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Infection and Immunity, April 1999, p. 1943-1946, Vol. 67, No. 4
Otitis Media Research
Center,1 Departments of
Otolaryngology2 and
Pediatrics,
Received 22 September 1998/Returned for modification 16 November
1998/Accepted 18 January 1999
Streptococcus pneumoniae is the most frequent microbe
causing middle ear infection. The pathophysiology of pneumococcal
otitis media has been characterized by measurement of local
inflammatory mediators such as inflammatory cells, lysozyme, oxidative
metabolic products, and inflammatory cytokines. The role of cytokines
in bacterial infection has been elucidated with animal models, and interleukin (IL)-1
0019-9567/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Middle Ear Fluid Cytokine and Inflammatory Cell
Kinetics in the Chinchilla Otitis Media Model

, IL-6, and IL-8 and tumor necrosis
factor alpha (TNF-
) are recognized as being important local
mediators in acute inflammation. We characterized middle ear
inflammatory responses in the chinchilla otitis media model after
injecting a very small number of viable pneumococci into the middle
ear, similar to the natural course of infection. Middle ear fluid (MEF) concentrations of IL-1
, IL-6, IL-8, and TNF-
were measured by using anti-human cytokine enzyme-linked immunosorbent assay
reagents. IL-1
showed the earliest peak, at 6 h after
inoculation, whereas IL-6, IL-8, and TNF-
concentrations were increasing 72 h after pneumococcal
inoculation. IL-6, IL-8, and TNF-
but not IL-1
concentrations
correlated significantly with total inflammatory cell numbers in MEF,
and all four cytokines correlated significantly with MEF
neutrophil concentration. Several intercytokine correlations were
significant. Cytokines, therefore, participate in the early middle ear
inflammatory response to S. pneumoniae.
*
Corresponding author. Mailing address: Box 296 Mayo,
420 Delaware St. SE, Minneapolis, MN 55455. Phone: (612) 624-6159. Fax: (612) 624-8927. E-mail: giebi001{at}tc.umn.edu.
Current address: Department of Otolaryngology, Nigata University
School of Medicine, Nigata, Japan.
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