Pathogenesis of Klebsiells airway infections

描述（由申请方提供）：条件致病菌肺炎克雷伯菌是导致大量患者肺部感染的原因。抗生素耐药菌株的普遍存在，特别是那些产生超广谱β-内酰胺酶的菌株，在诸如住院个体和慢性酗酒者的群体中呈现出严重的临床问题。克雷伯氏菌气道感染的发病机制尚未在很大程度上进行研究，对毒力决定因素产生的研究主要集中在荚膜作为抗吞噬因子的作用上。小鼠已被广泛用作克雷伯氏菌引起的气道感染的模型。pneumoniae主要用于研究宿主细胞反应。此外，流行病学观察表明，特定的荚膜血清型（如K2）最常与肺部感染相关。然而，我们的初步数据表明，并不是所有的K2阳性分离株是有毒的小鼠感染模型。因此，虽然胶囊最有可能是一种抗吞噬因子，并防止体内细菌的有效杀灭，但需要其他因素来建立气道感染，随后侵入血流。 我们建议确定和确认以前未知的介导克雷伯氏菌气道感染的毒力因子的作用。肺炎。三种技术：标记诱变，消减杂交和体内基因表达技术将确定这些决定因素。 克雷伯氏菌属感染的鼠模型将用于证明推定的毒力因子在感染期间的作用。这三种方法是互补的，并已被用于研究许多不同类型的病原体的毒力。由于对克雷伯氏菌的毒力因子知之甚少，肺炎，预计这些研究将提供关于这些细菌产生的新的和新颖的毒力因子的信息。设计新的治疗方法来治疗机会性感染的基础将是对这组微生物产生的毒力因子的理解。

DESCRIPTION (provided by applicant): The opportunistic pathogen, Klebsiella pneumoniae, is responsible for a significant number of pulmonary infections in compromised individuals. The ubiquity of antibiotic resistant strains, particularly those producing extended-spectrum beta-lactamases, presents a serious clinical problem among groups such as hospitalized individuals and chronic alcoholics. The pathogenesis of Klebsiella airway infections has not been studied to any great extent and the investigation of the production of virulence determinants has essentially focused upon the role of capsules as antiphagocytic factors. The mouse has been extensively used as a model of airway infections due to K. pneumoniae primarily to investigate host cell responses. Also, epidemiologic observations suggest that specific capsular serotypes (e.g. K2) are most frequently associated with pulmonary infections. However, our preliminary data indicate that not all K2-positive isolates are virulent in the mouse model of infection. Therefore, although the capsule is most likely to be an antiphagocytic factor and prevent efficient killing of the bacteria in vivo, additional factors are necessary to establish airway infections with subsequent invasion of the bloodstream. We propose to identify and confirm the role of previously unknown virulence factors that mediate airway infections due to K. pneumoniae. Three techniques; signature-tagged mutagenesis, subtractive hybridization and in vivo gene expression technology will identify these determinants. The murine model of Klebsiella infection will be used to demonstrate the role of putative virulence factors during infection. The three approaches are complementary and have been used to investigate virulence in many different types of pathogens. Since very little is known about the virulence factors of K. pneumoniae, it is anticipated that these studies will provide information on new and novel virulence factors produced by these bacteria. Fundamental to devising new therapeutic approaches to opportunistic infections will be an understanding of the virulence factors produced by this group of organisms.