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Maren Depke<br />

Discussion and Conclusions<br />

The comparison between the published bacterial supernatant effects and the infection effects<br />

recorded in this study revealed similar functional aspects, although these functions were not<br />

always represented <strong>by</strong> the same examples. Nevertheless, both studies confirmed each other: 1)<br />

NFκB action (e. g. IL6, JUNB, NR4A2), 2) inflammation (e. g. LIF), 3) inflammatory mediator-related<br />

genes (e. g. PTGS2 alias COX-2). Inflammation-related signal transduction processes were present<br />

with different members <strong>of</strong> the same families. Moreilhon et al. found induction <strong>of</strong> JAK1, STAT1,<br />

STAT3 and SOCS2, whereas this study detected induction <strong>of</strong> JAK2, STAT2 and SOCS1. Similarly,<br />

Moreilhon et al. described induction <strong>of</strong> pro-inflammatory chemokines/interleukins CXCL1, CXCL2,<br />

CXCL3, CCL20, IL-1α, IL-1β, IL-8, IL-20 and IL-24, and this study found a different set, namely CCL2,<br />

CCL5, CSF1, CXCL10, CXCL11, CXCL16, IL-7, IL-12, IL-15, IL-28, IL-29, and in addition IFNB. From the<br />

group <strong>of</strong> toll-like receptors, TLR2 was induced in the experiments <strong>of</strong> Moreilhon et al. while TLR3<br />

was detected with increased expression in the study described in this thesis.<br />

Also cell cycle/apoptosis related genes were found in both studies, but with different<br />

examples. Moreilhon et al. could determine a necrotic phenotype with a transient apoptosis<br />

phase 8 h to 10 h after <strong>host</strong>-<strong>pathogen</strong> interaction. In this study, the final fate <strong>of</strong> the infected cells<br />

was difficult to judge on, because the functional/physiological measurements have not been<br />

performed yet. Here, only an arrest <strong>of</strong> growth could be postulated from the transcriptome data.<br />

Nevertheless, this is in agreement with proteome result interpretation <strong>of</strong> Melanie Gutjahr.<br />

Also another study using the cell line MM-39 and washed S. aureus 8325-4 cells from<br />

stationary growth phase (da Silva et al. 2004) describes the epithelial cell reaction as necrotic cell<br />

death after a phase <strong>of</strong> apoptosis, where a higher concentration <strong>of</strong> bacterial cells accelerated the<br />

begin <strong>of</strong> necrosis. Finally, after 24 h a very strong damage <strong>of</strong> <strong>host</strong> cells was observed.<br />

Nevertheless, the authors observed that MM-39 <strong>host</strong> cells were able to defend themselves in the<br />

early phase <strong>of</strong> infection <strong>by</strong> the production <strong>of</strong> SLPI, secretory leukocyte peptidase inhibitor, which<br />

was exhausted in later phases <strong>of</strong> infection. It has to be mentioned that extracellular bacteria<br />

were not killed in the experiments <strong>of</strong> da Silva and coworkers and that the strong replication <strong>of</strong><br />

non-internalized and <strong>host</strong>-cell escaped bacteria in the medium during the infection assay and the<br />

parallel production <strong>of</strong> toxic bacterial products might have influenced the <strong>host</strong> cells’ reactions<br />

(da Silva et al. 2004). However, transcriptome data <strong>of</strong> S9 cells during the analysis window <strong>of</strong> the<br />

study described in this thesis do not allow confirmation <strong>of</strong> an active defense strategy using SLPI:<br />

SLPI mRNA was expressed, but at a low level, and differential expression was not observed after<br />

infection. Possibly the bronchial epithelial cell line S9 has a different gene expression repertoire<br />

from that <strong>of</strong> the airway glandular cell line MM-39.<br />

In summary, the in vitro infection study <strong>of</strong> human bronchial epithelial S9 cells and S. aureus<br />

RN1HG resulted in a picture <strong>of</strong> a fast, strong proinflammatory reaction <strong>of</strong> <strong>host</strong> cells which<br />

revealed central immune response related processes. In agreement with literature reports, the<br />

data led to the conclusion that epithelial cells act as recognition sites for infection and pass this<br />

information to immune cells. Nevertheless, the comparison with other studies revealed that<br />

especially each <strong>host</strong> cell – bacterial strain combination, but also the additional experimental<br />

settings provoke a specific aspect <strong>of</strong> <strong>host</strong> response which supports and necessitates the<br />

extension <strong>of</strong> research to further <strong>of</strong> these combinations. Furthermore, the comparison <strong>of</strong><br />

proteome and transcriptome results emphasized that the application <strong>of</strong> both complementing<br />

approaches is recommended and strongly helps to achieve a comprehensive view <strong>of</strong> <strong>host</strong><strong>pathogen</strong><br />

<strong>interactions</strong> on molecular level.<br />

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