Abstract | BACKGROUND: Despite advances in our understanding of excessive alcohol-intake-related tissue injury and modernization of the management of septic patients, high morbidity and mortality caused by infectious diseases in alcohol abusers remain a prominent challenge. Our previous studies have shown that milk fat globule epidermal growth factor- factor VIII (MFG-E8), a protein required to opsonize apoptotic cells for phagocytosis, is protective in inflammation. However, it remains unknown whether MFG-E8 ameliorates sepsis-induced apoptosis and organ injury in alcohol-intoxicated rats. The purpose of this study was to determine whether recombinant murine MFG-E8 (rmMFG-E8) attenuates organ injury after acute alcohol exposure and subsequent sepsis. METHODS: Acute alcohol intoxication was induced in male adult rats by a bolus injection of intravenous alcohol at 1.75 g/kg BW, followed by an intravenous infusion of 300 mg/kg BW/h of alcohol for 10 hours. Sepsis was induced at the end of 10-hour alcohol infusion by cecal ligation and puncture (CLP). rmMFG-E8 or vehicle ( normal saline) was administered intravenously 3 times (i.e., at the beginning of alcohol injection, the beginning of CLP, and 10 hours post-CLP) at a dose of 20 microg/kg BW each. Blood and tissue samples were collected 20 hours after CLP in alcoholic animals for various measurements. RESULTS: Acute alcohol exposure per se did not affect the production of MFG-E8; however, it primed the animal and enhanced sepsis-induced MFG-E8 downregulation in the spleen. Administration of rmMFG-E8 reduces alcohol/ sepsis-induced apoptosis in the spleen, lungs, and liver. In addition, administration of rmMFG-E8 after alcohol exposure and subsequent sepsis decreases circulating levels of TNF-alpha and interleukin-6 and attenuates organ injury. CONCLUSIONS: rmMFG-E8 attenuates sepsis-induced apoptosis and organ injury in alcohol-intoxicated rats.
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Authors | Rongqian Wu, Wayne W Chaung, Mian Zhou, Youxin Ji, Weifeng Dong, Zhimin Wang, Xiaoling Qiang, Ping Wang |
Journal | Alcoholism, clinical and experimental research
(Alcohol Clin Exp Res)
Vol. 34
Issue 9
Pg. 1625-33
(Sep 01 2010)
ISSN: 1530-0277 [Electronic] England |
PMID | 20586751
(Publication Type: Journal Article, Research Support, N.I.H., Extramural)
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Chemical References |
- Antigens, Surface
- Interleukin-6
- Mfge8 protein, mouse
- Milk Proteins
- Recombinant Proteins
- Tumor Necrosis Factor-alpha
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Topics |
- Alcoholic Intoxication
(blood, metabolism, pathology, prevention & control)
- Animals
- Antigens, Surface
(metabolism, pharmacology)
- Apoptosis
(drug effects)
- Down-Regulation
(drug effects)
- Interleukin-6
(blood)
- Liver
(drug effects, pathology)
- Lung
(drug effects, pathology)
- Male
- Milk Proteins
(metabolism, pharmacology)
- Rats
- Rats, Sprague-Dawley
- Recombinant Proteins
(pharmacology)
- Sepsis
(blood, metabolism, pathology)
- Spleen
(drug effects, metabolism, pathology)
- Tumor Necrosis Factor-alpha
(blood)
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