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Robert B. Galland, FRCS; Kevin J. Heine; Hiram C. Polk, Jr, MD

Arch Surg. 1983;118(3):333-337.

Abstract
• Muramyl dipeptide (MDP) has been shown to be a safe and effective host defense stimulant in both normal and malnourished hosts exposed to a bacterial challenge. We investigated its effect in mice compromised by pretreatment with either cyclophosphamide or steroids. The bacterial challenge, designed to simulate a surgical wound infection, consisted of a Klebsiella pneumoniae-laden suture. The MDP treatment resulted in lower local and systemic bacterial spread and increased survival in mice immunosuppressed by cyclophosphamide than in untreated controls. No such effect was demonstrated in animals compromised by steroids. These results suggest that MDP exerts its effect primarily on the macrophage.

(Arch Surg 1983;118:333-337)

Author Affiliations
From the Department of Surgery and the Price Institute of Surgical Research, University of Louisville (Ky) School of Medicine. Dr Galland is now with Hammersmith Hospital, London.

Footnotes
Accepted for publication Sept 7, 1982.

Read before the second annual meeting of the Surgical Infection Society, April 20, 1982.

Reprint requests to Department of Surgery, Ambulatory Care Building, University of Louisville School of Medicine, Louisville, KY 40292.

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