The Effect of Hypertonic Saline on mRNA of Proinflammatory Cytokines in Lipopolysaccharide-Stimulated Polymorphonuclear Cells

Background: Hypertonic saline is often used to resuscitate patients experiencing shock. In such conditions, polymorphonuclear cells and Toll-like receptors (TLRs) form an essential part of early induced innate immunity. Objective: To investigate the immunomodulatory effect of hypertonic saline on po...

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Main Authors: Sung-Hyuk Choi, MD, PhD, Young-Hoon Yoon, MD, PhD, Jung-Youn Kim, MD, PhD, Sung-Woo Moon, MD, PhD, Young-Duck Cho, MD, PhD, Ji-Won Yeom
Format: Article
Language:English
Published: Elsevier 2014-12-01
Series:Current Therapeutic Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0011393X14000125
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author Sung-Hyuk Choi, MD, PhD
Young-Hoon Yoon, MD, PhD
Jung-Youn Kim, MD, PhD
Sung-Woo Moon, MD, PhD
Young-Duck Cho, MD, PhD
Ji-Won Yeom
author_facet Sung-Hyuk Choi, MD, PhD
Young-Hoon Yoon, MD, PhD
Jung-Youn Kim, MD, PhD
Sung-Woo Moon, MD, PhD
Young-Duck Cho, MD, PhD
Ji-Won Yeom
author_sort Sung-Hyuk Choi, MD, PhD
collection DOAJ
description Background: Hypertonic saline is often used to resuscitate patients experiencing shock. In such conditions, polymorphonuclear cells and Toll-like receptors (TLRs) form an essential part of early induced innate immunity. Objective: To investigate the immunomodulatory effect of hypertonic saline on polymorphonuclear cells by evaluating the changes in TLR-4 receptors and proinflammatory cytokines. Methods: Polymorphonuclear cells were isolated from whole blood using Polymorphprep (Axis-Shield, Oslo, Norway). The isolated polymorphonuclear cells were plated at a density of 1 × 106 cells/mL in 6-well flat-bottomed culture plates and were stimulated with 1 μg/mL lipopolysaccharide or N-formyl-methionyl-leucyl-phenylalanine. The stimulated polymorphonuclear cells were cultured in hypertonic saline at 10, 20, or 40 mmol/L above isotonicity. After that, the changes in TLR-4 and cytokines were measured by quantitative real-time polymerase chain reaction and flow cytometry. Results: The level of TLR-4 mRNA expression decreased after stimulation with N-formyl-methionyl-leucyl-phenylalanine, but hypertonic saline did not affect the TLR-4 mRNA expression. TLR-4 mRNA expression was clearly induced upon stimulation with lipopolysaccharide, and the addition of hypertonic saline restored TLR-4 mRNA expression in polymorphonuclear cells. The interleukin-1β mRNA expression was decreased in the hypertonic environment. On the other hand, the tumor necrosis factor-α value was not influenced by the addition of hypertonic saline. Conclusions: Hypertonic saline has an immunomodulatory effect on polymorphonuclear cells through the TLR-4 pathway, and the interleukin–1β-associated pathway is influenced more by hypertonic saline than is the tumor necrosis factor–α-associated pathway.
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spelling doaj.art-8310bd043660485da88c9718065e16512022-12-22T03:46:34ZengElsevierCurrent Therapeutic Research0011-393X1879-03132014-12-0176C586210.1016/j.curtheres.2014.06.003The Effect of Hypertonic Saline on mRNA of Proinflammatory Cytokines in Lipopolysaccharide-Stimulated Polymorphonuclear CellsSung-Hyuk Choi, MD, PhD0Young-Hoon Yoon, MD, PhD1Jung-Youn Kim, MD, PhD2Sung-Woo Moon, MD, PhD3Young-Duck Cho, MD, PhD4Ji-Won Yeom5Department of Emergency Medicine, Korea University College of Medicine, Seoul, South KoreaDepartment of Emergency Medicine, Korea University College of Medicine, Seoul, South KoreaDepartment of Emergency Medicine, Korea University College of Medicine, Seoul, South KoreaDepartment of Emergency Medicine, Korea University College of Medicine, Seoul, South KoreaDepartment of Emergency Medicine, Korea University College of Medicine, Seoul, South KoreaKorea University College of Medicine, Seoul, South KoreaBackground: Hypertonic saline is often used to resuscitate patients experiencing shock. In such conditions, polymorphonuclear cells and Toll-like receptors (TLRs) form an essential part of early induced innate immunity. Objective: To investigate the immunomodulatory effect of hypertonic saline on polymorphonuclear cells by evaluating the changes in TLR-4 receptors and proinflammatory cytokines. Methods: Polymorphonuclear cells were isolated from whole blood using Polymorphprep (Axis-Shield, Oslo, Norway). The isolated polymorphonuclear cells were plated at a density of 1 × 106 cells/mL in 6-well flat-bottomed culture plates and were stimulated with 1 μg/mL lipopolysaccharide or N-formyl-methionyl-leucyl-phenylalanine. The stimulated polymorphonuclear cells were cultured in hypertonic saline at 10, 20, or 40 mmol/L above isotonicity. After that, the changes in TLR-4 and cytokines were measured by quantitative real-time polymerase chain reaction and flow cytometry. Results: The level of TLR-4 mRNA expression decreased after stimulation with N-formyl-methionyl-leucyl-phenylalanine, but hypertonic saline did not affect the TLR-4 mRNA expression. TLR-4 mRNA expression was clearly induced upon stimulation with lipopolysaccharide, and the addition of hypertonic saline restored TLR-4 mRNA expression in polymorphonuclear cells. The interleukin-1β mRNA expression was decreased in the hypertonic environment. On the other hand, the tumor necrosis factor-α value was not influenced by the addition of hypertonic saline. Conclusions: Hypertonic saline has an immunomodulatory effect on polymorphonuclear cells through the TLR-4 pathway, and the interleukin–1β-associated pathway is influenced more by hypertonic saline than is the tumor necrosis factor–α-associated pathway.http://www.sciencedirect.com/science/article/pii/S0011393X14000125cytokinehypertonic saline solutionimmuneinflammationneutrophilToll-like receptor 4
spellingShingle Sung-Hyuk Choi, MD, PhD
Young-Hoon Yoon, MD, PhD
Jung-Youn Kim, MD, PhD
Sung-Woo Moon, MD, PhD
Young-Duck Cho, MD, PhD
Ji-Won Yeom
The Effect of Hypertonic Saline on mRNA of Proinflammatory Cytokines in Lipopolysaccharide-Stimulated Polymorphonuclear Cells
Current Therapeutic Research
cytokine
hypertonic saline solution
immune
inflammation
neutrophil
Toll-like receptor 4
title The Effect of Hypertonic Saline on mRNA of Proinflammatory Cytokines in Lipopolysaccharide-Stimulated Polymorphonuclear Cells
title_full The Effect of Hypertonic Saline on mRNA of Proinflammatory Cytokines in Lipopolysaccharide-Stimulated Polymorphonuclear Cells
title_fullStr The Effect of Hypertonic Saline on mRNA of Proinflammatory Cytokines in Lipopolysaccharide-Stimulated Polymorphonuclear Cells
title_full_unstemmed The Effect of Hypertonic Saline on mRNA of Proinflammatory Cytokines in Lipopolysaccharide-Stimulated Polymorphonuclear Cells
title_short The Effect of Hypertonic Saline on mRNA of Proinflammatory Cytokines in Lipopolysaccharide-Stimulated Polymorphonuclear Cells
title_sort effect of hypertonic saline on mrna of proinflammatory cytokines in lipopolysaccharide stimulated polymorphonuclear cells
topic cytokine
hypertonic saline solution
immune
inflammation
neutrophil
Toll-like receptor 4
url http://www.sciencedirect.com/science/article/pii/S0011393X14000125
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