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Protective effects of IL-6 blockade in sepsis are linked to reduced C5a receptor expression.

AbstractIL-6 is known to be an important pro- and anti-inflammatory cytokine, which is up-regulated during sepsis. Our previous work has suggested a role for IL-6 in the up-regulation of C5aR in sepsis. We reported earlier that interception of C5a or C5aR results in improved outcomes in experimental sepsis. Using the cecal ligation/puncture (CLP) model in mice, we now demonstrate that treatment with anti-IL-6 Ab (anti-IL-6) results in significantly improved survival, dependent on the amount of Ab infused. CLP animals showed significantly increased binding of 125I-labeled anti-C5aR to organs when compared to either control mice at 0 h or CLP animals infused with normal rabbit 125I-labeled IgG. Binding of 125I-labeled anti-C5aR to lung, liver, kidney, and heart was significantly decreased in anti-IL-6-treated animals 6 h after CLP. RT-PCR experiments with mRNA isolated from various organs obtained 3, 6, and 12 h after CLP demonstrated increased C5aR mRNA expression during the onset of sepsis, which was greatly suppressed in CLP mice treated with anti-IL-6. These data suggest that IL-6 plays an important role in the increased expression of C5aR in lung, liver, kidney, and heart during the development of sepsis in mice and that interception of IL-6 leads to reduced expression of C5aR and improved survival.
AuthorsNiels C Riedemann, Thomas A Neff, Ren-Feng Guo, Kurt D Bernacki, Ines J Laudes, J Vidya Sarma, John D Lambris, Peter A Ward (Affiliation: Department of Pathology, University of Michigan Medical School, Ann Arbor, MI 48109-0602, USA.)
JournalJournal of immunology (Baltimore, Md. : 1950) (J Immunol) Vol. 170 Issue 1 Pg. 503-7 (Jan 1 2003) ISSN: 0022-1767 United States
PMID12496437 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Antibodies, Blocking
  • Antibodies, Monoclonal
  • Antigens, CD
  • Binding Sites, Antibody
  • Immunosuppressive Agents
  • Interleukin-6
  • RNA, Messenger
  • Receptor, Anaphylatoxin C5a
  • Receptors, Complement
  • Complement C5a
Topics
  • Amino Acid Sequence
  • Animals
  • Antibodies, Blocking (therapeutic use)
  • Antibodies, Monoclonal (therapeutic use)
  • Antigens, CD (biosynthesis, genetics, immunology)
  • Binding Sites, Antibody
  • Cecum
  • Complement C5a (metabolism)
  • Down-Regulation (immunology)
  • Immunosuppressive Agents (therapeutic use)
  • Interleukin-6 (antagonists & inhibitors, blood, immunology)
  • Kidney (immunology, metabolism)
  • Ligation
  • Liver (immunology, metabolism)
  • Lung (immunology, metabolism)
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Molecular Sequence Data
  • Myocardium (immunology, metabolism)
  • Punctures
  • RNA, Messenger (antagonists & inhibitors)
  • Receptor, Anaphylatoxin C5a
  • Receptors, Complement (antagonists & inhibitors, biosynthesis, genetics, immunology)
  • Sepsis (immunology, mortality, therapy)
  • Survival Analysis