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LIPOPOLYSACCHARIDE-BINDING PROTEIN (LBP) BLOCKADE AUGMENTS THE PROTECTIVE EFFECT OF GRANULOCYTE COLONY-STIMULATING FACTOR (G-CSF) IN A RAT SEPSIS MODEL

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Ctr Med Expt, Wuhan 430074, Peoples R China [2]Jena Univ Hosp, Expt Transplantat Surg, Dept Gen Visceral & Vasc Surg, D-07747 Jena, Germany [3]Anhui Med Univ, Dept Pathophysiol, Hefei, Peoples R China [4]Jena Univ Hosp, Integrated Res & Treatment Ctr, CSCC, D-07747 Jena, Germany [5]Jena Univ Hosp, Inst Med Microbiol, D-07747 Jena, Germany [6]Jena Univ Hosp, Inst Pathol, D-07747 Jena, Germany
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关键词: Granulocyte colony-stimulating factor sepsis lipopolysaccharide lipopolysaccharide-binding protein

摘要:
The effect of granulocyte colony-stimulating factor (G-CSF) on sepsis is discussed controversially in clinical studies. We previously demonstrated that G-CSF treatment induced lipopolysaccharide (LPS) sensitization via up-regulation of LPS-binding protein (LBP). We hypothesized that the futile effect of G-CSF-treatment in sepsis might be due to its ability to up-regulate LBP. Therefore, blockade of LBP may attenuate the G-CSF-induced LPS sensitization and protect animals from polymicrobial sepsis. Endogenous LBP levels were up-regulated by pretreatment with G-CSF, and the LBP protein was blocked by administration of a specific blocking peptide-LBPK95A. Polymicrobial sepsis was induced by intraperitoneal injection of feces slurry. Rats were monitored every 3 up to 72 h to observe the survival rate. Tissue injury, bacterial infiltration, local inflammatory response, and neutrophil infiltration at 0, 2, and 12 h after the septic insult were analyzed. The survival benefit of G-CSF pretreatment was improved when combined with LBPK95A treatment (control vs. G-CSF vs. combi: 36% vs. 56% vs. 93%; P < 0.05). Combined treatment of G-CSF and LBPK95A was associated with the minimal tissue damage. Treatment with LBPK95A significantly inhibited the neutrophil infiltration without interfering with the bacterial clearance. The G-CSF-induced inflammatory sensitization effect was inhibited by LBPK95A, indicated by the decrease of cytokines expression, and the activation of nuclear factor kappa B and signal transducer and activator of transcription 3 signaling pathway. In conclusion, these results suggested that the effect of prophylactic augmentation of the host's response via G-CSF pretreatment was further enhanced by inhibition of the up-regulation of LBP.

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出版当年[2014]版:
大类 | 3 区 医学
小类 | 2 区 外科 3 区 危重病医学 3 区 血液学 3 区 外周血管病
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 血液学 3 区 外周血管病 3 区 外科 4 区 危重病医学
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出版当年[2013]版:
Q1 SURGERY Q2 CRITICAL CARE MEDICINE Q2 HEMATOLOGY Q2 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q1 SURGERY Q2 CRITICAL CARE MEDICINE Q2 HEMATOLOGY Q2 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2013版] 出版当年五年平均 出版前一年[2012版] 出版后一年[2014版]

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Ctr Med Expt, Wuhan 430074, Peoples R China [2]Jena Univ Hosp, Expt Transplantat Surg, Dept Gen Visceral & Vasc Surg, D-07747 Jena, Germany
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通讯机构: [2]Jena Univ Hosp, Expt Transplantat Surg, Dept Gen Visceral & Vasc Surg, D-07747 Jena, Germany [3]Anhui Med Univ, Dept Pathophysiol, Hefei, Peoples R China [4]Jena Univ Hosp, Integrated Res & Treatment Ctr, CSCC, D-07747 Jena, Germany [*1]Univ Jena, Dept Gen Visceral & Vasc Surg, Expt Transplantat Surg, Drackendorferstr 1, D-07747 Jena, Germany
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