Grützkau A, Hanski C, Naumann M
Klinikum Steglitz, Abteilung für Innere Medizin mit Schwerpunkt Gastroenterologie, Freien Universität Berlin, Germany.
Virchows Arch A Pathol Anat Histopathol. 1993;423(2):97-103. doi: 10.1007/BF01606583.
Yersinia enterocolitica is an invasive pathogen capable of causing a wide spectrum of gastrointestinal diseases in man. While there is a considerable body of data on the invasiveness of Y. enterocolitica in vitro, little is known about the events in vivo leading to the translocation of the bacteria from the intestinal lumen into the ileal tissue. There is no detailed ultrastructural information describing the course of infection of pathogenic Y. enterocolitica in comparison with an avirulent strain. We compared a virulent plasmid-bearing strain and an isogenic avirulent plasmid-free derivative strain of Y. enterocolitica serotype O:8 at the ultrastructural level, in the established model of murine yersiniosis. At 12 h post-inoculation we found no indications of an active invasion of the intestinal epithelium, although microcolonies of the pathogenic strain were detectable closely under the follicle-associated epithelium of the Peyer's patches. The plasmid-bearing strain of Y. enterocolitica affected the gut-associated lymphoid tissue which was destroyed 36 h post-infection. Unlike the pathogenic strain of Y. enterocolitica, the nonpathogenic plasmid-free strain caused no detectable morphological alterations in the ileal tissue by this time. Morphological evidence is provided that Yersinia does not invade the ileal epithelium in an active manner, as has been observed in vitro, but appears to be transported across the epithelial barrier by M-cells.
小肠结肠炎耶尔森菌是一种侵袭性病原菌,可在人类中引起广泛的胃肠道疾病。虽然关于小肠结肠炎耶尔森菌在体外的侵袭性已有大量数据,但对于该细菌从肠腔转移至回肠组织的体内过程却知之甚少。与无毒力菌株相比,目前尚无描述致病性小肠结肠炎耶尔森菌感染过程的详细超微结构信息。在已建立的小鼠耶尔森菌病模型中,我们在超微结构水平上比较了小肠结肠炎耶尔森菌血清型O:8的携带毒力质粒菌株和同基因无毒力无质粒衍生菌株。接种后12小时,我们未发现肠道上皮有活跃侵袭的迹象,尽管在派尔集合淋巴结的滤泡相关上皮下方可检测到致病性菌株的微菌落。携带质粒的小肠结肠炎耶尔森菌菌株影响肠道相关淋巴组织,该组织在感染后36小时被破坏。与致病性小肠结肠炎耶尔森菌菌株不同,此时无质粒的非致病性菌株在回肠组织中未引起可检测到的形态学改变。有形态学证据表明,耶尔森菌并非如在体外观察到的那样以活跃方式侵袭回肠上皮,而是似乎通过M细胞穿过上皮屏障进行转运。