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10.1097/SHK.0000000000000211

http://scihub22266oqcxt.onion/10.1097/SHK.0000000000000211
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suck abstract from ncbi


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pmid24978887
      Shock 2014 ; 42 (3 ): 218-27
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  • Delayed neutralization of interleukin 6 reduces organ injury, selectively suppresses inflammatory mediator, and partially normalizes immune dysfunction following trauma and hemorrhagic shock #MMPMID24978887
  • Zhang Y ; Zhang J ; Korff S ; Ayoob F ; Vodovotz Y ; Billiar TR
  • Shock 2014[Sep]; 42 (3 ): 218-27 PMID24978887 show ga
  • An excessive and uncontrolled systemic inflammatory response is associated with organ failure, immunodepression, and increased susceptibility to nosocomial infection following trauma. Interleukin 6 (IL-6) plays a particularly prominent role in the host immune response after trauma with hemorrhage. However, as a result of its pleiotropic functions, the effect of IL-6 in trauma and hemorrhage is still controversial. It remains unclear whether suppression of IL-6 after hemorrhagic shock and trauma will attenuate organ injury and immunosuppression. In this study, C57BL/6 mice were treated with anti-mouse IL-6 monoclonal antibody immediately prior to resuscitation in an experimental model combining hemorrhagic shock and lower-extremity injury. Interleukin 6 levels and signaling were transiently suppressed following administrations of anti-IL-6 monoclonal antibody following hemorrhagic shock and lower-extremity injury. This resulted in reduced lung and liver injury, as well as suppression in the levels of key inflammatory mediators including IL-10, keratinocyte-derived chemokine, monocyte chemoattractant protein 1, and macrophage inhibitory protein 1? at both 6 and 24 h. Furthermore, the shift to TH2 cytokine production and suppressed lymphocyte response were partly prevented. These results demonstrate that IL-6 is not only a biomarker but also an important driver of injury-induced inflammation and immune suppression in mice. Rapid measurement of IL-6 levels in the early phase of postinjury care could be used to guide IL-6-based interventions.
  • |Animals [MESH]
  • |Antibodies, Monoclonal/*pharmacology [MESH]
  • |Antibodies, Neutralizing/*pharmacology [MESH]
  • |Cell Proliferation/drug effects [MESH]
  • |Cells, Cultured [MESH]
  • |Disease Models, Animal [MESH]
  • |Femoral Fractures/complications/*drug therapy/immunology/metabolism [MESH]
  • |Hindlimb [MESH]
  • |Immune Tolerance/drug effects [MESH]
  • |Inflammation Mediators/immunology/*metabolism [MESH]
  • |Interleukin-6/*antagonists & inhibitors/immunology/metabolism [MESH]
  • |Liver Diseases/immunology/metabolism/*prevention & control [MESH]
  • |Lung Injury/immunology/metabolism/*prevention & control [MESH]
  • |Lymphocyte Activation/drug effects [MESH]
  • |Male [MESH]
  • |Mice, Inbred C57BL [MESH]
  • |Shock, Hemorrhagic/complications/*drug therapy/immunology/metabolism [MESH]
  • |Signal Transduction/drug effects [MESH]
  • |Systemic Inflammatory Response Syndrome/immunology/metabolism/*prevention & control [MESH]
  • |Th1 Cells/drug effects/immunology/metabolism [MESH]
  • |Th2 Cells/drug effects/immunology/metabolism [MESH]
  • |Tibial Fractures/complications/*drug therapy/immunology/metabolism [MESH]


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