TREM-1 promotes survival during Klebsiella pneumoniae liver abscess in mice

Infect Immun. 2014 Mar;82(3):1335-42. doi: 10.1128/IAI.01347-13. Epub 2014 Jan 6.

Abstract

Klebsiella pneumoniae liver abscess (KPLA) is prevalent in East Asia. Liver abscess can develop after translocation of K. pneumoniae from a patient's bowel into the liver via the portal circulation. TREM-1 (triggering receptor expressed on myeloid cells 1) amplifies inflammatory signaling during infection, but its role in KPLA is poorly understood. We used an animal study to characterize the role of TREM-1 in KPLA. We compared survival rates, bacterial burdens in tissues, inflammatory cytokine levels, and histology findings between wild-type and Trem-1 knockout (KO) mice after oral inoculation of capsular type K1 K. pneumoniae. Translocation of K. pneumoniae to mesenteric lymph nodes and liver was examined, and intestinal permeability, antimicrobial peptide expression, and the clearance of K. pneumoniae in the small intestine were determined. In the absence of TREM-1, KPLA model mice showed increased K. pneumoniae dissemination, enhanced liver and systemic inflammation, and reduced survival. Impaired bacterial clearance in the small intestine causes enhanced K. pneumoniae translocation, which renders Trem-1 KO mice more susceptible to K. pneumoniae oral infection. In conclusion, TREM-1-mediated bacterial clearance in the small intestine is an important immune response against K. pneumoniae. TREM-1 deficiency enhances K. pneumoniae translocation in the small intestine and increases mortality rates in mice with KPLA.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bacterial Translocation / genetics
  • Bacterial Translocation / immunology
  • Cytokines / genetics
  • Cytokines / immunology
  • Disease Models, Animal
  • Inflammation / immunology
  • Inflammation / microbiology
  • Intestine, Small / immunology
  • Intestine, Small / microbiology
  • Klebsiella Infections / genetics
  • Klebsiella Infections / immunology*
  • Klebsiella Infections / microbiology
  • Klebsiella pneumoniae / immunology*
  • Liver / immunology
  • Liver / microbiology
  • Liver Abscess / genetics
  • Liver Abscess / immunology*
  • Liver Abscess / microbiology
  • Membrane Glycoproteins / genetics*
  • Membrane Glycoproteins / immunology*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Neutrophils / immunology
  • Neutrophils / microbiology
  • Receptors, Immunologic / genetics*
  • Receptors, Immunologic / immunology*
  • Triggering Receptor Expressed on Myeloid Cells-1
  • Up-Regulation / genetics
  • Up-Regulation / immunology

Substances

  • Cytokines
  • Membrane Glycoproteins
  • Receptors, Immunologic
  • TREM1 protein, mouse
  • Triggering Receptor Expressed on Myeloid Cells-1