Abstract
A search for new targeted therapeutic strategies based on examining immunopathogenetic mechanisms for emerging co-infections is relevant and may further contribute not only to optimizing choice of immunotropic drugs, but also to achieving positive clinical and immunological remission for abnormal infectious processes. Previously, our studies found that recurrent viral-bacterial respiratory infections are associated with dysfunction of neutrophilic granulocytes (NG) with varying degree of intensity in altered effector properties. NG dysfunctions are often associated with diverse phenotypic profiles characterized by varying density for expression level of functionally significant trigger receptors. The aim of the study was to pinpoint phenotype transformation in CD64-CD32+CD16+CD11b+, CD64+CD32+CD16+CD11b+ neutrophilic granulocytes in experimental model of viral-bacterial infection in vitro. We examined 52 peripheral blood samples collected from 13 healthy adult volunteers. Viral, bacterial and virus-bacterial infection was modelled in vitro by incubating blood-derived cell samples with formyl-methionyl-leucyl-phenylalanine (fMLP), double-stranded RNA (dsRNA) or in combination followed by assessing changes in immunophenotyping of CD64-CD32+CD16+CD11b+NG, CD64+CD32+CD16+CD11b+NG by using using MAbs CD16-ECD, CD64-FITC, CD32-PE, CD11b-PC5 conjugates (Beckman Coulter International SA, France). It was demonstrated that NGs from healthy adult volunteers were dominated by CD64-CD32+CD16+CD11b+NG as well as minor subset СD64+CD32+CD16+CD11b+ NG varying in expression density of membrane molecules. Percentage of the minor subset СD64+CD16+CD32+CD11b+ NG was significantly increased after exposure with dsRNA, fMLP and dsRNA+fMLP compared to untreated samples. Comparative analysis revealed that various immunotropic agents differed in affecting expression of surface receptor molecules CD16, CD32 and unidirectional effects, but of varying magnitude altering CD11b marker both in major and minor subsets. Preincubation with dsRNA followed by adding fMLP allowed to find that they co-stimulated expression of surface receptors in both NG subsets. We generated an experimental model of viral-bacterial co-infection in vitro by using fMLP and dsRNA and observed types of phenotype transformation in CD64-CD32+CD16+CD11b+ NG and CD64+CD32+CD16+CD11b+ NG subsets. This model can be used to evaluate transformation of other NG subset phenotypes, NG functional activity, features of NET formation as well as impact of various immunotropic agents on NG.
Highlights
An urgent problem of modern clinical immunology is the creation of new technologies to restore the normal functioning of the immune system in various infectious diseases of bacterial and viral etiology, including mixed infections
In order to reproduce the conditions of a bacterial infection in vitro, we selected N-formyl-methionylleucyl-phenylalanine, which is a bacterial pathogen and, according to various researchers, has activating effects on Neutrophilic granulocytes (NG). fMLP may be of exogenous origin or endogenous origin. fMLP is one of the powerful chemotactic factors of NG, which is able to bind to heterodimeric G-proteins — cell surface receptors. fMLP activates signaling pathways mediated by phosphatidinositol-specific phospholipase C (PLC), phospholipase D (PLD), phosphotidylinositol-3 kinase (PI3K), and mitogenactivated protein kinases (MAPK) which leads to the activation of phagocytosis, chemotaxis, reactive oxygen species generation and release of microbicidal molecules from NG granules
In the minor subset of CD64+CD32+CD16+ CD11b+NG under the influence of the bacterial pathogen and double-stranded RNA (dsRNA), we found a significant increase in the number of NG expressing CD64 from 0.2% to 3.85% — 19.25 times
Summary
An urgent problem of modern clinical immunology is the creation of new technologies to restore the normal functioning of the immune system in various infectious diseases of bacterial and viral etiology, including mixed infections. It has been shown that many viral infections cause a worsening of the course of the chronic inflammatory processes of the respiratory tract of bacterial etiology due to S. aureus, Str. pneumoniae [25, 26, 35, 37]. Viral-bacterial mixed infections can significantly change the clinical picture of each infection separately and lead to a more severe course of diseases that are not amenable to standard therapy methods [2, 18]. Under the influence of certain viruses and/or bacteria, NGs can change their properties.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
