Interleukin-6 induced suppression of bovine parathyroid hormone secretion

被引:38
作者
Carlstedt, E
Ridefelt, P
Lind, L [1 ]
Rastad, J
机构
[1] Univ Uppsala Hosp, Dept Med, S-75185 Uppsala, Sweden
[2] Univ Uppsala Hosp, Dept Surg, S-75185 Uppsala, Sweden
关键词
parathyroid hormone; proinflammatory cytokines; TNF-alpha; IL-6; hypocalcemia;
D O I
10.1023/A:1020146023812
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Calcium disturbances in the critically ill coincide with elevations of proinflammatory cytokines. The effects of tumor necrosis factor-alpha (TNF-alpha) and interleukin-6 (IL-6) on parathyroid hormone (PTH) secretion were investigated. IL-6 and TNF-alpha had no acute effect on PTH secretion in extracellular Ca2+ concentrations of 0.5, 1.25 and 3.0 mM. In contrast to TNF-alpha, cultures for 24 h in the presence of 10 ng/mL of IL-6 showed decreased PTH secretion by 51% and 29% in 0.5 mM and 1.25 mM Ca2+ respectively. Neither IL-6 nor TNF-alpha, affected cytoplasmic Ca2+ of the cells. We conclude that PTH secretion in vitro can be suppressed by IL-6 at clinically relevant concentrations. This suppression may aggravate hypocalcemia of the critically ill and attenuate the conventionally strong stimulation of the PTH release by reduction in serum calcium.
引用
收藏
页码:35 / 42
页数:8
相关论文
共 27 条
[3]   IONIZED CALCIUM, PARATHORMONE, AND MORTALITY IN CRITICALLY ILL SURGICAL PATIENTS [J].
BURCHARD, KW ;
GANN, DS ;
COLLITON, J ;
FORSTER, J .
ANNALS OF SURGERY, 1990, 212 (04) :543-550
[4]   Proinflammatory cytokines, measured in a mixed population on arrival in the emergency department, are related to mortality and severity of disease [J].
Carlstedt, F ;
Lind, L ;
Lindahl, B .
JOURNAL OF INTERNAL MEDICINE, 1997, 242 (05) :361-365
[5]   Serum levels of parathyroid hormone are related to the mortality and severity of illness in patients in the emergency department [J].
Carlstedt, F ;
Lind, L ;
Wide, L ;
Lindahl, B ;
Hanni, A ;
Rastad, J ;
Ljunghall, S .
EUROPEAN JOURNAL OF CLINICAL INVESTIGATION, 1997, 27 (12) :977-981
[6]   CYTOKINE SERUM LEVEL DURING SEVERE SEPSIS IN HUMAN IL-6 AS A MARKER OF SEVERITY [J].
DAMAS, P ;
LEDOUX, D ;
NYS, M ;
VRINDTS, Y ;
DEGROOTE, D ;
FRANCHIMONT, P ;
LAMY, M .
ANNALS OF SURGERY, 1992, 215 (04) :356-362
[7]   PREVALENCE AND CLINICAL IMPLICATIONS OF HYPOCALCEMIA IN ACUTELY-ILL PATIENTS IN A MEDICAL INTENSIVE-CARE SETTING [J].
DESAI, TK ;
CARLSON, RW ;
GEHEB, MA .
AMERICAN JOURNAL OF MEDICINE, 1988, 84 (02) :209-214
[8]  
DETTELBACH MA, 1990, J BONE MINER RES, V5, P1249
[9]   IMPAIRED SECRETION OF PARATHYROID-HORMONE IN PATIENTS WITH RHEUMATOID-ARTHRITIS - RELATIONSHIP TO INFLAMMATORY ACTIVITY [J].
EKENSTAM, EA ;
BENSON, L ;
HALLGREN, R ;
WIDE, L ;
LJUNGHALL, S .
CLINICAL ENDOCRINOLOGY, 1990, 32 (03) :323-328
[10]   Immunologic aspects of osteoporosis [J].
Ershler, WB ;
Harman, SM ;
Keller, ET .
DEVELOPMENTAL AND COMPARATIVE IMMUNOLOGY, 1997, 21 (06) :487-499