Vogels M T, Sweep C G, Hermus A R, van der Meer J W
Department of Medicine, University Hospital, Nijmegen, The Netherlands.
Antimicrob Agents Chemother. 1992 Dec;36(12):2785-9. doi: 10.1128/AAC.36.12.2785.
Preexposure to a low dose of interleukin-1 (IL-1; 3 to 30 micrograms/kg) 24 h before a lethal gram-negative bacterial infection prolonged survival in normal and granulocytopenic mice. To examine whether this protective effect is mediated by glucocorticosteroids, we first measured corticosterone concentrations in mice after administration of 80 and 800 ng of IL-1. IL-1 induced a dose-dependent increase in corticosterone levels in plasma. Next, the corticosterone peak induced by a protective dose of IL-1 (800 ng) was simulated by administration of synthetic human adrenocorticotropic hormone 1-24 (ACTH) in normal and neutropenic mice. Although corticosterone levels induced by pretreatment with IL-1 or ACTH were virtually identical, the ACTH-induced corticosterone peak was not associated with protection against Klebsiella pneumoniae infection in normal mice and Pseudomonas aeruginosa infection in neutropenic mice. This indicates that the protective effect of IL-1 pretreatment against gram-negative bacterial infection is not mediated by elevated levels of glucocorticosteroids. In addition, we found that plasma corticosterone concentrations during K. pneumoniae infection were significantly lower after pretreatment with IL-1 than after pretreatment with ACTH or vehicle, probably reflecting the better physical condition of IL-1-treated mice.
在致死性革兰氏阴性细菌感染前24小时预先给予低剂量白细胞介素-1(IL-1;3至30微克/千克)可延长正常小鼠和粒细胞减少小鼠的存活时间。为了研究这种保护作用是否由糖皮质激素介导,我们首先测量了给予80和800纳克IL-1后小鼠体内的皮质酮浓度。IL-1可引起血浆皮质酮水平呈剂量依赖性升高。接下来,在正常小鼠和中性粒细胞减少小鼠中通过给予合成人促肾上腺皮质激素1-24(ACTH)模拟由保护性剂量IL-1(800纳克)诱导的皮质酮峰值。尽管用IL-1或ACTH预处理诱导的皮质酮水平几乎相同,但ACTH诱导的皮质酮峰值与正常小鼠抵抗肺炎克雷伯菌感染和中性粒细胞减少小鼠抵抗铜绿假单胞菌感染的保护作用无关。这表明IL-1预处理对革兰氏阴性细菌感染的保护作用不是由糖皮质激素水平升高介导的。此外,我们发现,与用ACTH或赋形剂预处理相比,用IL-1预处理后肺炎克雷伯菌感染期间的血浆皮质酮浓度显著降低,这可能反映了接受IL-1治疗的小鼠身体状况更好。