Abstract
We have investigated the cellular basis of host defence mechanisms in experimental pyelonephritis. Cellular components of the host defence system were depleted using cyclophosphamide, methylprednisolone or radiation. Depletion of cellular competence did not affect the course of infection during the first 16 h after challenge with Escherichia coli, but after 96 h up to a 1000-fold increase in bacterial numbers in the kidneys of cytodepleted animals was demonstrable. When quantitative aspects of the relationship between cellular competence and host defence were studied, it was found that severe depletion of cellular components was necessary before host defence mechanisms were adversely affected. Thus while cellular mechanisms are quantitatively adequate and contribute to host defence in pyelonephritis they have little impact on the immediate post-infection phase. Non-cellular factors however, do limit bacterial proliferation in the acute phase and may be important determinants in the biology of pyelonephritis.
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Selected References
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- Ernst J. D., Decazes J. M., Sande M. A. Experimental pneumococcal meningitis: role of leukocytes in pathogenesis. Infect Immun. 1983 Jul;41(1):275–279. doi: 10.1128/iai.41.1.275-279.1983. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Glauser M. P., Lyons J. M., Braude A. I. Prevention of chronic experimental pyelonephritis by suppression of acute suppuration. J Clin Invest. 1978 Feb;61(2):403–407. doi: 10.1172/JCI108951. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hanson L. A., Fasth A., Jodal U., Kaijser B., Svanborg Edén C. Biology and pathology of urinary tract infections. J Clin Pathol. 1981 Jul;34(7):695–700. doi: 10.1136/jcp.34.7.695. [DOI] [PMC free article] [PubMed] [Google Scholar]
- JONES R. K., SHAPIRO A. P. Increased susceptibility to pyelonephritis during acute hypertension by angiotensin II and norepinephrine. J Clin Invest. 1963 Feb;42:179–186. doi: 10.1172/JCI104704. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lehmann J. D., Smith J. W., Miller T. E., Barnett J. A., Sanford J. P. Local immune response in experimental pyelonephritis. J Clin Invest. 1969 Nov;47(11):2541–2550. doi: 10.1172/JCI105936. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Meddens M. J., Thompson J., Mattie H., van Furth R. Role of granulocytes in the prevention and therapy of experimental Streptococcus sanguis endocarditis in rabbits. Antimicrob Agents Chemother. 1984 Feb;25(2):263–267. doi: 10.1128/aac.25.2.263. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Miller T. E., Phillips S., Simpson I. J. Complement-mediated immune mechanisms in renal infection. II. Effect of decomplementation. Clin Exp Immunol. 1978 Jul;33(1):115–121. [PMC free article] [PubMed] [Google Scholar]
- Miller T. E., Robinson K. B. Experimental pyelonephritis: a new method for inducing pyelonephritis in the rat. J Infect Dis. 1973 Mar;127(3):307–310. doi: 10.1093/infdis/127.3.307. [DOI] [PubMed] [Google Scholar]
- Miller T., Phillips S. Pyelonephritis: the relationship between infection, renal scarring, and antimicrobial therapy. Kidney Int. 1981 May;19(5):654–662. doi: 10.1038/ki.1981.65. [DOI] [PubMed] [Google Scholar]
- Miller T. Pyelonephritis: the role of cell-mediated immunity defined in a congenitally athymic rat. Kidney Int. 1984 Dec;26(6):816–822. doi: 10.1038/ki.1984.223. [DOI] [PubMed] [Google Scholar]
- Miller T., Scott L., Stewart E., North D. Modification by suppressor cells and serum factors of the cell-mediated immune response in experimental pyelonephritis. J Clin Invest. 1978 Apr;61(4):964–972. doi: 10.1172/JCI109021. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Slotki I. N., Asscher A. W. Prevention of scarring in experimental pyelonephritis in the rat by early antibiotic therapy. Nephron. 1982;30(3):262–268. doi: 10.1159/000182484. [DOI] [PubMed] [Google Scholar]
- Smith J. W., Hand W. L., Sanford J. P. Local synthesis of secretory IgA in experimental pyelonephritis. J Immunol. 1972 Apr;108(4):867–876. [PubMed] [Google Scholar]
