title: Neutrophil recruitment and resistance to urinary tract infection.
abstract: This study examined the role of neutrophil leukocytes for the antibacterial defense at mucosal infection sites. Urinary tract infection (UTI) was established by injection into the bladder lumen of Escherichia coli 1177, a fully virulent clinical isolate. Infection of C3H/HeN (lpsn, lpsn) mice recruited neutrophils into the urinary tract, and bacteria were cleared from kidneys and bladders. The neutrophil response was absent in C3H/HeJ (lpsd, lpsd) mice, and bacteria persisted in the tissues. Peripheral neutrophil depletion of C3H/HeN mice was subsequently achieved by pretreatment with the granulocyte-specific antibody RB6-8C5. The E. coli-induced neutrophil recruitment was inhibited, as shown by immunohistochemistry and tissue myeloperoxidase quantitation. As a consequence, bacterial clearance from kidneys and bladders was drastically impaired. Antibody treatment of C3H/HeJ mice had only a marginal effect. The results show that neutrophils are essential for bacterial clearance from the urinary tract and that the neutrophil recruitment deficiency in C3H/HeJ mice explains their susceptibility to gram-negative UTI.
authors.affiliation: Institute of Laboratory Medicine, Section of Microbiology, Lund University, Sweden.
authors.forename: M
authors.initials: M
authors.lastname: Haraoka
authors.forename: L
authors.initials: L
authors.lastname: Hang
authors.forename: B
authors.initials: B
authors.lastname: Frendéus
authors.forename: G
authors.initials: G
authors.lastname: Godaly
authors.forename: M
authors.initials: M
authors.lastname: Burdick
authors.forename: R
authors.initials: R
authors.lastname: Strieter
authors.forename: C
authors.initials: C
authors.lastname: Svanborg
mesh_terms: D000818:Animals; D002634:Chemotaxis, Leukocyte; D002648:Child; D004926:Escherichia coli / Q000145:classification / Q000276:immunology / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000473:pathology / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007668:Kidney / Q000382:microbiology / Q000473:pathology / Q000503:physiopathology; D008070:Lipopolysaccharides / Q000494:pharmacology; D051379:Mice; D008809:Mice, Inbred C3H; D009504:Neutrophils / Q000502:physiology*; D011704:Pyelonephritis / Q000382:microbiology; D001743:Urinary Bladder / Q000382:microbiology / Q000473:pathology / Q000503:physiopathology; D014552:Urinary Tract Infections / Q000473:pathology / Q000503:physiopathology*
chemical_list: D008070:Lipopolysaccharides