The effect of local anesthetics on monocyte mCD14 and human leukocyte antigen-DR expression

Takashi Kawasaki1, Chika Kawasaki, Masanori Ogata

  • 1Department of Anesthesiology, University of Occupational and Environmental Health, Kitakyushu, Japan.

Abstract

Insights

Local anesthetics impact immune cells, suppressing human monocyte human leukocyte antigen (HLA)-DR expression without affecting mCD14. This finding is crucial for understanding host response to infection.

Area of Science:

  • Immunology
  • Pharmacology
  • Cell Biology

Background:

  • Monocytes and macrophages are vital for host defense against microbial infections.
  • The precise impact of local anesthetics on monocyte surface receptor expression is not fully understood.
  • Understanding these effects is crucial for evaluating the immunomodulatory properties of local anesthetics.

Purpose of the Study:

  • To investigate the effects of local anesthetics on monocyte surface receptors, specifically mCD14 and human leukocyte antigen (HLA)-DR.
  • To determine the influence of local anesthetics on the production of tumor necrosis factor-alpha (TNF-alpha) induced by lipopolysaccharide (LPS) or staphylococcal enterotoxin B (SEB).

Main Methods:

  • Blood samples from 10 healthy volunteers were analyzed.
  • Enzyme-linked immunosorbent assay (ELISA) was used to measure TNF-alpha production after LPS or SEB stimulation in the presence of varying local anesthetic concentrations.
  • Dual monoclonal antibody staining and flow cytometry were employed to assess monocyte mCD14 and HLA-DR expression.

Main Results:

  • Local anesthetics did not alter LPS- or SEB-induced TNF-alpha production in human whole blood.
  • A dose-dependent suppression of monocyte HLA-DR expression was observed with local anesthetic administration (P < 0.05).
  • No significant effect of local anesthetics on monocyte mCD14 expression was found.

Conclusions:

  • Local anesthetics significantly suppress the expression of HLA-DR on the surface of human monocytes.
  • This suppression of HLA-DR, a key monocyte surface receptor, may have implications for the host's immune response to microbial infections.
  • Further research is warranted to elucidate the clinical significance of these immunomodulatory effects.

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