IFN-γ hinders recovery from mucosal inflammation during antibiotic therapy for Salmonella gut infection

T Dolowschiak, AA Mueller, LJ Pisan, R Feigelman… - Cell host & …, 2016 - cell.com
T Dolowschiak, AA Mueller, LJ Pisan, R Feigelman, B Felmy, ME Sellin, S Namineni
Cell host & microbe, 2016cell.com
Summary Salmonella Typhimurium (S. Tm) causes acute enteropathy resolving after 4–7
days. Strikingly, antibiotic therapy does not accelerate disease resolution. We screened for
factors blocking remission using a S. Tm enterocolitis model. The antibiotic ciprofloxacin
clears pathogen stool loads within 3–24 hr, while gut pathology resolves more slowly (ψ
50:∼ 48 hr, remission: 6–9 days). This delayed resolution is mediated by an interferon-γ
(IFN-γ)-dependent response that is triggered during acute infection and continues …
Summary
Salmonella Typhimurium (S.Tm) causes acute enteropathy resolving after 4–7 days. Strikingly, antibiotic therapy does not accelerate disease resolution. We screened for factors blocking remission using a S.Tm enterocolitis model. The antibiotic ciprofloxacin clears pathogen stool loads within 3–24 hr, while gut pathology resolves more slowly (ψ50: ∼48 hr, remission: 6–9 days). This delayed resolution is mediated by an interferon-γ (IFN-γ)-dependent response that is triggered during acute infection and continues throughout therapy. Specifically, IFN-γ production by mucosal T and NK cells retards disease resolution by maintaining signaling through the transcriptional regulator STAT1 and boosting expression of inflammatory mediators like IL-1β, TNF, and iNOS. Additionally, sustained IFN-γ fosters phagocyte accumulation and hampers antimicrobial defense mediated by IL-22 and the lectin REGIIIβ. These findings reveal a role for IFN-γ in delaying resolution of intestinal inflammation and may inform therapies for acute Salmonella enteropathy, chronic inflammatory bowel diseases, or disease resolution during antibiotic treatment.
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