cStreptococcus suis is an important swine pathogen and an emergent zoonotic pathogen. Excessive inflammation caused by S. suis is responsible for early high mortality in septic shock-like syndrome cases. Polyunsaturated fatty acids (PUFAs) may contribute to regulating inflammatory processes. This study shows that mouse infection by S. suis is accompanied by an increase of arachidonic acid, a proinflammatory omega-6 (-6) PUFA, and by a decrease of docosahexaenoic acid, an anti-inflammatory -3 PUFA. Macrophages infected with S. suis showed activation of mitogen-activated protein kinase pathways and cyclooxygenase-2 upregulation. Fenretinide, a synthetic vitamin A analog, reduced in vitro expression of inflammatory mediators. Pretreatment of mice with fenretinide significantly improved their survival by reducing systemic proinflammatory cytokines during the acute phase of an S. suis infection. These findings indicate a beneficial effect of fenretinide in diminishing the expression of inflammation and improving survival during an acute infection by a virulent S. suis strain.
Streptococcus suis is an important swine pathogen responsible for a wide range of clinical disease, such as sudden death, meningitis, endocarditis, and arthritis (1). S. suis is also an emergent zoonotic pathogen where humans become infected mostly by handling sick pigs and pork carcasses or by consumption of uncooked raw products, as seen in some countries in Asia (2, 3). Among the 35 described serotypes, type 2 is most frequently associated with disease in both swine and humans (4). In addition to meningitis, infection in humans may result in cases of septic shock with high fever, hypotension, endocarditis, pneumonia, arthritis, and multiple organ failure, leading rapidly to death (5). An excessive inflammatory immune response has been suggested to be responsible for most of these symptoms. In fact, infections by highly pathogenic S. suis results in an exacerbated release of proinflammatory cytokines and chemokines, which would be the main cause of death (6, 7).Polyunsaturated fatty acids (PUFAs) may have an important role in the innate immune response. PUFAs appear to be important regulators of the onset and resolution of the inflammatory response by functioning like signaling molecules to regulate inflammation (8). Arachidonic acid (AA), an omega-6 (-6) PUFA, is released from membrane phospholipids by phospholipases, such as cytosolic phospholipase A 2 (cPLA 2 ), in response to several activation stimuli, including proinflammatory mediators and other stress signals (9). It is subsequently metabolized by cyclooxygenases (COXs) and lipoxygenases (LOXs) to generate prostaglandins, thromboxanes, and leukotrienes, which are potent proinflammatory mediators (10). However, docosahexaenoic acid (DHA), an -3 PUFA, possesses anti-inflammatory properties and plays an important role in the resolution of inflammation. DHA can compete with AA for the same enzymes in the lipid metabolic pathway and thus can reduce AA metabolism (11). Therefore, the ratio b...