2014
DOI: 10.3389/fcimb.2014.00043
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Host immune responses after hypoxic reactivation of IFN-γ induced persistent Chlamydia trachomatis infection

Abstract: Genital tract infections with Chlamydia trachomatis (C. trachomatis) are the most frequent sexually transmitted disease worldwide. Severe clinical sequelae such as pelvic inflammatory disease (PID), tubal occlusion, and tubal infertility are linked to inflammatory processes of chronically infected tissues. The oxygen concentrations in the female urogenital tract are physiologically low and further diminished (0.5–5% O2, hypoxia) during an ongoing inflammation. However, little is known about the effect of a low… Show more

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Cited by 17 publications
(11 citation statements)
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“…Since C. trachomatis is known to affect cytokine gene expression in host cells during the postinfection period [17], we decided to investigate next the mRNA levels of IL-6 and FGF-2, two crucial proinflammatory cytokines, following exposure of McCoy and CWR-R1 cells to the pathogen.…”
Section: Resultsmentioning
confidence: 99%
“…Since C. trachomatis is known to affect cytokine gene expression in host cells during the postinfection period [17], we decided to investigate next the mRNA levels of IL-6 and FGF-2, two crucial proinflammatory cytokines, following exposure of McCoy and CWR-R1 cells to the pathogen.…”
Section: Resultsmentioning
confidence: 99%
“…When the sensitivity of a first‐line drug, azithromycin, was examined in C. pneumoniae ‐infected cells, the hypoxic condition significantly decreased the effects of this drug against C. pneumoniae . Interestingly, the antibacterial effect of IFN‐γ, which plays a central role in protective immunity against Chlamydia , was also impaired by reduced phosphorylation of the transcription factor Stat‐1 under hypoxic conditions , suggesting that effects of antibacterial cytokines and antibiotics may be dampened under hypoxia. Although the exact reasons remain unknown, multidrug resistance protein 1 and multidrug resistance‐associated protein 1, which are upregulated by stabilized HIF‐1 under hypoxic conditions, may be involved in reducing antibacterial effects .…”
Section: Discussionmentioning
confidence: 99%
“…For instance, C. trachomatis and C. pneumoniae can manipulate polyamine and NO synthesis pathways (Caldwell et al, 2003; Abu-Lubad et al, 2014) by promoting ornithine decarboxylase (ODC) expression and reducing iNOS levels. Hypoxia was also reported to reduce the anti-microbial activity of IFN-γ in the context of persistent C. trachomatis infection, indicating that the anti-chlamydial activity of IFN-γ is reduced in the low-oxygen environment that is typical of genital C. trachomatis infections (Jerchel et al, 2014). However, the precise molecular mechanisms remain unknown.…”
Section: Subversion Of the Host Innate Immune Response By Chlamydiamentioning
confidence: 99%