Clinical and Diagnostic Laboratory Immunology, November 2001, p. 1044-1048, Vol. 8, No. 6
1071-412X/01/$04.00+0 DOI: 10.1128/CDLI.8.6.1044-1048.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Veterans Affairs Medical Center and Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky 40292
Received 8 March 2001/Returned for modification 9 May 2001/Accepted 18 July 2001
The signal transducer and activator of transcription factor 4 (STAT4) pathway mediates the intracellular effects of interleukin-12 (IL-12), leading to the production of gamma interferon, induction of a
T helper type 1 response, and increased natural killer cell cytotoxicity. The purpose of this study was to determine the role of
the STAT4 pathway during polymicrobial peritonitis in the cecal ligation and puncture (CLP) model. CLP was performed on STAT4-deficient (STAT4
/
) and wild-type control (BALB/c) mice. At 4 h after CLP, STAT4
/
mice had significantly higher
bacterial counts in the peritoneal lavage fluid, liver, and blood. This
difference persisted for 18 h in the peritoneal lavage fluid and
blood. Neutrophil migration to the site of infection and into remote
tissues was unaffected. Despite higher bacterial counts locally and
systemically, STAT4
/
mice had a lower mortality rate
than BALB/c controls. In contrast, blockade of IL-12 in BALB/c mice was
detrimental to host survival. A blunted serum IL-12 response at 18 h after CLP was exhibited in STAT4
/
mice. These results
suggest several critical roles for the STAT4 pathway in the resolution
of polymicrobial infections. Additionally, the disparate effects
observed with IL-12 blockade and STAT4 deficiency on host survival
suggest that IL-12 may activate alternate pathways promoting survival.
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