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Maren Depke<br />

Discussion and Conclusions<br />

KIDNEY GENE EXPRESSION PATTERN IN AN<br />

IN VIVO INFECTION MODEL<br />

The SigB regulon contains several virulence associated genes, and expression <strong>of</strong> this regulon in<br />

general promotes adhesion and reduces production <strong>of</strong> extracellular toxins (Bisch<strong>of</strong>f et al. 2004).<br />

While regulation <strong>of</strong> SigB activity has already been studied in vitro (Senn et al. 2005), its impact on<br />

in vivo physiology, e. g. in infection models, is still matter <strong>of</strong> debate. The aim <strong>of</strong> this study was the<br />

analysis <strong>of</strong> the relevance <strong>of</strong> SigB-dependent gene expression regulation for the adaptation <strong>of</strong> the<br />

<strong>host</strong> transcriptome in murine infection.<br />

In an i. v. murine infection model the two Staphylococcus aureus strains RN1HG and its<br />

isogenic sigB mutant were used to infect mice with comparable infection doses. In mouse kidney,<br />

the infection resulted in similar infection rates <strong>of</strong> approximately 1.0E+06 cfu/10 mg <strong>of</strong> tissue. The<br />

role <strong>of</strong> SigB has already been analyzed in different in vivo infection models. A general observation<br />

<strong>of</strong> these studies was that sigB deletion mutants and their parental strain can accomplish<br />

comparable bacterial loads. In the clinical isolate WCUH29 the allelic replacement <strong>of</strong> sigB did not<br />

lead to differing bacterial load in organs or wounds after testing original strain and isogenic<br />

mutant in different types <strong>of</strong> infection models (Nicholas et al. 1999). Also Chan et al. (1998)<br />

observed similar numbers <strong>of</strong> cfu in a skin abcess model, but the results might have been<br />

compromised <strong>by</strong> the fact that the group used a sigB deletion in the 8325-4 background which<br />

itself harbors an inactivating mutation in rsbU, a gene for a SigB regulatory phosphatase<br />

(Kullik/Giachino 1997). Horsburgh et al. published in 2002 the construction <strong>of</strong> S. aureus SH1000, a<br />

variant <strong>of</strong> strain 8325-4, in which the rsbU gene had been repaired. SH1000 and 8325-4 resulted<br />

in the recoverage <strong>of</strong> similar numbers <strong>of</strong> cfu in a murine subcutaneous skin abcess model<br />

(Horsburgh et al. 2002b). Contrarily, another study reported a significantly different bacterial<br />

burden in kidney after i. v. infection with S. aureus 8325-4 (RsbU − ), SH1000 (RsbU + ), and a sigB<br />

knockout mutant <strong>of</strong> SH1000 (SigB − ). In this setting, the repair <strong>of</strong> rsbU leads to an increased cfu<br />

count 14 days after inoculation (Jonsson et al. 2004). In the study described in this thesis, almost<br />

equal mean values <strong>of</strong> infection rate were observed for S. aureus RN1HG and its isogenic sigB<br />

mutant, a further confirmation <strong>of</strong> literature data indicating similar virulence <strong>of</strong> sigB deficient and<br />

positive S. aureus strains.<br />

In order to gain a much more detailed view <strong>of</strong> the <strong>host</strong> reaction to both strains, kidney gene<br />

expression pr<strong>of</strong>iles were compared using Affymetrix GeneChip arrays. In a total number <strong>of</strong> 19<br />

infected samples, highly similar gene expression pr<strong>of</strong>iles were recorded 4 or 5 days after infection<br />

with RN1HG or its sigB derivative. Even with this sophisticated analysis no difference in the<br />

expression pattern in murine kidney after infection with the two strains was observed, indicating<br />

that SigB indeed does not influence the <strong>host</strong> response.<br />

However, the comparison to sham-infected samples revealed a rather strong reaction <strong>of</strong> the<br />

murine <strong>host</strong> to infection, bacterial accumulation and proliferation in the kidney. Several immune<br />

response pathways were induced on transcriptional level indicating a vivid activation <strong>of</strong> the<br />

immune response. This applies first to pathways <strong>of</strong> the innate immune system: Pattern<br />

recognition receptors (PRR) like toll-like receptors (TLR) and complement system components<br />

178

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