解析度 D2 在感染性腹膜炎和继发性肺部感染模型中诱导抗微生物机制。

Resolvin D2 induces anti-microbial mechanisms in a model of infectious peritonitis and secondary lung infection.

机构信息

Department of Cell Biology and Neuroscience, Rowan University School of Osteopathic Medicine, Stratford, NJ, United States.

出版信息

Front Immunol. 2022 Dec 1;13:1011944. doi: 10.3389/fimmu.2022.1011944. eCollection 2022.

Abstract

In severe bacterial infections, there is a pro-inflammatory response to promote bacterial clearance but this response can cause tissue injury. Later, the immune system becomes dysregulated and the host is unable to clear a secondary or a pre-existing infection. Specialized Pro-resolving Mediators (SPMs) such as resolvin D2 (RvD2) have been shown to be beneficial for inflammation/infection resolution in animal models of sepsis but mechanisms by which RvD2 may promote bacterial clearance and/or attenuate deleterious effects of a secondary infection have not been fully established. In this study, we used the 2-hit model of cecal ligation and puncture (CLP) induced infectious peritonitis and secondary lung infection with to find possible antimicrobial and immunomodulatory mechanisms of RvD2. We show that RvD2 given as late as 48h after CLP surgery reduced blood bacterial load without altering plasma cytokines compared to mice given saline vehicle. RvD2 increased splenic neutrophil accumulation as well as average reactive oxygen species (ROS) production. There was also an increase in an immature leukocyte population the myeloid derived suppressor cells (MDSCs) in the spleen of RvD2 treated mice. RvD2 reduced lung lavage bacterial load 24h after administration and significantly decreased lung lavage levels of IL-23, a cytokine essential in the Th-17 inflammatory response. In addition, we show that RvD2 increased the number of non-inflammatory alveolar macrophages after administration compared to saline treated mice. The study uncovered an antimicrobial mechanism of RvD2 where RvD2 increases mature neutrophil and MDSC accumulation into the spleen to promote blood bacterial clearance. The study showed that in this 2-hit model, RvD2 promotes lung bacterial clearance, increased non-inflammatory alveolar macrophage number and inhibits an adaptive immune pathway providing evidence of its resolution mechanism in secondary pulmonary infection.

摘要

在严重的细菌感染中,会发生促炎反应以促进细菌清除,但这种反应会导致组织损伤。随后,免疫系统失调,宿主无法清除继发性或先前存在的感染。已经表明,专门的促解决介质(SPM),如 resolvin D2(RvD2),在败血症的动物模型中对炎症/感染的解决有益,但 RvD2 促进细菌清除和/或减轻继发性感染的有害影响的机制尚未完全确定。在这项研究中,我们使用盲肠结扎和穿刺(CLP)诱导的感染性腹膜炎和继发性肺部感染的 2 次打击模型,以寻找 RvD2 可能的抗菌和免疫调节机制。我们表明,与给予生理盐水载体的小鼠相比,在 CLP 手术后 48 小时给予 RvD2 可降低血液细菌负荷,而不改变血浆细胞因子。RvD2 增加了脾脏中性粒细胞的积累以及平均活性氧(ROS)的产生。在 RvD2 处理的小鼠的脾脏中,还存在幼稚白细胞群-髓源抑制细胞(MDSC)的增加。在 给药后 24 小时,RvD2 降低了肺灌洗液中的细菌负荷,并显著降低了肺灌洗液中白细胞介素 23(IL-23)的水平,IL-23 是 Th-17 炎症反应中必不可少的细胞因子。此外,我们表明,与给予生理盐水的小鼠相比,RvD2 给药后增加了非炎症性肺泡巨噬细胞的数量。该研究揭示了 RvD2 的一种抗菌机制,其中 RvD2 增加成熟中性粒细胞和 MDSC 积聚到脾脏中,以促进血液细菌清除。该研究表明,在这种 2 次打击模型中,RvD2 促进肺部细菌清除,增加非炎症性肺泡巨噬细胞数量,并抑制适应性免疫途径,为其在继发性肺部感染中的解决机制提供了证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ea/9754689/11a8feb9c000/fimmu-13-1011944-g001.jpg

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