Role of the liver in host defense to pneumococcus following splenectomy.

Splenectomy is associated with increased susceptibility to bacterial infection, and this is thought to be primarily due to a decrease in clearance of bacteria from the blood. The purpose of the present study was to determine if splenectomy could increase susceptibility to pneumococcus type 3, which is cleared primarily by the liver in rats, and if hepatic function is altered by splenectomy. Splenectomy increased the mortality of rats challenged iv with pneumococcus. Heat-killed, 51Cr-labeled pneumococci were rapidly cleared by the liver and splenectomy did not alter the initial clearance rate or the initial hepatic uptake of bacteria. Injection of viable pneumococci showed that blood levels were unchanged at 30 min but were much greater 5 hr after challenge in splenectomized animals. Hepatic uptake of viable pneumococcus was also not changed at 30 min after injection but at 5 hr the number of bacteria in the liver was greater in the splenectomized animals. This suggests an impairment in hepatic bactericidal function. Another contributing factor may have been that the hepatic bactericidal capacity was overwhelmed by the pneumococci which would normally have been killed by the spleen. Lung localization of viable bacteria was increased initially but there was no decrease in pulmonary bactericidal function. Thus, splenectomy increased susceptibility to a bacteria cleared primarily by the liver which was attributed to an impairment of hepatic bactericidal function and/or an inability of the liver to compensate for the loss of splenic function due to a saturation of the bactericidal system.