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The role of programmed cell death (apoptosis) in thymic involution following sepsis
1Department of Surgery, University of Minnesota, Minneapolis.
Objective:
To test the hypothesis that thymic involution following peritoneal sepsis is secondary to thymocyte programmed cell death.
Design:
We investigated the temporal response of thymic weight and thymic DNA fragmentation following peritoneal sepsis induced by cecal ligation and puncture in a rat model. We investigated the possible role of decreased interleukin (IL)-2 synthesis in the induction of apoptosis using rat thymocytes in primary culture. Finally, we studied IL-2 gene expression and IL-2 protein synthesis in phytohemagglutinin and IL-1 beta-treated thymocytes derived from the cecal ligation and puncture model of sepsis.
Results:
We demonstrated that (1) there is a significant decrease in thymic weight and an increase in thymic DNA fragmentation with the characteristic apoptotic DNA "ladder" fragmentation pattern on agarose gel electrophoresis following peritoneal sepsis; (2) thymocytes in primary culture sustain a significant increase in thymocyte apoptosis following IL-2 withdrawal; and (3) peritoneal sepsis results in inhibition of phytohemagglutinin and IL-1 beta-induced thymocyte IL-2 messenger RNA accumulation and protein synthesis.
Conclusions:
Thymic involution following peritoneal sepsis is associated with increased thymocyte programmed cell death. Thymocyte apoptosis induced by sepsis may be the result, in part, of inhibition of IL-2 gene expression.