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屋尘螨气传变应原抑制肺炎球菌肺部感染引发的白细胞吞噬作用和细胞外诱捕网形成。

House Dust Mite Aeroallergen Suppresses Leukocyte Phagocytosis and Netosis Initiated by Pneumococcal Lung Infection.

作者信息

Papanicolaou Angelica, Wang Hao, McQualter Jonathan, Aloe Christian, Selemidis Stavros, Satzke Catherine, Vlahos Ross, Bozinovski Steven

机构信息

School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, Australia.

Translational Microbiology Group, Murdoch Children's Research Institute, Parkville, VIC, Australia.

出版信息

Front Pharmacol. 2022 Feb 22;13:835848. doi: 10.3389/fphar.2022.835848. eCollection 2022.

Abstract

Asthmatics are highly susceptible to developing lower respiratory tract infections caused by (SPN, the pneumococcus). It has recently emerged that underlying allergic airway disease creates a lung microenvironment that is defective in controlling pneumococcal lung infections. In the present study, we examined how house dust mite (HDM) aeroallergen exposure altered immunity to acute pneumococcal lung infection. Alveolar macrophage (AM) isolated from HDM-exposed mice expressed alternatively activated macrophage (AAM) markers including YM1, FIZZ1, IL-10, and ARG-1. , prior HDM exposure resulted in accumulation of AAMs in the lungs and 2-log higher bacterial titres in the bronchoalveolar (BAL) fluid of SPN-infected mice (Day 2). Acute pneumococcal infection further increased the expression of IL-10 and ARG1 in the lungs of HDM-exposed mice. Moreover, prior HDM exposure attenuated neutrophil extracellular traps (NETs) formation in the lungs and dsDNA levels in the BAL fluid of SPN-infected mice. In addition, HDM-SPN infected animals had significantly increased BAL fluid cellularity driven by an influx of macrophages/monocytes, neutrophils, and eosinophils. Increased lung inflammation and mucus production was also evident in HDM-sensitised mice following acute pneumococcal infection, which was associated with exacerbated airway hyperresponsiveness. Of note, PCV13 vaccination modestly reduced pneumococcal titres in the BAL fluid of HDM-exposed animals and did not prevent BAL inflammation. Our findings provide new insights on the relationship between pneumococcal lung infections and allergic airways disease, where defective AM phagocytosis and NETosis are implicated in increased susceptibility to pneumococcal infection.

摘要

哮喘患者极易发生由肺炎链球菌(SPN)引起的下呼吸道感染。最近发现,潜在的过敏性气道疾病会导致肺部微环境在控制肺炎链球菌肺部感染方面存在缺陷。在本研究中,我们研究了接触屋尘螨(HDM)变应原如何改变对急性肺炎链球菌肺部感染的免疫力。从接触HDM的小鼠中分离出的肺泡巨噬细胞(AM)表达了替代性活化巨噬细胞(AAM)标志物,包括Ym1、FIZZ1、IL-10和ARG-1。此前接触HDM导致AAM在肺部积聚,并且感染SPN的小鼠支气管肺泡灌洗液(BAL)中的细菌滴度高2个对数(第2天)。急性肺炎链球菌感染进一步增加了接触HDM小鼠肺部IL-10和ARG1的表达。此外,此前接触HDM减弱了感染SPN小鼠肺部中性粒细胞胞外陷阱(NETs)的形成以及BAL液中的双链DNA水平。此外,HDM-SPN感染的动物由于巨噬细胞/单核细胞、中性粒细胞和嗜酸性粒细胞的流入导致BAL液细胞增多显著增加。在急性肺炎链球菌感染后,HDM致敏小鼠的肺部炎症和黏液分泌也明显增加,这与气道高反应性加剧有关。值得注意的是,13价肺炎球菌结合疫苗(PCV13)适度降低了接触HDM动物BAL液中的肺炎球菌滴度,但并未预防BAL炎症。我们的研究结果为肺炎链球菌肺部感染与过敏性气道疾病之间的关系提供了新的见解,其中AM吞噬作用和NETosis缺陷与肺炎链球菌感染易感性增加有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d017/8902390/44dbbdd9790a/fphar-13-835848-g001.jpg

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