Repetitive Acinetobacter baumannii pneumonia induces infection tolerance in mice

Jianqiao Xu1, Wanxue He2, Nan Xiao3

  • 1College of Pulmonary and Critical Care Medicine, 8th Medical Center of Chinese PLA General Hospital (PLA Medical School), Beijing, China.

Microbial Pathogenesis
|October 12, 2024
PubMed

Insights

Repeated Acinetobacter baumannii lung infections can induce pathogen tolerance. This tolerance may involve immune suppression by regulatory T cells, reducing inflammation and lung damage.

Area of Science:

  • Immunology
  • Microbiology
  • Pathogen-host interactions

Background:

  • Long-term hospitalized patients with lung infections can develop pathogen tolerance.
  • Chronic infections may lead to the induction of such tolerance.

Purpose of the Study:

  • To investigate if repeated Acinetobacter baumannii infections induce pathogen tolerance in a mouse model.
  • To explore the immunological mechanisms underlying infection-induced tolerance.

Main Methods:

  • A mouse model of pneumonia was established with single, double, or triple Acinetobacter baumannii infections.
  • Lung lavage fluid and lung tissue were analyzed for inflammatory factors, pathological damage, and gene expression.
  • Flow cytometry and transcriptome analysis were employed to assess immune cell populations and gene expression profiles.

Main Results:

  • Mice with triple infections showed decreased inflammatory factor levels and alleviated lung tissue damage.
  • Increased expression of genes related to T cell regulation and immune suppression (e.g., Ctla4, Tigit, IDO1) was observed.
  • A higher proportion and number of regulatory T cells were identified in mice with repeated infections.

Conclusions:

  • Repeated Acinetobacter baumannii infections can induce a state of pathogen tolerance.
  • Immune suppression mediated by regulatory T cells appears to be a key mechanism in this induced tolerance.

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