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啮齿动物实验性小肠结肠炎耶尔森菌感染:人类耶尔森菌病的一个模型

Experimental Yersinia enterocolitica infection in rodents: a model for human yersiniosis.

作者信息

Heesemann J, Gaede K, Autenrieth I B

机构信息

Institute for Hygiene and Microbiology, University of Würzburg, Germany.

出版信息

APMIS. 1993 Jun;101(6):417-29.

PMID:8363822
Abstract

Yersinia enterocolitica infection in humans causes a broad spectrum of diseases ranging from acute bowel disease to extraintestinal manifestations such as reactive arthritis, erythema nodosum and uveitis. During the last decade a fascinating part of the molecular biology of the pathogenicity of human pathogenic Yersinia species has been unraveled. Pathogenicity factors such as protein tyrosine phosphatase, protein kinase, thrombin- and collagen-binding factors have been identified and characterized on the molecular level. In contrast to many animal models for human enteropathogenic microorganisms, experimental Y. enterocolitica infection in rodents resembles yersiniosis in humans and thus offers extraordinary opportunities to study the sequential steps of the infectious process. Rabbits are suitable animals in which to study Yersinia-induced enteritis (enterotoxin-mediated) and the humoral immune response after oral infection. The role of Peyer's patches (PP) in the entry of enteropathogenic Yersinia species has been elucidated in mice and rabbits. M cells are probably the primary target cells of invading Yersiniae. Surprisingly, after penetration of the mucosal epithelial cell layer Yersinia bacilli were visualized to be exclusively extracellular in PP tissue. Obviously neutrophils within PP were unable to phagocytize the invading microorganisms. Presently, it is not clear how the microorganisms disseminate from PP into lymph nodes, spleen, liver and lung of mice where they form abscesses and granuloma-like lesions. Immunohistologically the involvement of macrophages and T cells could be demonstrated in Yersinia-induced lesions of mice. Direct evidence for the role of T cells and cytokine-activated macrophages in the host defense reaction against a primary Yersinia infection in mice could be obtained from experiments including adoptive transfer of Yersinia-specific T cells and in vivo neutralization of TNF-alpha and IFN-gamma. The experimental rat model turned out to be a suitable model for studying Yersinia-induced aseptic arthritis. Lewis- and SHR rats proved to be arthritis-susceptible. Arthritogenicity of Yersinia for rats appeared to be restricted to Y. enterocolitica of serotype 08 and correlated with the virulence potential of this serotype. Surprisingly, expression of YadA, the collagen-binding factor, was not necessary for arthritis induction. A close association between both susceptibility to arthritis induction and Yersinia infection could be demonstrated in various rat strains. Depletion of alpha/beta T-cell receptor (alpha beta-TCR)-positive T cells by treatment with alpha beta-TCR-specific antibody revealed that T cells were required for clearance of the pathogen.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

人感染小肠结肠炎耶尔森菌会引发一系列疾病,从急性肠道疾病到肠外表现,如反应性关节炎、结节性红斑和葡萄膜炎。在过去十年中,人类致病性耶尔森菌致病性分子生物学中引人入胜的部分已被揭示。诸如蛋白酪氨酸磷酸酶、蛋白激酶、凝血酶和胶原结合因子等致病因素已在分子水平上得到鉴定和表征。与许多人类肠道致病微生物的动物模型不同,啮齿动物实验性小肠结肠炎耶尔森菌感染类似于人类的耶尔森菌病,因此为研究感染过程的连续步骤提供了绝佳机会。兔子是研究耶尔森菌诱导的肠炎(肠毒素介导)和口服感染后体液免疫反应的合适动物。派尔集合淋巴结(PP)在肠道致病性耶尔森菌进入中的作用已在小鼠和兔子中得到阐明。M细胞可能是入侵耶尔森菌的主要靶细胞。令人惊讶的是,在穿透粘膜上皮细胞层后,耶尔森菌杆菌在PP组织中仅存在于细胞外。显然,PP内的中性粒细胞无法吞噬入侵的微生物。目前尚不清楚微生物如何从PP扩散到小鼠的淋巴结、脾脏、肝脏和肺部,在那里它们形成脓肿和肉芽肿样病变。免疫组织化学显示,巨噬细胞和T细胞参与了小鼠的耶尔森菌诱导病变。通过包括过继转移耶尔森菌特异性T细胞以及体内中和TNF-α和IFN-γ的实验,可以获得T细胞和细胞因子激活的巨噬细胞在小鼠针对原发性耶尔森菌感染的宿主防御反应中作用的直接证据。实验大鼠模型被证明是研究耶尔森菌诱导的无菌性关节炎的合适模型。刘易斯大鼠和自发性高血压大鼠(SHR)被证明对关节炎易感。耶尔森菌对大鼠的致关节炎性似乎仅限于血清型08的小肠结肠炎耶尔森菌,并且与该血清型的毒力潜力相关。令人惊讶的是,胶原结合因子YadA的表达对于诱导关节炎并非必需。在各种大鼠品系中都可以证明关节炎诱导易感性与耶尔森菌感染之间存在密切关联。用αβ-TCR特异性抗体治疗耗尽α/βT细胞受体(αβ-TCR)阳性T细胞表明,T细胞是清除病原体所必需的。(摘要截短于400字)

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