Abstract
The presence of certain defects in both cellular and humoral immunity after thermal injury has been established. Likewise, the translocation of enteric bacteria to the mesenteric lymph nodes and to distant organs has also been observed following serious thermal injury. The effects of granulocyte colony-stimulating factor (G-CSF) on bacterial translocation, the small bowel mucosa, and cecal bacterial content were investigated in a rat model of burn wound sepsis in which albino Wistar rats were scalded over 30% of their bodies, after which the lesions were infected by 1×108 colony-forming units (cfu)Pseudomonas aeruginosa. The control group was treated with 5% dextrose solution subcutaneously starting 2 days preburn, while the treatment group received 100μg/kg human G-CSF subcutaneously. On the 4th day post burn all animals were killed to examine the bowel and culture of the mesenteric lymph nodes (MLN), livers, and spleens. No significant differences were observed between the groups regarding the cecal bacterial content and small bowel; however, a difference was seen in the ratio of translocation in the MLN liver and spleen and quantitative MLN cultures. Based on these findings, G-CSF was thus found to be significantly effective in reducing bacterial translocation due to burn wound sepsis.
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References
Sittig K, Deitch AE (1988) Effect of bacteremia on mortality after thermal injury. Arch Surg 123:1367–1370
Stratta RJ, Warden GD, Ninnemann JL, Saffle JR (1986) Immunologic parameters in burned patients. Effect of therapeutic interventions. J Trauma 21:7–17
Alexander JW, Meakins JL (1972) A physiologic basis for the development of opportunistic infections in man. Surgery 176:273–287
Berg RD, Wommack E, Deitch EA (1988) Immunosuppression and intestinal bacterial overgrowth synergistically promote bacterial translocation. Arch Surg 123:1359–1364
Deitch EA, Wintertorn J, Berg RD (1984) Promotion by burn stress of the translocation of bacteria from the gastrointestinal tracts of mice. Arch Surg 119:166–172
Fukushima R, Giannotti L, Alexander JW, Pyles T (1992) The degree of bacterial translocation is a determinant factor for motality after burn injury and is improved by prostaglandin analogs Ann Surg 216:438–445
Salman FT, Buyruk MN, Gürler N, Çelik A (1992) The effect of surgical trauma on the bacterial translocation from the gut. J Pediatr Surg 27(7):802–804
Sieff CA (1987) Hematopoietic growth factors. J Clin Invest 79:1549–1557
Walker HL, Mason AD (1968) A standard animal burn. J Trauma 8:1049–1054
Carter EA, Jung W, Ehrlich P, Ovellerre A (1988) Thermal trauma and gastrointestinal function: III. Effect of hot and cold burn trauma on small intestinal weight and mucosal mass of mice. J Burn Care Rehab 9:351–353
Deitch EA, Gelder F, Mcdonald JC (1984) Sequential prospective analysis of the non specific host defense system after thermal injury. Arch Surg 119:83–89
Nelson R, Hasslen SR, Ahrenholz DH, Solem LD (1987) Mechanism of loss of human neutrophil chemotaxis following thermal injury. J Burn Care Rehab 8:496–502
Dobke MK, Deitch EA, Harner TJ, Baxter CR (1989) Oxidative activity of polymorphonuclear leukocytes after thermal injury. Arch Surg 124:856–859
Peterson VM, Robinson WA, Wallner SF, Rundus C, Hansbrough JF (1985) Granulocyte stem cells are decreased in humans with fatal burns. J Trauma 25:413–418
McEven DD, Ogavar M, Evrenius K (1977) Myelopoesis in the infected burn. J Lab Clin Med 89:540–543
Newsome JW, Evrenius K (1973) Suppression of granulocyte and platelet production byPseudomonas burn wound infection. Surg Gynecol Obstet 136:375–379
Deitch EA, Berg RD (1987) Endotoxin but not malnutrition promotes bacterial translocation of the gut florae in burned mice. J Trauma 27:161–169
Deitch EA, Berg RD (1987) Bacterial translocation from the gastrointestinal tract, a mechanism of infection. J Burn Care Rehab 8:475–482
Deitch EA, Berg RD, Specian R (1987) Endotoxin promotes the translocation from the gut. Arch Surg 122:185–192
Jones WG, Minei JP, Barber AE, Rayburn JL, Fahey TJ, Shires III GT, Shires GT (1990) Bacterial translocation and intestinal atrophy after thermal injury and burn wound sepsis. Ann Surg 211:399–405
Marano MA, Moldawer LL, Fong Y, Wei H, Minei J, Yurt R, Cerami A, Lowry SF (1988) Cachectin/TNF production in experimental burns andPseudomonas infection. Arch Surg 123:1383–1388
Nelson S (1994) Role of granulocyte colony-stimulating factor in the immune response to acute bacterial infection in the non-neutropenic host: An overview. Clin Infect Dis 18 [Suppl]: 197–204
Lang CH, Bagby GJ, Dobrescu C, Nelson S, Spitzer JJ (1992) Effects of granulocyte colony-stimulating factor on sepsis-induced changes in neutrophil accumulation and organ glucose uptake. J Infect Dis 166:336–343
Tanaka H, Kaneko (1991) Pharmokinetics of recombinant human granulocyte colony-stimulating factor in the rat. Drug Metab Dispos 19:200–204
Williams GT, Smith CA, Spooncer E, Dexter TM, Taylor DR (1990) Hemopoictic colony stimulating factors promote cell survival by suppressing apoptosis. Nature 343:76–79
Lopez AF, Nicola NA, Burges AW, Metcalf D, Battye FL, Sewel WA Vadas M (1983) Activation of granulocyte cytotoxic function by purified mouse colony stimulating factors. J Immunol 131:2982–2988
Kurland JI, Pelus LM, Ralph P, Bockman RS, Moore MA, (1979) Induction of prostaglandin E synthesis in normal and neoplastic macrophages. Role for colony stimulating factors distinct from effects on myeloid progenitor cell proliferation. Proc Natl Acad Sci USA 76:2326–2330
Miller TA (1983) Protective effect of prostaglandins against gastric mucosal damage. Current knowledge and proposed mechanisms. Am J Physiol 245:601–602
Steinshamn S, Bergh K, Waage KA (1993) Effects of stem cell factor and granulocyte colony stimulating factor granulocyte recovery andCandida albicans infection in granulocytopenic mice. J Infect Dis 168:1444–1448
Lister PD, Gentry MJ, Preheim LC (1993) Granulocyte colony stimulating factor protects control rats but not ethanol fed rats from pneumococcal pneumonia. J Infect Dis 168:922–926
O'Reilly M, Silver GM, Greenhalgh DG, Gamelli RL, Davis JH, Hebert JC (1992) Treatment of intraabdominal infection with granulocyte colony-stimulating factor. J Trauma 33:679–682
Sartorelli KH, Silver GM, Gamelli RL (1991) The effect of granulocyte colony-stimulating factor (G-CSF) upon burn-induced defective neutrophil chemotaxis. J Trauma 31:523–530
Mooney DP, Gamelli RL, O'Reilly M, Hebert JC (1988) Recombinant human granulocyte colony-stimulating factor andpseudomonas burn wound sepsis. Arch Surg 123:1353–1357
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Yalçin, O., Soybir, G., Köksoy, F. et al. Effects of granulocyte colony-stimulating factor on bacterial translocation due to burn wound sepsis. Surg Today 27, 154–158 (1997). https://doi.org/10.1007/BF02385906
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DOI: https://doi.org/10.1007/BF02385906