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Published on: January 7, 2019
The Long Pentraxin PTX3 Controls Klebsiella Pneumoniae Severe Infection
Fatemeh Asgari1,2, Domenico Supino1, Raffaella Parente1
1Department of Inflammation and Immunology, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Abstract:
Klebsiella pneumoniae is a common pathogen in human sepsis. The emergence of multidrug-resistant K. pneumoniae strains represents a major clinical challenge in nosocomial and community acquired infections. The long pentraxin PTX3, a key component of humoral innate immunity, is involved in resistance to selected pathogens by promoting opsonophagocytosis. We investigated the relevance of PTX3 in innate immunity against K. pneumoniae infections using Ptx3-/- mice and mouse models of severe K. pneumoniae infections. Local and systemic PTX3 expression was induced following K. pneumoniae pulmonary infection, in association with the up-regulation of TNF-α and IL-1β. PTX3 deficiency in mice was associated with higher bacterial burden and mortality, release of pro-inflammatory cytokines as well as IL-10 in the lung and systemically. The analysis of the mechanisms responsible of PTX3-dependent control of K. pneumoniae infection revealed that PTX3 did not interact with K. pneumoniae, or promote opsonophagocytosis. The comparison of susceptibility of wild-type, Ptx3 and Ptx3 /C3 mice to the infection showed that PTX3 acted in a complement-independent manner. Lung histopathological analysis showed more severe lesions in Ptx3-/- mice with fibrinosuppurative, necrotizing and haemorrhagic bronchopneumonia, associated with increased fibrin deposition in the lung and circulating fibrinogen consumption. These findings indicate that PTX3 contributes to the control of K. pneumoniae infection by modulating inflammatory responses and tissue damage. Thus, this study emphasizes the relevance of the role of PTX3 as regulator of inflammation and orchestrator of tissue repair in innate responses to infections.
Insights
The long pentraxin PTX3 helps control Klebsiella pneumoniae infections by regulating inflammation and tissue damage, crucial for innate immunity against this pathogen.
Area of Science:
- Innate Immunity
- Pathogen Resistance
- Inflammation Biology
Background:
- Klebsiella pneumoniae is a significant cause of sepsis and poses challenges due to multidrug resistance.
- The long pentraxin PTX3 is a key innate immunity factor involved in pathogen resistance.
- PTX3's role in K. pneumoniae infections and its mechanisms remain incompletely understood.
Purpose of the Study:
- To investigate the role of PTX3 in innate immune responses against Klebsiella pneumoniae.
- To elucidate the mechanisms underlying PTX3-mediated control of K. pneumoniae infection.
- To assess the impact of PTX3 deficiency on host susceptibility and disease severity.
Main Methods:
- Utilized Ptx3-deficient (Ptx3-/-) mice and wild-type controls in Klebsiella pneumoniae infection models.
- Monitored bacterial burden, mortality, cytokine profiles (TNF-α, IL-1β, IL-10), and complement-dependent pathways.
- Conducted lung histopathological analysis, assessing lesions, fibrin deposition, and fibrinogen consumption.
Main Results:
- PTX3 deficiency led to increased bacterial load, mortality, and exacerbated inflammatory cytokine release.
- PTX3 did not directly interact with K. pneumoniae or promote opsonophagocytosis, acting independently of complement.
- Ptx3-/- mice exhibited more severe lung pathology, including bronchopneumonia, fibrin deposition, and fibrinogen depletion.
Conclusions:
- PTX3 is essential for controlling Klebsiella pneumoniae infection by modulating inflammatory responses and mitigating tissue damage.
- PTX3 functions as a crucial regulator of inflammation and orchestrator of tissue repair in the context of bacterial infections.
- These findings highlight PTX3's significance in host defense against K. pneumoniae, independent of opsonophagocytosis and complement pathways.
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