关。
在此应用的人类弯曲杆菌病临床小鼠模型中观察到的病原体载量降低和症状减轻,突出了香芹酚作为一种有前景的新选择的应用价值,它既可以用于治疗弯曲杆菌病,从而预防人类感染后的后遗症,也可以用于减少脊椎动物家畜肠道内弯曲杆菌的定植。