title: Differential up-regulation of circulating soluble selectins and endothelial adhesion molecules in Sicilian patients with Boutonneuse fever.
abstract: In 150 patients with Boutonneuse fever (BF), caused by Rickettsia conorii, we studied the plasma levels of soluble L-selectin (sL-selectin), vascular cell adhesion molecule-1 (sVCAM-1), intercellular adhesion molecule-1 (sICAM-1) and E-selectin (sE-selectin) in various phases of disease to clarify their role in disease evolution. Results indicate that during the acute phase of BF there is a significant increase in the serum levels of sL-selectin, sE-selectin, sVCAM-1 and sICAM-1. sL-selectin and sVCAM-1 returned to normal levels in the third week of disease, whereas sE-selectin and sICAM-1 persisted at significantly high levels even after the third week. The secretion of these soluble CAMs in BF is mainly the result of leucocyte expression and endothelial cell activation, but secretion also appears to mediate anti-inflammatory activities, moderating leucocyte adhesion and reducing in particular lymphocyte and monocyte infiltration. Only sL-selectin serum levels were found to correlate with the acute phase of infection characterized by fever.
authors.affiliation: Institute of Internal Medicine, University of Palermo, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Vitale
authors.forename: S
authors.initials: S
authors.lastname: Mansueto
authors.forename: G
authors.initials: G
authors.lastname: Gambino
authors.forename: C
authors.initials: C
authors.lastname: Mocciaro
authors.forename: C
authors.initials: C
authors.lastname: La Russa
authors.forename: P
authors.initials: P
authors.lastname: Mansueto
authors.forename: M A
authors.initials: MA
authors.lastname: Zambito
authors.forename: V
authors.initials: V
authors.lastname: Ferlazzo
authors.forename: C
authors.initials: C
authors.lastname: Barbera
authors.forename: M
authors.initials: M
authors.lastname: La Rosa
authors.forename: S
authors.initials: S
authors.lastname: Milano
authors.forename: E
authors.initials: E
authors.lastname: Cillari
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001907:Boutonneuse Fever / Q000097:blood / Q000276:immunology*; D016207:Cytokines / Q000097:blood; D019040:E-Selectin / Q000096:biosynthesis* / Q000097:blood; D005260:Female; D006801:Humans; D018799:Intercellular Adhesion Molecule-1 / Q000096:biosynthesis* / Q000097:blood; D019041:L-Selectin / Q000096:biosynthesis* / Q000097:blood; D007958:Leukocyte Count; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D012995:Solubility; D015854:Up-Regulation / Q000276:immunology*; D019010:Vascular Cell Adhesion Molecule-1 / Q000096:biosynthesis* / Q000097:blood
chemical_list: D016207:Cytokines; D019040:E-Selectin; D019010:Vascular Cell Adhesion Molecule-1; D018799:Intercellular Adhesion Molecule-1; D019041:L-Selectin