ten Hagen T L, van Vianen W, Savelkoul H F, Heremans H, Buurman W A, Bakker-Woudenberg I A
Department of Clinical Microbiology and Antimicrobial Therapy, Erasmus University Rotterdam, The Netherlands.
Infect Immun. 1998 May;66(5):1962-7. doi: 10.1128/IAI.66.5.1962-1967.1998.
We have previously shown that prophylactic administration of the liposome-encapsulated immunomodulating agents muramyl tripeptide phosphatidylethanolamine (MTPPE) and gamma interferon (IFN-gamma) results in strongly increased survival of mice from a normally lethal septicemia with Klebsiella pneumoniae. It was anticipated that the treatment acts on macrophages and nonspecifically augments host resistance to various infections. In the present study, we provide evidence for a key role for T cells in host defense potentiation by the liposomal immunomodulators toward K. pneumoniae septicemia. It is shown that both CD4 and CD8 cells are important in immunomodulation, most likely due to production of IFN-gamma. Depletion of circulating IFN-gamma resulted in strong reduction of the antimicrobial host defense activation. Administration of interleukin-10 resulted in decreased antimicrobial host defense activation by liposomal immunomodulators. Moreover, administration of liposomal immunomodulators was shown to induce predominantly T-helper type 1 (Th1) cell populations in the spleen. These findings indicate that immunomodulation with liposomal MTPPE and IFN-gamma favors Th1 and NK cell activation.
我们之前已经表明,预防性给予脂质体包裹的免疫调节剂胞壁酰三肽磷脂酰乙醇胺(MTPPE)和γ干扰素(IFN-γ)可显著提高小鼠在通常致命的肺炎克雷伯菌败血症中的存活率。预计该治疗作用于巨噬细胞,并非特异性地增强宿主对各种感染的抵抗力。在本研究中,我们提供了证据表明T细胞在脂质体免疫调节剂增强宿主对肺炎克雷伯菌败血症的防御中起关键作用。结果表明,CD4和CD8细胞在免疫调节中都很重要,这很可能是由于IFN-γ的产生。循环IFN-γ的耗竭导致抗菌宿主防御激活的强烈降低。白细胞介素-10的给予导致脂质体免疫调节剂对抗菌宿主防御激活的降低。此外,脂质体免疫调节剂的给予显示主要诱导脾脏中的1型辅助性T(Th1)细胞群体。这些发现表明,脂质体MTPPE和IFN-γ的免疫调节有利于Th1和NK细胞的激活。