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Am J Physiol Lung Cell Mol Physiol (September 25, 2009). doi:10.1152/ajplung.00193.2009
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Submitted on June 8, 2009
Revised on August 18, 2009
Accepted on September 21, 2009

Microbial exposure early in life regulates airway inflammation in mice after infection with Streptococcus pneumoniae with enhancement of local resistance

Yasuki Yasuda1, Yoko Matsumura1, Kazuki Kasahara1, Noriko Ouji1, Shigeki Sugiura1, Keiichi Mikasa1, and Eiji Kita2*

1 Nara Medical University, School of Medicine
2 Nara Medical University School of Medicine

* To whom correspondence should be addressed. E-mail: eijikita{at}naramed-u.ac.jp.

The immunological explanation for the "hygiene hypothesis" has been proposed to be induction of T helper 1 (Th1) responses by microbial products. However, the protective results of hygiene-hypothesis-linked microbial exposures are currently shown to be unlikely to result from a Th1-skewed response. Until now, effect of microbial exposure early in life on airway innate resistance remains much unclear. We examined the role of early-life exposure to microbes in airway innate resistance to a respiratory pathogen. Specific-pathogen-free weanling mice were nasally exposed to the mixture of microbial extracts or PBS (control) every other day for 28 days, and intratracheally infected with Streptococcus pneumoniae 10 days after the last exposure. Exposure to microbial extracts facilitated colonization of aerobic gram-positive bacteria, anaerobic microorganisms, and Lactobacillus in the airway, compared with control exposure. In pneumococcal pneumonia, the exposure prolonged mouse survival days by suppressing bacterial growth and by retarding pneumococcal blood invasion, despite significantly low levels of leukocyte recruitment in the lung. Enhancement of airway resistance was associated with a significant decrease in production of leukocyte chemokine (KC) and TNF-{alpha}, and suppression of matrix metalloproteinase (MMP-9) expression/activation with enhancement of tissue inhibitor of MMP (TIMP-3) activation. The exposure increased production of IFN-{gamma}, IL-4, and monocyte chemoattractant-1 following infection. Furthermore, expression of Toll-like receptor 2, 4 and 9 was promoted by the exposure, but no longer up-regulated upon pneumococcal infection. Thus, we suggest that"hygiene hypothesis" is more important in regulating the PMN-dominant inflammatory response than in inducing a Th1-dominant response.







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