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Inflammatory mediator response to Gram-positive and Gram-negative bacteria

in vitro and in middle ear infections











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Inflammatory mediator response to Gram-positive and Gram-negative bacteria in vitro and in middle ear infections

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TABLE OF CONTENTS

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INTRODUCTION

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Bacteria

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Figure 1: The composition of the Gram-positive and Gram-negative cell wall, respectively, modified from a figure by Agnes Wold. The short peptide chains connecting the Gram-positive peptidoglycan strands usually have L-lysine in the third position, while this residue is occupied by meso-DAP in Gram-negative bacteria.

Gram-positive bacterial cell wall

teichoic acid

peptidoglycan LPS

Gram-negative bacterial cell wall

lipoteichoic acid

lipoprotein outer membrane

lipoprotein

cytoplasmatic membrane peptidoglycan

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D-Ala m-DAP

D-Glu D-Ala

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NAG NAG NAM D-Ala

Meso-DAP containing muropeptide, detected by NOD1

MDP, detected by NOD2

L-Lysine containing muropeptide, detected by NOD2 (”50 layers)

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The Gram-negative cell wall

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Figure 2: A schematic figure of the normal human ear. The sterile middle ear cavity is connected to the nasopharynx via the Eustachian tube.

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Recruitment of neutrophils

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Figure 3: Recruitment of neutrophils to the site of infection by the action of inflammatory mediators mainly produced by tissue macrophages. Due to vasodilatation neutrophils are slowed down and allowed to interact with the endothelium. Following activation the neutrophils are attracted to the infected tissue by IL-8.

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 Figure 4: Schematic figure of two NOD-like receptors (NLRs), NALP3 and NOD1.

Upon activation of NOD1 or NOD2, a conformation change occurs, which enables the protein to oligomerize. Recruitment of RIP2 results in activation of NF-κB and MAPKs and subsequent transcription of genes encoding inflammatory molecules including cytokines.

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References

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