Septic mice are susceptible to pulmonary aspergillosis

Am J Pathol. 2003 Dec;163(6):2605-17. doi: 10.1016/S0002-9440(10)63615-2.

Abstract

Clinical data underscores the fact that subsequent high mortality rates occur in patients who survive acute septic episodes. Herein, we described a clinically relevant model of experimental sepsis that we believe will allow further investigation of the manner in which the pulmonary innate immune response is modulated after sepsis. C57BL/6 mice were subjected to cecal ligation and puncture (CLP) model, whereby the cecum was partially ligated and punctured nine times with a 21-gauge needle. This procedure was associated with 100% mortality at 3 days after surgery. In contrast, when mice subjected to CLP were treated with antibiotic beginning at 8 hours after surgery, and every 12 hours thereafter until 3 days, approximately 60% of the mice survived. Interestingly, CLP survivors quickly succumbed (100% mortality) to pulmonary infection when intratracheally challenged, at day 3 after CLP, with viable Aspergillus fumigatus conidia. No mortality was observed in conidia-challenged sham-operated mice. The defective innate immune response against A. fumigatus in CLP mice could not be explained by a failure of neutrophils to infiltrate the lungs. Instead, gene array analysis revealed that several components of the innate immune response, including the nuclear factor-kappaB signaling pathway, were down-regulated. Thus, we describe a system of sepsis-induced innate immune failure in the lungs of C57BL/6 mice.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Anti-Bacterial Agents / therapeutic use
  • Aspergillosis / etiology*
  • Aspergillosis / genetics
  • Aspergillus fumigatus*
  • Bacterial Infections / complications*
  • Bacterial Infections / drug therapy
  • Bacterial Infections / physiopathology
  • Cell Movement / drug effects
  • Chemokines / metabolism
  • Cytokines / metabolism
  • Disease Susceptibility
  • Down-Regulation
  • Female
  • Leukocytes / drug effects
  • Lung / drug effects
  • Lung / pathology
  • Lung Diseases, Fungal / etiology*
  • Mice
  • Mice, Inbred C57BL
  • Monocytes
  • NF-kappa B / genetics
  • Neutrophil Infiltration
  • Peritoneal Cavity
  • Peritonitis / microbiology*
  • Severity of Illness Index
  • Survival Analysis

Substances

  • Anti-Bacterial Agents
  • Chemokines
  • Cytokines
  • NF-kappa B