Early apoptosis of monocytes contributes to the pathogenesis of systemic inflammatory response and of bacterial translocation in an experimental model of multiple trauma
Authors: Efstathopoulos, N.1; Tsaganos, T.2; Giamarellos-Bourboulis, E. J.; Kaldis, P.1; Nicolaou, V.1; Papalois, A.3; Koutoukas, P.2; Papachristou, G.1; Giamarellou, H.2
Source: Clinical & Experimental Immunology, Volume 145, Number 1, July 2006 , pp. 139-146(8)
Publisher: Blackwell Publishing
Abstract:
Summary The objective of this study was to investigate the occurrence of apoptosis of monocytes in an experimental model of multiple trauma and its probable correlation to bacterial translocation. Thirty-two rabbits were applied in three groups: A, controls; B, myotomy of the right femur; and C, myotomy and fracture of the right femur. Blood was sampled for the estimation of endotoxins [lipopolysaccharide (LPS)], tumour necrosis factor (TNF)-α, malondialdehyde (MDA) and isolation of peripheral blood mononuclear cells (PBMCs). PBMCs, derived after centrifugation over Ficoll, were incubated in flasks and apoptosis of non-adherent lymphocytes and adherent monocytes was estimated after staining for Annexin-V and flow cytometry. TNF-α of supernatants of cultured monocytes was also determined. Tissue segments were cultured after death. Median survival of groups A, B and C was > 14, > 14 and 9·00 days, respectively. Apoptosis of lymphocytes in group C was higher than group A at 2, 4 and 48 h and of monocytes in group C higher than group A at 2 and 4 hours. LPS in group C was higher than group A at 2, 4 and 48 h. Apoptosis of lymphocytes and monocytes was correlated positively with serum TNF-α and negatively with TNF-α of monocyte supernatants. Cultures of organ segments of group A were sterile. Pseudomonas aeruginosa was isolated from liver, lung and spleen in five animals in group B (45·45%) and in six in group C (54·54%). Early apoptosis of blood monocytes supervened after multiple trauma; the phenomenon was accompanied by apoptosis of blood lymphocytes and subsequent bacterial translocation.Keywords: apoptosis; macrophages/monocytes; stress
Document Type: Research article
DOI: 10.1111/j.1365-2249.2006.03112.x
Affiliations: 1: 2nd Department of Orthopaedics and 2: 4th Department of Internal Medicine, University of Athens, Medical School, and 3: Laboratory of Experimental Surgery, `ELPEN' Pharmaceuticals, Greece

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