CCR2 mediates Helicobacter pyloriâ induced immune tolerance and contributes to mucosal homeostasis

BackgroundWe previously demonstrated that H. pylori infection leads to increased induction of regulatory T cells in local and systemic immune compartments. Here, we investigate the role of CCR2 in the tolerogenic programing of dendritic cells in a mouse model of H. pylori infection.Materials and MethodsCCR2 deficient (CCR2KO) mice and wildâ type (Wt) mice infected with H. pylori SS1 strain were analyzed by qPCR and FACS analysis. In vitro, bone marrowâ derived DC on day 6 from CCR2KO and Wt mice cocultured with or without H. pylori were examined to determine the impact of CCR2 signaling on dendritic cells function by qPCR, ELISA, and FACS analyses.ResultsAcute H. pylori infection was associated with a threefold increase in CCR2 mRNA expression in the gastric mucosa. H. pyloriâ infected CCR2KO mice exhibited a higher degree of mucosal inflammation, that is, increased gastritis scores and proâ inflammatory cytokine mRNA levels, but lower degree of H. pylori gastric colonization compared to infected Wt mice. Peripheral H. pyloriâ specific immune response measured in the CCR2KO spleen was characterized by a higher Th17 response and a lower Treg response. In vitro, CCR2KO bone marrowâ derived DC was less mature and shown a lower Treg/Th17 ratio. Moreover, blockade of CCR2 signaling by MCPâ 1 neutralizing antibody inhibited H. pyloriâ stimulated bone marrowâ derived DC maturation.ConclusionsOur results indicate that CCR2 plays an essential role in H. pyloriâ induced immune tolerance and shed light on a novel mechanism of CCR2â dependent DC Treg induction, which appears to be important in maintaining mucosal homeostasis during H. pylori infection.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136416/1/hel12366.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136416/2/hel12366_am.pd

The role of gastrin and sonic hedgehog in regulating gastric mucosal architecture

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Trauma-related infections due to cluster munitions

Trauma-related infections remain a concerning and potentially avoidable complication of conflict-related injuries. During the Israeli conflict in South Lebanon, more than four million sub-munitions were dropped over South Lebanese soil. In this study, we will explore the different types of infection caused by sub-munitions and penetrating agents. This prospective study took place from 2006 to 2012 at the Lebanese University within the Faculty of Medical Sciences’ departments. This study sample consisted of 350 injured casualties. Patients suffered from blast injuries with fragmentations targeting the head, face, torso, abdomen, pelvis and extremities. Of the 350 causalities studied, 326 (93.1%) were males, and 24 (6.9%) were females. Ages varied between 10 and 70 years, with the average age being 27 years. Of the 350 patients studied, 68 (19.4%) developed infections. Infections varied between pseudomonas, Escherichia coli, Candida and fungus and sometimes led to necrosis. Vaccinations, antibiotic therapies and proper wound irrigation must be performed at appropriate emergency units. Excision and complete debridement of necrotic and contaminated tissue should also be performed. The Convention on Cluster Munitions of 2008 should be adhered to, as these weapons indiscriminately and disproportionately harm civilians, thereby violating the well-established international principles governing conflict. Keywords: Cluster bombs, Cluster munitions, Trauma, Infection, Lebano

The changing pattern of hepatitis A in Lebanese adults

Objective: A shift in the age of hepatitis A virus (HAV) infection from early childhood to adulthood has been observed in many developing countries. This epidemiological shift has been attributed to improved socioeconomic status and sanitary conditions resulting in growing cohorts of susceptible young people and hence an increased risk of HAV outbreaks. The aim of this study was to investigate the evolutionary trend of anti-HAV seroprevalence in Lebanon in a cohort of Lebanese adults. Methods: This was a cross-sectional study employing a convenience sample (voluntary blood donors) along with secondary data analysis. Sera from 283 healthy blood donors were tested for anti-HAV IgG antibodies. Moreover, we analyzed the national reports of HAV cases published by the Lebanese Ministry of Public Health since 2001. Results: Anti-HAV seropositivity increased steadily from 60% in the younger age group (19–29 years) to 91% in the older age group (50–59 years), leaving the younger group at higher risk of acquiring HAV. The national data show that the number of acute hepatitis A infections is higher in the age groups 5–9 and 10–19 years. Conclusion: Our seroprevalence data reveal that young adults are becoming more at risk of acquiring HAV infection. Thus the introduction of hepatitis A vaccine is highly recommended

Disseminated Conidiobolus Infection With Endocarditis in a Cocaine Abuser.

A crack cocaine abuser developed disseminated infection caused by a species of Conidiobolus not known to cause disease in vertebrates. The fungus gained entry via skin abrasions on the lower extremities, spread through the hematogenous route, and caused endocarditis. There was evidence of fungal infection in the lungs, heart, kidneys, skeletal muscles, and brain. An additional complication was extensive rhabdomyolysis, with a marked elevation of creatine kinase of up to 1.2 million U/L