Abstract
Mediators of the cytokine class are widely assumed to exert significant pathophysiological influences in septic and critically ill patients [1]. Among the cytokines exhibiting significant proinflammatory characteristics, tumor necrosis factor (TNF) and interleukin-1 (IL-1) appear to be the most promising candidate mediators for promoting both the acute septic responses and the organ failure sequelae of sepsis. However, several prospective studies seeking to determine the incidence of circulating TNF and IL-1 in critically ill patients have failed to consistently detect these cytokines during clinical conditions consistent with their known biological functions [2, 3].
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References
Fong Y, Moldawer LL, Shires GT, Lowry SF (1990) The biological characteristics of cyto-kines and their implication in surgical injury. Surg Gynecol Obstet 170:363–378
Debets JMH, Kampmeijer R, van der Linden MPMH, Buurman WA, van der Linden CJ (1989) Plasma tumor necrosis factor and mortality in critically ill septic patients. Crit Care Med 17:489–494
Marano MA, Fong Y, Moldawer LL, et al. (1990) Serum Cachectin/TNF in critically ill burn patients correlates with infection and mortality. Surg Gynecol Obstet 170:32–38
Calandra T, Baumgartner JD, Grau GE, et al. (1990) Prognostic values of tumor necrosis factor/cachectin, interleukin-1, interferon-α, and interferon-y in the serum of patients with septic shock. J Infect Dis 161:982–987
Fong Y, Marano MA, Moldawer LL, et al. (1990) The acute splanchnic and peripheral tissue metabolic response to endotoxin in man. J Clin Invest 85:1896–1904
Kriegler M, Perez C, DeFay K, Albert I, Lu SD (1988) A novel form of TNF/cachectin is a cell surface cytotoxic transmembrane protein: Ramifications for the complex physiology of TNF. Cell 53:45–63
Keogh CV, Fong Y, Barber A, et al. (1990) Identification of a novel cell-associated murine tumor necrosis factor. Arch Surg 125:79–85
Auron PE, Warner SJ, Webb AD, et al. (1987) Studies on the molecular nature of human interleukin 1. J Immunol 138:1447–1456
van der Poll T, Biiller HR, ten Cate H, et al. (1990) Activation of coagulation after administration of tumor necrosis factor to normal subjects. New Engl J Med 322:1622–1627
Starnes HF Jr, Warren RA, Jeevanandam M, et al. (1988) Tumor necrosis factor and the acute metabolic response to tissue injury in man. J Clin Invest 82:1321–1325
Michie HR, Spriggs DR, Manogue KR, et al. (1988) Tumor necrosis factor and endotoxin induce similar metabolic responses in human beings. Surgery 104:280–286
Tewari A, Buhles WC, Starnes HF (1990) Effects of interleukin-1 on platelet counts. Lancet 2:712–714
Ohlsson K, Björk P, Bergenfeldt M, Hageman R, Thompson RC (1990) Interleukin-1 receptor antagonist reduces mortality from endotoxin shock. Nature 348:550–552
Fischer E, Marano MA, Barber A, et al. (1991) Interleukin-la administration can replicate the hemodynamic and metabolic responses to sublethal endotoxemia. Am J Physiol 261:442–452
Dinarello CA (1991) The proinflammatory cytokines interleukin-1 and tumor necrosis factor and treatment of the septic shock syndrome. J Infect Dis 163:1177–1184
Fong Y, Tracey KJ, Moldawer LL, et al. (1989) Antibodies of cachectin/TNF reduce interleukin-lβ and interleukin-6 appearance during lethal bacteremia. J Exp Med 170:1627–1633
Hesse DG, Tracey KJ, Fong Y, et al. (1988) Cytokine appearance in human endotoxemia and primate bacteremia. Surg Gynecol Obstet 166:147–153
VanZee KJ, De Forge LE, Fischer E, et al. (1991) Interleukin-8 circulates during septic shock, endotoxemia, and following interleukin-1 administration. J Immunol 146:3478–3482
Schindler R, Mancilla J, Endres S, Ghorbani R, Clark SC, Dinarello CA (1990) Correlations and interactions in the production of interleukin-6 (IL-6), IL-1 and tumor necrosis factor (TNF) in human blood mononuclear cells: IL-6 suppresses IL-1 and TNF. Blood 75:40–47
LaMarre J, Wollenberg GK, Gonias SL, Hayes MA (1991) Cytokine binding and clearance properties of proteinase-activated alpha 2-macroglobulins. Lab Invest 65:3–14
Warren RS, Starnes HF Jr., Gabrilove JL, Oettgen HF, Brennan MF (1987) The acute metabolic effects of tumor necrosis factor administration in humans. Arch Surg 122:1396–1400
van der Poll T, Romijn JA, Endert E, Borm JJ, Büller HR, Sauerwein HP (1991) Tumor necrosis factor mimics the metabolic response to acute infection in healthy humans. Am J Physiol 261:457–465
Tracey KJ, Fong Y, Hesse DG, et al. (1987) Anti-cachectin/TNF monoclonal antibodies prevent septic shock during lethal bacteremia. Nature 330:662–664
Beutler B, Krochnin N, Milsark IW, Luedke C, Cerami A (1986) Control of cachectin (tumor necrosis factor) synthesis: Mechanisms for endotoxin resistance. Science 232:977–980
Barber AE, Coyle SM, Fong Y, et al. (1990) Impact of hypercortisolemia on the metabolic and hormonal responses to endotoxin in man. Surg Forum 41:74–77
Spinas GA, Bloesch D, Kaufmann MT, Keller U, Dayer JM (1990) Induction of plasma inhibitors of interleukin 1 and TNF-α activity by endotoxin administration to normal humans. Am J Physiol 234:993–997
Engelmann H, Novick D, Wallach D (1990) Two tumor necrosis factor-binding proteins purified from human urine. J Bio Chem 265:1531–1536
Kohno T, Brewer MT, Baker SL, et al. (1990) A second tumor necrosis factor receptor gene product can shed a naturally occurring tumor necrosis factor inhibitor. Proc Natl Acad Sci 87:8331–8335
Lesslauer W, Tabuchi H, Gentz R, et al. (1992) Recombinant soluble TNF receptor proteins protect mice from LPS-induced lethality. Eur J Immunol (in press)
Eisenberg SP, Evans RJ, Arend WP, et al. (1990) Primary structure and functional expression from complementary DNA of a human interleukin-1 receptor antagonist. Nature 343:341–346
Michie HR, Manogue KR, Spriggs DR, et al. (1988) Detection of circulating tumor necrosis factor after endotoxin administration. N Engl J Med 318:1481–1486
Richardson RP, Rhyne CD, Fong Y, et al. (1989) Peripheral blood leukocyte kinetics following in vivo Lipopolysaccharide (LPS) administration to normal human subjects: Influence of elicited hormones and cytokines. Ann Surg 210:239–245
Calvano SE, Barber AE, Hawes AS, de Riesthal HF, Coyle SM, Lowry SF (1992) Effect of combined cortisol-endotoxin (LPS) administration on peripheral blood leukocyte numbers and phenotype in normal humans. Arch Surg (in press)
Glauser MP, Zanetti G, Baumgartner JD, Cohen J (1991) Septic shock: Pathogenesis. Lancet 2:732–735
Luger A, Graf H, Schwarz HP, Stummvoll HK, Luger TA (1986) Decreased serum interleukin-1 activity and monocyte interleukin-1 production in patients with fatal sepsis. Crit Care Med 14:458–461
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Lowry, S.F., Moldawer, L.L. (1992). Cytokines and Cytokine Antagonists in Sepsis and Critical Illness. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1992. Yearbook of Intensive Care and Emergency Medicine, vol 1992. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84734-9_4
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DOI: https://doi.org/10.1007/978-3-642-84734-9_4
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