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The influence of increasing glucose concentrations on selected functions of polymorphonuclear neutrophils

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Summary

The influence of increasing glucose concentrations on some essential functions in polymorphonuclear neutrophils (PMN) was evaluatedin vitro in 20 healthy persons. PMN chemotaxis, adherence, phagocytosis and bactericidal capacity were estimated. Higher than physiologic glucose concentrations were found to diminish chemotaxis, phagocytosis and bactericidal capacity. The results obtained may indicate another possible mechanism that accounts for the increased susceptibility to infection observed in diabetic patients. However, PMN adherence rose parallel with increasing glucose concentrations reaching maximum values at 300 mg/dl (16.6 mmol/l). The changes of PMN adherence may suggest the participation of these cells in the development of microangiopathic injuries.

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References

  1. Andreani D.: Immunology in diabetes: introduction and overview. In:Andreani D., DiMario U., Federlin K. F., Heding L. G. (Eds): Immunology in diabetes. Kimpton Medical Publications, London-Edinburgh, 1984; p. 1.

    Google Scholar 

  2. Arquilla E. R., Stenger D.: Effects of diabetes on immune function. In:Andreani D., DiMario U., Federlin K. F., Heding L. G. (Eds): Immunology in diabetes. Kimpton Medical Publications, London-Edinburgh, 1984; p. 265.

    Google Scholar 

  3. Bagdade J. D., Root R. K., Bulger R. J.: Impaired leukocyte function in patients with poorly controlled diabetes — Diabetes23, 9, 1974.

    PubMed  CAS  Google Scholar 

  4. Bagdade J. D., Stewart M., Walters E.: Impaired granulocyte adherence. A reversible defect in host defense in patients with poorly controlled diabetes — Diabetes27, 677, 1978.

    Article  PubMed  CAS  Google Scholar 

  5. Buschardt K.: Glycemic control and suppressor cell activity in patients with insulin-dependent diabetes mellitus — Clin. exp. Immunol.81, 189, 1982.

    Google Scholar 

  6. Buschardt K., Madsbad S., Rygaard J.: Suppressor cell activity in patients with newly diagnosed type I diabetes: a prospective study — J. clin. Lab. Immunol.8, 19, 1982.

    Google Scholar 

  7. Craddock P. R., Fehr J., Dalmasso A. P., Brigham K. L., Jacob H. S.: Hemodialysis leukopenia. Pulmonary vascular leukostasis resulting from complement activation by dialyzer cellophane membrane — J. clin. Invest.59, 879, 1977.

    Article  PubMed  CAS  Google Scholar 

  8. Dziatkowiak H., Kowaiska M., Denys A.: Phagocytic and bactericidal activity of granulocytes in diabetic children — Diabetes31, 1041, 1982.

    Article  PubMed  CAS  Google Scholar 

  9. Esmann V.: The polymorphonuclear leukocyte in diabetes — Fresenius’ Z. Analyt. Chem.311, 344, 1982.

    Article  Google Scholar 

  10. Fehr J., Jacob H. S.:In vitro granulocyte adherence andin vivo margination: two associated complement-dependent functions. Studies based on the acute neutropenia of filtration leukapheresis — J. exp. Med.146, 641, 1977.

    Article  PubMed  CAS  Google Scholar 

  11. Fehr J., Moser P., Leppert D., Groscurth P.: Antiadhesive properties of biological surfaces are protective against stimulated granulocytes — J. clin. Invest.76, 535, 1985.

    PubMed  CAS  Google Scholar 

  12. Fikrig S. M., Reddy C. M., Orti E., Herod D., Suntharalingam K.: Diabetes and neutrophil chemotaxis — Diabetes26, 466, 1977.

    Article  PubMed  CAS  Google Scholar 

  13. Pantazis C. G., Kniker W. T.: Assessment of blood leukocyte microbial killing by using a new fluorochrome microassay — J. reticuloendothel. Soc.26, 155, 1979.

    PubMed  CAS  Google Scholar 

  14. Rayfield E. J., Ault M. J., Keusch M. J., Brothers M. J., Nechemias C., Smith H.: Infection and diabetes. The case for glucose control — Amer. J. Med.72, 439, 1982.

    Article  PubMed  CAS  Google Scholar 

  15. Repo H.: Leukocyte migration agarose test for the assessment of human neutrophil chemotaxis. I. Effects of environmental factors on neutrophil migration under agarose — Scand. J. Immunol.6, 203, 1977.

    Article  PubMed  CAS  Google Scholar 

  16. Wierusz-Wysocka B., Wysocki H., Siekierka H., Wykrętowicz A., Szczepanik A.: The plasma activity inducing polymorphonuclear neutrophils (PMN) aggregation, augmenting PMN adherence and chemotactic activity in patients with insulin-dependent diabetes — Immunol. pol.12, 65, 1987.

    Google Scholar 

  17. Wierusz-Wysocka B., Wysocki H., Siekierka H., Wykrętowicz A., Szczepanik A., Klimas R.: Evidence of polymorphonuclear neutrophils (PMN) activation in patients with insulin-dependent diabetes mellitus — Leukoc. Biol.42, 519, 1987.

    CAS  Google Scholar 

  18. Wierusz-Wysocka B., Wysocki H., Wykrętowicz A., Szczepanik A., Siekierka H.: Phagocytosis, bactericidal capacity and superoxide anion (O 2 ) production by polymorphonuclear neutrophils from patients with diabetes mellitus — Folia haematol. (Leipzig)5, 658, 1985.

    Google Scholar 

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Wierusz-Wysocka, B., Wysocki, H., Wykrętowicz, A. et al. The influence of increasing glucose concentrations on selected functions of polymorphonuclear neutrophils. Acta diabet. lat 25, 283–288 (1988). https://doi.org/10.1007/BF02581126

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