Jakab G J, Green G M
J Clin Invest. 1972 Aug;51(8):1989-98. doi: 10.1172/JCI107005.
Pulmonary virus infections predispose to bacterial infections in the lung. The mechanism of this effect was studied by quantitative comparison of the effects of airborne acute viral infection on pulmonary transport vs. in situ bactericidal mechanisms in mice. Animals infected by aerosol with 10(4) TCID(50) of Sendai virus developed pathologic pulmonary changes of interstitial pneumonitis, bronchial epithelial desquamation, and peribronchial mononuclear cell infiltration 7 days later. At that time, the mice were challenged with an aerosol of viable (32)P-labeled Staphylococcus aureus. Pulmonary bactericidal activity and physical transport by the lung were determined by the determination of viable staphylococcal and (32)P radiotracer counts respectively at 4, 24, 48, and 72 hr after bacterial challenge. Infected mice showed a significant decrease from normal in the rate of reduction of viable bacterial counts in the first 4 hr after challenge followed by a proliferation of the staphylococci. By contrast, radiotracer removal rates at 4 and 24 hr were similar in infected and noninfected mice. There was a small but significant retention of (32)P in the lungs of the infected animals at the later periods. These data demonstrate that bacterial multiplication associated with virus infection of lungs is related to defects in in situ bactericidal (phagocytic) mechanisms rather than transport mechanisms of the lung, despite histologic evidence of extensive destruction of bronchial-ciliated epithelium.
肺部病毒感染易引发肺部细菌感染。通过对空气传播的急性病毒感染对肺部转运与小鼠原位杀菌机制的影响进行定量比较,研究了这种效应的机制。用10⁴组织培养感染剂量(TCID₅₀)的仙台病毒气溶胶感染动物,7天后出现间质性肺炎、支气管上皮脱落和支气管周围单核细胞浸润等病理性肺部变化。此时,用活的³²P标记的金黄色葡萄球菌气溶胶对小鼠进行攻击。分别在细菌攻击后4、24、48和72小时,通过测定存活葡萄球菌和³²P放射性示踪剂计数来确定肺部杀菌活性和肺部的物理转运。感染小鼠在攻击后的前4小时内,存活细菌数量的减少率与正常情况相比显著降低,随后葡萄球菌增殖。相比之下,感染和未感染小鼠在4小时和24小时时的放射性示踪剂清除率相似。在后期,感染动物的肺部有少量但显著的³²P滞留。这些数据表明,与肺部病毒感染相关的细菌繁殖与原位杀菌(吞噬)机制的缺陷有关,而非肺部的转运机制,尽管有组织学证据表明支气管纤毛上皮有广泛破坏。