title: Early apoptosis of blood monocytes is a determinant of survival in experimental sepsis by multi-drug-resistant Pseudomonas aeruginosa.
abstract: Apoptosis of blood monocytes was studied in experimental sepsis by multi-drug-resistant Pseudomonas aeruginosa. Thirty-six rabbits were used, divided into the following groups: A (n = 6), sham; B (n = 6), administered anaesthetics; and C (n = 24), acute pyelonephritis induced after inoculation of the test isolate in the renal pelvis. Blood was sampled at standard time intervals for estimation of tumour necrosis factor (TNF)-alpha and isolation of monocytes. Half the monocytes were incubated and the other half was lysed for estimation of the cytoplasmic activity of caspase-3 by a kinetic chromogenic assay. No animal in groups A and B died; those in group C were divided into two subgroups, CI (n = 8) with present activity of caspase-3 of blood monocytes at 3.5 h and CII (n = 16) with absent activity. Their median survival was 2.0 and 3.5 days, respectively (P = 0.0089). Ex vivo secretion of TNF-alpha from monocytes was higher by monocytes of subgroup CII than subgroup CI at 3.5 h (P = 0.039) and of group A than CII at 48 h (P = 0.010). Median change of caspase-3 activity between 3.5 and 24 h of sampling was 56.1 and -5.8 pmol/min per 10(4) cells for subgroups CI and CII (P = 0.040), respectively. Respective changes between 3.5 and 48 h were 28 981.0 and 0 pmol/min per 10(4) cells (P = 0.036). Early induction of apoptosis in blood monocytes is of prime importance for the survival of the septic host and might be connected to changes of monocyte potential for the secretion of TNF-alpha.
authors.affiliation: 4th Department of Internal Medicine, University of Athens, Medical School, Greece.
authors.forename: A
authors.initials: A
authors.lastname: Antonopoulou
authors.forename: M
authors.initials: M
authors.lastname: Raftogiannis
authors.forename: E J
authors.initials: EJ
authors.lastname: Giamarellos-Bourboulis
authors.forename: P
authors.initials: P
authors.lastname: Koutoukas
authors.forename: L
authors.initials: L
authors.lastname: Sabracos
authors.forename: M
authors.initials: M
authors.lastname: Mouktaroudi
authors.forename: T
authors.initials: T
authors.lastname: Adamis
authors.forename: Ira
authors.initials: I
authors.lastname: Tzepi
authors.forename: H
authors.initials: H
authors.lastname: Giamarellou
authors.forename: E E
authors.initials: EE
authors.lastname: Douzinas
mesh_terms: D000208:Acute Disease; D000818:Animals; D017209:Apoptosis; D053148:Caspase 3 / Q000097:blood; D002470:Cell Survival; D002478:Cells, Cultured; D004195:Disease Models, Animal; D024901:Drug Resistance, Multiple, Bacterial; D008297:Male; D009000:Monocytes / Q000201:enzymology / Q000473:pathology*; D011379:Prognosis; D011552:Pseudomonas Infections / Q000097:blood*; D011550:Pseudomonas aeruginosa / Q000187:drug effects*; D011704:Pyelonephritis / Q000382:microbiology / Q000473:pathology; D011817:Rabbits; D018805:Sepsis / Q000382:microbiology / Q000473:pathology*; D014409:Tumor Necrosis Factor-alpha / Q000378:metabolism
chemical_list: D014409:Tumor Necrosis Factor-alpha; D053148:Caspase 3