The Compensatory Anti-inflammatory Cytokine Interleukin 10 Response in Pediatric Sepsis-Induced Multiple Organ Failure
| Autor: | Joseph A. Carcillo, Lesley Doughty, Sandra S. Kaplan, Janine E. Janosky |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adolescent Multiple Organ Failure medicine.medical_treatment Critical Care and Intensive Care Medicine Proinflammatory cytokine Sepsis Immune system Isoantibodies Neutralization Tests medicine Humans Prospective Studies Child Interleukin 6 Cells Cultured Nitrites Blood Cells Nitrates biology Interleukin-6 business.industry Infant Newborn Infant medicine.disease Recombinant Proteins Interleukin-10 Interleukin 10 Cytokine Child Preschool Bacteremia Immunology biology.protein Cardiology and Cardiovascular Medicine Multiple organ dysfunction syndrome business |
| Zdroj: | Chest. 113:1625-1631 |
| ISSN: | 0012-3692 |
| Popis: | To determine the circulating anti-inflammatory cytokine interleukin 10 (IL-10) response during the development of sepsis-induced multiple organ failure in children.Prospective study.University pediatric ICU.Fifty-three consecutive children with sepsis and 15 critically ill children without sepsis.Plasma IL-10, interleukin 6 (IL-6), and nitrite+nitrate (stable end products of nitric oxide) levels and an organ failure index (OFI indicating the number of failing organ systems) were determined in 53 children on days 1 to 3 of sepsis and in control children on day 1. The effect of exogenous human IL-10 or neutralizing IL-10 antibody on supernatant IL-6 levels in ex vivo whole blood culture from 17 children on day 1 of sepsis.Children with three or more organ failures had higher plasma IL-10 levels than children with less than 3 organ failures (days 1 and 3; p0.05). Children who developed sequential pulmonary/hepatic/renal failure had higher IL-10 levels (days 1 to 3; p0.05). Nonsurvivors had higher IL-10 levels (day 3; p0.05). IL-10 levels correlated with IL-6 levels (days 1 and 2) and nitrite+nitrate levels (days 1 and 3; p0.05). Whole blood samples incubated ex vivo with exogenous recombinant human IL-10 had decreased supernatant IL-6 levels (p0.05) and neutralizing IL-10 antibody showed no significant effect.A persistent compensatory anti-inflammatory cytokine response characterizes sepsis-induced multiple organ failure. Administration of exogenous IL-10 may inhibit the early proinflammatory response; however, identification of individual immune responsiveness and possibility of persistent infection could be important to rational use in the later stages of pediatric sepsis. |
| Databáze: | OpenAIRE |
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