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Infection and Immunity, March 2001, p. 1832-1840, Vol. 69, No. 3
Department of Microbiology and Immunology,
Morehouse School of Medicine, Atlanta, Georgia
30310,1 and The Laboratory of
Intracellular Parasites, Rocky Mountain Laboratories, National
Institute of Allergy and Infectious Diseases, National Institutes
of Health, Hamilton, Montana 598402
Received 1 August 2000/Returned for modification 31 August
2000/Accepted 6 December 2000
Immunization(s) fostering the induction of genital mucosa-targeted
immune effectors is the goal of vaccines against sexually transmitted
diseases. However, it is uncertain whether vaccine administration
should be based on the current assumptions about the common mucosal
immune system. We investigated the relationship between mucosal sites
of infection, infection-induced inflammation, and immune-mediated
bacterial clearance in mice using the epitheliotropic pathogen
Chlamydia trachomatis. Chlamydial infection of the
conjunctival, pulmonary, or genital mucosae stimulated significant
changes in tissue architecture with dramatic up-regulation of the
vascular addressin, VCAM, a vigorous mixed-cell inflammatory response
with an influx of
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.3.1832-1840.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Inflammation and Clearance of Chlamydia
trachomatis in Enteric and Nonenteric Mucosae
4
1+ T cells, and clearance of
bacteria within 30 days. Conversely, intestinal mucosa infection was
physiologically inapparent, with no change in expression of the local
MAdCAM addressin, no VCAM induction, no histologically detectable
inflammation, and no tissue pathology. Microbial clearance was complete
within 60 days in the small intestine but bacterial titers remained at
high levels for at least 8 months in the large intestine. These
findings are compatible with the notion that VCAM plays a functional
role in recruiting cells to inflammatory foci, and its absence from the intestinal mucosa contributes to immunologic homeostasis at that site.
Also, expression of type 1 T cell-mediated immunity to
intracellular Chlamydia may exhibit tissue-specific
variation, with the rate and possibly the mechanism(s) of clearance
differing between enteric and nonenteric mucosae. The implications of
these data for the common mucosal immune system and the delivery of
vaccines against mucosal pathogens are discussed.
*
Corresponding author. Mailing address: Department of
Microbiology and Immunology, Morehouse School of Medicine, 720 Westview Dr., S.W., Atlanta, GA 30310. Phone: (404) 752-1596. Fax: (404) 752-1179. E-mail: igietsj{at}msm.edu.
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