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Non-Invasive Model of Neuropathogenic Escherichia coli Infection in the Neonatal Rat
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Protection against endotoxic shock by bactericidal/permeability-increasing protein in rats

H Jin1, R Yang, S Marsters

  • 1Department of Cardiovascular Research, Genentech, Inc., South San Francisco, California 94080, USA.

The Journal of Clinical Investigation
|April 1, 1995
PubMed
Summary

Bactericidal/permeability-increasing protein (BPI) administration shortly after LPS injection significantly reduced mortality and improved hemodynamics in endotoxic shock rats. BPI effectively lowered endotoxin and IL-6 levels, suggesting a protective mechanism independent of TNF.

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Area of Science:

  • Immunology
  • Pharmacology

Background:

  • Bactericidal/permeability-increasing protein (BPI) is a neutrophil protein known to inhibit lipopolysaccharide (LPS) effects in vitro.
  • Endotoxic shock, induced by LPS, causes significant hemodynamic changes, increased mortality, and dysregulated cytokine production.

Purpose of the Study:

  • To investigate the therapeutic potential of BPI in a rat model of endotoxic shock.
  • To evaluate the effects of BPI on hemodynamics, mortality, and circulating endotoxin and cytokine levels.

Main Methods:

  • Conscious rats were subjected to intravenous LPS injection.
  • Human recombinant BPI or vehicle was administered intravenously at different time points (immediately, 30 min, or 2 h) after LPS.
  • Mean arterial pressure (MAP), heart rate, and circulating endotoxin and cytokine levels (IL-6, TNF) were monitored.

Main Results:

  • BPI administration immediately or 30 minutes after LPS prevented LPS-induced MAP reduction and significantly reduced mortality.
  • BPI administration 2 hours after LPS showed no protective effect.
  • Early BPI treatment reduced circulating endotoxin and IL-6 levels but increased TNF levels.

Conclusions:

  • BPI demonstrates significant protective effects against endotoxic shock when administered promptly after LPS exposure.
  • The protective mechanism of BPI appears to be TNF-independent, primarily through the inhibition of endotoxin-stimulated IL-6 production.