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Publication : Macrophages Subvert Adaptive Immunity to Urinary Tract Infection.

First Author  Mora-Bau G Year  2015
Journal  PLoS Pathog Volume  11
Issue  7 Pages  e1005044
PubMed ID  26182347 Mgi Jnum  J:248538
Mgi Id  MGI:5919555 Doi  10.1371/journal.ppat.1005044
Citation  Mora-Bau G, et al. (2015) Macrophages Subvert Adaptive Immunity to Urinary Tract Infection. PLoS Pathog 11(7):e1005044
abstractText  Urinary tract infection (UTI) is one of the most common bacterial infections with frequent recurrence being a major medical challenge. Development of effective therapies has been impeded by the lack of knowledge of events leading to adaptive immunity. Here, we establish conclusive evidence that an adaptive immune response is generated during UTI, yet this response does not establish sterilizing immunity. To investigate the underlying deficiency, we delineated the naive bladder immune cell compartment, identifying resident macrophages as the most populous immune cell. To evaluate their impact on the establishment of adaptive immune responses following infection, we measured bacterial clearance in mice depleted of either circulating monocytes, which give rise to macrophages, or bladder resident macrophages. Surprisingly, mice depleted of resident macrophages, prior to primary infection, exhibited a nearly 2-log reduction in bacterial burden following secondary challenge compared to untreated animals. This increased bacterial clearance, in the context of a challenge infection, was dependent on lymphocytes. Macrophages were the predominant antigen presenting cell to acquire bacteria post-infection and in their absence, bacterial uptake by dendritic cells was increased almost 2-fold. These data suggest that bacterial uptake by tissue macrophages impedes development of adaptive immune responses during UTI, revealing a novel target for enhancing host responses to bacterial infection of the bladder.
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