COMBINED INHIBITION OF INTERLEUKIN-1 AND TUMOR-NECROSIS-FACTOR IN RODENT ENDOTOXEMIA - IMPROVED SURVIVAL AND ORGAN FUNCTION

被引:69
作者
RUSSELL, DA [1 ]
TUCKER, KK [1 ]
CHINOOKOSWONG, N [1 ]
THOMPSON, RC [1 ]
KOHNO, T [1 ]
机构
[1] SYNERGEN INC,BOULDER,CO 80301
关键词
D O I
10.1093/infdis/171.6.1528
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The interleukin (IL)-1 receptor antagonist (Ra) and a polyethylene glycol-linked dimer of the type I soluble receptor of tumor necrosis factor (TNF), PEG-(rsTNF-RI)(2), were used to determine whether maximal protection against lethality and organ dysfunction is achieved by single or dual cytokine inhibition under rigorous conditions of rodent endotoxemia, inhibition of IL-l or TNF alone protected maximally against lethality when inhibitors were given simultaneously with lipopolysaccharide (LPS) under minimal lethal conditions. Combined inhibition of IL-1 and TNF was necessary to maximally protect against lethality when treatment was delayed until 7 h after LPS injection under minimal lethal conditions or when treatment was begun immediately after LPS injection under supralethal conditions. Improved survival in IL-1Ra- plus PEG-(rsTNF-RI)(2)-treated rats was associated with enhanced protection against renal and metabolic dysfunctions. Thus, under very severe conditions of endotoxemia, TNF and IL-1 may set independently to mediate lethality and some organ dysfunctions.
引用
收藏
页码:1528 / 1538
页数:11
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