Mucosal infection rewires TNFα sinaling dynamics to skew susceptibility to recurrence

A mucosal infectious disease episode can render the host either more or less susceptible to recurrent infection, but the specific mechanisms that tip the balance remain unclear. We investigated this question in a mouse model of recurrent urinary tract infection and found that a prior bladder infection resulted in an earlier onset of tumor necrosis factor-alpha (TNF alpha)-mediated bladder inflammation upon subsequent bacterial challenge, relative to age-matched naive mice. However, the duration of TNF alpha signaling activation differed according to whether the first infection was chronic (Sensitized) or self-limiting (Resolved). TNF alpha depletion studies revealed that transient early-phase TNF alpha signaling in Resolved mice promoted clearance of bladder-colonizing bacteria via rapid recruitment of neutrophils and subsequent exfoliation of infected bladder cells. In contrast, sustained TNF alpha signaling in Sensitized mice prolonged damaging inflammation, worsening infection. This work reveals how TNF alpha signaling dynamics can be rewired by a prior infection to shape diverse susceptibilities to future mucosal infections.