Catecholamines increase monocyte tnf receptors and inhibit tnf through [beta]2 adrenoreceptor activation. Guirao, Xavier, Ashwini Kumar, Joshua Katz, Michelle Smith, Edward Lin, Chris Keogh, Steve E. Calvano, and Stephen F. Lowry. Laboratory of Surgical Metabolism, Department of Surgery, New York Hospital Cornell Medical Center. New York, NY 10021, and Division of Surgical Sciences, University of Medicine and Dentristry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, NJ 08901.
APStracts 4:0203E, 1997.
Post-injury deficits in monocyte TNF receptors (moTNFR) activity may alter beneficial functions during an inflammatory response. Several counter-regulatory hormones elicited during inflammation may modulate TNF activity, but little is known about their influence on moTNFR. Also, catecholamines inhibit TNF production but the adrenoreceptor mechanism of this effect has not been fully clarified. To determine the effect of catecholamines and corticosteroids on moTNFR, whole blood was co-incubated for up to 8 (moTNFR) or 24h (cytokines) in the presence of lipopolysaccharide (LPS 100 ng/ml) and 1) epinephrine (EPI, 10-6 M), dexamethasone (DX, 10-6 M) or both (EPIDX, 10-6 M) to asses the expression of total-moTNFR, moTNFR-I and moTNFR-II. 2) EPI and norepinephrine (EPINOR, 10-6 M ) and the [alpha]1+2, [beta]1+2, [beta]1 or [beta]2 adrenergic antagonists were utilized to asses the role of such adrenoreceptors on total-moTNFR and TNF production, and dibutyryl cAMP (dbt cAMP) alone or in combination with the phosphodiesterase inhibitor RO-20-1724-000, to study the cAMP dependent pathway on total-moTNFR. We found that EPI upregulated total-moTNFR and moTNFR-II. DX did not significantly influence total -moTNFR nor moTNFR-II. Also EPINOR increased total-moTNFR and inhibited TNF by a [beta]2 dependent mechanism. Dbt cAMP (10-5 M) modestly enhanced total-moTNFR. This suggests a common mechanism for acutely enhancing moTNFR and attenuation of soluble TNF appearance during conditions of severe stress.

Received 24 March 1997; accepted in final form 17 September 1997.
APS Manuscript Number E134-7.
Article publication pending Am. J. Physiol. (Endocrinol. Metab.).
ISSN 1080-4757 Copyright 1997 The American Physiological Society.
Published in APStracts on 7 October 1997