Klebsiella pneumoniae Induces an Inflammatory Response in an In Vitro Model of Blood-Retinal Barrier

Author:

Motta C.1,Salmeri M.2,Anfuso C. D.1,Amodeo A.2,Scalia M.3,Toscano M. A.2,Giurdanella G.1,Alberghina M.1,Lupo G.1

Affiliation:

1. Department of Clinical and Molecular Biomedicine, University of Catania, Catania, Italy

2. Department of Bio-Medical Science, University of Catania, Catania, Italy

3. Department G. F. Ingrassia, Unit of General and Cellular Biology and Molecular Genetics G. Sichel, University of Catania, Catania, Italy

Abstract

ABSTRACT Klebsiella pneumoniae has become an important pathogen in recent years. Although most cases of K. pneumoniae endogenous endophthalmitis occur via hematogenous spread, it is not yet clear which microbial and host factors are responsible for the ability of K. pneumoniae to cross the blood-retinal barrier (BRB). In the present study, we show that in an in vitro model of BRB based on coculturing primary bovine retinal endothelial cells (BREC) and primary bovine retinal pericytes (BRPC), K. pneumoniae infection determines changes of transendothelial electrical resistance (TEER) and permeability to sodium fluorescein. In the coculture model, bacteria are able to stimulate the enzyme activities of endothelial cytosolic and Ca 2+ -independent phospholipase A 2 s (cPLA 2 and iPLA 2 ). These results were confirmed by the incremental expression of cPLA 2 , iPLA 2 , cyclo-oxygenase-1 (COX1), and COX2 in BREC, as well as by cPLA 2 phosphorylation. In supernatants of K. pneumoniae -stimulated cocultures, increases in prostaglandin E 2 (PGE 2 ), interleukin-6 (IL-6), IL-8, and vascular endothelial growth factor (VEGF) production were found. Incubation with K. pneumoniae in the presence of arachidonoyl trifluoromethyl ketone (AACOCF 3 ) or bromoenol lactone (BEL) caused decreased PGE 2 and VEGF release. Scanning electron microscopy and transmission electron microscopy images of BREC and BRPC showed adhesion of K. pneumoniae to the cells, but no invasion occurred. K. pneumoniae infection also produced reductions in pericyte numbers; transfection of BREC cocultured with BRPC and of human retinal endothelial cells (HREC) cocultured with human retinal pericytes (HRPC) with small interfering RNAs (siRNAs) targeted to cPLA 2 and iPLA 2 restored the pericyte numbers and the TEER and permeability values. Our results show the proinflammatory effect of K. pneumoniae on BREC, suggest a possible mechanism by which BREC and BRPC react to the K. pneumoniae infection, and may provide physicians and patients with new ways of fighting blinding diseases.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Immunology,Microbiology,Parasitology

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