Endotoxin (
lipopolysaccharide, LPS), a component of the gram-negative bacterial cell wall, induces
carbohydrate dyshomeostasis and the release of proinflammatory
cytokines such as
tumor necrosis factor-alpha (
TNF-alpha) when administered to experimental animals.
Bactericidal/permeability increasing protein (BPI), a cationic
protein found in human neutrophil granules, binds with high affinity to LPS and is capable of neutralizing its
biological activity. The present study was designed to determine if a recombinant N-terminal fragment of BPI, rBPI23, attenuates LPS-induced alterations in serum
glucose,
lactate, and
TNF-alpha in rats. In anesthetized animals challenged with a 30 min infusion of Escherichia coli O111:B4 LPS (0.25 mg/kg), there was an early transient increase in serum levels of
glucose followed by a drop to 60% of those found in saline control rats. A prolonged elevation in serum levels of
lactate and a transient, but marked, elevation of
TNF-alpha were also observed following LPS infusion. These LPS-induced changes were inhibited significantly by simultaneous infusion of rBPI23. Different dose-response profiles of rBPI23 on LPS-induced alterations in
glucose,
lactate and
TNF-alpha were observed. When rBPI23 was infused 30 min after the initiation of LPS infusion, it significantly inhibited the alterations in
glucose and
lactate, but not
TNF-alpha. The rise in
TNF-alpha was reduced significantly with a 15 min delayed infusion of rBPI23. A control
protein failed to alter any responses to LPS. The results indicate that rBPI23 can provide significant protection against the metabolic disturbances and
TNF-alpha release associated with
endotoxemia. In addition, the results suggest that LPS-induced metabolic alterations in
glucose and
lactate are at least partially independent of
TNF-alpha release.