Pro-inflammatory agents released by pathogens, dying host cells, and neutrophils act synergistically to destroy host tissues: a working hypothesis.

bacterial toxin bacteriolysis cationic proteins sepsis synergism tissue damage

Journal

Journal of inflammation research
ISSN: 1178-7031
Titre abrégé: J Inflamm Res
Pays: New Zealand
ID NLM: 101512684

Informations de publication

Date de publication:
2019
Historique:
entrez: 19 2 2019
pubmed: 19 2 2019
medline: 19 2 2019
Statut: epublish

Résumé

We postulate that the extensive cell and tissue damage inflicted by many infectious, inflammatory and post-inflammatory episodes is an enled result of a synergism among the invading microbial agents, host neutrophils and dead and dying cells in the nidus. Microbial toxins and other metabolites along with the plethora of pro-inflammatory agents released from activated neutrophils massively recruited to the infectious sites and high levels of cationic histones, other cationic peptides, proteinases and Th1 cytokines released from activated polymorphonuclear neutrophils (PMNs) and from necrotized tissues may act in concert (synergism) to bring about cell killing and tissue destruction. Multiple, diverse interactions among the many potential pro-inflammatory moieties have been described in these complex lesions. Such infections are often seen in the skin and aerodigestive tract where the tissue is exposed to the environment, but can occur in any tissue. Commonly, the tissue-destructive infections are caused by group A streptococci, pneumococci,

Identifiants

pubmed: 30774411
doi: 10.2147/JIR.S190007
pii: jir-12-035
pmc: PMC6350637
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

35-47

Déclaration de conflit d'intérêts

Disclosure The authors report no conflicts of interest in this work.

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Auteurs

Isaac Ginsburg (I)

Institute of Dental Sciences, Faculty of Dental Medicine, The Hebrew University, Jerusalem, Israel, ginsburg@mail.huji.ac.il.

Maya Korem (M)

Department of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel, mayak@hadassah.org.il.

Erez Koren (E)

Research and Development Department, Clexio Biosciences Ltd, Petah Tikva, Israel.

James Varani (J)

Department of Pathology, The University of Michigan Medical School, Ann Arbor, MI, USA.

Classifications MeSH