influenzae. Although we can’t exclude the possibility that the two strains we tested elicited different immune responses, our results suggest that there is no difference in the extent of neutrophil infiltration

of the epithelium in response to colonization by either of these strains or any synergism [41] between the two species. AZD9291 ic50 Together our results suggest that the immune response primarily elicited by H. influenzae is responsible for reducing the density of S. pneumoniae in the nasal wash and that S. pneumoniae strains may vary in their susceptibility to this innate immune response. While we found limited evidence for immune-mediated competition, since the nasal epithelium bacterial populations of S. pneumoniae are un-altered by this innate immune response this competition NCT-501 research buy may not effect the long-term carriage of S. pneumoniae in the nasal passage. Limitations Perhaps the most significant limitation and caveat associated with this study is that the neonatal check details rat immune system is changing during the course of these experiments, thereby restricting our ability to draw inferences about the role of the immune response and long-term colonization dynamics. While arguably a decent model for young infants,

the neonatal rats are unlikely to be an accurate model of the nasal passages of older children or adults. Another limitation of this study is that the results obtained may be strain-specific and only one or two strains for each species was tested. The limited number of strains does not likely reflect the within species diversity

in colonization strategies and this diversity should be investigated in further studies. Finally, our ability to draw inferences about the factors influencing the ecology of colonization in these neonatal rats was limited by the substantial amount of variation in densities observed in individual rats. Conclusion Caveats and limitations aside, we believe that the application of an ecological framework to the colonization of neonatal rat model with S. aureus, S. pneumoniae and H. influenzae contributes to our understanding of the epidemiology of carriage, disease processes and the impact of vaccination on these bacteria species. These results begin to address tuclazepam the mechanisms responsible for the dynamic process of nasal colonization with turnover and replacement of species, serotypes and strains in the complex community (Figure 7). For example the pulse experiments results suggest that for S. pneumoniae and H. influenzae the presence (and turnover) of multiple strains and serotypes would be expected in carriers as has been observed in humans [42]. Further, our results suggest that that H. influenzae colonization will be more successful (and hence possibly more likely to cause disease) when preceded by either S. aureus or S. pneumoniae.