Longitudinal temperature measurement can determine humane endpoints in BALB/c mouse models of ESKAPEE infection

ABSTRACTAntimicrobial resistance (AMR) is a worldwide problem, which is driving more preclinical research to find new treatments and countermeasures for drug-resistant bacteria. However, translational models in the preclinical space have remained static for years. To improve animal use ethical consi...

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Main Authors: Randal Scott Dudis, Ting Y. Wong, Mariel G. Escatte, Yonas A. Alamneh, Rania Abu-Taleb, Wanwen Su, Christine Czintos, Timothy A. Fitzgerald, Yoann Le Breton, Daniel V. Zurawski
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Virulence
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/21505594.2023.2186331
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author Randal Scott Dudis
Ting Y. Wong
Mariel G. Escatte
Yonas A. Alamneh
Rania Abu-Taleb
Wanwen Su
Christine Czintos
Timothy A. Fitzgerald
Yoann Le Breton
Daniel V. Zurawski
author_facet Randal Scott Dudis
Ting Y. Wong
Mariel G. Escatte
Yonas A. Alamneh
Rania Abu-Taleb
Wanwen Su
Christine Czintos
Timothy A. Fitzgerald
Yoann Le Breton
Daniel V. Zurawski
author_sort Randal Scott Dudis
collection DOAJ
description ABSTRACTAntimicrobial resistance (AMR) is a worldwide problem, which is driving more preclinical research to find new treatments and countermeasures for drug-resistant bacteria. However, translational models in the preclinical space have remained static for years. To improve animal use ethical considerations, we assessed novel methods to evaluate survival after lethal infection with ESKAPEE pathogens (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, Enterobacter cloacae, and Escherichia coli) in pulmonary models of infection. Consistent with published lung infection models often used for novel antimicrobial development, BALB/c mice were immunosuppressed with cyclophosphamide and inoculated intranasally with individual ESKAPEE pathogens or sterile saline. Observations were recorded at frequent intervals to determine predictive thresholds for humane endpoint decision-making. Internal temperature was measured via implanted IPTT300 microchips, and external temperature was measured using a non-contact, infrared thermometer. Additionally, clinical scores were evaluated based on animal appearance, behaviour, hydration status, respiration, and body weight. Internal temperature differences between survivors and non-survivors were statistically significant for E. faecium, S. aureus, K. pneumoniae, A. baumannii, E. cloacae, and E. coli, and external temperature differences were statistically significant for S. aureus, K. pneumoniae, E. cloacae, and E. coli. Internal temperature more precisely predicted mortality compared to external temperature, indicating that a threshold of 85ºF (29.4ºC) was 86.0% predictive of mortality and 98.7% predictive of survival. Based on our findings, we recommend future studies involving BALB/c mice ESKAPEE pathogen infection use temperature monitoring as a humane endpoint threshold.
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spelling doaj.art-44b9872e0c5447949a8b4aa7924ed5c42024-01-03T17:26:57ZengTaylor & Francis GroupVirulence2150-55942150-56082023-12-0114110.1080/21505594.2023.2186331Longitudinal temperature measurement can determine humane endpoints in BALB/c mouse models of ESKAPEE infectionRandal Scott Dudis0Ting Y. Wong1Mariel G. Escatte2Yonas A. Alamneh3Rania Abu-Taleb4Wanwen Su5Christine Czintos6Timothy A. Fitzgerald7Yoann Le Breton8Daniel V. Zurawski9Veterinary Services Program, Center for Enabling Capabilities, Walter Reed Army Institute of Research, Silver Spring, MD, USAWound Infections Department, Bacterial Diseases Branch, Center for Infectious Diseases Research, Walter Reed Army Institute of Research, Silver Spring, MD, USAWound Infections Department, Bacterial Diseases Branch, Center for Infectious Diseases Research, Walter Reed Army Institute of Research, Silver Spring, MD, USAWound Infections Department, Bacterial Diseases Branch, Center for Infectious Diseases Research, Walter Reed Army Institute of Research, Silver Spring, MD, USAWound Infections Department, Bacterial Diseases Branch, Center for Infectious Diseases Research, Walter Reed Army Institute of Research, Silver Spring, MD, USAWound Infections Department, Bacterial Diseases Branch, Center for Infectious Diseases Research, Walter Reed Army Institute of Research, Silver Spring, MD, USAWound Infections Department, Bacterial Diseases Branch, Center for Infectious Diseases Research, Walter Reed Army Institute of Research, Silver Spring, MD, USAWound Infections Department, Bacterial Diseases Branch, Center for Infectious Diseases Research, Walter Reed Army Institute of Research, Silver Spring, MD, USAWound Infections Department, Bacterial Diseases Branch, Center for Infectious Diseases Research, Walter Reed Army Institute of Research, Silver Spring, MD, USAWound Infections Department, Bacterial Diseases Branch, Center for Infectious Diseases Research, Walter Reed Army Institute of Research, Silver Spring, MD, USAABSTRACTAntimicrobial resistance (AMR) is a worldwide problem, which is driving more preclinical research to find new treatments and countermeasures for drug-resistant bacteria. However, translational models in the preclinical space have remained static for years. To improve animal use ethical considerations, we assessed novel methods to evaluate survival after lethal infection with ESKAPEE pathogens (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, Enterobacter cloacae, and Escherichia coli) in pulmonary models of infection. Consistent with published lung infection models often used for novel antimicrobial development, BALB/c mice were immunosuppressed with cyclophosphamide and inoculated intranasally with individual ESKAPEE pathogens or sterile saline. Observations were recorded at frequent intervals to determine predictive thresholds for humane endpoint decision-making. Internal temperature was measured via implanted IPTT300 microchips, and external temperature was measured using a non-contact, infrared thermometer. Additionally, clinical scores were evaluated based on animal appearance, behaviour, hydration status, respiration, and body weight. Internal temperature differences between survivors and non-survivors were statistically significant for E. faecium, S. aureus, K. pneumoniae, A. baumannii, E. cloacae, and E. coli, and external temperature differences were statistically significant for S. aureus, K. pneumoniae, E. cloacae, and E. coli. Internal temperature more precisely predicted mortality compared to external temperature, indicating that a threshold of 85ºF (29.4ºC) was 86.0% predictive of mortality and 98.7% predictive of survival. Based on our findings, we recommend future studies involving BALB/c mice ESKAPEE pathogen infection use temperature monitoring as a humane endpoint threshold.https://www.tandfonline.com/doi/10.1080/21505594.2023.2186331TemperatureESKAPEEmurine pulmonary infection modelBALB/chumane endpointsreplacement, reduction, refinement (3Rs)
spellingShingle Randal Scott Dudis
Ting Y. Wong
Mariel G. Escatte
Yonas A. Alamneh
Rania Abu-Taleb
Wanwen Su
Christine Czintos
Timothy A. Fitzgerald
Yoann Le Breton
Daniel V. Zurawski
Longitudinal temperature measurement can determine humane endpoints in BALB/c mouse models of ESKAPEE infection
Virulence
Temperature
ESKAPEE
murine pulmonary infection model
BALB/c
humane endpoints
replacement, reduction, refinement (3Rs)
title Longitudinal temperature measurement can determine humane endpoints in BALB/c mouse models of ESKAPEE infection
title_full Longitudinal temperature measurement can determine humane endpoints in BALB/c mouse models of ESKAPEE infection
title_fullStr Longitudinal temperature measurement can determine humane endpoints in BALB/c mouse models of ESKAPEE infection
title_full_unstemmed Longitudinal temperature measurement can determine humane endpoints in BALB/c mouse models of ESKAPEE infection
title_short Longitudinal temperature measurement can determine humane endpoints in BALB/c mouse models of ESKAPEE infection
title_sort longitudinal temperature measurement can determine humane endpoints in balb c mouse models of eskapee infection
topic Temperature
ESKAPEE
murine pulmonary infection model
BALB/c
humane endpoints
replacement, reduction, refinement (3Rs)
url https://www.tandfonline.com/doi/10.1080/21505594.2023.2186331
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