Acinetobacter baumannii is a multi-drug resistant, Gram-negative bacteria and infection with this organism is one of the major causes of mortality in intensive care units. Inflammasomes are multiprotein oligomers that include caspase-1, and their activation is required for maturation of interleukin-1β (IL-1β). Inflammasome signalling is involved in host defences against various microbial infections, but the precise mechanism by which A. baumannii activates inflammasomes and the roles of relevant signals in host defence against pulmonary A. baumannii infection are unknown. Our results showed that NLRP3, ASC and caspase-1, but not NLRC4, are required for A. baumannii-induced production of IL-1β in macrophages. An inhibitor assay revealed that various pathways, including P2X7R, K+ efflux, reactive oxygen species production and release of cathepsins, are involved in IL-1β production in macrophages in response to A. baumannii. Interleukin-1β production in bronchoalveolar lavage (BAL) fluid was impaired in NLRP3-deficient and caspase-1/11-deficient mice infected with A. baumannii, compared with that in wild-type (WT) mice. However, the bacterial loads in BAL fluid and lungs were comparable between WT and NLRP3-deficient or caspase-1/11-deficient mice. The severity of lung pathology was reduced in NLRP3- deficient, caspase-1/11- deficient and IL-1-receptor-deficient mice, although the recruitment of immune cells and production of inflammatory cytokines and chemokines were not altered in these mice. These findings indicate that A. baumannii leads to the activation of NLRP3 inflammasome, which mediates IL-1β production and lung pathology.

译文

鲍曼不动杆菌是一种多重耐药的革兰氏阴性细菌,感染这种生物是重症监护病房死亡的主要原因之一。炎性小体是包括caspase-1的多蛋白低聚物,它们的活化是白介素-1β (IL-1β) 成熟所必需的。炎症小体信号参与宿主防御各种微生物感染,但鲍曼不动杆菌激活炎症小体的确切机制以及相关信号在宿主防御肺鲍曼不动杆菌感染中的作用尚不清楚。我们的结果表明,鲍曼不动杆菌诱导的巨噬细胞中IL-1β 的产生需要NLRP3,ASC和caspase-1,而不是NLRC4。抑制剂分析显示,各种途径,包括P2X7R,K外排,活性氧的产生和组织蛋白酶的释放,都参与了响应鲍曼不动杆菌的巨噬细胞中IL-1β 的产生。与野生型 (WT) 小鼠相比,感染鲍氏不动杆菌的NLRP3-deficient和caspase-1/11缺陷小鼠的支气管肺泡灌洗液 (BAL) 中白细胞介素-1β 的产生受到损害。然而,BAL液和肺中的细菌负荷在WT和NLRP3-deficient或caspase-1/11缺陷小鼠之间是相当的。尽管在这些小鼠中免疫细胞的募集以及炎性细胞因子和趋化因子的产生没有改变,但在NLRP3缺陷,caspase-1/11缺陷和IL-1-receptor-deficient小鼠中肺病理的严重程度降低。这些发现表明鲍曼不动杆菌导致NLRP3炎症小体的激活,从而介导IL-1β 的产生和肺部病理。

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