Okusawa S, Yancey K B, van der Meer J W, Endres S, Lonnemann G, Hefter K, Frank M M, Burke J F, Dinarello C A, Gelfand J A
Department of Medicine, Tufts University, Boston, Massachusetts 02111.
J Exp Med. 1988 Jul 1;168(1):443-8. doi: 10.1084/jem.168.1.443.
We have demonstrated that purified C5a is a potent stimulus to human PBMC secretion of TNF-alpha, IL-1 beta, and IL-1 alpha, which proceeds in a dose-dependent fashion. At a given concentration of C5a, TNF-alpha and IL-1 beta secretion did not differ significantly; both were secreted in significantly greater quantity than IL-1 alpha. Clinical conditions such as Gram-positive and Gram-negative bacterial infections, trauma, and immune complex diseases activate complement. Through the mediation of TNF and IL-1 secreted in response to C5a, these diverse disorders can share common features of fever, coagulopathy, acute phase protein production, and disordered metabolism.
我们已经证明,纯化的C5a是刺激人外周血单核细胞分泌肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)和白细胞介素-1α(IL-1α)的有效刺激物,且这种刺激呈剂量依赖性。在给定的C5a浓度下,TNF-α和IL-1β的分泌没有显著差异;两者的分泌量均明显高于IL-1α。诸如革兰氏阳性和革兰氏阴性细菌感染、创伤及免疫复合物疾病等临床病症会激活补体。通过C5a诱导分泌的TNF和IL-1的介导作用,这些不同的病症可能具有发热、凝血病、急性期蛋白产生及代谢紊乱等共同特征。