Here we investigate anthrax invasion across epithelial monolayers human monocyte genomic responses and mouse genomic responses in spleens lungs and livers. Differences in response to toxigenic and non-toxigenic anthrax strains are discussed and described. Interestingly epithelial monolayers containing human THP-1 cells expressing a macrophage phenotype showed increased permeability and bacterial invasion than with just epithelial cells alone. In fact apoptotic pathways and mediators in THP-1 cells appear to be repressed upon challenge by toxigenic strains and more activated in challenges by non-toxigenic strains. We observed an upregulation of the apoptotic inhibitor cFLAR during toxigenic infection of human monocytes and a phenotypical delay in apoptosis for the toxigenic strain-challenged cells. In the mouse model CASH the mouse homologue of the human cFLAR is induced and the apoptotic response is suppressed in liver an organ with a large proportion of monocyte-derived Kupffer cells. These results indicate a role for the delay of cFLAR-mediated apoptosis as a key virulence factor in the disease.
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