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Differential toll-like receptor expression after ex vivo lipopolysaccharide exposure in patients with sepsis and following surgical stress.
Clin Immunol. 2006 May; 119(2):180-7.CI

Abstract

INTRODUCTION

Monocytes from septic patients have a reduced capacity to respond to lipopolysaccharide (LPS). We examined whether the same response occurred after surgical injury, and whether this reduced activity was associated with differential monocyte toll-like receptor (TLR) expression.

MATERIALS AND METHODS

Peripheral blood mononuclear cells (PBMCs) were isolated from septic patients, patients undergoing surgery, and healthy volunteers. Cells were stimulated ex vivo with LPS (1 microg/ml) and stained for CD14, CD16, TLR-2, TLR-4, and HLA-DR surface expression.

RESULTS

TLR-2 and -4 expressions were significantly increased in monocytes from both septic and surgical patients. While ex vivo LPS-stimulation significantly increased TNFalpha and IL-1beta production in PBMCs from surgical patients, LPS-stimulation decreased IL-1beta production from septic patients as compared to surgical and control patients. Ex vivo LPS-stimulation induced TLR-4 upregulation in monocytes from both surgical and control patients, but not from septic patients. HLA-DR expression in CD14+CD16+ monocytes was reduced only in septic patients.

CONCLUSIONS

PBMCs from septic patients, but not following surgical injury, have a reduced capacity to respond to a secondary inflammatory signal, but this defect is not associated with reduced TLR-4 or CD14 expression.

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Authors+Show Affiliations

Tsujimoto H
Department of Surgery I, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan. grd1523@ndmc.ac.jp
Ono S
No affiliation info available
Majima T
No affiliation info available
Efron PA
No affiliation info available
Kinoshita M
No affiliation info available
Hiraide H
No affiliation info available
Moldawer LL
No affiliation info available
Mochizuki H
No affiliation info available

MeSH

AgedAntigens, CDCells, CulturedCytokinesFemaleGPI-Linked ProteinsHLA-DR AntigensHumansInflammation MediatorsLeukocytes, MononuclearLipopolysaccharide ReceptorsLipopolysaccharidesMaleMiddle AgedMonocytesReceptors, IgGSepsisSurgical Procedures, OperativeToll-Like Receptor 2Toll-Like Receptor 4Toll-Like Receptors

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

16517212

Citation

Tsujimoto, Hironori, et al. "Differential Toll-like Receptor Expression After Ex Vivo Lipopolysaccharide Exposure in Patients With Sepsis and Following Surgical Stress." Clinical Immunology (Orlando, Fla.), vol. 119, no. 2, 2006, pp. 180-7.
Tsujimoto H, Ono S, Majima T, et al. Differential toll-like receptor expression after ex vivo lipopolysaccharide exposure in patients with sepsis and following surgical stress. Clin Immunol. 2006;119(2):180-7.
Tsujimoto, H., Ono, S., Majima, T., Efron, P. A., Kinoshita, M., Hiraide, H., Moldawer, L. L., & Mochizuki, H. (2006). Differential toll-like receptor expression after ex vivo lipopolysaccharide exposure in patients with sepsis and following surgical stress. Clinical Immunology (Orlando, Fla.), 119(2), 180-7.
Tsujimoto H, et al. Differential Toll-like Receptor Expression After Ex Vivo Lipopolysaccharide Exposure in Patients With Sepsis and Following Surgical Stress. Clin Immunol. 2006;119(2):180-7. PubMed PMID: 16517212.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differential toll-like receptor expression after ex vivo lipopolysaccharide exposure in patients with sepsis and following surgical stress. AU - Tsujimoto,Hironori, AU - Ono,Satoshi, AU - Majima,Takashi, AU - Efron,Philip A, AU - Kinoshita,Manabu, AU - Hiraide,Hoshio, AU - Moldawer,Lyle L, AU - Mochizuki,Hidetaka, Y1 - 2006/03/06/ PY - 2005/07/23/received PY - 2005/12/15/revised PY - 2006/01/17/accepted PY - 2006/3/7/pubmed PY - 2006/6/1/medline PY - 2006/3/7/entrez SP - 180 EP - 7 JF - Clinical immunology (Orlando, Fla.) JO - Clin Immunol VL - 119 IS - 2 N2 - INTRODUCTION: Monocytes from septic patients have a reduced capacity to respond to lipopolysaccharide (LPS). We examined whether the same response occurred after surgical injury, and whether this reduced activity was associated with differential monocyte toll-like receptor (TLR) expression. MATERIALS AND METHODS: Peripheral blood mononuclear cells (PBMCs) were isolated from septic patients, patients undergoing surgery, and healthy volunteers. Cells were stimulated ex vivo with LPS (1 microg/ml) and stained for CD14, CD16, TLR-2, TLR-4, and HLA-DR surface expression. RESULTS: TLR-2 and -4 expressions were significantly increased in monocytes from both septic and surgical patients. While ex vivo LPS-stimulation significantly increased TNFalpha and IL-1beta production in PBMCs from surgical patients, LPS-stimulation decreased IL-1beta production from septic patients as compared to surgical and control patients. Ex vivo LPS-stimulation induced TLR-4 upregulation in monocytes from both surgical and control patients, but not from septic patients. HLA-DR expression in CD14+CD16+ monocytes was reduced only in septic patients. CONCLUSIONS: PBMCs from septic patients, but not following surgical injury, have a reduced capacity to respond to a secondary inflammatory signal, but this defect is not associated with reduced TLR-4 or CD14 expression. SN - 1521-6616 UR - https://www.unboundmedicine.com/medline/citation/16517212/Differential_toll_like_receptor_expression_after_ex_vivo_lipopolysaccharide_exposure_in_patients_with_sepsis_and_following_surgical_stress_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1521-6616(06)00034-9 DB - PRIME DP - Unbound Medicine ER -