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Characterization of Early-Phase Neutrophil Extracellular Traps in Urinary Tract Infections

Fig 10

Microbial cell viability staining for infectious agents in AUP samples.

Images are from oil immersion microscopy with the green (fluorescein) channel for sample #122, and green and red (rhodamine) channels for samples #146, #151 and #157. Image #122: AUP sample aliquot was incubated with SYTOX-green (5 μM in TBS) in the dark for 15 min, fixed on a glass slide at low heat (40°C), washed with water, and air-dried. C. albicans yeast forms are clearly visible. Red arrows point to dead cells (SYTOX-green stained), white arrows point to intact cells (unstained). Images #146 to #157: Sample aliquots were incubated with the live/dead differential staining kit (5 μM SYTO9 and 55 μM propidium iodide in TBS) in the dark for 15 min followed by centrifugation at 800 x g for 3 min, re-suspension in TBS, a 2nd centrifugation step, and fixation with 4% paraformaldehyde for 15 min. #146: rod-shaped E. coli cells propidium iodide-stained (red arrow) are dead. #151: filamentous K. pneumoniae rods stained with SYTO9 are living cells (white arrow). Neutrophils (bright yellow stain) are surrounded by bacterial cells suggesting a failure of phagocytosis. #157: S. aureus cocci are trapped in NET-like structures with red and green dots indicating death and survival (red and white arrows, respectively). The #157 insert shows a cluster of dead bacterial cells.

Fig 10

doi: https://doi.org/10.1371/journal.ppat.1006151.g010