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Published on: November 22, 2024
Innate immune regulation of Serratia marcescens-induced corneal inflammation and infection
Rong Zhou1, Rui Zhang, Yan Sun
1Department of Ophthalmology and Visual Sciences, Case Western Reserve University, Cleveland, Ohio 44106, USA.
Purpose:
Serratia marcescens is frequently isolated from lenses of patients with contact lens-associated corneal infiltrates. In the current study, we examined the role of toll-like receptors (TLRs) and interleukin-1 receptor type 1 (IL-1R1) in S. marcescens-induced corneal inflammation and infection.
Methods:
The central corneal epithelium of C57BL/6 and gene knockout mice was abraded, and 1 × 10(7) S. marcescens were added in the presence of a silicone hydrogel contact lens, and we examined corneal inflammation by confocal microscopy and neutrophil enumeration. Viable bacteria were quantified by colony-forming units (CFU).
Results:
S. marcescens induced neutrophil recruitment to the corneal stroma, and increased corneal thickness and haze in C57BL/6 mice. Conversely, CFU was significantly lower by 48 hours post infection. In contrast, MyD88(-/-), IL-1R(-/-), TLR4(-/-), and TLR4/5(-/-) corneas infected with S. marcescens had significantly increased CFU, indicating impaired clearance. However, there was no significant difference in CFU among C57BL/6, TIRAP(-/-), and TRIF(-/-) mice. Tobramycin-killed S. marcescens induced corneal inflammation in C57BL/6 mice, which was impaired significantly in MD-2(-/-) mice and in C57BL/6 mice pretreated topically with the MD-2 antagonist eritoran tetrasodium.
Conclusions:
S. marcescens induces corneal inflammation by activation of TLR4/MD-2/MyD88 and the IL-1R1/MyD88 pathways, which are potential therapeutic targets for inhibition of S. marcescens-induced corneal inflammation.
Insights
Serratia marcescens infection triggers corneal inflammation via toll-like receptor 4 (TLR4) and interleukin-1 receptor type 1 (IL-1R1) pathways. Inhibiting these pathways may treat contact lens-related keratitis.
Area of Science:
- Ophthalmology
- Immunology
- Microbiology
Background:
- Serratia marcescens is a common cause of contact lens-associated keratitis.
- Toll-like receptors (TLRs) and IL-1R1 play crucial roles in ocular immune responses.
Purpose of the Study:
- To investigate the involvement of TLRs and IL-1R1 in S. marcescens-induced corneal inflammation and infection.
- To elucidate the specific TLR pathways mediating the host response to S. marcescens in the cornea.
Main Methods:
- Murine corneal abrasion model with S. marcescens inoculation and contact lens wear.
- Confocal microscopy for inflammation assessment and neutrophil enumeration.
- Bacterial quantification using colony-forming units (CFUs).
Main Results:
- S. marcescens induced significant neutrophil infiltration, corneal thickening, and haze in wild-type mice.
- Mice deficient in MyD88, IL-1R1, TLR4, or TLR4/5 exhibited impaired bacterial clearance.
- TLR4/MD-2 pathway activation, even with heat-killed bacteria, was crucial for inflammation.
Conclusions:
- S. marcescens triggers corneal inflammation through TLR4/MD-2/MyD88 and IL-1R1/MyD88 signaling pathways.
- These pathways represent potential therapeutic targets for managing S. marcescens-induced keratitis.
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