Biofilms and Immunity in Chronic Wounds

描述（由申请人提供）：本申请旨在解决慢性伤口中细菌定植和持久性的影响。生物膜的形成显然与慢性和持续性细菌感染有关。这大大延迟了伤口愈合并使其复杂化。与通常由宿主清除的急性细菌感染不同，即使使用高剂量抗生素和完整的免疫力，生物膜相关的慢性感染也不容易解决。细菌病原体铜绿假单胞菌和金黄色葡萄球菌是本申请的焦点，它们引起一系列生物膜相关的临床疾病，包括持续性气道感染、烧伤伤口感染、心内膜炎和手术部位感染。未解决的感染伤口也有助于医院的持久性和细菌在卫生保健环境中的传播。由于生物膜形成导致的慢性感染的丰富性和持久性导致了生物膜部署定向机制以破坏宿主免疫系统的识别、激活和功能的假设。该提案将使用最先进的分子和基因组方法来更好地了解细菌定植在慢性伤口中的影响。目的1将明确铜绿假单胞菌和S。金黄色葡萄球菌抵抗宿主来源的抗微生物剂和先天免疫细胞的杀伤。目的二是利用新建立的猪Ⅲ度烧伤慢性创面模型和烧伤创面清创后的组织标本，研究铜绿假单胞菌和沙门氏菌引起的生物膜持续性感染。金黄色。可以随时间采样的慢性感染模型的开发以及获得来自遭受烧伤-创伤损伤的人的材料提供了用于检查生物膜形成在宿主中的影响的相关的、独特的和新颖的方法。根据体外数据得出的结论将在猪模型和人体组织中进行有效测试，以确定临床感染的适用性。最终，收集的信息将有助于治疗一系列慢性感染，包括高度流行的持续性伤口感染。

DESCRIPTION (provided by applicant): This application seeks to address the impact of bacterial colonization and persistence in chronic wounds. The formation of biofilms has clearly been linked to chronic and persistent bacterial infections. This considerably delays and complicates wound healing. Unlike acute bacterial infections, which are often cleared by the host, biofilm-related chronic infections are not easily resolved even with high dose antibiotics and intact immunity. The bacterial pathogens Pseudomonas aeruginosa and Staphylococcus aureus, which are the focus of this application, cause an array of biofilm-related clinical diseases including persistent airway infections, burn wound infections, endocarditis, and surgical site infections. Unresolved infected wounds also contribute to nosocomial persistence and the spread of bacteria in health care settings. The abundance and persistence of chronic infections due to biofilm formation has led to the hypothesis that biofilms deploy directed mechanisms to subvert recognition, activation, and functions of the host immune system. This proposal will use state-of-the- art molecular and genomic approaches to better understand the impact of bacterial colonization in chronic wounds. Aim 1 will define mechanisms by which P. aeruginosa and S. aureus resist killing by host-derived antimicrobials and innate immune cells. Aim 2 will utilize a newly developed porcine full thickness burn chronic wound model and explanted human tissue from burn wound debridement to investigate biofilm persistent infections caused by P. aeruginosa and S. aureus. The development of a chronic infection model that can be sampled over time as well as access to materials derived from humans suffering burn-wound injury provides a relevant, unique, and novel approach for examining the effects of biofilm formation in the host. Conclusions made from in vitro data will be efficiently tested in the porcine model and human tissue for applicability in clinical infection. Ultimately information gathered will aid the treatment of an array of chronic infections including highly prevalent persistent wound infections.