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  Vol. 129 No. 11, November 1994 TABLE OF CONTENTS
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Augmented Tumor Necrosis Factor Response to Lipopolysaccharide After Thermal Injury Is Regulated Posttranscriptionally

Joseph P. Minei, MD; John G. Williams, MD; Sandra J. Hill; Kendra McIntyre; Paul E. Bankey, MD, PhD

Arch Surg. 1994;129(11):1198-1203.


Abstract

Background and Objective
Thermal injury has been shown to enhance macrophage sensitivity to lipopolysaccharide (LPS), resulting in augmented tumor necrosis factor {alpha} (TNF-{alpha}) production. This study was designed to examine whether enhanced TNF-{alpha} response after thermal injury and LPS stimulation is regulated at the level of transcription.

Design
Tumor necrosis factor {alpha} release in alveolar macrophages harvested from sham- or thermal-injured Wistar rats was determined using an L929 cytotoxicity bioassay on days 1, 3, and 5 following 40% scald burn and incubation for 24 hours with LPS (0 or 10 µg/mL). Separate groups of rats underwent intraperitoneal injection of LPS (5 mg/kg) 3 days following sham or thermal injury. Lung tissue RNA was isolated and probed for TNF-{alpha} messenger RNA (mRNA), using nuclease protection analysis. Finally, pooled alveolar macrophages were harvested 3 days following sham or thermal injury and cultured in the presence or absence of LPS (10 µg/mL) for 4 hours. The RNA from the pooled alveolar macrophages was extracted and probed for TNF-{alpha} mRNA levels.

Results
Thermal injury alone did not significantly increase alveolar macrophage TNF-{alpha} bioactivity, whole-lung TNF-{alpha} mRNA levels, or pooled alveolar macrophages TNF-{alpha} mRNA levels when compared with levels in sham-injured rats. However, alveolar macrophages from postburn day 3 (PBD 3) demonstrated increased sensitivity to LPS (10 µg/mL) compared with alveolar macrophages from sham-injured animals undergoing similar LPS treatment (2365±1011) vs 169±79 ng/mL; P<.05). Whole-lung mRNA levels in both sham-injured and PBD-3 rats receiving intraperitoneal LPS, while elevated approximately 2.5-fold from those of non-LPS treated rats, were not different from each other. Finally, pooled alveolar macrophages from sham-injured and PBD-3 rats cultured in the presence of LPS had approximately 1.7-fold and threefold increased TNF-{alpha} mRNA levels, respectively, compared with alveolar macrophages not cultured with LPS.

Conclusions
Thermal injury induces priming of alveolar macrophages, resulting in significant increases in macrophage TNF-{alpha} production after exposure to LPS. The majority of this effect appears to be regulated at a post-transcriptional level, since there were only moderate increases in TNF-{alpha} mRNA levels after LPS stimulation, which did not coincide with large differences in bioactivity.

(Arch Surg. 1994;129:1198-1203)



Author Affiliations

From the Department of Surgery, University of Texas Southwestern Medical Center, Dallas.



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