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1 Department of Pediatrics, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands;
2 Department of Pathology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands;
3 Department of Otorhinolaryngology, Donders Institute for Brain, Cognition and Behaviour, Radboud Un
Otitis Media (OM) is one of the most frequent diseases in childhood, and Streptococcus pneumoniae is among the main causative bacterial agents. Since current experimental models used to study the bacterial pathogenesis of OM have several limitations, such as the invasiveness of the experimental procedures, we developed a non-invasive murine OM model. In our model, a pressure cabin is used in which a 40kPa pressure increase is applied to translocate pneumococci from the nasopharyngeal cavity into both mouse middle ears. This model was adapted from a previously developed rat OM model. Wild-type pneumococci were found to persist in the middle ear cavity for 144 hours after infection, with a maximum bacterial load at 96 hours. Inflammation was confirmed at 96 and 144 hours post infection by IL-1β and TNF-
cytokine analysis and histopathology. Subsequently, we investigated the contribution of two surface-associated pneumococcal proteins, the streptococcal lipoprotein rotamase A (SlrA) and the putative proteinase maturation protein A (PpmA) to experimental OM in our model. Pneumococci lacking the gene encoding SlrA, but not PpmA were significantly reduced in virulence in the otitis media model. Importantly, pneumococci lacking both genes were significantly more attenuated than the
slrA single mutant. This additive effect suggests that SlrA and PpmA exert complementary functions during experimental OM. In conclusion, we have developed a highly reproducible and non-invasive murine infection model for pneumococcal OM using a pressure cabin, which is very suitable to study pneumococcal pathogenesis and virulence in vivo.
4 E-mail: p.hermans{at}cukz.umcn.nl
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