TY - JOUR AU - Fang, Ferric C. AB - Specialized epithelia known as M cells overlying the lymphoid follicles of Peyer's patches are important in the mucosal immune system, but also provide a portal of entry for pathogens such as Salmonella typhimurium, Mycobacterium bovis, Shigella flexneri, Yersinia enterocolitica and reoviruses 1,2,3,4 . Penetration of intestinal M cells and epithelial cells by Salmonella typhimurium requires the invasion genes of Salmonella Pathogenicity Island 1 (SPI1) 3,5,6,7,8,9 . SPI1-deficient S. typhimurium strains gain access to the spleen following oral administration and cause lethal infection in mice 5 without invading M cells 3,9 or localizing in Peyer's patches 10 , which indicates that Salmonella uses an alternative strategy to disseminate from the gastrointestinal tract. Here we report that Salmonella is transported from the gastrointestinal tract to the bloodstream by CD18-expressing phagocytes, and that CD18-deficient mice are resistant to dissemination of Salmonella to the liver and spleen after oral administration. This CD18-dependent pathway of extraintestinal dissemination may be important for the development of systemic immunity to gastrointestinal pathogens, because oral challenge with SPI1-deficient S. typhimurium elicits a specific systemic IgG humoral immune response, despite an inability to stimulate production of specific mucosal IgA. TI - Extraintestinal dissemination of Salmonella by CD18-expressing phagocytes JO - Nature DO - 10.1038/44593 DA - 1999-10-21 UR - https://www.deepdyve.com/lp/springer-journals/extraintestinal-dissemination-of-salmonella-by-cd18-expressing-adh7400Lty SP - 804 EP - 808 VL - 401 IS - 6755 DP - DeepDyve ER -