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Infection and Immunity, April 2007, p. 1586-1597, Vol. 75, No. 4
0019-9567/07/$08.00+0 doi:10.1128/IAI.01579-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Tamika Burns,1,
Maria Abadi,3
Beza Seyoum,2
Justin Thornton,4
Elaine Tuomanen,4 and
Liise-anne Pirofski1,2*
Division of Infectious Diseases, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York,1 Department of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, New York,2 Department of Pathology, Albert Einstein College of Medicine and Jacobi Medical Center, Bronx, New York,3 Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee4
Received 29 September 2006/ Returned for modification 6 December 2006/ Accepted 18 January 2007
Polymorphoneutrophils (PMNs) are important effector cells in host defense against pneumonia. However, PMNs can also induce inflammation and tissue damage. To investigate the contribution of PMNs to host defense against pneumococcal pneumonia, we determined the effect of the PMN-depleting rat monoclonal antibody RB6-8C5 (RB6) on survival and inflammatory and cellular response in the lungs to a lethal intranasal infection with a serotype 8 pneumococcus in BALB/c mice. Control mice received rat immunoglobulin G (rIgG). Strikingly, the survival of RB6-treated mice was significantly prolonged compared to that of rIgG-treated mice. Although the numbers of CFU in the lungs were statistically similar in both groups 4, 24, and 32 h after infection, rIgG-treated mice developed higher levels of bacteremia, and histopathological examination of the lungs of infected mice revealed marked differences between RB6- and rIgG-treated mice. RB6-treated mice had focal, perivascular lesions without accompanying parenchymal inflammation, and rIgG-treated mice had diffuse, interstitial parenchymal inflammation. Lung homogenates from the rIgG-treated mice had more leukocytes and significantly more total and apoptotic PMNs as determined by fluorescence-activated cell sorter analysis with Annexin V and terminal deoxynucleotidyltransferase-mediated dUTP-biotin nick end labeling staining of lung tissue samples. Studies with a pneumolysin-deficient mutant of the serotype 8 strain we used also demonstrated the prolonged survival of RB6- compared to rIgG-treated mice. Taken together, our findings suggest that PMNs enhance the likelihood of early death and alter the pathological response to pneumococcal lung infection in BALB/c mice with serotype 8 pneumonia without significantly affecting bacterial clearance or the cytokine response.
Published ahead of print on 12 February 2007.
M.M. and T.B. contributed equally to this work.
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