Endogenous modulators of tnf and il-1 response are under partial control of tnf in baboon bacteremia. Redl, H., Schlag G., Paul E., Bahrami S., Buurman W. A., Strieter R. M., Kunkel S. L., Davies J. Foulkes R. Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, Vienna, Austria; Department of Surgery, Rijksuniversiteit Limburg, Maastricht, The Netherlands; Department of Internal Medicine, University of Michigan, Ann Arbor, USA; Department of Pathology, University of Michigan, Ann Arbor, USA; Biocon Research (Pty) Ltd., Pretoria, South Africa: Celltech Therapeutics Ltd., Slough, United Kingdom
APStracts 3:0194R, 1996.
Tumor necrosis factor (TNF) and interleukin-1 (IL-1) are two cytokines for which naturally occurring inhibitors have been identified. The present study was undertaken to evaluate the extent to which scavenging of TNF in bacteremia attenuates the plasma levels of IL-1 receptor antagonist (IL-1ra) and soluble TNF receptors (sTNFR). Ten male baboons received 2 x 109 CFU/kg live E. coli over 2 hours and were subjected to either placebo or anti-TNF antibody (anti-TNFab) treatment (1 mg/kg CDP571, Celltech, UK) 2 hours before E. coli infusion (observation time - 72 hours). IL-1ra (range 50 - 100 ng/ml) and sTNFR (range 55 kDa: 20-25 ng/ml, 75 kDa: 30 - 35 ng/ml) release was more sustained than that of IL-1 and TNF and was significantly attenuated by anti-TNF treatment, as were the circulating levels of IL-1, IL-8, and monocyte chemotactic peptide (MCP-1) in the anti -TNFab group. We conclude that the increase in circulating natural cytokine modulators observed in nonhuman primate bacteremia is under the partial control of endogenous TNF since it was influenced by anti-TNF pretreatment. This attenuation is comparable to the anti-TNF effect on the chemokine MCP-1.

Received 31 July 1995; accepted in final form 6 May 1996.
APS Manuscript Number R475-5.
Article publication pending Am. J. Physiol. (Regulatory Integrative
Comp. Physiology).
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 5 June 96