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Infection and Immunity, April 2002, p. 2187-2197, Vol. 70, No. 4
0019-9567/02/$04.00+0 DOI: 10.1128/IAI.70.4.2187-2197.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Balance of Pro- and Anti-Inflammatory Cytokines Correlates with Outcome of Acute Experimental Pseudomonas aeruginosa Keratitis
A. Thakur,1* M. Xue,1 F. Stapleton,1 A. R. Lloyd,2 D. Wakefield,2 and M. D. P. Willcox1
Cornea and Contact Lens Research Unit, Cooperative Research Centre for Eye Research and Technology,1
Inflammation Research Unit, School of Pathology, The University of New South Wales, Sydney, New South Wales 2052, Australia2
Received 20 July 2001/
Returned for modification 20 September 2001/
Accepted 16 November 2001
The purpose of this study was to elucidate the expression of pro- and anti-inflammatory cytokines in mouse corneas infected with Pseudomonas aeruginosa. Three bacterial strains (invasive, cytotoxic, or CLARE [contact lens-induced acute red eye]) which have recently been shown to produce distinct patterns of corneal disease in the mouse were used. The left mouse (BALB/c) corneas were scarified and infected with 2 x 106 CFU of one of the three P. aeruginosa strains, while right eyes served as controls. Animals were examined at 1, 4, 8, 16, and 24 h with a slit lamp biomicroscope to grade the severity of infection. Following examination, eyes were collected and processed for histopathology, multiprobe RNase protection assay for cytokine mRNA, enzyme-linked immunosorbent assay to quantitate cytokine proteins, and myeloperoxidase activity to quantitate polymorphonuclear leukocytes. The kinetics of appearance and magnitude of expression of key cytokines varied significantly in the three different phenotypes of P. aeruginosa infection. The predominant cytokines expressed in response to all three phenotypes were interleukin-1ß (IL-1ß), IL-1Ra, and IL-6. In response to the invasive strain, which induced severe corneal inflammation, significantly lower ratios of IL-1Ra to IL-1ß were present at all time points, whereas corneas challenged with the CLARE strain, which induced very mild inflammation, showed a high ratio of IL-1Ra to IL-1ß. The outcome of infection in bacterial keratitis correlated with the relative induction of these pro- and anti-inflammatory cytokines, and exogenous administration of recombinant rIL-1Ra (rIL-1Ra) was able to reduce the disease severity significantly. These findings point to the therapeutic potential of rIL-1Ra protein in possible treatment strategies for bacterial keratitis.
* Corresponding author. Present address: Department of Anatomy and Cell Biology, School of Medicine, Wayne State University, 540 E. Canfield Ave., Detroit, MI 48201. Phone: (313) 577-1074. Fax: (313) 577-3125. E-mail:
a.thakur{at}med.wayne.edu.
Editor: J. D. Clements
Infection and Immunity, April 2002, p. 2187-2197, Vol. 70, No. 4
0019-9567/02/$04.00+0 DOI: 10.1128/IAI.70.4.2187-2197.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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