muramidase and Infectious-Mononucleosis

Oral and pharyngeal cavities harbor a commensal bacterial flora which is kept in check by several innate and acquired agents. In this study, we focused on the proportions in which some antibacterial moderators (lysozyme, lactoferrin, IgG and S-IgA) coat the tonsillar surface bacteria in healthy individuals, in patients with acute tonsillitis (AT) culture-positive for Streptococcus pyogenes, and in patients with infectious mononucleosis (IM) caused by Epstein-Barr virus (EBV).. Bacterial samples were collected for aerobic culturing and immunocytochemical evaluation from the tonsillar surfaces of eight healthy individuals (four males, four females; age range 16-22 years), eight patients with current AT (two males, six females; age range 16-29 years) and seven patients with IM (four males, three females; age range 15-21 years). The immunocytochemical assay was based on gold-labeled antiserum to human lysozyme, lactoferrin, IgG and S-IgA followed by gold particle tracing in the transmission electron microscope.. During AT, a significant increase in lysozyme coating (P<0.05) and lactoferrin coating (P<0.0005) of the bacteria was noted, whereas the S-IgA coating was significantly reduced (P<0.0005). During IM infection, a significant increase in lactoferrin coating was noted (P<0.0005) whereas immunoglobulin coating was significantly reduced (IgG P<0.025; S-IgA P<0.0005) compared with healthy controls. During IM, all antibacterial moderators evaluated were significantly reduced compared with the situation during AT.. Noticeable changes in the local innate and acquired bacterial defence system were observed during tonsillar infections, particularly during IM.

Topics: Acute Disease; Adolescent; Adult; Case-Control Studies; Female; Herpesvirus 4, Human; Humans; Immunity, Innate; Immunoglobulin A; Immunoglobulin G; Immunohistochemistry; Infectious Mononucleosis; Lactoferrin; Male; Muramidase; Palatine Tonsil; Streptococcal Infections; Streptococcus pyogenes; Tonsillitis

A common complication of virus-induced upper respiratory tract infections is acute otitis media caused by bacterial pathogens. Simultaneously, increased bacterial colonization in the nasopharynx occurs. Our intention in this study was to identify the causes of this increased colonization of bacteria by evaluating their coating with the antibacterial substances lysozyme, lactoferrin and immunoglobulins IgG, S-IgA and IgM and their ability to penetrate epithelial cells during infectious mononucleosis (IM) caused by Epstein-Barr virus.. Cellular samples were collected from the oropharynx of 21 patients (16 males, five females; age range 10-21 years) with current IM. An immunocytochemical assay using gold-labelled antiserum to human lysozyme, lactoferrin, IgG, S-IgA and IgM followed by gold particle and epithelial cell tracing in the transmission electron microscope.. A significant reduction in bacterial coating with IgG (P<0.05) and S-IgA (P<0.01) was noted, whereas there was a significant increase in coating with lactoferrin (P<0.01) and IgM (P<0.01). No significant change in lysozyme coating of the bacteria was noted, compared with healthy controls. Bacterial penetration into epithelial cells was seen particularly in patients culture-positive for beta-haemolytic streptococci.. Reduced bacterial coating with IgG and S-IgA immunoglobulins, combined with bacterial penetration into epithelial cells, may exacerbate the bacterial colonization on oropharyngeal mucosal membranes observed during IM.

Topics: Acute Disease; Adolescent; Adult; Case-Control Studies; Child; Data Interpretation, Statistical; Epithelial Cells; Female; Herpesvirus 4, Human; Humans; Immunity, Mucosal; Immunoglobulin A, Secretory; Immunoglobulin G; Immunoglobulin M; Infectious Mononucleosis; Lactoferrin; Male; Microscopy, Electron; Muramidase; Nasal Mucosa; Nasopharynx; Otitis Media; Pharyngitis

Topics: Adult; Humans; Immunoglobulin A; Immunoglobulin M; Infectious Mononucleosis; Methods; Muramidase; Saliva

Topics: Acid Phosphatase; Animals; Animals, Newborn; Cat-Scratch Disease; Glucuronidase; Hexosaminidases; Humans; Infectious Mononucleosis; Leukemia, Lymphoid; Lymphocyte Activation; Lymphocytes; Muramidase; Rats; Waldenstrom Macroglobulinemia

Topics: Acetates; Adolescent; Adult; Carbon Isotopes; Cell Membrane; Chromatography, Ion Exchange; Citric Acid Cycle; DNA; Female; Glucose; Glycolysis; Humans; Infectious Mononucleosis; Lectins; Lipids; Lymphocytes; Male; Muramidase; Protein Biosynthesis; RNA; Thymidine; Time Factors; Tritium