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Biological sex influences susceptibility to Acinetobacter baumannii pneumonia in mice
Sílvia Pires, Adeline Peignier, Jeremy Seto, Davida S. Smyth, Dane Parker
Sílvia Pires, Adeline Peignier, Jeremy Seto, Davida S. Smyth, Dane Parker
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Research Article Immunology Infectious disease

Biological sex influences susceptibility to Acinetobacter baumannii pneumonia in mice

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Abstract

Acinetobacter baumannii (A. baumannii) is an extremely versatile multidrug-resistant pathogen with a very high mortality rate; therefore, it has become crucial to understand the host response during its infection. Given the importance of mice for modeling infection and their role in preclinical drug development, equal emphasis should be placed on the use of both sexes. Through our studies using a murine model of acute pneumonia with A. baumannii, we observed that female mice were more susceptible to infection. Likewise, treatment of male mice with estradiol increased their susceptibility to infection. Analysis of the airway compartment revealed enhanced inflammation and reduced neutrophil and alveolar macrophage numbers compared with male mice. Depletion of either neutrophils or alveolar macrophages was important for bacterial clearance; however, depletion of alveolar macrophages further exacerbated female susceptibility because of severe alterations in metabolic homeostasis. Our data highlight the importance of using both sexes when assessing host immune pathways.

Authors

Sílvia Pires, Adeline Peignier, Jeremy Seto, Davida S. Smyth, Dane Parker

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Figure 4

Alveolar macrophage depletion results in mitochondrial defects and energetic imbalance in female infected mice.

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Alveolar macrophage depletion results in mitochondrial defects and energ...
(A) Heatmap of RNA-Seq analysis of the comparison between female and male mice, depleted of alveolar macrophages, following a 4-hour infection. Each column represents an individual mouse. (B) Volcano plot of differentially expressed genes. (C) Gene ontology analysis of differentially expressed genes that are downregulated in female mice compared with males. (D and E) ATP and lactate levels, respectively, in BALF following a 4-hour infection in female and male mice depleted of alveolar macrophages. n = 12. Box-and-whisker plots show mean with upper and lower quartiles, with whiskers at minimum and maximum values. (F) Bacterial counts from BALF, lung, and spleen of A. baumannii–infected mice that had been treated with rotenone or vehicle control. Control n = 8; rotenone n = 11. Graphs show means with SEM. Data are from 2 independent experiments. *P < 0.05, **P < 0.01, and ****P < 0.0001. A nonparametric Mann-Whitney U test was used to assess differences between groups.

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