Methodological variations between these two studies can explain those differences. Nevertheless, this website IL-8 secretion caused by E2348/69 infection was in the same range in both cell lines (0–300 ng/ml). On the other hand, IL-1β secretion at 2 h was 50% lower during E22 infection than with E2348/69. IL-8 secretion by E22-infected

cells was constant, but not as high as at 2 h of E2348/69 infection. These results indicate a delayed and/or weaker cellular response to E22 infection and could be because of poor initial adherence (data not shown). EPEC E22 infection induced high and constant secretion of TNF-α, and E2348/69 displayed limited TNF-α secretion at 4 h of infection. It is important to have in mind that TNF-α release could be associated not only to inflammation but also to altered transport of water and electrolytes, and loss of epithelial resistance. Translocated effectors (T3SS) are differentially required for cytokine release: TNF-α decreases only slightly, IL-8 decreases to 50%, and IL-1β secretion is almost abolished. Loss of intimin at 4 h infection

caused a decreased secretion of the three cytokines, being the more dramatic effect in the case of IL-1β. We found a dual effect for intimin in TNF-α release: during initial adherence, it limits TNF-α secretion; whereas during intimate adherence, it increases TNF-α release. Attenuated TNF-α secretion during E22ΔespA infection (4 h) reinforces LGK-974 purchase the effect of intimate adherence in the secretion of this cytokine. Interestingly, for IL-1β secretion, flagellin caused the opposite effect of intimin and E22ΔfliC infection stimulated IL-1β secretion while

E22Δeae reduced its liberation. Flagellin is absolutely necessary for IL-8 secretion, as previously reported [24]. Flagellin is also essential for TNF-α secretion at 4 h but not at 2 h, where its participation is limited. These results emphasize EPEC FliC importance in the immune response activation, but indicate complex mechanism that transcends the passive contact of flagellin and TLR5. Our results highlight that besides flagellin, EPEC intimate adherence is important to modulate the secretion of proinflammatory cytokines. ERK1/2 nuclear translocation Rebamipide and IL-1β and IL-8 secretion are severely impaired during infection with E22 T3SS mutants. These results are consistent with a report that links MAPK activation and IL-8 secretion during E2348/69 infection [49]. It was recently shown that in Salmonella-infected macrophages, IL-1β secretion is activated by cytoplasmic flagellin detection – via Ipaf – in a TLR5 independent fashion. Such activation depends on FliC secretion by Salmonella T3SS [50]. EPEC T3SS mutations reversibly decrease FliC secretion [4], and T3SS can translocate flagellin into infected cells [51].