Role of the bacterial cell wall in middle ear inflammation caused by Streptococcus pneumoniae.

Abstract:

:The pathogenesis of middle ear inflammation caused by Streptococcus pneumoniae was explored in the chinchilla model with different pneumococcal cell wall (CW) preparations, including isolated native CW, M1 muramidase CW (M1-CW) digest, amidase CW digest, and M1 peptidoglycan (M1-PG) digest. Inflammatory cell and lysozyme concentrations in middle ear fluid (MEF) were measured between 6 and 72 h after the middle ears were inoculated with one of the preparations or sterile saline. Middle ear histopathology was measured quantitatively at 72 h. Native CW, M1-CW digest, and amidase-CW digest caused significantly more inflammatory cell influx and lysozyme accumulation in MEF than saline did. M1-PG digest also caused more inflammatory cell influx and lysozyme accumulation in MEF than saline did but caused less inflammation than native CW or either CW digest. Epithelial metaplasia was significantly greater in ears inoculated with native CW than in ears inoculated with the CW or PG digest or with saline. Pneumococcal CW is, therefore, the principal factor that initiates middle ear inflammation in acute pneumococcal otitis media, and CW teichoication seems to be important in initiating this response.

journal_name

Infect Immun

journal_title

Infection and immunity

authors

Carlsen BD,Kawana M,Kawana C,Tomasz A,Giebink GS

doi

10.1128/IAI.60.7.2850-2854.1992

keywords:

subject

Has Abstract

pub_date

1992-07-01 00:00:00

pages

2850-4

issue

7

eissn

0019-9567

issn

1098-5522

journal_volume

60

pub_type

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