RESUMO
Sepsis constitutes one of the major causes of death in ICUs. In sepsis induced by gram-negative, although lipopolysaccharide (LPS) initially induces an exacerbated secretion of proinflammatory cytokines leading to endotoxic shock and death resembling a septic shock, it is also capable of inducing refractoriness to subsequent challenge with LPS, a state known as endotoxin tolerance, which is considered the initial step of the immunosuppression found in septic patients. As we previously demonstrated the importance of glucocorticoids in endotoxin tolerance, the aim of this study was to evaluate the contribution of Interleukin-10 (IL-10) both in the endotoxic shock and in the development of the tolerance and its relationship with glucocorticoids. Our results show that, upon LPS challenge, IL-10 knockout mice (KO) mice had an enhanced LPS sensitivity, along with elevated levels of proinflammatory cytokines as tumor necrosis factor-α, IL-12 and interferon-γ, and enhanced tissue damage, despite the high levels of glucocorticoids. This effect may be because, in part, of the higher expression of tumor necrosis factor receptors in IL-10 KO mice. Further, the injection of dexamethasone did not protect IL-10 KO mice from a LPS lethal challenge. Although tolerance was achieved in the absence of IL-10, it was weaker and the elevated levels of glucocorticoids were not able to reverse the high sensitivity of IL-10 KO mice to LPS. Nevertheless, glucocorticoids would play a pivotal role in the establishment and maintenance of this partial tolerance in IL-10 KO mice. Finally, our results show that IL-10 and glucocorticoids could act in a bidirectional way influencing the inflammatory and anti-inflammatory periods.
Assuntos
Endotoxinas/toxicidade , Glucocorticoides/farmacologia , Interleucina-10/deficiência , Choque Séptico/tratamento farmacológico , Animais , Citocinas/metabolismo , Dexametasona/farmacologia , Tolerância Imunológica/efeitos dos fármacos , Interleucina-10/metabolismo , Lipopolissacarídeos/toxicidade , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Knockout , Mifepristona/uso terapêutico , Choque Séptico/induzido quimicamente , Fator de Necrose Tumoral alfa/metabolismoRESUMO
The ability of Mycobacterium tuberculosis (Mtb) to persist in its human host relies on numerous immune evasion strategies, such as the deregulation of the lipid metabolism leading to the formation of foamy macrophages (FM). Yet, the specific host factors leading to the foamy phenotype of Mtb-infected macrophages remain unknown. Herein, we aimed to address whether host cytokines contribute to FM formation in the context of Mtb infection. Our approach is based on the use of an acellular fraction of tuberculous pleural effusions (TB-PE) as a physiological source of local factors released during Mtb infection. We found that TB-PE induced FM differentiation as observed by the increase in lipid bodies, intracellular cholesterol, and expression of the scavenger receptor CD36, as well as the enzyme acyl CoA:cholesterol acyl transferase (ACAT). Importantly, interleukin-10 (IL-10) depletion from TB-PE prevented the augmentation of all these parameters. Moreover, we observed a positive correlation between the levels of IL-10 and the number of lipid-laden CD14+ cells among the pleural cells in TB patients, demonstrating that FM differentiation occurs within the pleural environment. Downstream of IL-10 signaling, we noticed that the transcription factor signal transducer and activator of transcription 3 was activated by TB-PE, and its chemical inhibition prevented the accumulation of lipid bodies and ACAT expression in macrophages. In terms of the host immune response, TB-PE-treated macrophages displayed immunosuppressive properties and bore higher bacillary loads. Finally, we confirmed our results using bone marrow-derived macrophage from IL-10-/- mice demonstrating that IL-10 deficiency partially prevented foamy phenotype induction after Mtb lipids exposure. In conclusion, our results evidence a role of IL-10 in promoting the differentiation of FM in the context of Mtb infection, contributing to our understanding of how alterations of the host metabolic factors may favor pathogen persistence.
Assuntos
Acetil-CoA C-Acetiltransferase/imunologia , Regulação Enzimológica da Expressão Gênica/imunologia , Interleucina-10/imunologia , Mycobacterium tuberculosis/imunologia , Derrame Pleural/imunologia , Fator de Transcrição STAT3/imunologia , Esterol O-Aciltransferase , Tuberculose Pleural/imunologia , Regulação para Cima/imunologia , Acetil-CoA C-Acetiltransferase/genética , Animais , Feminino , Células Espumosas , Humanos , Interleucina-10/genética , Masculino , Camundongos , Camundongos Knockout , Mycobacterium tuberculosis/genética , Derrame Pleural/genética , Derrame Pleural/patologia , Fator de Transcrição STAT3/genética , Tuberculose Pleural/genética , Tuberculose Pleural/patologiaRESUMO
The aim of this study was to evaluate the efficacy of the antiretrovirals: Zidovudine (ZDV) alone; ZDV + Recombinant Human Interferon-α (rHuIFN-α); ZDV + Lamivudine (3TC) and ZDV + valproic acid (Valp) on naturally feline immunodeficiency virus (FIV)-infected cats, in the late phase of the asymptomatic stage of infection. The follow-up was performed over one year, through clinical evaluation and the determination of viral loads and CD4+/CD8+ ratios. Neurological signs were studied by visual and auditory evoked potentials (VEP, AEP) and the responses were abnormal in 80% of the FIV-infected cats. After one year, an improvement in VEP and AEP was observed in the ZDV + Valp group and a worsening in the group receiving ZDV + rHuIFN-α. The CD4+/CD8+ ratio showed a significant increase (both intra and inter-groups) only in ZDV and ZDV + 3TC, between their pre-treatment and one year values, as well as among the other groups. Viral load only showed a significant decrease in ZDV and ZDV + 3TC groups, when comparing the values at one year of treatment vs. pre-treatment values and when the different groups were compared. In addition, the viral load decrease was significantly more pronounced in the ZDV + 3TC vs. ZDV group. We conclude that ZDV and ZDV + 3TC produce significant reductions in viral load and stimulate a recovery of the CD4+/CD8+ ratio, compared with the other protocols. It is clear that the addition of 3TC resulted in a greater reduction in viral load than use of ZDV as a single drug. Therefore, the combination ZDV + 3TC could be more effective than the sole use of ZDV.
Assuntos
Fármacos Anti-HIV/administração & dosagem , Síndrome de Imunodeficiência Adquirida Felina/tratamento farmacológico , Animais , Fármacos Anti-HIV/efeitos adversos , Terapia Antirretroviral de Alta Atividade/efeitos adversos , Relação CD4-CD8 , Doenças do Gato/tratamento farmacológico , Gatos , Potenciais Evocados Auditivos , Potenciais Evocados Visuais , Feminino , Interferon-alfa/administração & dosagem , Lamivudina/administração & dosagem , Masculino , Resultado do Tratamento , Carga Viral , Zidovudina/administração & dosagemRESUMO
Feline immunodeficiency virus (FIV) is a lentivirus that causes a progressive disruption of immune function in cats. The neuroendocrine and immune systems communicate bidirectionally, mediated by cytokines such as tumour necrosis factor-α (TNF), several interleukins (IL-1, IL-6, IL-10), and through signals induced by the ratio of IL-10 to IL-12. FIV can affect both pituitary adrenal and thyroid axis function. Twenty FIV-infected cats in similar stages of the disease were evaluated for six months. A cross-sectional study in which the twenty cats were divided into two groups was performed. Ten were treated with Zidovudine (ZDV: 5mg/kg/d, PO, q12h, for six months) and 10 were untreated. Plasma concentrations of adrenocorticotropic hormone (ACTH), cortisol, T4, FT4, T3, IL-10, IL-12 and viral load (VL) were evaluated after six months. ACTH was found in significantly lower concentrations (p<0.0001) in the treated group whereas cortisol did not show significant differences between the two groups. Both T4 and FT4 had high values in untreated individuals (p<0.001) compared with Zidovudine treated cats. T3 did not show significant differences between the two groups. Both IL-10 and IL-12 were found in significantly higher concentrations in ZDV treated cats (p<0.001). By contrast, the IL10/IL-12 ratio values were significantly lower in untreated cats. Viral load was significantly lower in the treated cats after six months of therapy, compared with values detected pre-treatment (p<0.002). Untreated cats showed a significant increase of VL (p<0.04) compared with the values at the beginning of the study. In treated cats, VL showed lower numbers of viral copies than in untreated cats (p<0.01). In summary, Zidovudine treatment appeared to contribute to the normalization of both the adrenal and thyroid axes. This effect could be attributed to the decrease observed in VL, resulting in a change in cytokine patterns.
Assuntos
Síndrome de Imunodeficiência Adquirida Felina/imunologia , Vírus da Imunodeficiência Felina/imunologia , Hormônio Adrenocorticotrópico/sangue , Animais , Antivirais/uso terapêutico , Gatos/virologia , Síndrome de Imunodeficiência Adquirida Felina/tratamento farmacológico , Síndrome de Imunodeficiência Adquirida Felina/fisiopatologia , Feminino , Hidrocortisona/sangue , Interleucina-10/sangue , Interleucina-12/sangue , Interleucina-23/sangue , Masculino , Hormônios Tireóideos/sangue , Carga Viral/veterinária , Zidovudina/uso terapêuticoRESUMO
Paratuberculosis, caused by Mycobacterium avium subsp. paratuberculosis (Map), is a chronic granulomatous enteric disease in cattle. Among molecular components of Map, protein p34 was identified as specific and immunodominant for bovine B cells. In order to determine if specific antibodies could influence the course of Map pathogenesis, the interaction between bacteria and bovine macrophages was studied. Bovine polyclonal antibodies from 3 calves vaccinated with protein p34-cx, 6 calves vaccinated with heat-killed Map, 8 naturally infected, and 3 healthy calves -as negative controls- were used. Specific anti-Map, -p34-cx and -PPA-3 antibodies were evaluated and isotype characterized. Infected and Map vaccinated animals showed similar IgG1 and IgG2 response against Map whole bacteria. When p34-cx was used as the antigen, mainly IgG1 and IgG3 were detected in infected and only IgG1 in p34-cx vaccinated animals. Bovine polyclonal antibodies from three animals of each category were isolated and affinity purified through Map and p34-cx columns. The effect of these antibodies in association with Map and a transformed bovine peritoneal macrophage's cell line (Bov-Mac) as well as activation of NF-kappaB transcription factor was studied. Our results show that association of Map significantly increased in vitro after pretreatment with bovine anti-Map or anti-p34-cx antibodies obtained from vaccinated or infected cattle when compared with those of controls. Improved activation of NF-kappaB was detected in macrophages that ingested Map opsonized with either anti-Map or anti-p34-cx specific antibodies of infected or vaccinated calves, suggesting that both anti-Map and IgG1 anti-p34-cx antibodies support Map-macrophage interactions.
Assuntos
Anticorpos Antibacterianos/imunologia , Proteínas de Bactérias/imunologia , Vacinas Bacterianas/imunologia , Macrófagos/imunologia , Mycobacterium avium subsp. paratuberculosis/imunologia , Animais , Anticorpos Antibacterianos/sangue , Especificidade de Anticorpos , Bovinos , Doenças dos Bovinos/sangue , Doenças dos Bovinos/imunologia , Imunoglobulina G/sangue , Imunoglobulina G/imunologia , Isotipos de Imunoglobulinas , Macrófagos/microbiologia , Macrófagos Peritoneais/imunologia , Macrófagos Peritoneais/microbiologia , NF-kappa B/metabolismo , Paratuberculose/sangue , Paratuberculose/imunologiaRESUMO
En este trabajo evaluamos la eficiencia antibacteriana de un extracto etanólico de Rosmarinus officinalis L. que contiene altas concentraciones de polifenoles antioxidantes, en dos modelos de infección en piel de ratón: superficial y subcutáneo contra la bacteria patógena Staphylococcus aureus. Los resultados obtenidos muestran que el extracto de romero que contiene 2,3% de polifenoles bioactivos presentó una acción bacteriostática contra S. aureus sobre la piel del ratón, mientras que ensayando una doble concentración de polifenoles bioactivos (4,6%) se observó una inhibición total del crecimiento bacteriano. En los dos modelos de infección experimentados se observaron efectos similares. Los datos obtenidos también demuestran que la eficacia antibacteriana del extracto de romero es comparable con la acción del antibiótico comercial ácido fusídico. Los resultados indican que los polifenoles bioactivos del romero, dependiendo de su concentración, pueden ejercer in vivo acciones bacteriostáticas y bactericidas contra S. aureus.
Assuntos
Animais , Camundongos , Antibacterianos/administração & dosagem , Injeções Subcutâneas , Rosmarinus/efeitos dos fármacos , Staphylococcus aureus , Modelos Animais , Extratos VegetaisRESUMO
Se estudiaron 55 bovinos divididos en 3 gruposÑ C, controles no vacunadosñ HS, inmunizados con vacuna hidroxi-saponinada; y EO, inyectados con vacuna oleosa, que se trasladaron y se desafiaron con el virus de la fiebre aftosa (VFA). Se sangraron antes y 7 días después del desafío, y se contaron los leucocitos y subpoblaciones linfocitarias. Todos mostraron marcada neutropenia y eosinofilia, significativamente mayor en el grupo HS que en los grupos C y EO; ambos parámetros mejoraron significativamente en la 2§ sangría. El número total de linfocitos era normal. Las proporción de células B fue normal y no varió en los animales enfermos. Se estudió un grupo de animales antes y despues de la vacunación y viaje: los valores previos fueron normales y significativamente diferentes de los posteriores. Se postula que el stress y la saponina causaron la alteración. Para estudiar la respuesta inmune celular se usó, en los mismos grupos de animales, cultivo de linfocitos periféricos e inhibición de la migración leucocitaria (IML) frente a estimulantes inespecífico (ConA) y específicos (VFA purificado e inactivado de tipos O, A y C). Con ambas técnicas, todos los animales, inclusive los enfermos (C, 2§ sangría) respondieron bien a la ConA y dos animales que enfermaron y curaron respondieron bien al VFA durante 4 meses. Las respuestas al VFA, en C y en vacunados no protegidos, fueron negativas; entre los vacunados protegidos, 2/12 fueron positivos en cultivo y 4/6 en IML. Los resultados indican que...