新型不完全溶血表型金黄色葡萄球菌毒力和致病性

Virulence and pathogenicity of Staphylococcus aureus with incomplete hemolytic phenotype

  • 摘要: 目的 构建小鼠血流感染模型,评估新型不完全溶血表型金黄色葡萄球菌(SIHP)的毒力和致病性。方法 经尾静脉分别注射新型SIHP和完全溶血表型金黄色葡萄球菌(SCHP)菌液(4.5×107 CFU)构建小鼠血流感染模型。每日监测小鼠体质量、进食量。于感染后第1、3、5和7天,采集血液, 仪器法检测血常规,ELISA法检测血清白细胞介素(IL)-1β、IL-6、IL-10和TNF-α。无菌摘取心、肝、脾、肺和肾,组织匀浆后进行细菌载量测定,苏木精-伊红(HE)染色法评估组织病理损伤。结果 与SCHP相比,新型SIHP感染小鼠进食抑制和体质量减轻(P<0.05),持续性单核细胞比例及血小板计数升高,血清IL-6提前2 d达峰且浓度更高,IL-1β峰值升高(均P<0.05)。相比于SCHP组心、肝、脾和肺的细菌载量均于第3天达峰,新型SIHP组肝、脾细菌载量于第1天达峰,心、肺细菌载量延迟至第5天达峰。组织病理损伤显示新型SIHP感染小鼠的器官损伤更严重,表现为心肌纤维化,肝脏广泛脂肪变性、水肿和淤血,肺坏死, 肾小管坏死伴炎性浸润。结论 新型SIHP在小鼠模型中展现出比SCHP更强的致病力,表现为更剧烈的早期炎症反应、独特的器官定植动力学及更严重的组织损伤。

     

    Abstract: OBJECTIVE To evaluate the virulence and pathogenicity of Staphylococcus aureus with incomplete hemolytic phenotype (SIHP) by using models of rats with bloodstream infections. METHODS Totally 44 SPF grade KM female mice with 6 weeks of age were enrolled in the study and were respectively injected with normal saline, novel SIHP and Staphylococcus aureus with complete hemolytic phenotype (SCHP) via tail vein to establish the models of mice with bloodstream infections. The enrolled mice were divided into the negative control group with 4 mice, the novel SIHP group with 20 mice and the SCHP group with 20 mice. The body weight and food intake were monitored daily. The blood samples were collected after the infections for 1, 3, 5, and 7 days, the blood routine tests were instrumentally carried out, and the levels of serum interleukin (IL)- 1β, IL-6, IL-10 and TNF-α were detected by means of ELISA. The heart, liver, spleen, lungs, and kidneys were aseptically removed, the bacterial loads in tissue homogenates were determined, and the histopathological damage was assessed by hematoxylin-eosin (HE) staining. RESULTS The SIHP group exhibited more severe suppression of food intake and weight loss than the SCHP group (P< 0.05), the percentage of monocyte and platelet counts were higher, the serum IL-6 level reached the peak 2 days in advance, with the concentration higher, and the peak value was higher (all P<0.05). The bacterial loads in the heart, liver, spleen and lungs of the SCHP group reached the peak on Day 3, while the bacterial loads in the liver and spleen of the novel SIHP group reached the pean on Day 1, and the bacterial loads in the heart and lungs delayed reaching the peak until Day 5. The histopathological damage indicated that the SIHP group had more severe organic damage, manifesting as myocardial fibrosis, extensive hepatic steatosis, edema and congestion, pulmonary necrosis, and renal tubular necrosis with inflammatory infiltration. CONCLUSION The novel SIHP shows greater pathogenicity in the rat models than dose the SCHP, presenting more severe early inflammatory reactions, distinct organ colonization kinetics and more severe tissue damage.

     

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