64 % of the original values, although substantial differences in

64 % of the original values, although substantial differences in total units arise for some options due to the greater differences between PHB values. Notably, due to the lower PHB values for several other options, EF4 (nectar flower mix) had a greater coverage in all three unweighted models. Changes in the total units of option categories in Model B and total ELS costs of Model A were negligible (<5 %) compared to the weighted PHB analysis. Model C however produces 38 % less tree/plot

option units while the area of arable options area grows by 23 % more than the unweighted model. Due to the high degree of agreement between experts as to the most Ensartinib supplier beneficial options, the unweighted models produced <2 % lower total HQ benefit than the weighted models. A third re-analysis assessed the effects of PHB model outcomes compared with ELS points alone. In Model A this results in a substantially smaller increase of several high PHB value options, notably EB10 (combined hedge and ditch management), EC4 (management of woodland edges) and EF4 (nectar flower mix). In Model selleck screening library B, without the weighting effect of expert opinions, options within each category occupied an identical number of units to all other options within the category.

This is an effect of the habitat quality metric in the formula; the pHQ of an individual option now represents the proportion of sum ELS points within the category it represents; 24.6 M metres (hedge/ditch), 23,466 ha (grassland), Metformin cell line 6,475 ha (arable) and 68,186 units of each plot/tree based item. More extreme trends occur in Model C as all options now occupy the same number of units scaled to the magnitude of their ELS points; 13.2 M metres (hedge/ditch), 13,268 ha (arable and grassland) and 132,685 units of each plot/tree based option. Producer costs of Models A and C were 9 % lower (Table 5) due to the reduced uptake

of high cost, high PHB options reducing total PHB by 31–41 % compared with the expert weighted option distribution and 4–36 % less than the baseline. Discussion Habitat benefits of ELS options Using a panel of 18 experts, this study estimated the potential of options in England’s entry level stewardship (ELS) to provide good quality habitat for pollinators on a simple 0–3 scale. Expert patterns generally showed agreement with past research, with many of the most highly rated options having significant empirical backing. In particular UK field studies (e.g. Pywell et al. 2011; Potts et al. 2009; Lye et al. 2009) and international meta-analyses (Batary et al. 2010; Scheper et al. 2013) have demonstrated the benefits of Nectar flower mixes (EF4), field margins (EE1-6) and low inputs grasslands (EK3) on wild pollinator abundance and diversity. However, expert consensus did not always match published literature. For instance, although Lye et al.

enterocolitica are not transmitted by fleas and cause enteric dis

enterocolitica are not transmitted by fleas and cause enteric disease in humans [1–3]. Several Y. pestis genes have been found to be required to infect and be transmitted by fleas. These include the murine toxin gene (ymt), the hemin storage (hmsHFRS) genes, the diguanylate cyclases encoded by y3730 and hmsT, and gmhA. The y3730, hms, and gmhA genes are needed for bis-(3′-5′)-cyclic dimeric GMP (c-di-GMP) metabolism, formation of an extracellular polysaccharide and a lipopolysaccharide core modification, respectively, that are necessary for biofilm

formation and blockage of the flea proventriculus [4–7]. The murine toxin (ymt) gene, which encodes a phospholipase D, is required for survival of Y. pestis within the flea midgut [8]. However, additional genes may Wnt inhibitor review also be important for survival and replication of Y. pestis within the flea or play a role in transmission to and survival within the mammalian host. Recent microarray data indicate that a number of genes are differentially regulated by Y. pestis during infection of the flea compared to in vitro culture at the same temperature [9]. Among these

were a group of upregulated genes that share homology with insect toxin genes of the Toxin complex (Tc) family. First identified in Photorhabdus luminescens, which maintains a symbiotic relationship with entomopathogenic nematodes of the family Heterorhabditidae [10, 11], Tc protein homologues are also found in Ibrutinib purchase a number of other bacteria including Y. enterocolitica and Y. pseudotuberculosis[12]. In P. luminescens, Tc genes are found at four loci which have a high degree of similarity and can be grouped into three basic genetic elements (tcdA/tcaAB/tccAB [type A], tcdB/tcaC [type B], and tccC [type C]) [11]. The P. luminescens toxins are upregulated in the insect host [13], interact with each other to form large active toxin complexes and are highly insecticidal [14, 15]. Furthermore, they have been shown to disrupt the actin cytoskeleton of NIH 3T3 Swiss mouse fibroblast cells [15, 16]. More recently, P. luminescens toxin complexes were

found to ADP-ribosylate actin click here and Rho GTPases, respectively, which caused actin polymerization and clustering in human HeLa cells and resulted in altered phagocytosis by Galleria mellonella hemocytes [17]. Tc protein homologues are found in all sequenced Y. pestis strains available to date (Figure 1A). Y. pestis Tc proteins are termed YitA (TcaA-like), YitB (TcaB-like), YitC (TcaC-like), and YipA and YipB (TccC- like) and are found within a single locus in the chromosome (Figure 1A) [18]. Although their sequences are highly conserved, Y. pestis strains CO92, A1122, D106004, D182038, and Z176003 have an apparent frameshift mutation in yitB (missing a single adenosine [A] from a string of seven A’s), and strain Antiqua has an eleven nucleotide deletion resulting in a frameshift mutation in yitA. Additionally, Y. pestis Angola has a frameshift mutation in the C-terminus of yipA (Figure 1A).

2 v 4 9 months; P = 0 48), CNS progression or local brain tumor r

2 v 4.9 months; P = 0.48), CNS progression or local brain tumor response. (9.5 v 8.3 months; P = 0.95). None of those trials detected any benefit for theses end point mentioned above. In the trial by Mehta et al. [23], no difference in survival or time to neurological Stem Cell Compound Library supplier progression was seen in the use of motexafin

gadolinium and WBRT versus WBRT alone. However, a subgroup analysis, carried out for lung cancer patients was reported to as an improvement in neurological progression favoring the motexafin gadolinium and WBRT arm. The results for the lung cancer subgroup can only be interpreted as a hypothesis generated as there was no a priori decision to analyze this group independently. On the basis of these results, a phase III trial was conducted exclusively in patients with NSCLC; a preliminary report was presented at the 2006 ASCO meeting. In this international trial, 554 patients were randomly assigned to WBRT (30 Gy in 10 fractions) plus MGd (5 mg/kg with each RT treatment) or WBRT alone [24]. There was a trend to an increased time to neurological progression, the primary endpoint in the study, in patients receiving

MGd (15.4 versus 10 months with RT alone). In another large RCT study [27], Suh et al. showed in a subset analysis that the addition of efaproxiral to WBRT reduced the death rate by 46% (P < 0.0086). Quality of life was improved in the WBRT with efaproxiral arm compared to the WBRT alone arm (P = 0.019). Quality-adjusted Protease Inhibitor Library survival was statistically and significantly improved by the addition of efaproxiral to WBRT (P = 0.001). Patients with brain metastasis may suffer a certain degree Amisulpride of neurocognitive function (NCF) impairment from multiple factors including the tumor, WBRT, neurosurgical procedures, chemotherapy and other neurotoxic therapies (including anticonvulsants and steroids), or from paraneoplastic effects

induced by the malignancy [41]. Three trials included in this meta-analysis evaluated neurocognitive function. However, we were not able to pool these data, due to the different methods used for this outcome. In addition to that, studies involving NCF deterioration should be carefully interpreted. NCF decline in the literature is often defined statistically and there is little consensus as to the actual clinical relevance of a statistical definition. Conventionally, the measures used, such as the Folstein mini-mental status examination, are rather crude, and it is crucial to develop sensitive and practical neurocognitive function testing to characterize these changes [30]. In particular, the sensitivity of mini-mental status examination has been shown to be problematical in detecting subtle neurocognitive dysfunction in patients with brain metastasis where clinically apparent WBRT-induced dementia is rare (1.9–5.1%) [42, 43].

Lines connecting groups indicate statistically significant differ

Lines connecting groups indicate statistically significant differences between those groups (P < 0.05). Although, nisin A displays relatively low cytotoxicity towards intestinal epithelial cells in vitro[38] and shows no developmental toxicity selleckchem in rat models [39], the cytotoxicity of nisin

V would have to be investigated further before consideration for use in the clinical setting. However, the fact that nisin V lacks haemolytic activity, even at concentrations of 500 mg/L, and differs from nisin A by just one amino acid may mean that a certain amount of read-across will be permitted and a reduced panel of cytoxicity tests could be sufficient to advance commercial applications. In addition, the success with which bioengineering-based strategies have been employed to enhance its solubility [40], stability [41], diffusion [42] and antimicrobial Apoptosis inhibitor activity and spectra [32, 43, 44] would suggest that other derivatives can be generated to further improve upon the functional and pharmokinetic properties of nisin. Alternatively, the use of nisin V in combination with other antimicrobials, such as lysozyme and lactoferrin [28], may also

further enhance in vivo efficacy. Conclusions This study is the first in which the in vivo efficacy of a bioengineered nisin derivative has been assessed. The results revealed that nisin V was more effective than nisin A with respect to controlling infection with L. monocytogenes in mice. Significantly, the results validate the use of bioengineering-based strategies for peptide improvement and design Loperamide and also highlight the potential of nisin V as a chemotherapeutic agent. Enhanced nisins could be especially relevant in situations where traditional antibiotic therapy has failed or where safety issues may predominate. Importantly, the safety of nisin has been well established

with, for example, a 90-day oral toxicity study involving rats fed a diet containing nisin A reporting a no-observed-adverse-effect level of approximately 3000 mg/kg/day [45]. Preliminary studies with nisin V revealed a lack of haemolytic activity, even at concentrations of 500 mg/L (D. Field unpublished results). In conclusion, this study has determined that the enhanced potency of nisin V over nisin A is maintained in vivo against the foodborne pathogen L. monocytogenes EGDe and suggests that nisin V is a promising candidate as a therapeutic agent. Methods Bacterial strains and growth conditions Lactococcus lactis NZ9700 and L. lactis NZ9800nisA::M21V strains were cultured in M17 broth (Oxoid) supplemented with 0.5% glucose (GM17) and GM17 agar at 30°C. Field isolates of Listeria monocytogenes and Listeria monocytogenes EGDe::pPL2luxpHELP, which harbours the luxABCDE operon of P. luminescens integrated into the chromosome at a single site [35], was grown in Brain Heart Infusion (BHI) broth (Oxoid) or BHI agar at 37°C.

, 2006a; Bragonzi et al , 2009; Hoboth et al , 2009; Rau et al ,

, 2006a; Bragonzi et al., 2009; Hoboth et al., 2009; Rau et al., 2010). Thus, the propensity for genetic change appears to be important for the adaptation of P. aeruginosa check details isolates for chronic infection. We have previously shown that clinical isolates of P. aeruginosa indeed generate higher morphotypic and phenotypic diversity when grown as biofilms than does the laboratory strain of P. aeruginosa PAO1 (Kirov et al., 2007; data not shown). We now report that variants derived from in vitro grown biofilms have regained hallmarks of acute infection isolates, suggesting a mechanism by which biofilm growth may contribute to acute exacerbations associated with chronic

infection in the CF airway. We compared the dispersal response of a panel of clinical isolates from patients with CF and showed that all strains exhibited cell death and seeding dispersal from biofilms, high morphotypic diversity and the production of superinfective phage during dispersal (Kirov et al., 2007). Pseudomonas aeruginosa strain 18A was selected from that panel of clinical isolates as a representative strain for further study here. The phenotypes tested in this study included metabolic capacity, virulence factor production and colonisation traits. In comparison with strain PAO1, functional diversification was greatest in the dispersal progeny

of the chronic infection CF isolate, strain 18A. For both strains, the development of stable genetic variants was a feature of biofilm dispersal and was not observed in planktonic cultures. KPT 330 The diversification in metabolic capacity may play a crucial role in the establishment of chronic, persistent pulmonary infections of P. aeruginosa in patients with CF. For example, the ability of P. aeruginosa to catabolise alanine is known to provide a competitive advantage over other bacterial strains in vivo (Boulette DNA ligase et al.,

2009) and could therefore explain why the clinical strain 18A is able to utilise alanine while the laboratory strain PAO1 cannot. Additionally, Hoboth et al. (2009) reported that clinical CF P. aeruginosa isolates that are hypermutators have increased amino acid uptake. These authors further suggested that ornithine metabolism may play a pivotal role in adaptation within the patient’s lungs. Hence, the higher mutation frequency of strain 18A compared to strain PAO1 may be linked to the increased substrate utilisation by the clinical strain and its biofilm variants. The ability to grow on d-alanine, l-alaninamide and l-ornithine was consistently lost in the dispersal population of the clinical isolate strain 18A. This may be a consequence of biofilm development on a glucose medium in contrast to sputum that contains a range of amino acids, including ornithine and alanine (Palmer et al., 2005, 2007).

This notion is supported by findings from the European studies,

This notion is supported by findings from the European studies,

where exposure to livestock has been identified as an important contributor to the protective ‘farm effect’[31–34]. Children not living on a farm but being exposed regularly to farm animals also had a lower prevalence of allergic sensitization and allergic rhinitis compared to non-exposed non-farm children. Another consistently identified source of protection is the consumption of unprocessed cow’s milk, as shown in a number of studies [30,31,34]. As with livestock exposure, the protective effect from the consumption find more of raw milk was not restricted to children living on a farm, but was also seen among non-farm populations consuming unpasteurized cow’s milk [34]. Among adult farmers, the protective effect of farming on atopic diseases has also been shown to be more pronounced among animal farmers, with the strongest effect among pig and cattle farmers [35–37]. This observation, however, is not consistent across studies. In the ALEX (Allergen and Endotoxin) study, a multi-centre, cross-sectional survey in rural alpine areas in Switzerland, Austria and Germany, children exposed to animal

sheds and the consumption of unprocessed cow’s milk in the first year of life (Fig. 1) but not thereafter were protected significantly from the development of asthma, hay fever and atopic sensitization. In the PARSIFAL study (Prevention of Allergy – Risk Factors for Sensitization Related Crizotinib datasheet to Farming and Anthroposophic Lifestyle), the risk of atopic http://www.selleck.co.jp/products/Verteporfin(Visudyne).html sensitization was influenced not only by a child’s exposure to the farming environment, but also determined strongly by maternal exposure to animal sheds during pregnancy [38]. Since then a prospective birth cohort in rural populations of farming and non-farming women has been initiated. The notion of a prenatal

maternal influence on the development of allergic diseases has been corroborated by showing that maternal exposure to animal sheds and unpasteurized cow’s milk influences the production of specific IgE antibodies in the cord blood of the neonate [39]. Furthermore, the production of interferon-γ and tumour necrosis factor-α by neonatal cord blood cells differed according to maternal exposure to animal sheds and unprocessed cow’s milk [39]. In studies of adult farmers, the relevance of the timing of exposures has also been addressed. The protective effect of farming environments and respiratory allergies were strongest when farm contact started during childhood, and was sustained until adulthood [35,40–45]. A study among 137 university employees, of whom approximately one-third were working with laboratory animals, indicated that those with farm contact during infancy were protected from sensitization to occupational allergens later in life [46].

The differences of plasma cytokine levels were examined using a n

The differences of plasma cytokine levels were examined using a non-parametric Kruskal–Wallis test and the Mann–Whitney U-test. Correlations were assessed Nutlin-3 order using Spearman’s rank correlation test. Statistical analyses of time–courses and levels of phosphorylation for STAT-3 and STAT-1 between groups were performed using two-way anova. In all tests, statistical significance

was defined as a P-value < 0·05. To determine if IL-10R1 was expressed aberrantly in SLE patients, we examined the IL-10R1 expression on PBMC subsets from SLE patients by flow cytometry. Figure 1a shows the representative flow cytometric histograms of IL-10R1 expression on the different leucocyte subsets. We found that the expression intensities varied among peripheral CD4+ T lymphocytes, CD8+ T lymphocytes, CD14+ monocytes and CD19+ B lymphocytes. The highest levels of IL-10R1 were consistently on monocytes, the next highest levels were on CD8+ cells and CD4+ cells, and the lowest levels were on CD19+ cells. The MFIs of IL-10R1 on CD14, CD8, CD4 and CD19 cells from healthy control

subjects were 34·4 ± 8·3, 19·1 ± 3·8, 15·7 ± 3·9 and 10·0 ± 3·4, respectively. No significant differences in IL-10R1 intensity on total leucocytes or leucocyte subsets were observed between 28 SLE patients and 14 healthy controls. In addition, no differences were observed among eight newly diagnosed SLE patients, 20 treated patients and 14 Selleck BGJ398 healthy controls, or between any two groups. These results indicated Methocarbamol that IL-10R1 was not commonly involved in SLE pathogenesis. As SLE patients developed various clinical manifestations of their disease, we looked for the association of

IL-10R1 abnormalities with specified clinical subtypes and found that the expression intensity of IL-10R1 was lower in PBMCs from patients with LN. As shown in Fig. 1b, the IL-10R1 expression intensity on CD4+ cells from LN patients was significantly lower compared to cells from healthy controls and SLE patients without LN (non-LN patients); the MFIs were 12·8 ± 2·9 versus 15·9 ± 2·4 and 21·7 ± 4·2, P < 0·01. In addition, we observed that the IL-10R1 expression intensity on CD8+ cells from LN patients was significantly lower than on CD8+ cells from non-LN patients (MFIs were 16·9 ± 3·2 versus 21·8 ± 4·1, P < 0·01), but only slightly (not significantly) lower than on cells from controls. Although we observed that non-LN patients also expressed slightly higher levels of IL-10R1 on CD14+ and CD19+ cell subsets, no significant differences were observed among controls, LN and non-LN patients, or between any two groups. We assessed the correlation between IL-10R1 expression levels and SLEDAI scores using Spearman’s rank correlation test. As shown in Fig. 2a, a strong negative correlation was observed between the expression intensity of IL-10R1 on CD4+ cells and the SLEDAI scores.

In order to quantify these data, n = 9 different Empty-RV mice an

In order to quantify these data, n = 9 different Empty-RV mice and n = 7 Snai3-RV mice were analyzed (Fig. 2C). The percentages of total CD4+ and CD8+ T cells, B220+CD19+ B cells, GR1+CD11b+ granulocytes, and CD11b+ monocytes were the same between the two sets of samples except for a slight expansion in total CD11b+ monocytes in the Snai3-RV samples (total PBMCs). The Snai3-RV infected lineages were virtually devoid of lymphoid cells (CD4+ and CD8+ T cells, and B220+ CD19 B cells: GFP High Subset) that were clearly present in the Empty-RV animals (GFP High

Subset) although the depression of B-cell development in DNA Damage inhibitor the Snai3-overexpressing cells appears to be more complete than that of the T-cell lineages. Cells expressing the Snai3-RV were primarily of the myeloid lineages defined by the GR1 and CD11b markers. Lymphoid lineages within the Snai3-RV mice were present; however, but only within the noninfected population (GFP Negative and GFP Low subsets). Thus the presence of Snai3 during bone marrow cell differentiation either selleck compound poisons lymphocyte development or dramatically enhances the development of myeloid lineages. The previous figure demonstrated the effect of Snai3 expression on the presence of end stage cells but did not indicate at what point

in hematopoietic cell differentiation the function of Snai3 is critical. To address this question, we sought to determine if the expression of Snai3 in HSC altered the development of early progenitor populations. After depletion of the lineage-positive fraction and analyzing the remaining Leukotriene-A4 hydrolase cells (Lin–) with antibodies specific for c-Kit and Sca-1 surface markers, BM progenitors were divided into four progressively

more differentiated and mature populations [[21-25]]. Specifically, four gates were used to analyze Sca-1 and c-Kit populations (Fig. 3, left panels), starting with the least to the most differentiated: Gate 1- c-Kit+Sca-1+, Gate 2- c-Kit+Sca-1Int, Gate 3- c-KitIntSca-1Int, and Gate 4- c-Kit+Sca-1– [[21, 23, 26]]. The percentage of cells in each gate is shown as a number next to each box in the Lin– BM plots. Analyzing the gated populations for GFP expression (right panels) showed that the populations in all four gates were virtually identical with no absence or expansion in each gate when comparing Empty-RV and Snai3-RV mice, and in comparing with wild-type (WT) BM. The lack of alteration in any one of the four gated progenitor populations indicates that the blockade of lymphocyte differentiation and expansion of the myeloid lineage occurs in more mature progenitor stages of these lineages. Additional experiments on such mice indicated no GFPHigh cells were found in the thymus of Snai3-RV mice (data not shown).

However, there is marked regional variation in the uptake of home

However, there is marked regional variation in the uptake of home haemodialysis (HD) and peritoneal dialysis (PD) suggesting further scope for the expansion of these modalities. Methods:  Between 1 April and 5 August 2009, Australian nephrologists were invited to complete an online survey. Seventy-six questions were Buparlisib datasheet asked covering characteristics of the dialysis units, responders’ experience, adequacy of facilities and support structures, attitudes to the use of home HD and PD and issues impeding the increased uptake of home dialysis. Results:  Completed surveys were received and analysed from 71 respondents; 27 from Heads of Units (35% response rate) and 44 (16%) from other nephrologists. There was strong agreement

that HD with long hours was advantageous

and that this was most easily accomplished in the home. PD was not considered to be an inferior therapy. A ‘PD first’ policy existed in 34% of Renal Units. The most commonly reported impediments to expanding home dialysis services were financial disadvantage for home HD patients, and lack of physical infrastructure for training, support and education. Areas of concern for expanding home dialysis programmes included psychiatry support, access to respite care and home visits, and lack of support from medical administration and government. The majority of nephrologists would recommend home dialysis to more patients if these impediments could be overcome. Conclusion:  This survey identified support from nephrologists for the expansion of home dialysis in Australia and highlighted important barriers to improving access to these therapies. “
“Aim:  Dasatinib price Autophagy is a cellular process of degradation of damaged cytoplasmic components and regulates cell death or proliferation. Unilateral

ureteral obstruction (UUO) is a model of progressive renal fibrosis in the obstructed kidney. And UUO is followed by compensatory cellular proliferation in the contralateral kidney. We investigate the role of autophagy Metalloexopeptidase in the obstructed kidney and contralateral kidney after UUO. Methods:  To obtain the evidence and the patterns of autophagy during UUO, the rats were sacrificed 3, 7 and 14 days after UUO. To examine the efficacy of the autophagy inhibitors, 3-methyladenine (3-MA), the rats were treated daily with intraperitoneal injection of 3-MA (30 mg/kg per day) for 7 days. Results:  After UUO, autophagy was induced in the obstructed kidney in a time-dependent manner. Inhibition of autophagy by 3-MA enhanced tubular cell apoptosis and tubulointerstitial fibrosis in the obstructed kidney after UUO. In the contralateral kidney, autophagy was also induced and prolonged during UUO. Inhibition of autophagy by 3-MA increased the protein expression of proliferating cell nuclear antigen significantly in the contralateral kidney after UUO. The Akt-mammalian target of rapamycin (mTOR) signalling pathway was involved in the induction of autophagy after UUO in both kidneys.

Instead, immune responses contribute to the tissue damage

Instead, immune responses contribute to the tissue damage.

However, this may depend on localization of infection in the upper conductive or in the peripheral respiratory zone. To study this we produced two distinct sizes of small alginate beads (SB) and large beads (LB) containing P. aeruginosa. In total, 175 BALB/c mice were infected with either SB or LB. At day 1 the quantitative bacteriology was higher in the SB group compared to the LB group (P < 0·003). For all time-points smaller biofilms were identified by Alcian blue staining in the SB group (P < 0·003). Similarly, the area of the airways in which biofilms were identified were smaller (P < 0·0001). A shift from exclusively endobronchial to both parenchymal Ku-0059436 mw and endobronchial localization of inflammation from day 1 to days 2/3 (P < 0·05), as well as a faster resolution of inflammation at days 5/6, was observed in the SB group (P < 0·03). Finally, both the polymorphonuclear neutrophil leucocyte (PMN) mobilizer granulocyte colony-stimulating factor (G-CSF)

and chemoattractant macrophage inflammatory protein-2 (MIP-2) were increased at day 1 in the SB group (P < 0·0001). In conclusion, we have established a model enabling studies of host responses in different pulmonary zones. An effective recognition of and a more pronounced host response to infection in the peripheral zones, indicating that increased lung damage was demonstrated. Torin 1 price Therefore, treatment of the chronic P. aeruginosa lung infection should be directed primarily at the peripheral lung zone by combined intravenous and inhalation antibiotic treatment. Most patients

with the inherited disease cystic fibrosis (CF) acquire a chronic lung infection with Pseudomonas aeruginosa. Once chronic P. aeruginosa lung infection is established it is almost impossible to eradicate, despite relevant antibiotic treatment and substantial innate and adaptive host responses. The background for the tolerance of the chronic P. aeruginosa 6-phosphogluconolactonase lung infection to antibiotics and host responses is the formation of biofilms, where the bacteria are organized in micro colonies surrounded by an extracellular matrix. Because the infection remains in the lungs, continuous induction of pulmonary inflammation and stimulation of the adaptive immune response is the result. In fact, both parts of the host immune response contribute to the lung pathophysiology. The constantly recruited polymorphonuclear neutrophil leucocytes (PMNs) contribute by release of exoproteases, reactive oxygen and nitrogen species, and the induced T helper type 2 (Th2)-dominated response contributes by induction of a pronounced antibody response resulting in immune complex disease [1]. The activation and recruitment of the host response is, however, not uniform throughout the lung.