Potency of endotoxin from bicarbonate dialysate compared with endotoxins from Escherichia coli and Shigella flexneri.

作者: S K McAllister , M S Favero , L A Bland , J C Oliver , C W Oettinger

DOI: 10.1681/ASN.V581634

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摘要: Endotoxin is a potent activator of the complement system and other host immunoregulators, including cytokines, tumor necrosis factor alpha, interleukin-1 beta, interleukin-6. In this study, potency an endotoxin from bicarbonate dialysate was compared with endotoxins two enteric microorganisms, Shigella flexneri Escherichia coli. concentrations were standardized for three by use Limulus amebocyte lysate turbidimetric assay. assessed comparative plasma interleukin-6 after in vitro whole-blood challenge each type endotoxin. Blood collected 10 hemodialysis patients spiked 0.1, 1, ng/mL E. coli 1 After incubation, separated frozen at -70 degrees C until assayed cytokine concentrations. Dialysate found to be 100 times less than endotoxins. It concluded that there are significant differences different strains bacteria these should noted when designing or evaluating studies on clinical effects settings.

参考文章(15)
Sonia M. Aguero, Sigrid K. Mcallister, Martin S. Favero, Lee A. Bland, Carl W. Oettinger, Jamie C. Oliver, Matthew J. Arduino, Cytokine kinetics in an in vitro whole blood model following an endotoxin challenge. Lymphokine and cytokine research. ,vol. 12, pp. 115- 120 ,(1993)
R. J. Ulevitch, D. C. Morrison, The effects of bacterial endotoxins on host mediation systems. A review. American Journal of Pathology. ,vol. 93, pp. 526- 618 ,(1978)
Maryline Laude-Sharp, Martine Caroff, Laurent Simard, Christian Pusineri, Michel D. Kazatchkine, Nicole Haeffner-Cavaillon, Induction of IL-1 during hemodialysis: Transmembrane passage of intact endotoxins (LPS) Kidney International. ,vol. 38, pp. 1089- 1094 ,(1990) , 10.1038/KI.1990.317
H. Watzke, G. Mayer, H.P. Schwarz, G. Stanek, M. Rotter, A.M. Hirschl, H. Graf, Bacterial contamination of dialysate in dialysis-associated endotoxaemia. Journal of Hospital Infection. ,vol. 13, pp. 109- 115 ,(1989) , 10.1016/0195-6701(89)90016-9
Jerome I Tokars, Miriam J Alter, Martin S Favero, Linda A Moyer, Lee A Bland, None, National surveillance of dialysis associated diseases in the United States, 1991. Asaio Journal. ,vol. 39, pp. 966- 975 ,(1993) , 10.1097/00002480-199310000-00027
StephenH Hindman, LorettaA Carson, MartinS Favero, NormanJ Petersen, LawrenceB Schonberger, JoseT Solano, PYROGENIC REACTIONS DURING HÆMODIALYSIS CAUSED BY EXTRAMURAL ENDOTOXIN The Lancet. ,vol. 306, pp. 732- 734 ,(1975) , 10.1016/S0140-6736(75)90721-7
John J. Bernick, Friedrich K. Port, Martin S. Favero, In vivo Studies of Dialysis-Related Endotoxemia and Bacteremia Nephron. ,vol. 27, pp. 307- 312 ,(1981) , 10.1159/000182076
Franklin H. Epstein, Charles A. Dinarello, Interleukin-1 and the pathogenesis of the acute-phase response. The New England Journal of Medicine. ,vol. 311, pp. 1413- 1418 ,(1984) , 10.1056/NEJM198411293112205
Gerhard Lonnemann, Tim C. Behme, Benedikt Lenzner, Juergen Floege, Matthias Schulze, Clark K. Colton, Karl M. Koch, Stanley Shaldon, Permeability of dialyzer membranes to TNFα-inducing substances derived from water bacteria Kidney International. ,vol. 42, pp. 61- 68 ,(1992) , 10.1038/KI.1992.261
S. Stiller, H. Mann, H. Brunner, Backfiltration in Hemodialysis with Highly Permeable Membranes Contributions To Nephrology. ,vol. 46, pp. 23- 32 ,(1985) , 10.1159/000410764