Interleukin-6 Augments Neutrophil Cytotoxic Potential via Selective Enhancement of Elastase Release
Autor: | Jeffrey L. Johnson, Douglas Y. Tamura, Garret Zallen, Christopher C. Silliman, Walter L. Biffl, Ernest E. Moore |
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Rok vydání: | 1998 |
Předmět: |
Neutrophils
medicine.medical_treatment Neutrophile Dose-Response Relationship Immunologic Receptors Cell Surface CD18 Platelet Membrane Glycoproteins Biology Pharmacology Neutrophil Activation Receptors G-Protein-Coupled Proinflammatory cytokine medicine Humans Cytotoxic T cell Pancreatic Elastase Interleukin-6 Elastase Degranulation N-Formylmethionine Leucyl-Phenylalanine Cytokine Integrin alpha M CD18 Antigens Immunology biology.protein Surgery |
Zdroj: | Journal of Surgical Research. 76:91-94 |
ISSN: | 0022-4804 |
DOI: | 10.1006/jsre.1998.5295 |
Popis: | Background. Interleukin-6 (IL-6) appears to be a reliable marker of disease severity in critically ill patients at risk for inflammatory organ injury such as ARDS and MOF. Debate continues, however, as to whether this pleiotropic cytokine acts principally as a proinflammatory or counterregulatory mediator. Because the polymorphonuclear leukocyte (PMN) is a central effector of inflammatory injury, defining the effects of IL-6 on mechanisms of PMN cytotoxicity may be revealing. Previous investigations of PMN release of reactive oxygen species demonstrate that IL-6 in concert with other mediators may augment cytotoxicity. We hypothesized that IL-6 alone increases PMN cytotoxic potential through selective enhancement of elastase release. Materials and methods. Isolated human PMNs were incubated with IL-6 in the physiologic range observed in critically ill patients (0.1 to 100 ng/ml) for 10 to 30 min. Selected cells were then activated with fMLP (1 μM). Elastase release was measured by specific cleavage of AAPV-pNA and compared to untreated cells and cells activated with formyl-Met-Leu-Phe (fMLP; 1 μM) alone. To determine if changes in elastase release might be due to IL-6 induced generation of PAF, WEB 2347 (50 μM) was preincubated with selected cells for 20 min. Surface expression of β 2 integrins was measured by flow cytometry after incubating with labeled antibodies to CD11b and CD18. Results. IL-6 alone at 100 ng/ml augmented basal elastase release by 116 ± 41% within 10 min. Doses as low as 0.1 ng/ml stimulated elastase release when the incubation time was increased to 30 min. After 30 min of incubation, IL-6 at all doses examined augmented the elastase release of fMLP-activated cells (increases of 33 to 45%). WEB 2347 preincubation did not block augmentation of elastase release by IL-6 at 10 ng/ml. IL-6 had no effect on surface expression of β 2 integrins at 10 ng/ml. Conclusions. IL-6 alone enhances both basal and fMLP-stimulated elastase release by PMNs. This proinflammatory action on PMNs may help explain the observed correlation between circulating IL-6 levels and inflammatory organ injury. |
Databáze: | OpenAIRE |
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