Systemic pro-inflammatory
cytokine release has been previously implicated as a major death-causing factor in
anthrax, however, direct data have been absent. We determined the levels of
IL-1 beta,
IL-6 and
TNF-alpha in serum of mice challenged with virulent (Ames) or attenuated (Sterne) strains of Bacillus anthracis. More than 10-fold increase in the IL-1beta levels was detected in Ames-challenged Balb/c mice, in contrast to more susceptible C57BL/6 mice, which showed no IL-1beta response. Balb/c mice have also responded with higher levels of
IL-6. The A/J mice demonstrated IL-1beta and
IL-6 systemic response to either Ames or Sterne strain of B. anthracis, whereas no increase in
TNF-alpha was detected in any murine strain. We used RT-PCR for gene expression analyses in the liver which often is a major source of
cytokines and one of the main targets in
infectious diseases. A/J mice challenged with B. anthracis (Sterne) showed increased gene expression for Fas, FasL, Bax,
IL-1 beta,
TNF-alpha,
TGF-beta,
MIP-1alpha, KC and
RANTES. These data favour the hypothesis that apoptotic cell death during
anthrax infection causes
chemokine-induced transmigration of inflammatory cells to vitally important organs such as liver. Administration of
caspase inhibitors z-VAD-fmk and
ac-YVAD-cmk improved survival in Sterne-challenged mice indicating a pathogenic role of apoptosis in
anthrax.