DHEA-dependent and organ-specific regulation of TNF-α mRNA expression in a murine polymicrobial sepsis and trauma modelReportar como inadecuado




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Critical Care

, 13:R114

First Online: 13 July 2009Received: 18 May 2009Accepted: 13 July 2009

Abstract

IntroductionDehydroepiandrosterone DHEA improves survival after trauma and sepsis, while mechanisms of action are not yet fully understood. Therefore, we investigated the influence of DHEA on local cytokine expression in a two-hit model.

MethodsMale NMRI mice were subjected to femur fracture-hemorrhagic shock and subsequent sepsis. Sham-operated animals were used as controls. DHEA 25 mg-kg or vehicle was administered daily. Mortality rate, activity and body temperature were determined daily after sepsis induction. TNF-α, IL-1β and IL-10 mRNA expression pattern were investigated in lung and liver tissue after 48 and 96 hours.

ResultsDHEA treatment resulted in a significantly reduced mortality rate and improvements in the clinical status. On cytokine level, only TNF-α was significantly reduced in the cecal ligation and puncture CLP-vehicle group in both tissues after 48 hours. This suppression could be restored by DHEA administration. In contrast, after 96 hours, TNF-α was up-regulated in the CLP-vehicle group while remaining moderate by DHEA treatment in liver tissue.

ConclusionsThe improved outcome after DHEA treatment and trauma is coherent with restoration of TNF-α in liver and lung after 48 hours and a counter-regulatory attenuation of TNF-α in liver after 96 hours. Thus, DHEA seems to act, time and organ dependent, as a potent modulator of TNF-α expression.

AbbreviationsANOVAanalysis of variance

CLPcecal ligation and puncture

DHEAdehydroepiandrosterone

GAPDHglyceraldehyde-3-phosphate dehydrogenase

IFNinterferon

ILinterleukin

LPSlipopolysaccharide

PCRpolymerase chain reaction

TNFtumour necrosis factor.

Electronic supplementary materialThe online version of this article doi:10.1186-cc7963 contains supplementary material, which is available to authorized users.

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Autor: Tanja Barkhausen - Frank Hildebrand - Christian Krettek - Martijn van Griensven

Fuente: https://link.springer.com/







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