2013
DOI: 10.1371/journal.pone.0084058
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Histopathological Analysis of Salmonella Chronic Carriage in the Mouse Hepatopancreatobiliary System

Abstract: Salmonella Typhi asymptomatic chronic carriage represents a challenge for the diagnosis and prevention of typhoid fever in endemic areas. Such carriers are thought to be reservoirs for further spread of the disease. Gallbladder carriage has been demonstrated to be mediated by biofilm formation on gallstones and by intracellular persistence in the gallbladder epithelium of mice. In addition, both gallstones and chronic carriage have been associated with chronic inflammation and the development of gallbladder ca… Show more

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Cited by 24 publications
(23 citation statements)
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“…Additionally, S. Typhi gastrointestinal infection can facilitate gallbladder colonization and long-term carriage in 3 to 5% of infected individuals (47). Gallbladder carriage has been shown to be a result of biofilm formation on gallstones and the gallbladder epithelium and to increase the risk for gallbladder carcinoma (21,48,49). Bile enhances Salmonella biofilm formation on gallstone surfaces, implicating a bacterial response to bile that promotes persistence (50,51).…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, S. Typhi gastrointestinal infection can facilitate gallbladder colonization and long-term carriage in 3 to 5% of infected individuals (47). Gallbladder carriage has been shown to be a result of biofilm formation on gallstones and the gallbladder epithelium and to increase the risk for gallbladder carcinoma (21,48,49). Bile enhances Salmonella biofilm formation on gallstone surfaces, implicating a bacterial response to bile that promotes persistence (50,51).…”
Section: Discussionmentioning
confidence: 99%
“…Invasion of the gallbladder epithelium can mediate further damage to the organ and may permit bacterial escape from the harsh gallbladder environment [27]. Infected epithelial cells may proceed to re-initiate active gastrointestinal infection through a process of extrusion wherein bacterially infected epithelial cells are expelled from the epithelial layer by neighboring cells [29, 30]. Both models of persistent gallbladder infection (epithelial invasion/periodic extrusion and gallstone biofilm formation) likely involve a relatively small foci of bacteria associated with ongoing, low-level gallbladder damage and inflammation with intermittent re-seeding of the GI tract with viable bacteria.…”
Section: The Mechanisms Of Salmonella Persistence In the Gallbladdermentioning
confidence: 99%
“…The clinical association between S . Typhi infection and malignancy is supported by studies employing a murine model of long-term gallbladder carriage of Salmonella in which histopathological analysis of gallbladder tissue revealed significant pathology from the presence of gallstones alone, but pre-malignant transformations were present only in the gallbladders of mice with chronic Salmonella infections [30]. …”
Section: The Mechanisms Of Salmonella Persistence In the Gallbladdermentioning
confidence: 99%
“…Salmonella's ability to persist within the gallbladder of a significant fraction of patients (2-5%) after systemic infection appears to provide the milieu for its tumor-promoting effect. Initial experimental evidence in mice supports an association between Salmonella infection and GBC, as long-term histopathological follow-up of chronically infected mice revealed pre-malignant lesions with hyperplasia and metaplasia of the gallbladder [5]. Now, Scanu and colleagues provide insights into the molecular mechanisms underlying this association [1].…”
Section: See Also: T Scanu Et Al (June 2015)mentioning
confidence: 97%