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Enhancement of generation of monocyte tissue thromboplastin by bacterial phagocytosis: possible pathway for fibrin formation on infected vegetations in bacterial endocarditis.

机译:细菌吞噬作用增强单核细胞组织凝血活酶的生成:细菌性心内膜炎中感染植物上血纤蛋白形成的可能途径。

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The deposition of fibrin on infected vegetations and the presence of mononuclear phagocytes that have phagocytized bacteria are remarkabe features in experimental bacterial endocarditis. In a study in vitro, we show that phagocytosis of bacteria by human monocytes enhances thromboplastin generation by these cells. Maximal enhancement of the generation of thromboplastin by monocytes was about six times compared with that in the control experiment without bacteria, and it was obtained by preincubation of the monocytes with 5 to 10 bacteria per monocyte. No quantitative difference was observed between Staphylococcus epidermidis and Streptococcus sanguis as to the enhancement of the monocyte thromboplastin generation. An enhancement of the procoagulant activity generation was also observed after addition of bacteria to human or rabbit whole blood. Probably, this generation was also due to synthesis of thromboplastin by monocytes. It is conceivable that fibrin deposition on infected vegetations during bacterial endocarditis is mediated by thromboplastin synthesis by monocytes.
机译:在实验性细菌性心内膜炎的标志性特征是纤维蛋白在被感染的植物上的沉积以及具有吞噬细胞的单核吞噬细胞的存在。在一项体外研究中,我们显示了人类单核细胞吞噬细菌会增强这些细胞的促凝血酶原生成。与没有细菌的对照实验相比,单核细胞能最大程度地增强凝血活酶的生成,这是通过将单核细胞与每只单核细胞5至10个细菌进行预孵育而获得的。表皮葡萄球菌和血链球菌之间在单核细胞促凝血酶原蛋白生成的增强方面未见定量差异。在向人或兔全血中添加细菌后,还观察到促凝血活性产生的增强。可能这一代也归因于单核细胞合成的凝血活酶。可以想象,细菌性心内膜炎期间纤维蛋白在感染植物上的沉积是由单核细胞的促凝血酶原酶合成介导的。

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