Department of Inflammation and Immunology, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.
Front Immunol. 2021 May 20;12:666198. doi: 10.3389/fimmu.2021.666198. eCollection 2021.
is a common pathogen in human sepsis. The emergence of multidrug-resistant strains represents a major clinical challenge in nosocomial and community acquired infections. The long pentraxin PTX3, a key component of humoral innate immunity, is involved in resistance to selected pathogens by promoting opsonophagocytosis. We investigated the relevance of PTX3 in innate immunity against infections using mice and mouse models of severe infections. Local and systemic PTX3 expression was induced following pulmonary infection, in association with the up-regulation of TNF-α and IL-1β. PTX3 deficiency in mice was associated with higher bacterial burden and mortality, release of pro-inflammatory cytokines as well as IL-10 in the lung and systemically. The analysis of the mechanisms responsible of PTX3-dependent control of infection revealed that PTX3 did not interact with , or promote opsonophagocytosis. The comparison of susceptibility of wild-type, and / mice to the infection showed that PTX3 acted in a complement-independent manner. Lung histopathological analysis showed more severe lesions in mice with fibrinosuppurative, necrotizing and haemorrhagic bronchopneumonia, associated with increased fibrin deposition in the lung and circulating fibrinogen consumption. These findings indicate that PTX3 contributes to the control of infection by modulating inflammatory responses and tissue damage. Thus, this study emphasizes the relevance of the role of PTX3 as regulator of inflammation and orchestrator of tissue repair in innate responses to infections.
是人类败血症的常见病原体。多药耐药菌株的出现代表了医院和社区获得性感染中主要的临床挑战。长型 pentraxin PTX3 是体液先天免疫的关键组成部分,通过促进调理吞噬作用参与对选定病原体的抵抗。我们使用 和 感染的小鼠模型研究了 PTX3 在先天免疫抵抗 感染中的相关性。在发生肺部感染后,PTX3 在局部和全身表达增加,同时 TNF-α 和 IL-1β 上调。与野生型小鼠相比,PTX3 缺陷型小鼠的细菌负荷和死亡率更高,肺部和全身的促炎细胞因子(如 IL-10)释放也更高。对 PTX3 依赖性控制 感染的机制分析表明,PTX3 与 不相互作用,也不促进调理吞噬作用。对野生型、 和 / 小鼠易感性的比较表明,PTX3 以补体非依赖的方式发挥作用。肺部组织病理学分析显示,PTX3 缺陷型小鼠的病变更严重,表现为纤维蛋白脓性、坏死性和出血性支气管肺炎,与肺部和循环纤维蛋白原消耗增加的纤维蛋白沉积有关。这些发现表明,PTX3 通过调节炎症反应和组织损伤来控制 感染。因此,本研究强调了 PTX3 作为炎症调节剂和组织修复协调者在先天免疫对感染反应中的重要作用。