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Center for Surgical Research, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama 35294
The activation of a macrophage
(M
)-dependent proinflammatory cascade following thermal injury
plays an important role in the development of immunosuppression and
increased susceptibility to subsequent sepsis in burn patients. In
contrast, although interleukin (IL)-10, an anti-inflammatory cytokine
that can downregulate M
activity, has also been implicated in
postburn immune dysfunction, its role in the regulation of M
function postburn remains unclear. To study this, C57BL/6 female mice
were subjected to a 25% total body surface area third-degree scald
burn, and splenic M
s were isolated 7 days later. Lipopolysaccharide
(LPS)-stimulated IL-10, IL-6, tumor necrosis factor (TNF)-
, and
nitric oxide (NO) production were significantly increased in the burn
group compared with shams. Blockade of endogenous IL-10 activity
enhanced IL-6 and TNF-
release, but not NO release, in both groups.
The addition of exogenous IL-10 to the M
cultures dose dependently
suppressed production of these inflammatory mediators in both groups.
The timing of IL-10 addition to the cultures in relation to LPS
stimulation, however, was critical. The suppressive effect of exogenous
IL-10 was attenuated in both groups when the cells were exposed to
IL-10 at 4-6 h after LPS stimulation; however, M
s from injured
mice were significantly better able to maintain inflammatory
mediator-productive capacity. The resistance of M
s from injured mice
to IL-10-mediated suppression correlated with decreased IL-10 receptor
(IL-10R) expression and increased CD11b expression. These findings
suggest that M
s, following thermal injury, display resistance to
suppression by IL-10 due in part to downregulation of IL-10R expression.
interleukin-10 receptor; interleukin-6; tumor necrosis factor-
; nitric oxide; immunosuppression
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