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Effect of hydrocortisone on interleukin-6 production in human ,peripheral blood rnononuclear ceils
Y Hirooka1, T Mitsuma, T Nogimori
1The Fourth Department of Internal Medicine Aichi Medical University Yazako Nagakute-cho, Aichi-gun, Aichi-ken 480-11 Japan.
Insights
Hydrocortisone significantly reduces interleukin-6 (IL-6) production in human cells stimulated by lipopolysaccharide (LPS). Individual responses to this steroid vary, indicating differences in glucocorticosteroid susceptibility among normal subjects.
Area of Science:
- Immunology
- Endocrinology
- Pharmacology
Background:
- Interleukin-6 (IL-6) is a key cytokine involved in immune responses.
- Glucocorticosteroids, like hydrocortisone, possess potent anti-inflammatory and immunosuppressive effects.
- Understanding the modulation of IL-6 by hydrocortisone is crucial for managing inflammatory and autoimmune diseases.
Purpose of the Study:
- To investigate the effect of hydrocortisone on interleukin-6 (IL-6) production in human peripheral blood mononuclear cells.
- To characterize the dose-dependent inhibition of IL-6 production by hydrocortisone.
- To explore individual variations in susceptibility to hydrocortisone's effects.
Main Methods:
- Development and utilization of a novel radioimmunoassay system for sensitive IL-6 detection.
- Stimulation of human peripheral blood mononuclear cells with lipopolysaccharide (LPS).
- Treatment with varying concentrations of hydrocortisone (10(-10) M to 10(-3) M) to assess inhibition of LPS-stimulated IL-6 production.
Main Results:
- LPS stimulation significantly increased IL-6 production (mean +/- SD: 2.71 +/- 0.85 ng/ml).
- Hydrocortisone demonstrated a dose-dependent inhibition of LPS-stimulated IL-6 production.
- Significant inter-individual variability was observed, with subjects exhibiting a range from steroid-sensitive to steroid-resistant responses.
Conclusions:
- Hydrocortisone effectively inhibits IL-6 production in a dose-dependent manner.
- There are notable differences in glucocorticosteroid susceptibility among normal individuals.
- Findings suggest implications for personalized drug treatment strategies and support the existence of immune-neuroendocrine feedback circuits.
Abstract:
The effect of hydrocortisone on the production of interleukin-6 (IL-6) in human peripheral blood mononuclear cells was studied. Using our newly developed radioimmunoassay system for IL-6 of which specificity, reproducibility, sensitivity and usefulness have been demonstrated. IL-6 production in peripheral blood mononuclear cells of ten normal subjects revealed that in lipopolysaccharide (LPS, 10mug/ml)-stimulation, the mean +/- SD of IL-6 was 2.71 +/- 0.85 ng/ml. No detectable amount of IL-6 was observed in the absence of LPS and in the presence of hydrocortisone alone. Hydrocortisone (10(-10) M to 10(-3) M) inhibited LPS-stimulated IL-6 production in a dose-dependent manner. However, there was a wide variation in the response to hydrocortisone, namely, ranging from steroid-sensitive to steroid-resistant. Based on the concentration required to inhibit 50% of LPS-stimulated IL-6 production, three of ten subjects were at 10(-6) M, three at 10(-5) M and the rest at 10(-4) M, respectively. The dramatic anti-inflammatory and immunosuppressive effects of glucocorticosteroids can be life-saving in autoimmune diseases. The present findings suggested that there existed the differences in susceptibility to glucocorticosteroids even among normal subjects, providing some implications for the drug treatment, and also gave further evidence that there may exist an immunoregulatory feedback circuit between the immune and neuroendocrine systems.
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