Pathogenesis of intraabdominal abscess formation: abscess-potentiating agents and inhibition of complement-dependent

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J J Finlay-Jones1, P A Kenny, M F Nulsen

  • 1Department of Microbiology and Infectious Diseases, School of Medicine, Flinders University of South Australia, Adelaide.

Insights

Abscess-potentiating agents, like autoclaved colonic contents (ACC), hinder the immune system's ability to engulf bacteria. This inhibition of opsonization allows bacteria like Bacteroides fragilis and Escherichia coli to cause intraabdominal abscesses.

Area of Science:

  • Microbiology
  • Immunology
  • Pathogenesis

Background:

  • Bacteroides fragilis and Escherichia coli are key players in intraabdominal abscess formation.
  • Abscess development requires bacterial synergy and an abscess-potentiating agent, such as autoclaved colonic contents (ACC) or bran.
  • The precise mechanism by which these agents facilitate abscess formation remains unclear.

Purpose of the Study:

  • To investigate the mechanism of action of abscess-potentiating agents in bacterial abscess formation.
  • To determine how autoclaved colonic contents (ACC) and bran influence the interaction between bacteria and the host immune system.
  • To elucidate the role of complement and phagocytosis in abscess development.

Main Methods:

  • Assessing opsonins in normal mouse serum for phagocytic killing of B. fragilis and E. coli by murine neutrophils.
  • Investigating the requirement of complement fixation via the alternative pathway for opsonization.
  • Evaluating the impact of ACC and bran on the phagocytic killing of Proteus mirabilis in normal and immune serum.
  • Assaying the alternative pathway of complement activation in the presence of bacterial components and abscess-potentiating agents.

Main Results:

  • Opsonization of B. fragilis and E. coli for phagocytic killing by neutrophils necessitates complement fixation through the alternative pathway.
  • Abscess-potentiating agents, specifically ACC (0.2 mg/ml) and bran (1.0 mg/ml), significantly inhibited the phagocytic killing of Proteus mirabilis in normal serum.
  • This inhibition by ACC and bran was not observed in immune serum, suggesting a targeted effect on non-specific host defenses.
  • Both bacterial components and abscess-potentiating agents were found to activate complement via the alternative pathway when present in an abscess-inducing mixture.

Conclusions:

  • Abscess-potentiating agents, such as ACC and bran, interfere with the opsonization process.
  • This interference with opsonization subsequently impairs the phagocytic killing of bacteria by neutrophils in a non-immune host.
  • These findings highlight a critical mechanism by which commensal bacteria can transition to pathogens, leading to abscess formation.

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