Article

Role of inducible nitric oxide synthase in the pathogenesis of experimental leptospirosis.

Institute of Biotechnology and Molecular Biology, CCT-La Plata, CONICET-UNLP, La Plata, Argentina.
Microbial Pathogenesis (impact factor: 1.94). 09/2011; 51(3):203-8. DOI:10.1016/j.micpath.2011.03.011 pp.203-8
Source: PubMed

ABSTRACT Nitric oxide (NO) produced by inducible nitric oxide synthase (iNOS) is a radical effector molecule of the innate immune system that can directly inhibit pathogen replication. In order to study subsequent iNOS kidney expression in experimental leptospirosis, Golden Syrian hamsters and C3H/HeJ mice were infected intraperitoneally with 10(2) or 10(7) virulent Leptospira interrogans serovar Copenhageni (LIC) strain Fiocruz L1-130. Results showed increased levels of iNOS mRNA and protein in kidneys of infected animals when compared to that in mock-infected animals. To get a deeper insight into the role of iNOS in experimental leptospirosis, both subject species were treated or not treated with 4-aminopyridine (4-AP, 0.3mg/kg), an iNOS inhibitor. Treatment of infected hamsters with 4-AP accelerated the mortality rate to 100% by one day and increased the mortality rate from 20 to 60% in mice at 14 days post-infection. In kidney tissues, 4-AP treatment increased the bacterial burden, as demonstrated through leptospiral DNA quantification by real-time PCR, and aggravated tubulointerstitial nephritis. In addition, iNOS inhibition reduced the specific humoral response against LIC when compared to that in untreated infected animals. According to these results, iNOS expression and the resulting NO have an important role in leptospirosis.

0 0
 · 
0 Bookmarks
 · 
87 Views
  • Article: Leptospira and leptospirosis
    [show abstract] [hide abstract]
    ABSTRACT: This paper briefly describes the historical background, the biological nature, epidemiology, diagnosis, and the control of leptospira and leptospirosis (Weil's disease).
    Journal of biological education 12/2010; Autumn 1991(Vol. 25):169-172. · 0.39 Impact Factor
  • Article: Urban epidemic of severe leptospirosis in Brazil. Salvador Leptospirosis Study Group.
    [show abstract] [hide abstract]
    ABSTRACT: Leptospirosis has, traditionally, been considered a sporadic rural disease. We describe a large urban outbreak of leptospirosis. Active surveillance for leptospirosis was established in an infectious-disease referral hospital in Salvador, Brazil, between March 10 and Nov 2, 1996. Patients meeting case criteria for severe manifestations of leptospirosis were recruited into the study. The diagnosis was confirmed in the laboratory with the microagglutination test and identification of leptospires in blood or urine. Risk factors for death were examined by multivariate analyses. Surveillance identified 326 cases of which 193 (59%) were laboratory-confirmed (133) or probable (60) cases. Leptospira interrogans serovar copenhageni was isolated from 87% of the cases with positive blood cultures. Most of the cases were adult (mean age 35.9 years [SD 15.9]), and 80% were male. Complications included jaundice (91%), oliguria (35%), and severe anaemia (26%). 50 cases died (case-fatality rate 15%) despite aggressive supportive care including dialysis (in 23%). Altered mental status was the strongest independent predictor of death (odds ratio 9.12 [95% CI 4.28-20.3]), age over 37 years, renal insufficiency, and respiratory insufficiency were also significant predictors of death. Before admission to hospital, 42% were misdiagnosed as having dengue fever in the outpatient clinic; an outbreak of dengue fever was taking place concurrently. An epidemic of leptospirosis has become a major urban health problem, associated with high mortality. Diagnostic confusion with dengue fever, another emerging infectious disease with a similar geographic distribution, prevents timely intervention that could minimise mortality.
    The Lancet 10/1999; 354(9181):820-5. · 38.28 Impact Factor
  • Source
    Article: Factors affecting the development of the carrier state in leptospirosis.
    Journal of Hygiene 12/1962; 60(4):427-34.

Full-text

View
10 Downloads
Available from
5 Nov 2012

Keywords

14 days post-infection
 
4-aminopyridine
 
4-AP treatment
 
bacterial burden
 
deeper insight
 
Golden Syrian hamsters
 
inducible nitric oxide synthase
 
innate immune system
 
iNOS inhibition
 
intraperitoneally
 
leptospiral DNA quantification
 
mock-infected animals
 
mortality rate
 
pathogen replication
 
radical effector molecule
 
real-time PCR
 
specific humoral response
 
study subsequent iNOS kidney expression
 
tubulointerstitial nephritis
 
untreated