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Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis
Published on: December 19, 2010
MCP-1 levels are elevated in peritonitis fluid from CAPD patients due to secretion by peritoneal macrophages
M Sach1, P Loetscher, J A Burger
1Department of Nephrology, Freiburg University Hospital, Germany.
Abstract:
The migration of leukocytes, including polymorphonuclear neutrophils and monocytes, into the peritoneal cavity is a key event of intraperitoneal inflammation. We investigated the levels of two members of the chemokine family, interleukin 8 (IL-8) and monocyte chemoattractant protein-1 (MCP-1), in the dialysate effluent of 18 continuous ambulatory peritoneal dialysis (CAPD) patients with peritonitis and compared them with chemokine levels in noninfected CAPD effluent. Being a major source of inflammatory cytokines, we also isolated peritoneal macrophages from peritonitis effluent to determine the mRNA expression directly after isolation. The mean (SEM) concentrations of IL-8 and MCP-1 were significantly higher in the effluent of peritonitis patients than in noninfected effluents MCP-1: 22.5 +/- (6.27) versus 0.37 +/- (0.1) ng/mL and IL-8: 2.39 +/- (1.15) versus 0.04 +/- (0.01) ng/mL. Northern blot analysis of isolated effluent macrophages revealed strong signals for MCP-1 and IL-8. Our findings showed that CAPD effluent from patients with peritonitis contains markedly elevated MCP-1 and IL-8 levels, suggesting that these chemokines participate in leukocyte recruitment during CAPD peritonitis. Isolation of mRNA of peritonitis-derived peritoneal macrophages revealed strong signals for MCP-1 and IL-8, suggesting that macrophages are a major source of these inflammatory mediators.
Insights
Elevated levels of interleukin 8 (IL-8) and monocyte chemoattractant protein-1 (MCP-1) were found in the peritoneal dialysis fluid of patients with peritonitis. Macrophages in the fluid are a significant source of these inflammatory chemokines.
Area of Science:
- Nephrology
- Immunology
- Molecular Biology
Background:
- Intraperitoneal inflammation involves leukocyte migration.
- Chemokines like IL-8 and MCP-1 play a role in this process.
Purpose of the Study:
- To investigate IL-8 and MCP-1 levels in continuous ambulatory peritoneal dialysis (CAPD) patients with peritonitis.
- To determine if peritoneal macrophages are a source of these chemokines.
Main Methods:
- Measured IL-8 and MCP-1 concentrations in dialysate effluent from CAPD patients with and without peritonitis.
- Isolated peritoneal macrophages from peritonitis effluent to analyze mRNA expression via Northern blot.
Main Results:
- Significantly higher concentrations of MCP-1 and IL-8 were observed in the effluent of peritonitis patients compared to noninfected controls.
- Northern blot analysis confirmed strong mRNA signals for MCP-1 and IL-8 in macrophages isolated from peritonitis effluent.
Conclusions:
- Elevated MCP-1 and IL-8 levels in CAPD peritonitis effluent suggest their involvement in leukocyte recruitment.
- Peritoneal macrophages are identified as a major source of these inflammatory mediators during CAPD peritonitis.
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