Publications by authors named "Tom Purnell"

Nontypeable (NTHi) is a major pathogen causing acute otitis media (AOM). The pathology of AOM increases during long-term infection in the middle ear (ME), but the host cellular immune response to bacterial infection in this inflamed environment is poorly understood. Using the mouse, a characterized NTHi infection model, we analyzed the cellular response to NTHi infection in the mouse middle ear fluid (MEF).

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Article Synopsis
  • Non-typeable Haemophilus influenzae (NTHi) is a germ that causes ear infections in kids, known as acute otitis media (AOM).
  • Researchers studied middle ear fluid from a special mouse model to see how the germs relate to the fluid's characteristics, finding that thicker fluids had more signs of infection.
  • The study showed that when the ear is infected with NTHi, there are more immune cells responding to the infection, especially types called neutrophils and monocytes, which are important for fighting off germs.
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Otitis media (OM), inflammation of the middle ear (ME), is a common cause of conductive hearing impairment. Despite the importance of the disease, the aetiology of chronic and recurrent forms of middle ear inflammatory disease remains poorly understood. Studies of the human population suggest that there is a significant genetic component predisposing to the development of chronic OM, although the underlying genes are largely unknown.

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Acute otitis media, inflammation of the middle ear, is the most common bacterial infection in children and, as a consequence, is the most common reason for antimicrobial prescription to this age group. There is currently no effective vaccine for the principal pathogen involved, non-typeable Haemophilus influenzae (NTHi). The most frequently used and widely accepted experimental animal model of middle ear infection is in chinchillas, but mice and gerbils have also been used.

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Otitis media with effusion (OME) is the commonest cause of hearing loss in children, yet the underlying genetic pathways and mechanisms involved are incompletely understood. Ventilation of the middle ear with tympanostomy tubes is the commonest surgical procedure in children and the best treatment for chronic OME, but the mechanism by which they work remains uncertain. As hypoxia is a common feature of inflamed microenvironments, moderation of hypoxia may be a significant contributory mechanism.

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