Determination of the critical concentration of neutrophils required to block bacterial growth in tissues

Y Li, A Karlin, JD Loike, SC Silverstein - The Journal of experimental …, 2004 - rupress.org
Y Li, A Karlin, JD Loike, SC Silverstein
The Journal of experimental medicine, 2004rupress.org
We showed previously that the competition between bacterial killing by neutrophils and
bacterial growth in stirred serum-containing suspensions could be modeled as the
competition between a first-order reaction (bacterial growth) and a second-order reaction
(bacterial killing by neutrophils). The model provided a useful parameter, the critical
neutrophil concentration (CNC), below which bacterial concentration increased and above
which it decreased, independent of the initial bacterial concentration. We report here that …
We showed previously that the competition between bacterial killing by neutrophils and bacterial growth in stirred serum-containing suspensions could be modeled as the competition between a first-order reaction (bacterial growth) and a second-order reaction (bacterial killing by neutrophils). The model provided a useful parameter, the critical neutrophil concentration (CNC), below which bacterial concentration increased and above which it decreased, independent of the initial bacterial concentration. We report here that this model applies to neutrophil killing of bacteria in three-dimensional fibrin matrices and in rabbit dermis. We measured killing of 103–108 colony forming units/ml Staphylococcus epidermidis by 105–108 human neutrophils/ml in fibrin gels. The CNC was ∼4 × 106 neutrophils/ml gel in the presence of normal serum and ∼1.6 × 107 neutrophils/ml gel in the presence of C5-deficient serum. Application of our model to published data of others on killing of ∼5 × 107 to 2 × 108 E. coli/ml rabbit dermis yielded CNCs from ∼4 × 106 to ∼8 × 106 neutrophils/ml dermis. Thus, in disparate tissues and tissuelike environments, our model fits the kinetics of bacterial killing and gives similar lower limits (CNCs) to the neutrophil concentration required to control bacterial growth.
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