Thorax Online First, published on October 21, 2009 as 10.1136/thx.2009.114512 Thorax: first published as 10.1136/thx.2009.114512 on 21 October 2009. Downloaded from Polymorphonuclear leukocytes consume oxygen in sputum from chronic Pseudomonas aeruginosa pneumonia in cystic fibrosis Mette Kolpen1, Christine Rønne Hansen2, Thomas Bjarnsholt1,3, Claus Moser1, Louise Dahl Christensen3, Maria van Gennip3, Oana Ciofu3, Lotte Mandsberg3, Arsalan Kharazmi1, Gerd Döring4, Michael Givskov3, Niels Høiby1,3, Peter Østrup Jensen1. 1Department of Clinical Microbiology, Rigshospitalet, 2100 Copenhagen, Denmark 2Copenhagen CF center, Rigshospitalet, 2100 Copenhagen, Denmark 3Institute of International Health, Immunology, and Microbiology, University of Copenhagen, 2100 Copenhagen, Denmark 4Institute of Medical Microbiology and Hygiene, University of Tübingen, D-72074 Tübingen, Germany Correspondance to: PØ Jensen, Department of Clinical Microbiology, Juliane Mariesvej 22, Rigshospitalet, 2100 Copenhagen, Denmark. E-mail address:
[email protected]. Tel.: +4535457808, Fax: +4535456412. Keywords: Cystic fibrosis, neutrophil biology, bacterial infection, pneumonia. Word count excluding titlepage, abstract, references, figures and tables: 3252 http://thorax.bmj.com/ on September 30, 2021 by guest. Protected copyright. 1 Copyright Article author (or their employer) 2009. Produced by BMJ Publishing Group Ltd (& BTS) under licence. Thorax: first published as 10.1136/thx.2009.114512 on 21 October 2009. Downloaded from ABSTRACT Background: Chronic lung infection with Pseudomonas aeruginosa is the most severe complication for patients with cystic fibrosis (CF). This infection is characterized by endobronchial mucoid biofilms surrounded by numerous polymorphonuclear leukocytes (PMNs). The mucoid phenotype offers protection against the PMNs, which are in general assumed to mount an active respiratory burst leading to lung tissue deterioration.