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Bacterial Toxins Induce Selective Cytokine Patterns In Vivo and In Vitro

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Part of the book series: Update in Intensive Care Medicine ((UICMSOFT,volume 31))

Abstract

Sepsis due to Gram-negative, Gram-positive or fungal organisms is among the most common causes of death in intensive care units (ICUs) in Western society [1]. Currently, 28-day mortality in sepsis is estimated to be 20–40% depending on the etiological agent and presence of complicating medical disorders [26]. An even higher mortality has been associated with septic shock, affecting approximately half of the patients with sepsis. Investigations performed in patients included in recent immunomodulatory trials have estimated that 35–60% of patients with septic shock died within 28 days following onset of disease [7, 8].

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References

  1. Parrillo JE, Parker MM, Natanson C, et al (1990) Septic shock in humans. Advances in the understanding of pathogenesis, cardiovascular dysfunction, and therapy. Ann Intern Med 113:227–242

    PubMed  CAS  Google Scholar 

  2. Bone RC, Fisher CJ Jr, Clemmer TP, Slotman GJ, Metz CA, Balk RA (1987) A controlled clinical trial of high-dose methylprednisolone in the treatment of severe sepsis and septic shock. N Engl J Med 317:653–658

    Article  PubMed  CAS  Google Scholar 

  3. The HA-IA Sepsis Study Group (1991) Treatment of gram negative bacteremia and septic shock with HA-IA human monoclonal antibody against endotoxin: a randomized, doubleblind placebo-controlled trial. N Engl J Med 324:429–436

    Article  Google Scholar 

  4. Parillo JE (1991) Management of septic shock: present and future. Ann Intern Med 115: 491–493

    Google Scholar 

  5. Sands KE, Bates DW, Lanken PN, et al for the Academic Medical Center Consortium Sepsis Project Working Group (1997) Epidemiology of sepsis syndrome in 8 academic medical centers. JAMA 278:234–240

    Article  PubMed  CAS  Google Scholar 

  6. Rangel-Frausto MS, Pitter D, Costigan M, Hwang T, Davis CS, Wenzel RP (1996) The natural history of the systemic inflammatory response syndrome (SIRS): a prospective study. JAMA 273:117–123

    Article  Google Scholar 

  7. Abraham E, Anzueto A, Gutierrez G, et al (1998) Double-blind randomised controlled trial of monoclonal antibody to human tumour necrosis factor in treatment of septic shock. Lancet 351:929–933

    PubMed  CAS  Google Scholar 

  8. Abraham E, Glauser MP, Butler T, et al for the Ro 45-2081 Study Group (1997) p55 tumor necrosis factor receptor fusion protein in the treatment of patients with severe sepsis and septic shock. A randomized controlled multicenter trial. JAMA 277:1531–1538

    Article  PubMed  CAS  Google Scholar 

  9. Chaves-Carballo E, Bouchama A (1998) A role for cytokines in toxic shock syndrome? J Pediatr 133:169–175

    PubMed  CAS  Google Scholar 

  10. Myers PR, Parker JL, Tanner MA, Adams HR (1994) Effects of cytokines tumor necrosis factor alpha and interleukin 1 beta on endotoxin-mediated inhibition of endothelium-derived relaxing factor bioactivity and nitric oxide production in vascular endothelium. Shock 1:73–78

    Article  PubMed  CAS  Google Scholar 

  11. Griffin GE (1988) Cytokines involved in human septic shock-the model of the Jarisch-Herxheimer reaction. J Antimicrob Chemother 41 (Suppl A): 25–29

    Google Scholar 

  12. Shapiro L, Gelfand JA (1993) Cytokines and sepsis: pathophysiology and therapy. New Horiz 1:13–22

    PubMed  CAS  Google Scholar 

  13. Standiford TJ, Strieter RM (1992) TNF and lL-1 in sepsis: good cytokines gone bad. J Lab Clin Med 120:179–180

    PubMed  CAS  Google Scholar 

  14. Calandra T, Gerain J, Heumann D, Baumgartner JD, Glauser MP for the Swiss-Dutch J5 Immunoglobulin Study Group (1991) High circulating levels of interleukin-6 in patients with septic shock: evolution during sepsis, prognostic value, and interplay with other cytokines. Am J Med 91:23–29

    Article  PubMed  CAS  Google Scholar 

  15. Dinarello CA (1991) The proinflammatory cytokines interleukin-1 and tumor necrosis factor and treatment of the septic shock syndrome. J Infect Dis 163:1177–1184

    Article  PubMed  CAS  Google Scholar 

  16. Waage A, Brandtzaeg P, Halstensen A, Kierulf P, Espevik T (1989) The complex pattern of cytokines in serum from patients with meningococcal septic shock. Association between interleukin 6, interleukin 1, and fatal outcome. J Exp Med 169:333–338

    Article  PubMed  CAS  Google Scholar 

  17. Tracey KJ, Cerami A (1989) Cachectin/tumor necrosis factor and other cytokines in infectious disease. Curr Opin Immunol 1:454–461

    Article  PubMed  CAS  Google Scholar 

  18. Dofferhoff AS, Bom VJ, de Vries-Hospers HG, et al (1992) Patterns of cytokines, plasma endotoxin, plasminogen activator inhibitor, and acute-phase proteins during the treatment of severe sepsis in humans. Crit Care Med 20:185–192

    Article  PubMed  CAS  Google Scholar 

  19. Endo S, Inada K, Inoue Y, et al (1992) Two types of septic shock classified by the plasma levels of cytokines and endotoxin. Circ Shock 38:264–274

    PubMed  CAS  Google Scholar 

  20. Martin C, Saux P, Mege JL, Perrin G, Papazian L, Gouin F (1994) Prognostic values of serum cytokines in septic shock. Intensive Care Med 20:272–277

    Article  PubMed  CAS  Google Scholar 

  21. van Dissel JT, van Langervelde P, Westendorp RGJ, Kwappenberg K, Frölich M (1998) Anti-inflammatory cytokine profile and mortality in febrile patients. Lancet 351:950–953

    Article  PubMed  Google Scholar 

  22. Zhang M, Caragine T, Wang H et al (1997) Spermine inhibits proinflammatory cytokine synthesis in human mononuclear cells: a counterregulatory mechanism that restrains the immune response. J Exp Med 185:1759–1768

    Article  PubMed  CAS  Google Scholar 

  23. Wang H, Zhang M, Soda K, Sama A, Tracey KJ (1997) Fetuin protects the fetus from TNF. Lancet 350:861–862

    Article  PubMed  CAS  Google Scholar 

  24. Bone RC (1997) Important new findings in sepsis. JAMA 278:249–255

    Article  PubMed  CAS  Google Scholar 

  25. Raqib R, Wretlind B, Andersson J, Lindberg AA (1995) Cytokine secretion in acute shigellosis is correlated to disease activity and detected more in stool than in plasma. J Infect Dis 171:376–384

    Article  PubMed  CAS  Google Scholar 

  26. Raqib R, Lindberg AA, Wretlind B, Bardhan PK, Andersson U, Andersson J (1995) Persistence of local cytokine production in shigellosis in acute and convalescent stages. Infect Immun 63:289–296

    PubMed  CAS  Google Scholar 

  27. Raqib R. Lindberg AA, Björk L, et al (1995) Down-regulation of gamma interferon, tumor necrosis factor type I, interleukin 1 (IL-1) type I, IL-3, IL-4, and transforming growth factor β type 1 receptors at the local site during the acute phase of Shigella infection. Infect Immun 63:3079–3087

    PubMed  CAS  Google Scholar 

  28. Sander B, Andersson J, Anderson U (1991) Assessment of cytokines by immunofluorescence and the paraformaldehyde-saponin procedure. Immunol Rev 119:65–93

    Article  PubMed  CAS  Google Scholar 

  29. Andersson J, Nagy S, Björk L, Brams J, Holm S, Andersson U (1992) Bacterial toxin-induced cytokine production studied at the single-cell level. Immunol Rev 127:69–96

    Article  PubMed  CAS  Google Scholar 

  30. Fernandez V, Andersson J, Andersson U, Troye-Blomberg M (1994) Cytokine synthesis analyzed at the single-cell level before and after revaccination with tetanus toxoid. Eur J Immunol 24:1808–1815

    Article  PubMed  CAS  Google Scholar 

  31. Litton MJ, Dohlsten M, Lando PA, et al (1996) Antibody-targeted superantigen therapy induces tumor-infiltrating lymphocytes, excessive cytokine production, and apoptosis in human colon carcinoma. Eur J Immunol 26:1–9

    Article  PubMed  CAS  Google Scholar 

  32. Andersson J, Abrams J, Björk L, et al (1994) Concomitant in vivo production of 19 different cytokines in human tonsils. Immunology 83:16–24

    PubMed  CAS  Google Scholar 

  33. Björk L, Fehniger T, Andersson U, Andersson J (1996) Computerized assessment of production of multiple human cytokines at the single cell level using image analysis. J Leukoc Biol 59:287–293

    PubMed  Google Scholar 

  34. Andersson U, Litton MJ, Fehniger T, Ulfgren A-K, Andersson J (1999) Detection and quantification of cytokine-producing cells by immunostaining. In: Patterson B (ed) Molecular probes for cytokine and gene detection. CRC press, Chicago (in press)

    Google Scholar 

  35. Raqib R, Gustafsson A, Andersson J, Bakheit M (1997) A systemic downregulation of IFNψ production is associated with susceptibility to Shigellosis. Infect Immunity 65:5338–5341

    CAS  Google Scholar 

  36. Agace W, Hedges S, Andersson U, Andersson J, Ceska M, Svanborg C (1993) Selective cytokine production by epithelial cells following exposure to Escherichia coli. Infect Immunity 61:602–609

    CAS  Google Scholar 

  37. Andersson JP, Andersson UG (1990) Human intravenous immunoglobulin modulates monokine production in vitro. Immunology 71:372–376

    PubMed  CAS  Google Scholar 

  38. Cohen J, Carlet J for the International Sepsis Trial Study Group (1996) INTERSEPT: An international multicentre placebo-controlled trial of monoclonal antibody to human tumor necrosis factor-alpha in patients with sepsis. Crit Care Med 24:1431–1440

    Article  PubMed  CAS  Google Scholar 

  39. Raqib R, Wretlind B, Lindberg AA, Ljungdahl Å, Andersson J (1996) Pathogenesis and immune responses in shigellosis. In: Microbial Pathogenesis and Immune Response II. Ann NY Acad Sci 797:299–302

    CAS  Google Scholar 

  40. Ågren K, Brauner A, Andersson J (1998) Haemophilus influenzae and Streptococcus pyogenes group A challenge induce of Th1 type of cytokine response in cells obtained from tonsillar hypertrophy and recurrent tonsillitis. ORL J Otorhinolaryngol Relat Spec 60:35–41

    Article  PubMed  Google Scholar 

  41. Björk L, Andersson J, Ceska M, Andersson U (1992) Endotoxin and Staphylococcus aureus enterotoxin A induce different patterns of cytokines. Cytokine 4:513–519

    Article  PubMed  Google Scholar 

  42. Norrby-Teglund A, Norgren M, Holm SE, Andersson U, Andersson J (1994) Similar cytokine induction profiles of a novel streptococcal exotoxin, MF, and pyrogenic exotoxin A and B. Infect Immunity 62:3731–3738

    CAS  Google Scholar 

  43. Litton MJ, Dohlsten M, Hansson J, et al (1997) Tumor therapy with an antibody-targeted superantigen generates a dichotomy between local and systemic immune response. Am J Pathol 150:1607–1618

    PubMed  CAS  Google Scholar 

  44. Björk L, Andersson U, Chauvet JM, Skansén-Saphir U, Andersson J (1994) Quantification of superantigen induced IFNψ production by computerised image analysis-inhibition of cytokine production and blast transformation by pooled human IgG. J Immunol Methods 175: 201–213

    Article  PubMed  Google Scholar 

  45. Norrby-Teglund A, Kaul R, Low DE, et al (1996) Plasma from patients with severe invasive group A streptococcal infections treated with normal polyspecific IgG inhibits streptococcal superantigen-induced T cell proliferation and cytokine production. J Immunol 156: 3057–3064

    PubMed  CAS  Google Scholar 

  46. Eriksson BKG, Andersson J, Holm SE, Norgren M (1998) Epidemiological and clinical aspects of invasive group A streptococcal infections and the streptococcal toxic shock syndrome. J Clin Infect 27:1428–1436

    Article  CAS  Google Scholar 

  47. Skansén-Saphir U, Andersson J, Björk L, Andersson U (1994) Lymphokine production induced by streptococcal pyrogenic exotoxin-A is selectively down-regulated by pooled human IgG. Eur J Immunol 24:916–922

    Article  PubMed  Google Scholar 

  48. Andersson U, Björk L, Skansén-Saphir U, Andersson J (1994) Pooled human IgG modulates cytokine production in lymphocytes and monocytes. Immunol Rev 139: 21–42

    Article  PubMed  CAS  Google Scholar 

  49. Sander B, Skansén-Saphir U, Damm 0, Hâkansson L, Andersson J, Andersson U (1995) Sequential production of Th1 and Th2 cytokines in response to live bacillus Calmette-Guérin. Immunology 86:512–518

    PubMed  CAS  Google Scholar 

  50. Ge Y, Ezzell RM, Clark BD, Loiselle PM, Amato SF, Warren HS (1997) Relationship to tissue and cellular interleukin-1 and lipopolyaccharide after endotoxemia and bacteremia. J Infect Dis 176:1313–1321

    Article  PubMed  CAS  Google Scholar 

  51. Sutton TE, Norman JG, Newton CA, Hellerman GR, Richards IS (1997) Endothelial structural integrity is maintained during endotoxic shock in an interleukin-1 type 1 receptor knockout mouse. Shock 7:105–110

    Article  PubMed  CAS  Google Scholar 

  52. Björk L, Tracey K, Ulrich P, et al (1997) Targeted suppression of cytokine production in monocytes but not in T-lymphocytes by a tetravalent guanylhydrazone (CNI-1493). J Infect Dis 176:1303–1312

    Article  PubMed  Google Scholar 

  53. Calandra T, Bernhagen J, Metz CN, et al (1995) MIF is a glucocorticoid-induced modulator of cytokine production. Nature 377:68–71

    Article  PubMed  CAS  Google Scholar 

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Andersson, J., Andersson, U. (2002). Bacterial Toxins Induce Selective Cytokine Patterns In Vivo and In Vitro . In: Marshall, J.C., Cohen, J. (eds) Immune Response in the Critically Ill. Update in Intensive Care Medicine, vol 31. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57210-4_7

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  • DOI: https://doi.org/10.1007/978-3-642-57210-4_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-42589-2

  • Online ISBN: 978-3-642-57210-4

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