The influence of bacterial exotoxins and endotoxins on the phagocytic activity of human macrophages in culture

Cell-dependent influence on the phagocytosis induced by non-ionic contrast medium injection

Iodinated contrast media (CM) can inhibit phagocytosis. To better understand the importance of this effect upon the elementary defence mechanism, the aim of the study was to compare the in vivo effect of non-ionic CM on the engulfing ability of peripheral blood phagocytic cells from patients undergoing CM-enhanced CT. Neutrophil granulocytes and monocytes from patients' peripheral blood obtained before and 30 min after CM injection were incubated with fluorescent-labelled Escherichia coli bacteria. Both the percentage of cells that engulfed bacteria and the phagocytic activity per cell has been determined by flow cytometry. We found that phagocytosis was greater in neutrophils than in monocytes. CM decreased the percentage of monocytes phagocyting bacteria, both at 4 degrees C (20.3%+/-3.3% versus 16.1%+/-2.0%; p<0.03) and at 37 degrees C (51.6%+/-4.1% versus 47.5%+/-2.6%; p>0.05), and increased the percentage of neutrophils at 4 degrees C (11.8%+/-2.1% versus 14.3%+/-2.2%; p<0.002) and at 37 degrees C (83.1%+/-3.6% versus 85.1%+/-3.2%; p>0.05). The phagocytic activity decreased significantly at 37 degrees C in monocytes (p<0.02), and was not affected in neutrophils. CM injection has different effects on both the percentage of phagocytosing cells and the phagocytic activity in monocytes and neutrophils. The inhibitory effect on monocyte phagocytosis seems to be compensated by neutrophils.

Evasion of cellular ocular defenses by contact lens isolates of Serratia marcescens

PURPOSE

Contact lens contamination by Serratia marcescens can lead to the development of microbial keratitis and contact lens-induced acute red eye, particularly during overnight contact lens wear. The aim of this study was to investigate the interaction of S. marcescens with polymorphonuclear leukocytes (PMNs), which occur in closed-eye tears.

METHODS

The respiratory burst of PMNs, when incubated with S. marcescens, was measured using chemiluminescence. Phagocytosis of planktonic and biofilm-grown bacteria by PMNs was also determined.

RESULTS

Some strains of S. marcescens did not induce a respiratory burst from PMNs and resisted phagocytosis regardless of opsonization. Phagocytic resistance and growth in the presence of PMNs was markedly increased when bacteria were grown as a biofilm on a contact lens.

CONCLUSIONS

The ability of S. marcescens to resist phagocytosis and grow to high levels in the presence of PMNs, particularly when grown as a biofilm on contact lenses, may be a mechanism by which this bacterium can survive the ocular host defense system, grow, and cause keratitis or other adverse responses.

Gangliosides block the inhibition of macrophage Fc-dependent phagocytosis by lipopolysaccharide

The mechanism whereby bacterial lipopolysaccharide (LPS) exerts its biologic effects on mammalian cells is unknown. Plasma membrane gangliosides bind bacterial toxins and have been implicated in modulating the effects of a variety of immunoregulatory substances. We investigated the possibility that gangliosides can inhibit the effect of lipopolysaccharide on Fc-dependent phagocytosis by murine peritoneal macrophages. Protein-free lipopolysaccharide preparations significantly inhibited Fc-mediated phagocytosis (less than 71% of control) at concentrations of 100 ng/ml or greater after 90 min of incubation. The inhibitory effect of LPS (1 micrograms/ml) was blocked when macrophages were incubated with mono-, di-, or trisialogangliosides (25-50 micrograms/ml). Neither asialoganglioside nor sialic acid alone were capable of blocking the effect of LPS. When chromatographed separately on a Sepharose 4B column, LPS and trisialoganglioside had different elution profiles. LPS and trisialoganglioside coeluted, however, when premixed at 37 degrees C for 60 min and then applied to the column. Therefore, abrogation of the effect of LPS on Fc-dependent phagocytosis may occur as a consequence of direct interaction between LPS and gangliosides. These data suggest that gangliosides may modulate the response of macrophages to bacterial lipopolysaccharide.