Document Detail


Mifepristone (RU486) restores humoral and T cell-mediated immune response in endotoxin immunosuppressed mice.
MedLine Citation:
PMID:  20964639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sepsis and septic shock can be caused by Gram-positive and -negative bacteria and other microorganisms. In the case of Gram-negative bacteria, endotoxin, a normal constituent of the bacterial wall, also known as lipopolysaccharide (LPS), has been considered as one of the principal agents causing the undesirable effects in this critical illness. The response to LPS involves a rapid secretion of proinflammatory cytokines such as tumour necrosis factor (TNF)-α, interleukin (IL)-1, IL-6, interferon (IFN)-γ and the concomitant induction of anti-inflammatory mediators such as IL-10, transforming growth factor (TGF)-β or glucocorticoids, which render the host temporarily refractory to subsequent lethal doses of LPS challenge in a process known as LPS or endotoxin tolerance. Although protective from the development of sepsis or systemic inflammation, endotoxin tolerance has also been pointed out as the main cause of the non-specific humoral and cellular immunosuppression described in these patients. In this report we demonstrate, using a mouse model, that mifepristone (RU486), a known glucocorticoid receptor antagonist, could play an important role in the restoration of both adaptive humoral and cellular immune response in LPS immunosuppressed mice, suggesting the involvement of endogenous glucocorticoids in this phenomenon. On the other hand, using cyclophosphamide and gemcitabine, we demonstrated that regulatory/suppressor CD4(+) CD25(+) forkhead boxP3(+) and GR-1(+) CD11b(+) cells do not play a major role in the establishment or the maintenance of endotoxin tolerance, a central mechanism for inducing an immunosuppression state.
Authors:
B Rearte; A Maglioco; L Balboa; J Bruzzo; V I Landoni; E A Laborde; P Chiarella; R A Ruggiero; G C Fernández; M A Isturiz
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-10-21
Journal Detail:
Title:  Clinical and experimental immunology     Volume:  162     ISSN:  1365-2249     ISO Abbreviation:  Clin. Exp. Immunol.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-12     Completed Date:  2011-03-08     Revised Date:  2011-12-21    
Medline Journal Info:
Nlm Unique ID:  0057202     Medline TA:  Clin Exp Immunol     Country:  England    
Other Details:
Languages:  eng     Pagination:  568-77     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Clinical and Experimental Immunology © 2010 British Society for Immunology.
Affiliation:
Instituto de Leucemia Experimental (ILEX)-CONICET, Academia Nacional de Medicina, Buenos Aires, Argentina. barbararearte@yahoo.com.ar
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MeSH Terms
Descriptor/Qualifier:
Animals
Antigens, CD / biosynthesis
Cyclophosphamide / administration & dosage
Deoxycytidine / administration & dosage,  analogs & derivatives
Forkhead Transcription Factors / biosynthesis
Immunity, Cellular / drug effects
Immunity, Humoral / drug effects
Immunosuppression
Immunosuppressive Agents / administration & dosage
Lipopolysaccharides / administration & dosage
Mice
Mice, Inbred BALB C
Mifepristone / administration & dosage*,  pharmacology
Receptors, Glucocorticoid / antagonists & inhibitors
T-Lymphocytes / drug effects*,  immunology,  metabolism,  pathology
T-Lymphocytes, Regulatory / drug effects*,  immunology,  metabolism,  pathology
Chemical
Reg. No./Substance:
0/Antigens, CD; 0/Forkhead Transcription Factors; 0/Foxp3 protein, mouse; 0/Immunosuppressive Agents; 0/Lipopolysaccharides; 0/Receptors, Glucocorticoid; 103882-84-4/gemcitabine; 50-18-0/Cyclophosphamide; 84371-65-3/Mifepristone; 951-77-9/Deoxycytidine

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