The key role of Pseudomonas aeruginosa PA-I lectin on experimental gut-derived sepsis.
| Autor: | Laughlin RS; Department of Surgery and Internal Medicine, Section of General Surgery and Gastroenterology, University of Chicago, Chicago, Illinois 60637, USA., Musch MW, Hollbrook CJ, Rocha FM, Chang EB, Alverdy JC |
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| Jazyk: | angličtina |
| Zdroj: | Annals of surgery [Ann Surg] 2000 Jul; Vol. 232 (1), pp. 133-42. |
| DOI: | 10.1097/00000658-200007000-00019 |
| Abstrakt: | Objective: To examine the effect of Pseudomonas aeruginosa on intestinal barrier function and its lethal potential when introduced into the intestinal tract of mice. Summary Background Data: The mere presence of P. aeruginosa in the intestinal tract of critically ill patients is associated with a threefold increase in death compared with matched cohorts without this pathogen. Whether this effect is a cause or a consequence of the critically ill state has not been previously addressed. Methods: Transepithelial electrical resistance, a measure of tight junction permeability, was evaluated in Caco-2 intestinal epithelial cells cells apically inoculated with live P. aeruginosa, exotoxin A, or purified PA-I lectin, an adhesin of P. aeruginosa. Lethality studies to P. aeruginosa were carried out in mice undergoing 30% surgical hepatectomy by injecting the bacteria or its various components directly into the cecum. Results: Only cells exposed to P. aeruginosa or its PA-I lectin developed alterations in barrier function. P. aeruginosa or the combination of PA-I and exotoxin A was lethal to mice when injected into the cecum after partial hepatectomy. Alterations in epithelial barrier function and death in mice were prevented when Pseudomonas was pretreated with N-acetyl D-galactosamine (GalNAc), a binder of PA-I. Conclusions: P. aeruginosa may act as a pathogen in the gastrointestinal tract, resulting in altered epithelial barrier function and death in a susceptible host. The PA-I lectin of P. aeruginosa may play a key role in its pathogenicity to the intestinal epithelium by inducing a permeability defect to its cytotoxic exoproducts such as exotoxin A. |
| Databáze: | MEDLINE |
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