Sepsis induces early alterations in innate immunity that impact mortality to secondary infection

Matthew J Delano1, Terri Thayer, Sonia Gabrilovich

  • 1Department of Surgery, College of Medicine, University of Florida Health Science Center, Gainesville, FL 32610, USA.

Insights

Sepsis impairs neutrophil function, increasing susceptibility to secondary bacterial pneumonia. However, it enhances monocyte responses, reducing susceptibility to Listeria infections.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Microbiology

Background:

  • Sepsis, a life-threatening systemic inflammatory response to infection, alters immune function.
  • This immune dysregulation is thought to increase susceptibility to subsequent infections and organ failure.

Purpose of the Study:

  • To investigate how sepsis affects susceptibility to distinct secondary infections.
  • To define the immune mechanisms underlying these altered susceptibilities.

Main Methods:

  • A murine model of polymicrobial sepsis was used.
  • Mice were subsequently infected with Pseudomonas aeruginosa (pneumonia) or Listeria monocytogenes (disseminated).
  • Immune cell populations (neutrophils, monocytes) and survival rates were assessed.

Main Results:

  • Early after sepsis, neutrophil numbers and function were reduced, increasing mortality from P. aeruginosa pneumonia.
  • Monocyte recruitment and function were enhanced via the CCR2/MCP-1 pathway.
  • Mortality from L. monocytogenes infection, dependent on monocytes/macrophages, was decreased post-sepsis.

Conclusions:

  • Sepsis causes pathogen-specific alterations in innate immunity.
  • Early neutrophil impairment drives increased susceptibility to certain secondary bacterial infections.
  • Enhanced monocyte function may offer protection against other infections like listeriosis.

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