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Infection and Immunity, March 1999, p. 1481-1492, Vol. 67, No. 3
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Cystic Fibrosis Transmembrane Conductance Regulator-Mediated
Corneal Epithelial Cell Ingestion of Pseudomonas aeruginosa
Is a Key Component in the Pathogenesis of Experimental
Murine Keratitis
Tanweer S.
Zaidi,
Jeffrey
Lyczak,
Michael
Preston, and
Gerald B.
Pier*
Channing Laboratory, Department of Medicine,
Brigham and Women's Hospital, Harvard Medical School, Boston,
Massachusetts 02115-5804
Received 30 September 1998/Returned for modification 18 November
1998/Accepted 4 December 1998
Previous findings indicate that the cystic fibrosis transmembrane
conductance regulator (CFTR) is a ligand for Pseudomonas aeruginosa ingestion into respiratory epithelial cells. In
experimental murine keratitis, P. aeruginosa enters corneal
epithelial cells. We determined the importance of CFTR-mediated uptake
of P. aeruginosa by corneal cells in experimental eye
infections. Entry of noncytotoxic (exoU) P. aeruginosa into human and rabbit corneal cell cultures was
inhibited with monoclonal antibodies and peptides specific to CFTR
amino acids 108 to 117. Immunofluorescence microscopy and flow
cytometry demonstrated CFTR in the intact murine corneal epithelium,
and electron microscopy showed that CFTR binds to P. aeruginosa following corneal cell ingestion. In experimental murine eye infections, multiple additions of 5 nM CFTR peptide 103-117 to inocula of either cytotoxic (exoU+) or
noncytotoxic P. aeruginosa resulted in large reductions in bacteria in the eye and markedly lessened eye pathology. Compared with
wild-type C57BL/6 mice, heterozygous
F508 Cftr mice
infected with P. aeruginosa had an approximately 10-fold
reduction in bacterial levels in the eye and consequent reductions in
eye pathology. Homozygous
F508 Cftr mice were nearly
completely resistant to P. aeruginosa corneal infection.
CFTR-mediated internalization of P. aeruginosa by buried
corneal epithelial cells is critical to the pathogenesis of
experimental eye infection, while in the lung, P. aeruginosa uptake by surface epithelial cells enhances P. aeruginosa clearance from this tissue.
*
Corresponding author. Mailing address: Channing
Laboratory, 181 Longwood Ave., Boston, MA 02115-5804. Phone: (617)
525-2269; Fax: (617) 731-1541. E-mail:
gpier{at}channing.harvard.edu.
Infection and Immunity, March 1999, p. 1481-1492, Vol. 67, No. 3
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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