Peritoneal macrophages are important for the early containment of Enterococcus faecium peritonitis in mice

Masja Leendertse1, Rob J L Willems, Ida A J Giebelen

  • 1Center for Infection and Immunity Amsterdam, Center for Experimental and Molecular Medicine. m.leendertse@amc.uva.nl

Innate Immunity
|February 10, 2009
PubMed

Insights

Resident peritoneal macrophages are crucial for controlling multi-drug resistant Enterococcus faecium infections. Their depletion delays bacterial clearance and increases systemic spread during peritonitis.

Area of Science:

  • Immunology
  • Microbiology
  • Pathogenesis

Background:

  • Rising incidence of multi-drug resistant Enterococcus faecium infections.
  • Need for understanding Enterococcus faecium peritonitis pathogenesis.

Purpose of the Study:

  • Investigate the role of peritoneal macrophages in Enterococcus faecium peritonitis.
  • Determine the contribution of peritoneal macrophages to bacterial clearance and inflammatory response.

Main Methods:

  • Ex vivo assessment of peritoneal macrophage interaction with Enterococcus faecium.
  • In vivo depletion of peritoneal macrophages using clodronate-encapsulated liposomes.
  • Induction of Enterococcus faecium peritonitis in mice.

Main Results:

  • Peritoneal macrophages phagocytosed and killed Enterococcus faecium ex vivo.
  • Depletion of peritoneal macrophages delayed bacterial clearance and increased systemic dissemination.
  • Macrophage and neutrophil recruitment were comparable in depleted and control mice.
  • Elevated peritoneal cytokines and chemokines observed in depleted mice.

Conclusions:

  • Peritoneal macrophages are vital for early containment of Enterococcus faecium peritonitis.
  • Peritoneal macrophages regulate the inflammatory response during infection.
  • Targeting peritoneal macrophages could be a strategy for managing resistant Enterococcus faecium infections.

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