Septic mice are susceptible to pulmonary aspergillosis

Claudia F Benjamim1, Cory M Hogaboam, Nicholas W Lukacs

  • 1Department of Pathology, University of Michigan, Ann Arbor, Michigan 48109-0602, USA.

Insights

Sepsis survivors exhibit high mortality due to subsequent infections. This study details a sepsis model in mice showing impaired lung immunity, leading to fatal pulmonary infections and down-regulated immune pathways.

Area of Science:

  • Immunology
  • Infectious Disease
  • Critical Care Medicine

Background:

  • High mortality rates persist in patients surviving acute sepsis.
  • Pulmonary complications significantly contribute to sepsis-related deaths.
  • Understanding post-sepsis immune dysregulation is crucial for improving patient outcomes.

Purpose of the Study:

  • To establish a clinically relevant mouse model for investigating sepsis-induced pulmonary immune modulation.
  • To explore the mechanisms underlying impaired lung immunity following sepsis.
  • To identify specific immune pathways affected by sepsis.

Main Methods:

  • Cecal ligation and puncture (CLP) procedure in C57BL/6 mice to induce sepsis.
  • Antibiotic treatment initiated post-CLP to improve survival rates.
  • Intratracheal challenge with Aspergillus fumigatus conidia in CLP survivors.
  • Gene array analysis to assess pulmonary immune gene expression.

Main Results:

  • The CLP model demonstrated high mortality, with antibiotic treatment improving survival to ~60%.
  • CLP survivors exhibited 100% mortality upon subsequent pulmonary challenge with Aspergillus fumigatus.
  • Gene array analysis revealed down-regulation of innate immune components, including the nuclear factor-kappaB pathway, in CLP mice lungs.

Conclusions:

  • A mouse model of sepsis-induced pulmonary immune failure was successfully established.
  • Sepsis compromises the lung's innate immune response, increasing susceptibility to opportunistic infections.
  • Down-regulation of key signaling pathways like NF-κB contributes to this immune deficiency.

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