Article ; Online: Calcineurin inhibitor Tacrolimus impairs host immune response against urinary tract infection.
2019 Volume 9, Issue 1, Page(s) 106
Abstract: Calcineurin inhibitor Tacrolimus, is a potent immunosuppressive drug widely used in order to prevent acute graft rejection. Urinary tract infection (UTI) is the most frequent infectious complication in renal transplant patients and long-term use of ... ...
Abstract | Calcineurin inhibitor Tacrolimus, is a potent immunosuppressive drug widely used in order to prevent acute graft rejection. Urinary tract infection (UTI) is the most frequent infectious complication in renal transplant patients and long-term use of Tacrolimus might be involved in higher susceptibility to bacterial infections. It remains largely unknown how Tacrolimus affects the host innate immune response against lower and upper UTI. To address this issue, we used experimental UTI model by intravesical inoculation of uropathogenic E.coli in female wild-type mice pre-treated with Tacrolimus or solvent (CTR). We found that Tacrolimus pre-treated mice displayed higher bacterial loads (cystitis, pyelonephritis and bacteremia) than CTR mice. Granulocytes from Tacrolimus pre-treated mice phagocytized less E. coli, released less MPO and expressed decreased levels of CXCR2 receptor upon infection. Moreover, Tacrolimus reduced TLR5 expression in bladder macrophages during UTI. This immunosuppressive state can be explained by the upregulation of TLR-signaling negative regulators (A20, ATF3, IRAK-M and SOCS1) and parallel downregulation of TLR5 as observed in Tacrolimus treated granulocytes and macrophages. We conclude that Tacrolimus impairs host innate immune responses against UTI. |
---|---|
MeSH term(s) | Animals ; Bacterial Load ; Calcineurin Inhibitors/administration & dosage ; Calcineurin Inhibitors/adverse effects ; Disease Models, Animal ; Escherichia coli Infections/immunology ; Escherichia coli Infections/pathology ; Female ; Granulocytes/drug effects ; Granulocytes/immunology ; Immunologic Factors/metabolism ; Immunosuppressive Agents/administration & dosage ; Immunosuppressive Agents/adverse effects ; Mice ; Peroxidase/metabolism ; Phagocytosis/drug effects ; Tacrolimus/administration & dosage ; Tacrolimus/adverse effects ; Urinary Tract Infections/immunology ; Urinary Tract Infections/pathology ; Uropathogenic Escherichia coli/growth & development ; Uropathogenic Escherichia coli/immunology |
Chemical Substances | Calcineurin Inhibitors ; Immunologic Factors ; Immunosuppressive Agents ; Peroxidase (EC 1.11.1.7) ; Tacrolimus (WM0HAQ4WNM) |
Language | English |
Publishing date | 2019-01-14 |
Publishing country | England |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2615211-3 |
ISSN | 2045-2322 ; 2045-2322 |
ISSN (online) | 2045-2322 |
ISSN | 2045-2322 |
DOI | 10.1038/s41598-018-37482-x |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.