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Maren Depke<br />

Summary <strong>of</strong> Dissertation<br />

The in vivo model <strong>of</strong> psychological stress in a complex mammalian <strong>host</strong> was performed<br />

without additional influences <strong>of</strong> a <strong>pathogen</strong>. This additional factor was addressed in the second<br />

study: Here, the influence <strong>of</strong> staphylococcal intra-venous infection on the <strong>host</strong> kidney gene<br />

expression was analyzed in another murine in vivo model using the wild type strain<br />

Staphylococcus aureus RN1HG and its isogenic sigB mutant.<br />

S. aureus, a Gram-positive bacterium, is a persistent commensal in the anterior nares <strong>of</strong><br />

approximately 20 % <strong>of</strong> the human population. The bacterium is found intermittently in 30 % to<br />

60 % <strong>of</strong> the population, and in non-carriers, which is the remaining fraction <strong>of</strong> the population,<br />

nasal swabs are never positive for S. aureus. Normally, such carriage does not cause any<br />

symptoms <strong>of</strong> illness. On the other hand, S. aureus can be responsible for a broad variety <strong>of</strong><br />

diseases: S. aureus can cause mild to severe local infections <strong>of</strong> skin or pharyngeal mucosa, but<br />

also <strong>of</strong> inner organs (e. g. endocarditis, osteomyelitis) and systemic disease like sepsis. S. aureus<br />

can be transmitted to the blood after body injury or <strong>by</strong> medical devices like catheters. An<br />

elementary model to mimic blood stream infection is the i. v. infection <strong>of</strong> laboratory animals, e. g.<br />

mice. Host reactions can be monitored <strong>by</strong> physiological, immunological or molecular readout<br />

systems. In this study, transcriptome analysis <strong>of</strong> murine kidney samples was performed.<br />

Although the virulence <strong>of</strong> sigB deficient strains is <strong>of</strong>ten reported to be similar to that <strong>of</strong> wild<br />

type strains the <strong>pathogen</strong>esis or pathomechanism <strong>of</strong> different infection settings might vary.<br />

Therefore, the rationale <strong>of</strong> this study was to investigate whether the deletion <strong>of</strong> sigB will lead to<br />

a different reaction <strong>of</strong> the infected <strong>host</strong>. Gene expression pr<strong>of</strong>iling indicated a highly<br />

reproducible <strong>host</strong> kidney response to infection with S. aureus. The comparison <strong>of</strong> infected with<br />

non-infected samples revealed a strong inflammatory reaction <strong>of</strong> kidney tissue. This included e. g.<br />

Toll-like receptor signaling, complement system, antigen presentation, interferon and IL-6<br />

signaling, but also counter-regulatory IL-10 signaling. However, the results <strong>of</strong> this study did not<br />

provide any hints for differences in the <strong>pathogen</strong>esis or pathomechanism <strong>of</strong> the S. aureus strains<br />

RN1HG and ΔsigB in the selected model <strong>of</strong> i. v. infection in mice, since the <strong>host</strong> response did not<br />

differ between infections with the two strains analyzed. If really existing, such differences might<br />

be transient and only apparent at earlier time points. Effects <strong>of</strong> SigB might also be compensated<br />

for in in vivo infection <strong>by</strong> the interlaced pattern <strong>of</strong> other regulators. There is also the possibility <strong>of</strong><br />

missing activity <strong>of</strong> SigB in vivo which could explain the similarity <strong>of</strong> <strong>host</strong> reaction to infection with<br />

S. aureus RN1HG and its sigB mutant in this study. SigB might possess only to a lesser extent<br />

characteristics attributed to virulence factors and might act in vivo more like a virulence<br />

modulator and fine tune bacterial reactions, or SigB might be important in special niches during<br />

infection. Assuming such function failure to detect differences in the <strong>host</strong>’s reaction to S. aureus<br />

RN1HG and its isogenic sigB mutant could be explained.<br />

Tissue expression pr<strong>of</strong>iling from in vivo models has the advantage <strong>of</strong> directly recording the<br />

relevant physiological state with all its complex <strong>interactions</strong> and influences and its vicinity to<br />

medical questions in the human. Nevertheless, it is very difficult to distinguish the different<br />

components because the tissue samples are always a mixture <strong>of</strong> different cell types which might<br />

even feature contrary reactions. Therefore, in vitro models were additionally analyzed in which<br />

only one defined <strong>host</strong> cell type was studied. Macrophages are an example for an immune cell<br />

type involved in the first steps <strong>of</strong> the encounter between the <strong>host</strong> and a <strong>pathogen</strong>. In the innate<br />

immune system, macrophages, together with dendritic cells, hold a central position. They are<br />

main effectors <strong>of</strong> the clearance <strong>of</strong> infections <strong>by</strong> their sentinel and phagocytic function.<br />

Macrophages present phagocytosed antigen derived peptides on MHC-II to lymphocytes. By this<br />

10

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