Cytokine secretion is impaired in women with diabetes mellitus

被引:104
作者
Geerlings, SE
Brouwer, EC
van Kessel, KCPM
Gaastra, W
Stolk, RP
Hoepelman, AIM
机构
[1] Univ Utrecht Hosp, Dept Med, Div Infect Dis & AIDS, Utrecht, Netherlands
[2] Univ Utrecht Hosp, Eijkman Winkler Lab Med Microbiol, Utrecht, Netherlands
[3] Univ Utrecht Hosp, Julius Ctr Patient Oriented Res, Utrecht, Netherlands
[4] Univ Utrecht, Fac Vet, Inst Infect Dis & Immunol, Dept Bacteriol, Utrecht, Netherlands
关键词
asymptomatic bacteriuria; cytokines; diabetes mellitus; HLA-haplotypes; monocytes;
D O I
10.1046/j.1365-2362.2000.00745.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background As women with diabetes mellitus (DM) have an increased prevalence of asymptomatic bacteriuria (ASB) and it is known that a correlation exists between the increased prevalence of genitourinary tract infection and impaired cytokine production in women infected with Human Immunodeficiency Virus (HIV), we studied urinary cytokine excretion in diabetic women and compared it with that of nondiabetic controls. Materials and methods To evaluate the cytokine secretion capacity of women with DM, both whole blood and isolated monocytes of women with and without DM were stimulated in vitro with lipopolysaccharide (LPS). Results Lower urinary interleukin-8 (IL-8) and interleukin-6 (IL-6) concentrations (P = 0.1 and P < 0.001, respectively) were found in diabetic women than in nondiabetic controls. A lower urinary leukocyte cell count correlated with lower urinary IL-8 and IL-6 concentrations (P < 0.05). Lower tumour necrosis factor-alpha (TNF-a) and IL-6, but comparable interleukin-10 (IL-10) concentrations were found in whole blood (P < 0.04) and isolated monocytes (P = 0.03) of women with DM type 1 compared to women without DM. Conclusions Diabetic women with ASB have lower urinary IL-6 concentrations than nondiabetic bacteriuric controls. In addition, monocytes of women with DM type 1 secrete lower pro-inflammatory cytokines after stimulation with LPS than monocytes of women without DM. This is not due to an inhibitory effect of the anti-inflammatory cytokine IL-10. This can have important consequences for both host defense, endothelial cell functioning and atherogenesis.
引用
收藏
页码:995 / 1001
页数:7
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