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METHODS OF TREATING PSEUDOMONAS AERUGINOSA RESPIRATORY TRACT INFECTIONS

机译:治疗铜绿假单胞菌呼吸道感染的方法

摘要

Pseudomonas aeruginosa (PA) leads to chronic respiratory infections especially in patients with cystic fibrosis patients and chronic obstructive pulmonary disease (COPD), characterized by a high morbidity. After screening Lactobacilli coming from CF expectorations, on their capacity to inhibit two Pseudomonas aeruginosa (PA) virulence factors (elastase, pyocyanin), the inventors evaluated the effect of intranasal administration of Lactobacilli on PA murine pneumonia. The primary outcome was the bacterial lung load 24 hours after PA induced pneumonia. To understand the role of Lactobacillus, the chemokines, the pro and anti-inflammatory BAL rates were also measured. The administration of Lactobacilli cocktail 18h prior the PA lung infection decreases significantly the lung bacterial load at 24h post-infection. Although the mechanisms need to be deeply explored, an immunomodulation effect may be involved, notably through the recruitment of neutrophils. Thus the present relates to a method of treating a Pseudomonas aeruginosa respiratory tract infection in a patient in need thereof comprising administering to the patient's respiratory tract a therapeutically effective amount of at least one Lactobacillus strain.
机译:铜绿假单胞菌(PA)导致慢性呼吸道感染,尤其是在以高发病率为特征的囊性纤维化患者和慢性阻塞性肺疾病(COPD)患者中。在筛选了来自CF痰的乳酸杆菌后,他们抑制了两种铜绿假单胞菌(PA)毒力因子(弹性蛋白酶,绿脓素)的抑制能力,发明人评估了鼻内给药的效果。 乳酸杆菌治疗PA鼠肺炎。主要结局是PA诱发的肺炎后24小时细菌的肺负荷。为了了解乳酸杆菌的作用,还测量了趋化因子,促炎和抗炎BAL率。 PA肺部感染前18h给予乳酸菌鸡尾酒,可在感染后24h显着降低肺部细菌负荷。尽管需要深入研究其机制,但可能涉及免疫调节作用,特别是通过募集嗜中性粒细胞。因此,本发明涉及一种在有需要的患者中治疗铜绿假单胞菌呼吸道感染的方法,该方法包括向患者的呼吸道施用治疗有效量的至少一种乳酸杆菌应变。

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