2003
DOI: 10.1053/rmed.2002.1414
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G-CSF application in patients with severe bacterial pneumonia increases IL-10 expression in neutrophils

Abstract: In severe pneumonia, the application of granulocyte-colony stimulating factor (G-CSF) was associated with reduced complications possibly by an induction of anti-inflammatory cytokines. It is not clear, whether G-CSF induces interleukin-10 (IL-10) synthesis in neutrophils. In a randomized study, 15 patients with severe community acquired pneumonia were treated either by a single dose of G-CSF and antibiotic therapy (n=8) or antibiotics alone (n=7). Messenger ribonucleic acid (mRNA) expression of IL-10 and tumor… Show more

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Cited by 12 publications
(10 citation statements)
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“…However, NAC suppressed IL-10 secretion to a much greater degree than EP. Although our data were insufficient to provide a mechanism for the discordance between the pharmacological effects of EP and NAC on IL-10 mRNA expression and IL-10 secretion, discordance between changes in IL-10 transcript levels and changes in IL-10 secretion has been noted before (Ledeboer et al, 2002;Spuck et al, 2003). In this context, it is important to recognize that our measurements of IL-10 concentration in samples of conditioned media assessed the cumulative secretion of the cytokine over a 24-h period of incubation, whereas our semiquantitative estimates of IL-10 transcript levels represented a "snapshot" at a single point in time (i.e., 4 h after stimulation of cells with LPS).…”
Section: Discussionmentioning
confidence: 72%
“…However, NAC suppressed IL-10 secretion to a much greater degree than EP. Although our data were insufficient to provide a mechanism for the discordance between the pharmacological effects of EP and NAC on IL-10 mRNA expression and IL-10 secretion, discordance between changes in IL-10 transcript levels and changes in IL-10 secretion has been noted before (Ledeboer et al, 2002;Spuck et al, 2003). In this context, it is important to recognize that our measurements of IL-10 concentration in samples of conditioned media assessed the cumulative secretion of the cytokine over a 24-h period of incubation, whereas our semiquantitative estimates of IL-10 transcript levels represented a "snapshot" at a single point in time (i.e., 4 h after stimulation of cells with LPS).…”
Section: Discussionmentioning
confidence: 72%
“…(19) However, upregulation of such anti-inflammatory factors as sTNFRI, sTNFRII, and IL-1RA by G-CSF (20,21) may be the main anti-inflammatory effect and more important than the influence of G-CSF on IL-10 or TNF-a. (20) From in vitro studies of the expression of anti-inflammatory cytokines in leukocytes by G-CSF (22,23) and studies with G-CSF treatment in healthy subjects (20,21) and patients, (19,24) it is supposed that G-CSF plays a role in the upregulation of anti-inflammatory mediators despite its potential to aggravate lung injury. (8)(9)(10)25) Results of the present study demonstrate that in the early phase of disease, concentrations of G-CSF, TNF-a, and IL-6 in BALF and serum are higher in ARDS than in ALI.…”
Section: Discussionmentioning
confidence: 99%
“…Demographic data, TNF-α and IL-10 protein and mRNA data were published earlier in a subanalysis [14]. The diagnosis of pneumonia was based on clinical symptoms and laboratory signs of infection (such as fever >38°C, purulent sputum, elevated ESR, C-reactive protein) together with the presence of new or progressing opacities on a chest radiograph.…”
Section: Methodsmentioning
confidence: 99%