The acute-phase response and serum amyloid A inhibit the inflammatory response to Acinetobacter baumannii Pneumonia
Rosemarijn Renckens1, Joris J T H Roelofs, Sylvia Knapp
1Laboratory of Experimental Internal Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. r.renckens@amc.uva.nl
Background:
Acinetobacter baumannii is an emerging pathogen in nosocomial pneumonia. Trauma and postsurgical patients display a profound acute-phase protein response and are susceptible to pneumonia.
Methods:
To study the way in which the acute-phase response induced by sterile tissue injury influences pulmonary host defense, mice were injected subcutaneously with turpentine or saline in both hind limbs either 2 or 5 days before intranasal inoculation with A. baumannii.
Results:
Turpentine-injected mice demonstrated strong increases in levels of the acute-phase proteins serum amyloid A (SAA) and serum amyloid P. The inflammatory response to A. baumannii was significantly impaired in turpentine-injected mice, as shown by decreased local cytokine and chemokine levels, reduced neutrophil influx and lung myeloperoxidase activity, less pulmonary inflammation on histological examination, and lower total protein levels in their bronchoalveolar lavage fluid, which was associated with reduced bacterial clearance of A. baumannii. The late acute-phase protein response still caused lower pulmonary cytokine levels and neutrophil recruitment. Furthermore, previous injection of SAA, a major acute-phase protein, also reduced inflammatory responses to A. baumannii pneumonia.
Conclusions:
These data suggest that the acute-phase response and SAA inhibit the local inflammatory response to A. baumannii pneumonia, which may facilitate bacterial outgrowth.
Insights
The acute-phase response, including serum amyloid A (SAA), impairs the immune system
Area of Science:
- Immunology
- Microbiology
Background:
- Acinetobacter baumannii is a growing cause of hospital-acquired pneumonia.
- Patients with trauma or post-surgery are vulnerable to pneumonia due to acute-phase protein response.
Purpose of the Study:
- Investigate how the acute-phase response affects lung defense against A. baumannii.
- Determine the role of serum amyloid A (SAA) in pneumonia.
Main Methods:
- Mice were injected with turpentine (to induce acute-phase response) or saline.
- Mice were intranasally inoculated with A. baumannii 2 or 5 days post-injection.
- Measured inflammatory markers, neutrophil influx, and bacterial clearance.
Main Results:
- Turpentine injection increased SAA and serum amyloid P levels.
- Inflammatory response to A. baumannii was reduced in turpentine-injected mice.
- Impaired bacterial clearance and lower pulmonary inflammation were observed.
Conclusions:
- The acute-phase response and SAA may inhibit inflammation against A. baumannii pneumonia.
- This inhibition could promote bacterial growth in the lungs.
Related Concept Videos
Acute Inflammation I: Inflammatory Response
Acute Inflammation III: Local and Systemic Effects
Acute Pyelonephritis II: Diagnostic Studies and Management
Acute Inflammation II: Cellular Phase
Inflammatory Response I: Vascular and Cellular
Acute Pancreatitis II: Pathophysiology
