Trindade Bruno C, Theriot Casey M, Leslie Jhansi L, Carlson Paul E, Bergin Ingrid L, Peters-Golden Marc, Young Vincent B, Aronoff David M
Department of Medicine, Division of Infectious Diseases, Vanderbilt University Medical Center, 1161 21st Avenue South, Nashville, TN 37232, USA; CAPES Foundation, Ministry of Education of Brazil, Brasília, DF 70040-020, Brazil.
Department of Internal Medicine, Division of Infectious Diseases, The University of Michigan, 1500 East Medical Center Drive, 3119 Taubman Center, Ann Arbor, MI 48109, USA.
Anaerobe. 2014 Dec;30:90-8. doi: 10.1016/j.anaerobe.2014.09.006. Epub 2014 Sep 16.
Clostridium difficile is the major cause of antibiotic-associated diarrhea and pseudomembranous colitis in healthcare settings. However, the host factors involved in the intestinal inflammatory response and pathogenesis of C. difficile infection (CDI) are largely unknown. Here we investigated the role of leukotrienes (LTs), a group of pro-inflammatory lipid mediators, in CDI. Notably, the neutrophil chemoattractant LTB4, but not cysteinyl (cys) LTs, was induced in the intestine of C57BL/6 mice infected with either C. difficile strain VPI 10463 or strain 630. Genetic or pharmacological ablation of LT production did not ameliorate C. difficile colitis or clinical signs of disease in infected mice. Histological analysis demonstrated that intestinal neutrophilic inflammation, edema and tissue damage in mice during acute and severe CDI were not modulated in the absence of LTs. In addition, CDI induced a burst of cytokines in the intestine of infected mice in a LT-independent manner. Serum levels of anti-toxin A immunoglobulin (Ig) G levels were also not modulated by endogenous LTs. Collectively, our results do not support a role for LTs in modulating host susceptibility to CDI in mice.
艰难梭菌是医疗机构中抗生素相关性腹泻和伪膜性结肠炎的主要病因。然而,参与艰难梭菌感染(CDI)肠道炎症反应和发病机制的宿主因素在很大程度上尚不清楚。在此,我们研究了白三烯(LTs)这一组促炎性脂质介质在CDI中的作用。值得注意的是,在感染了艰难梭菌VPI 10463菌株或630菌株的C57BL/6小鼠肠道中,诱导产生的是中性粒细胞趋化因子白三烯B4(LTB4),而非半胱氨酰白三烯(cysLTs)。LT生成的基因敲除或药物抑制并未改善感染小鼠的艰难梭菌结肠炎或疾病的临床症状。组织学分析表明,在缺乏LTs的情况下,急性和严重CDI期间小鼠肠道中的中性粒细胞炎症、水肿和组织损伤并未得到调节。此外,CDI以不依赖LTs的方式在感染小鼠肠道中诱导细胞因子爆发。内源性LTs也未调节抗毒素A免疫球蛋白(Ig)G的血清水平。总体而言,我们的结果不支持LTs在调节小鼠对CDI的宿主易感性中发挥作用。