Kinetics of intracellular killing of Staphylococcus aureus and Escherichia coli by human granulocytes

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Abstract
The intracellular killing of Staphylococcus aureus and Escherichia coli by human granulocytes was investigated independently of the ingestion of these bacteria. Granulocytes were allowed to phagocytose preopsonized bacteria for only 3 min, after which the noningested bacteria were removed by differential centrifugation and 2 washes. With this technique, the number of viable cell‐associated bacteria at the start of the assay, determined after lysis of the granulocytes, includes about 80% intracellular bacteria.Intracellular killing depends on (a) the temperature (no killing occurring at 4°C, maximal killing at 33–39 °C, and a decrease in the capacity of the granulocytes to kill ingested bacteria at temperatures above 42 °C), and (b) the number of bacteria ingested (after phagocytosis at bacteria‐to‐cell ratios of 100 : 1 and 1000 : 1, not all of the ingested bacteria are killed, whereas after phagocytosis at lower bacteria‐to‐cell ratios, almost all ingested bacteria are killed). To determine the maximum number of bacteria that can be killed by granulocytes, intracellular killing was measured after phagocytosis of bacteria at various bacteria‐to‐granulocyte ratios in the presence of phenylbutazone, a drug which inhibits killing during the ingestion period. Phenyl‐butazone proved to be a useful tool in the study of intracellular killing, since this drug provides a reversible inhibition of the killing when granulocytes are incubated in its presence for up to 3 min, whereas after longer incubation, the inhibitory effect is irreversible. Calculation based on the data obtained in this study gave maximum rates of intracellular killing amounting to 3.7 × 105 bacteria/5 × 106 granulocytes/min for Staph. aureus and 8.5 × 105 bacteria/5 × 106 granulocytes/min for E. coli. Using the rate of intracellular killing after phagocytosis at a bacteria‐to‐granulocyte ratio of 1 : 1 and the rate of ingestion obtained in an earlier study, we were able to compute the theoretical numbers of viable extracellular not (yet) ingested, viable intracellular, killed intracellular and total intracellular bacteria. The theoretical curves fit well with the experimental data.

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