Goldstein E, Buhles W C, Akers T G, Vedros N
Infect Immun. 1972 Sep;6(3):398-402. doi: 10.1128/iai.6.3.398-402.1972.
A reduction in pulmonary anti-bacterial activity due to a preceding viral illness has been suggested as the mechanism responsible for some meningococcal infections of the lung. We investigated this proposed pathogenesis by infecting mice with airborne encephalomyocarditis virus (EMC) and then challenging them 1, 4, and 7 days later with aerosols of Neisseria meningitidis. Meningococcal clearance was assessed by comparing the numbers of bacteria present immediately after inhaling the aerosols with the numbers present 3 hr later. To insure that EMC virus adequately depressed murine defense mechanisms, we also determined staphylococcal killing rates at 4 hr by using radiophosphorus-labeled staphylococcal aerosols. Viral infection depressed murine pulmonary antimeningococcal activity at 1 and 4 days (P < 0.01) but not at 7 days. Intrapulmonary staphylococcal killing was impaired on day 4 (P < 0.01) but not on days 1 or 7. Pulmonary viral titers decreased rapidly from 10(7) to 10(3) plaque-forming units/ml of lung during the experimental period. According to these data viral disease transiently depresses resistance to meningococcal infection. This impairment in host resistance is present while the viral titer is decreasing and follows a relatively similar pattern to the transient decrease noted for staphylococci.
先前的病毒性疾病导致肺部抗菌活性降低,这被认为是肺部某些脑膜炎球菌感染的发病机制。我们通过给小鼠感染空气传播的脑心肌炎病毒(EMC),然后在1天、4天和7天后用脑膜炎奈瑟菌气雾剂对它们进行攻击,来研究这种提出的发病机制。通过比较吸入气雾剂后立即存在的细菌数量与3小时后存在的细菌数量来评估脑膜炎球菌的清除情况。为确保EMC病毒充分抑制小鼠的防御机制,我们还通过使用放射性磷标记的葡萄球菌气雾剂在4小时时测定葡萄球菌的杀灭率。病毒感染在1天和4天时降低了小鼠肺部抗脑膜炎球菌的活性(P < 0.01),但在7天时没有降低。肺内葡萄球菌的杀灭在第4天受损(P < 0.01),但在第1天或第7天没有受损。在实验期间,肺部病毒滴度从10(7) 斑块形成单位/毫升肺迅速降至10(3)。根据这些数据,病毒性疾病会短暂降低对脑膜炎球菌感染的抵抗力。宿主抵抗力的这种损害在病毒滴度下降时出现,并且与葡萄球菌所观察到的短暂下降遵循相对相似的模式。