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感染期间痕量金属与发热的关系:前列腺素是否参与其中?

Relationship of trace metals to fever during infection: are prostaglandins involved?

作者信息

Tocco R J, Kahn L L, Kluger M J, Vander A J

出版信息

Am J Physiol. 1983 Mar;244(3):R368-73. doi: 10.1152/ajpregu.1983.244.3.R368.

Abstract

Endogenous pyrogen/leukocyte endogenous mediator (EP/LEM) induces, in the host organism, a fever that is thought to be mediated to some extent via the production of prostaglandins. The role of prostaglandins in the EP/LEM-induced fall in plasma iron and zinc is less clear. To study this relationship, rabbits and rats were injected with an antipyretic dose of prostaglandin synthase inhibitors concurrent with heat-killed bacteria or endotoxin. These inhibitors, indomethacin and sodium salicylate, were successful in partially and totally blocking fever in rabbits and rats, respectively; however, they had no effect on the hypoferremia and hypozincemia of infection. We conclude that prostaglandins are probably not involved in the fall in plasma iron and zinc during acute bacterial infection. Further, since hypoferremia and hypozincemia occurred even though fever was blocked, the fall in trace metals due to infection is not dependent on the rise in both temperature.

摘要

内源性致热原/白细胞内源性介质(EP/LEM)在宿主体内引发发热,这种发热被认为在一定程度上是通过前列腺素的产生介导的。前列腺素在EP/LEM诱导的血浆铁和锌水平下降中所起的作用尚不清楚。为了研究这种关系,给兔子和大鼠注射解热剂量的前列腺素合酶抑制剂,同时注射热灭活细菌或内毒素。这些抑制剂,即吲哚美辛和水杨酸钠,分别成功地部分和完全阻断了兔子和大鼠的发热;然而,它们对感染引起的低铁血症和低锌血症没有影响。我们得出结论,前列腺素可能不参与急性细菌感染期间血浆铁和锌水平的下降。此外,由于即使发热被阻断仍会出现低铁血症和低锌血症,感染导致的微量元素下降并不依赖于体温升高。

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