title: Staurosporine encapsulated into pH-sensitive liposomes reduces tnf production and increases survival in rat endotoxin shock.
abstract: Bacterial lipopolysaccharide (LPS) can elicit septic shock; however, there is growing evidence that most of its pathophysiological effects are mediated by the release of tumor necrosis factor (TNF) and other cytokines. In turn, LPS-induced TNF production is thought to implicate the activation of intracellular protein kinase C (PKC). In this study, we examined whether pH-sensitive liposomes containing staurosporine (STP), a potent inhibitor of PKC, when injected intravenously would suppress TNF production and reduce mortality in an endotoxin rat model. We found that pretreatment of rats with pH-sensitive STP-liposomes by intravenous administration 1.5 h prior to LPS injection decreased lethality from 80% to approximately 30%. Importantly, this improvement in outcome was associated with significant reductions in TNF serum levels; 1 h after LPS injection serum TNF was 73% lower than in a saline control group, and at 2 h TNF levels were 84% lower. STP-liposome pretreatment also ameliorated the severe reduction in body temperature, characteristic for a hypodynamic shock, that was observed in LPS-challenged rats, but had relatively little effect on the transient leukopenia. We conclude that STP-liposomes can suppress LPS-induced TNF production by the mononuclear phagocytic system, can reduce the symptoms of septic shock, and can increase survival.
authors.affiliation: Department of Environmental Science and Physiology, Harvard School of Public Health, Boston, Massachusetts 02115, USA.
authors.forename: K
authors.initials: K
authors.lastname: Tschaikowsky
authors.forename: J D
authors.initials: JD
authors.lastname: Brain
mesh_terms: D000470:Alkaloids / Q000008:administration & dosage*; D000818:Animals; D001831:Body Temperature; D016503:Drug Delivery Systems; D006863:Hydrogen-Ion Concentration; D007958:Leukocyte Count; D008081:Liposomes; D008297:Male; D051381:Rats; D017207:Rats, Sprague-Dawley; D012772:Shock, Septic / Q000188:drug therapy* / Q000401:mortality / Q000503:physiopathology; D019311:Staurosporine; D014409:Tumor Necrosis Factor-alpha / Q000096:biosynthesis*
chemical_list: D000470:Alkaloids; D008081:Liposomes; D014409:Tumor Necrosis Factor-alpha; D019311:Staurosporine