Published ahead of print on August 16, 2007, doi:10.1164/rccm.200606-763OC Am. J. Respir. Crit. Care Med., Volume 176, Number 9, November 2007, 921-929 A more recent version of this article appeared on November 1, 2007
Submitted on June 8, 2006 Effect of Laparotomy on Clearance and Cytokine Induction in Staphylococcus aureus-infected LungsMichal A Olszewski1*,1 The Veteran's Administration Ann Arbor Healthcare System, Ann Arbor, MI, USA; Division of Pulmonary and Critical Care, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA, 2 Division of Pulmonary and Critical Care, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA, 3 Division of Pulmonary and Critical Care, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA; Department of Microbiology and Immunology, University of Michigan Medical School, Ann Arbor, MI, USA * To whom correspondence should be addressed. E-mail: olszewsm{at}umich.edu.
Rationale: Staphylococcus aureus is a major pathogen complicating post-surgical care.
Objective: To test the effect of sterile laparotomy (LAP) on pulmonary clearance of S. aureus in a murine model.
Methods: Control and LAP mice were infected intranasally with 108CFU of S. aureus. Microbial clearance, pulmonary leukocyte recruitment and cytokine profiles were compared between the groups. Antibody neutralization or cytokine gene knockout mice were used to evaluate the role of cytokines.
Measurements and Main Results: Laparotomy resulted in a ten-fold increase in S. aureus lung CFU on days 2 and 3 post infection. Both groups cleared the infection by day 4. No defect in leukocyte recruitment into the lungs was observed in LAP-infected animals; however, an increase in the number of Mac-3 positive cells and a significant decrease of cells with high surface expression of Fc- Key words: Staphylococcus aureus, Lung, Cytokines, IFN-gamma, innate immunity
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