Bacterial clearance is improved in septic mice by platelet-activating factor-acetylhydrolase (PAF-AH) administration.

Current evidence indicates that dysregulation of the host inflammatory response to infectious agents is central to the mortality of patients with sepsis. Strategies to block inflammatory mediators such as PAF have been investigated as adjuvant therapies for sepsis. PAF-AH, the enzyme responsible for...

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Main Authors: Mariana G A Teixeira-da-Cunha, Rachel N Gomes, Nathassia Roehrs, Fernando A Bozza, Stephen M Prescott, Diana Stafforini, Guy A Zimmerman, Patricia T Bozza, Hugo C Castro-Faria-Neto
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3771912?pdf=render
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author Mariana G A Teixeira-da-Cunha
Rachel N Gomes
Nathassia Roehrs
Fernando A Bozza
Stephen M Prescott
Diana Stafforini
Guy A Zimmerman
Patricia T Bozza
Hugo C Castro-Faria-Neto
author_facet Mariana G A Teixeira-da-Cunha
Rachel N Gomes
Nathassia Roehrs
Fernando A Bozza
Stephen M Prescott
Diana Stafforini
Guy A Zimmerman
Patricia T Bozza
Hugo C Castro-Faria-Neto
author_sort Mariana G A Teixeira-da-Cunha
collection DOAJ
description Current evidence indicates that dysregulation of the host inflammatory response to infectious agents is central to the mortality of patients with sepsis. Strategies to block inflammatory mediators such as PAF have been investigated as adjuvant therapies for sepsis. PAF-AH, the enzyme responsible for PAF degradation, showed positive results in pre-clinical studies and phase II clinical trials, but the results of a phase III study were disappointing. In this study, we investigated the potential protective mechanism of PAF-AH in sepsis using the murine model of cecal ligation and puncture (CLP). Treatment with rPAF-AH increased peritoneal fluid levels of the anti-inflammatory mediators MCP-1/CCL2 after CLP. The numbers of bacteria (CFU) in the peritoneal cavity were decreased in the rPAF-AH-treated group, indicating more efficient bacterial clearance after rPAF-AH treatment. Interestingly, we observed increased levels of nitric oxide (NO) after PAF-AH administration, and rPAF-AH treatment did not decrease CFU numbers either in iNOS-deficient mice or in CCR2-deficient mice. We concluded that administration of exogenous rPAF-AH reduced inflammatory injury, altered cytokine levels and favored bacterial clearance with a clear impact on mortality through modulation of MCP-1/CCL2 and NO levels in a clinically relevant sepsis model.
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spelling doaj.art-b8cf7ee3c90241fa98b772576b2811a12022-12-21T18:09:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0189e7456710.1371/journal.pone.0074567Bacterial clearance is improved in septic mice by platelet-activating factor-acetylhydrolase (PAF-AH) administration.Mariana G A Teixeira-da-CunhaRachel N GomesNathassia RoehrsFernando A BozzaStephen M PrescottDiana StafforiniGuy A ZimmermanPatricia T BozzaHugo C Castro-Faria-NetoCurrent evidence indicates that dysregulation of the host inflammatory response to infectious agents is central to the mortality of patients with sepsis. Strategies to block inflammatory mediators such as PAF have been investigated as adjuvant therapies for sepsis. PAF-AH, the enzyme responsible for PAF degradation, showed positive results in pre-clinical studies and phase II clinical trials, but the results of a phase III study were disappointing. In this study, we investigated the potential protective mechanism of PAF-AH in sepsis using the murine model of cecal ligation and puncture (CLP). Treatment with rPAF-AH increased peritoneal fluid levels of the anti-inflammatory mediators MCP-1/CCL2 after CLP. The numbers of bacteria (CFU) in the peritoneal cavity were decreased in the rPAF-AH-treated group, indicating more efficient bacterial clearance after rPAF-AH treatment. Interestingly, we observed increased levels of nitric oxide (NO) after PAF-AH administration, and rPAF-AH treatment did not decrease CFU numbers either in iNOS-deficient mice or in CCR2-deficient mice. We concluded that administration of exogenous rPAF-AH reduced inflammatory injury, altered cytokine levels and favored bacterial clearance with a clear impact on mortality through modulation of MCP-1/CCL2 and NO levels in a clinically relevant sepsis model.http://europepmc.org/articles/PMC3771912?pdf=render
spellingShingle Mariana G A Teixeira-da-Cunha
Rachel N Gomes
Nathassia Roehrs
Fernando A Bozza
Stephen M Prescott
Diana Stafforini
Guy A Zimmerman
Patricia T Bozza
Hugo C Castro-Faria-Neto
Bacterial clearance is improved in septic mice by platelet-activating factor-acetylhydrolase (PAF-AH) administration.
PLoS ONE
title Bacterial clearance is improved in septic mice by platelet-activating factor-acetylhydrolase (PAF-AH) administration.
title_full Bacterial clearance is improved in septic mice by platelet-activating factor-acetylhydrolase (PAF-AH) administration.
title_fullStr Bacterial clearance is improved in septic mice by platelet-activating factor-acetylhydrolase (PAF-AH) administration.
title_full_unstemmed Bacterial clearance is improved in septic mice by platelet-activating factor-acetylhydrolase (PAF-AH) administration.
title_short Bacterial clearance is improved in septic mice by platelet-activating factor-acetylhydrolase (PAF-AH) administration.
title_sort bacterial clearance is improved in septic mice by platelet activating factor acetylhydrolase paf ah administration
url http://europepmc.org/articles/PMC3771912?pdf=render
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