ETHANOL AUGMENTS INTRACELLULAR SURVIVAL OF MYCOBACTERIUM-AVIUM COMPLEX AND IMPAIRS MACROPHAGE RESPONSES TO CYTOKINES

ETHANOL AUGMENTS INTRACELLULAR SURVIVAL OF MYCOBACTERIUM-AVIUM COMPLEX AND IMPAIRS MACROPHAGE RESPONSES TO CYTOKINES
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DOI:
10.1093/infdis/163.6.1286
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发表时间:
1991-06-01
影响因子:
6.4
通讯作者:
YOUNG, LS
YOUNG, LS
中科院分区:
医学2区
文献类型:
--
作者:
BERMUDEZ, LE;YOUNG, LS

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长期摄入乙醇容易患结核病和细菌性肺炎。 鸟分枝杆菌复合体 (MAC) 微生物会导致艾滋病患者出现菌血症。 将培养的人单核细胞来源的巨噬细胞和鼠 Kupffer 细胞暴露于 10-100-mu-g/dl 乙醇;与对照组相比,经乙醇处理的细胞中 MAC 菌株 100(血清型 8)和 101(血清型 1)的细胞内生长显着增加(范围为 58% +/- 7%-70% +/- 5%;与对照组相比,50 和 100-mu-g/dl 乙醇的 P < .05)。 两种细胞类型,在 10-100-mu-g/dl 乙醇存在下,用 10(3) 单位/ml 重组肿瘤坏死因子 (TNF) 或 10(2) 单位/ml 粒细胞巨噬细胞集落刺激因子 (GM-CSF) 处理时,杀死的 MAC 明显少于对照组(GM-CSF 减少 49% +/- 12%,TNF 减少 57% +/- 16%;P <所有比较均为 .05)。 静脉内感染 MAC 101 株的 C57BL 黑小鼠每天给予总热量 4% 的乙醇; 21 天后,他们的血液、肝脏和脾脏中的 MAC 数量比对照组多。 乙醇对宿主和 MAC 之间相互作用的影响有利于进行性感染。
Chronic ethanol ingestion predisposes to tuberculosis and bacterial pneumonia. Mycobacterium avium complex (MAC) organisms cause bacteremia in patients with AIDS. Cultured human monocyte-derived macrophages and murine Kupffer cells were exposed to 10-100-mu-g/dl ethanol; significantly greater intracellular growth of MAC strains 100 (serovar 8) and 101 (serovar 1) occurred in ethanol-treated cells than in controls (range, 58% +/- 7%-70% +/- 5%; P < .05 for 50 and 100-mu-g/dl ethanol vs. control). Both cell types, when treated with 10(3) units/ml recombinant tumor necrosis factor (TNF) or 10(2) units/ml granulocyte-macrophage colony-stimulating factor (GM-CSF) in the presence of 10-100-mu-g/dl ethanol, killed significantly fewer MAC than controls (49% +/- 12% decrease for GM-CSF and 57% +/- 16% for TNF; P < .05 for all comparisons). C57BL black mice infected intravenously with MAC strain 101 were given ethanol as 4% of total calories daily; after 21 days they had greater numbers of MAC in blood, liver, and spleen than controls. Ethanol's effects on the interaction between the host and MAC favor progressive infection.