Dietary zinc deficiency promotes Acinetobacter baumannii lung infection via IL-13 in mice
Lauren D Palmer1, Kacie A Traina2,3, Lillian J Juttukonda2,3,4
1Department of Microbiology and Immunology, University of Illinois Chicago, Chicago, IL, USA. ldpalmer@uic.edu.
Abstract:
Dietary zinc deficiency is a major risk factor for pneumonia. Acinetobacter baumannii is a leading cause of ventilator-associated pneumonia and a critical public health threat due to increasing rates of multidrug resistance. Patient populations at increased risk for A. baumannii pneumonia are also at increased risk of zinc deficiency. Here we established a mouse model of dietary zinc deficiency and acute A. baumannii pneumonia to test the hypothesis that host zinc deficiency contributes to A. baumannii pathogenesis. We showed that zinc-deficient mice have significantly increased A. baumannii burdens in the lungs, dissemination to the spleen and higher mortality. During infection, zinc-deficient mice produce more pro-inflammatory cytokines, including IL-13. Administration of IL-13 promotes A. baumannii dissemination in zinc-sufficient mice, while antibody neutralization of IL-13 protects zinc-deficient mice from A. baumannii dissemination and mortality during infection. These data highlight the therapeutic potential of anti-IL-13 antibody treatments, which are well tolerated in humans, for the treatment of pneumonia.
Insights
Dietary zinc deficiency worsens pneumonia caused by Acinetobacter baumannii. Targeting the cytokine IL-13 may offer a new treatment for this serious lung infection.
Area of Science:
- Microbiology
- Immunology
- Nutritional Science
Background:
- Dietary zinc deficiency is a significant risk factor for pneumonia.
- Acinetobacter baumannii, a multidrug-resistant bacterium, is a primary cause of ventilator-associated pneumonia.
- Patients at risk for A. baumannii pneumonia often experience zinc deficiency.
Purpose of the Study:
- To investigate the role of host zinc deficiency in the pathogenesis of Acinetobacter baumannii pneumonia.
- To determine if zinc deficiency exacerbates A. baumannii infection in a mouse model.
Main Methods:
- Establishment of a mouse model with dietary zinc deficiency and acute A. baumannii pneumonia.
- Quantification of bacterial burdens in lungs and spleen.
- Measurement of pro-inflammatory cytokine levels, specifically IL-13.
- Assessment of the effects of IL-13 administration and anti-IL-13 antibody neutralization.
Main Results:
- Zinc-deficient mice exhibited significantly higher A. baumannii lung burdens, increased dissemination to the spleen, and elevated mortality rates.
- Infection led to increased production of pro-inflammatory cytokines, including IL-13, in zinc-deficient mice.
- IL-13 administration enhanced bacterial dissemination in zinc-sufficient mice.
- Neutralization of IL-13 protected zinc-deficient mice against bacterial dissemination and mortality.
Conclusions:
- Host zinc deficiency contributes to the pathogenesis of Acinetobacter baumannii pneumonia.
- Interleukin-13 plays a critical role in mediating A. baumannii dissemination and mortality in zinc-deficient hosts.
- Anti-IL-13 antibody therapy presents a potential therapeutic strategy for treating A. baumannii pneumonia, particularly in zinc-deficient individuals.
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