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先天免疫机制促进人体对鲍曼不动杆菌感染的反应。

Innate immune mechanisms promote human response to Acinetobacter baumannii infection.

机构信息

Molecular Neuroimmunology Unit, IRCSS Fondazione Santa Lucia, Rome, Italy.

Department of Science, University Roma Tre, Rome, Italy.

出版信息

Eur J Immunol. 2024 Nov;54(11):e2451170. doi: 10.1002/eji.202451170. Epub 2024 Jul 28.

Abstract

Acinetobacter baumannii is an opportunistic Gram-negative bacterium representing one of the leading causes of ventilator-associated pneumonia. The development of pneumonia results from a complex interplay between pathogens and pulmonary innate mucosal immunity. Therefore, the knowledge of the host immune responses is pivotal for the development of effective therapeutics to treat A. baumannii infections. Previous studies were conducted using cell lines and animal models, but a comprehensive understanding of the interaction between A. baumannii and primary human immune cells is still lacking. To bridge this gap, we investigated the response of primary monocytes, macrophages, and dendritic cells to the A. baumannii-type strain and an epidemic clinical isolate. We found that all immune cells trigger different responses when interacting with A. baumannii. In particular, macrophages and monocytes mediate bacterial clearance, whereas monocytes and dendritic cells activate a late response through the production of cytokines, chemokines, and the expression of co-stimulatory molecules. The epidemic strain induces lower expression of interleukin-10 and CD80 compared with the type strain, potentially constituting two immune evasion strategies.

摘要

鲍曼不动杆菌是一种机会性革兰氏阴性菌,是呼吸机相关性肺炎的主要致病原因之一。肺炎的发生是病原体与肺部固有黏膜免疫之间复杂相互作用的结果。因此,宿主免疫反应的知识对于开发治疗鲍曼不动杆菌感染的有效疗法至关重要。先前的研究使用细胞系和动物模型进行,但对鲍曼不动杆菌与原代人免疫细胞之间的相互作用仍缺乏全面的了解。为了弥补这一空白,我们研究了原代单核细胞、巨噬细胞和树突状细胞对鲍曼不动杆菌型菌株和流行临床分离株的反应。我们发现,所有免疫细胞在与鲍曼不动杆菌相互作用时都会触发不同的反应。特别是,巨噬细胞和单核细胞介导细菌清除,而单核细胞和树突状细胞通过细胞因子、趋化因子的产生和共刺激分子的表达来激活晚期反应。与标准株相比,流行株诱导的白细胞介素-10 和 CD80 的表达水平较低,这可能构成了两种免疫逃避策略。

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