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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Clin+Vaccine+Immunol
2016 ; 23
(11
): 863-872
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gab.com Text
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English Wikipedia
Small-Volume Adenosine, Lidocaine, and Mg2+ 4-Hour Infusion Leads to 88% Survival
after 6 Days of Experimental Sepsis in the Rat without Antibiotics
#MMPMID27581435
Griffin MJ
; Letson HL
; Dobson GP
Clin Vaccine Immunol
2016[Nov]; 23
(11
): 863-872
PMID27581435
show ga
Innovative host-directed drug therapies are urgently required to treat sepsis. We
tested the effect of a small-volume 0.9% NaCl adenosine, lidocaine, and Mg(2+)
(ALM) bolus and a 4-h intravenous infusion on survivability in the rat model of
polymicrobial sepsis over 6 days. ALM treatment led to a significant increase in
survivability (88%) compared to that of controls (25%). Four controls died on day
2 to 3, and two died on day 5. Early death was associated with elevated plasma
and lung inflammatory markers (interleukin-6 [IL-6], IL-1?, C-reactive protein),
reduced white blood cell (WBC) count, hypoxemia, hypercapnia, acidosis,
hyperkalemia, and elevated lactate, whereas late death was associated with a
massive cytokine storm, a neutrophil-dominated WBC rebound/overshoot, increased
lung oxidant injury, edema, and persistent ischemia. On day 6, seven of eight ALM
survivors had inflammatory and immunological profiles not significantly different
from those of sham-treated animals. We conclude in the rat model of experimental
sepsis that small-volume ALM treatment led to higher survivability at 6 days
(88%) than that of controls (25%). Early death in controls (day 2 to 3) was
associated with significantly elevated plasma levels of IL-1?, IL-6, and
C-reactive protein, severe plasma lymphocyte deficiency, reduced neutrophils, and
acute lung injury. Late death (day 5) was associated with a massive neutrophil
inflammatory storm, increased lung injury, and persistent ischemia. Possible
mechanisms of ALM protection are discussed.
|Acidosis/etiology/immunology/microbiology
[MESH]
|Adenosine/*administration & dosage/therapeutic use
[MESH]
|Animals
[MESH]
|Anti-Bacterial Agents/administration & dosage/therapeutic use
[MESH]