Differential expression of tumor necrosis factor receptor subtypes on leukocytes in systemic inflammatory response syndrome

OBJECTIVETo determine the expression of tumor necrosis factor (TNF) receptor in patients with systemic inflammatory response syndrome (SIRS). DESIGNProspective study. SETTINGIntensive care unit and central laboratory. PATIENTSBlood specimens from 18 healthy volunteers (controls) and 16 patients with...

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Veröffentlicht in:Critical care medicine 1999-02, Vol.27 (2), p.319-324
Hauptverfasser: Hubl, Wolfgang, Wolfbauer, Georg, Streicher, Johannes, Andert, Sylvia, Stanek, Gunther, Fitzal, Sylvia, Bayer, Peter Michael
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container_end_page 324
container_issue 2
container_start_page 319
container_title Critical care medicine
container_volume 27
creator Hubl, Wolfgang
Wolfbauer, Georg
Streicher, Johannes
Andert, Sylvia
Stanek, Gunther
Fitzal, Sylvia
Bayer, Peter Michael
description OBJECTIVETo determine the expression of tumor necrosis factor (TNF) receptor in patients with systemic inflammatory response syndrome (SIRS). DESIGNProspective study. SETTINGIntensive care unit and central laboratory. PATIENTSBlood specimens from 18 healthy volunteers (controls) and 16 patients with SIRS. INTERVENTIONSNone. MEASUREMENTS AND MAIN RESULTSUsing monoclonal antibodies, fluorescence labeling, and high sensitivity flow cytometry, we measured the expression of membrane TNF receptor subtypes TNF-R55 and TNF-R75 on peripheral blood leukocytes. Receptor expression is expressed as mean fluorescence intensity +/- SD (unitsdetection channel number). In controls, TNF-R55 was only weakly expressed (monocytes2.5 +/- 1.8; neutrophils0.7 +/- 0.8), whereas expression of TNF-R75 was higher (monocytes28.6 +/- 9.0; neutrophils4.8 +/- 1.0) and was also found on lymphocytes (on CD8 lymphocytes5.7 +/- 1.8; CD165.5 +/- 1.2; CD49.7 +/- 3.7). In SIRS, we observed increased expression of TNF-R55 on monocytes (6.9 +/- 3.4, p < .001) and neutrophils (2.2 +/- 1.9, p < .01), as well as decreased expression of TNF-R75 on monocytes (17.3 +/- 13.2; p < .001). The extent of TNF-R55 up-regulation did not correlate with that of TNF-R75 down-regulation. TNF-R55 on monocytes and neutrophils strongly correlated with body temperature but not with survival, whereas monocyte TNF-R75 was considerably lower in nonsurvivors, albeit not significantly (12.3 +/- 7.1 vs. 23.9 +/- 16.7; p = .07). CONCLUSIONSThese data indicate that leukocyte TNF-R55 and TNF-R75 react differentially and probably serve different functions in SIRS, which prompts the investigation of receptor subtype-specific therapeutic approaches. (Crit Care Med 1999; 27:319-324)
doi_str_mv 10.1097/00003246-199902000-00038
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DESIGNProspective study. SETTINGIntensive care unit and central laboratory. PATIENTSBlood specimens from 18 healthy volunteers (controls) and 16 patients with SIRS. INTERVENTIONSNone. MEASUREMENTS AND MAIN RESULTSUsing monoclonal antibodies, fluorescence labeling, and high sensitivity flow cytometry, we measured the expression of membrane TNF receptor subtypes TNF-R55 and TNF-R75 on peripheral blood leukocytes. Receptor expression is expressed as mean fluorescence intensity +/- SD (unitsdetection channel number). In controls, TNF-R55 was only weakly expressed (monocytes2.5 +/- 1.8; neutrophils0.7 +/- 0.8), whereas expression of TNF-R75 was higher (monocytes28.6 +/- 9.0; neutrophils4.8 +/- 1.0) and was also found on lymphocytes (on CD8 lymphocytes5.7 +/- 1.8; CD165.5 +/- 1.2; CD49.7 +/- 3.7). In SIRS, we observed increased expression of TNF-R55 on monocytes (6.9 +/- 3.4, p &lt; .001) and neutrophils (2.2 +/- 1.9, p &lt; .01), as well as decreased expression of TNF-R75 on monocytes (17.3 +/- 13.2; p &lt; .001). The extent of TNF-R55 up-regulation did not correlate with that of TNF-R75 down-regulation. TNF-R55 on monocytes and neutrophils strongly correlated with body temperature but not with survival, whereas monocyte TNF-R75 was considerably lower in nonsurvivors, albeit not significantly (12.3 +/- 7.1 vs. 23.9 +/- 16.7; p = .07). CONCLUSIONSThese data indicate that leukocyte TNF-R55 and TNF-R75 react differentially and probably serve different functions in SIRS, which prompts the investigation of receptor subtype-specific therapeutic approaches. 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DESIGNProspective study. SETTINGIntensive care unit and central laboratory. PATIENTSBlood specimens from 18 healthy volunteers (controls) and 16 patients with SIRS. INTERVENTIONSNone. MEASUREMENTS AND MAIN RESULTSUsing monoclonal antibodies, fluorescence labeling, and high sensitivity flow cytometry, we measured the expression of membrane TNF receptor subtypes TNF-R55 and TNF-R75 on peripheral blood leukocytes. Receptor expression is expressed as mean fluorescence intensity +/- SD (unitsdetection channel number). In controls, TNF-R55 was only weakly expressed (monocytes2.5 +/- 1.8; neutrophils0.7 +/- 0.8), whereas expression of TNF-R75 was higher (monocytes28.6 +/- 9.0; neutrophils4.8 +/- 1.0) and was also found on lymphocytes (on CD8 lymphocytes5.7 +/- 1.8; CD165.5 +/- 1.2; CD49.7 +/- 3.7). In SIRS, we observed increased expression of TNF-R55 on monocytes (6.9 +/- 3.4, p &lt; .001) and neutrophils (2.2 +/- 1.9, p &lt; .01), as well as decreased expression of TNF-R75 on monocytes (17.3 +/- 13.2; p &lt; .001). The extent of TNF-R55 up-regulation did not correlate with that of TNF-R75 down-regulation. TNF-R55 on monocytes and neutrophils strongly correlated with body temperature but not with survival, whereas monocyte TNF-R75 was considerably lower in nonsurvivors, albeit not significantly (12.3 +/- 7.1 vs. 23.9 +/- 16.7; p = .07). CONCLUSIONSThese data indicate that leukocyte TNF-R55 and TNF-R75 react differentially and probably serve different functions in SIRS, which prompts the investigation of receptor subtype-specific therapeutic approaches. (Crit Care Med 1999; 27:319-324)</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Antibodies - blood</topic><topic>Biological and medical sciences</topic><topic>Emergency and intensive care: infection, septic shock</topic><topic>Female</topic><topic>Flow Cytometry - methods</topic><topic>Flow Cytometry - statistics &amp; numerical data</topic><topic>Fluorescent Antibody Technique - statistics &amp; numerical data</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Leukocytes - classification</topic><topic>Leukocytes - physiology</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Molecular Weight</topic><topic>Prospective Studies</topic><topic>Receptors, Tumor Necrosis Factor - blood</topic><topic>Receptors, Tumor Necrosis Factor - classification</topic><topic>Receptors, Tumor Necrosis Factor - immunology</topic><topic>Reference Values</topic><topic>Statistics, Nonparametric</topic><topic>Systemic Inflammatory Response Syndrome - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hubl, Wolfgang</creatorcontrib><creatorcontrib>Wolfbauer, Georg</creatorcontrib><creatorcontrib>Streicher, Johannes</creatorcontrib><creatorcontrib>Andert, Sylvia</creatorcontrib><creatorcontrib>Stanek, Gunther</creatorcontrib><creatorcontrib>Fitzal, Sylvia</creatorcontrib><creatorcontrib>Bayer, Peter Michael</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hubl, Wolfgang</au><au>Wolfbauer, Georg</au><au>Streicher, Johannes</au><au>Andert, Sylvia</au><au>Stanek, Gunther</au><au>Fitzal, Sylvia</au><au>Bayer, Peter Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differential expression of tumor necrosis factor receptor subtypes on leukocytes in systemic inflammatory response syndrome</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>1999-02</date><risdate>1999</risdate><volume>27</volume><issue>2</issue><spage>319</spage><epage>324</epage><pages>319-324</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><coden>CCMDC7</coden><abstract>OBJECTIVETo determine the expression of tumor necrosis factor (TNF) receptor in patients with systemic inflammatory response syndrome (SIRS). DESIGNProspective study. SETTINGIntensive care unit and central laboratory. PATIENTSBlood specimens from 18 healthy volunteers (controls) and 16 patients with SIRS. INTERVENTIONSNone. MEASUREMENTS AND MAIN RESULTSUsing monoclonal antibodies, fluorescence labeling, and high sensitivity flow cytometry, we measured the expression of membrane TNF receptor subtypes TNF-R55 and TNF-R75 on peripheral blood leukocytes. Receptor expression is expressed as mean fluorescence intensity +/- SD (unitsdetection channel number). In controls, TNF-R55 was only weakly expressed (monocytes2.5 +/- 1.8; neutrophils0.7 +/- 0.8), whereas expression of TNF-R75 was higher (monocytes28.6 +/- 9.0; neutrophils4.8 +/- 1.0) and was also found on lymphocytes (on CD8 lymphocytes5.7 +/- 1.8; CD165.5 +/- 1.2; CD49.7 +/- 3.7). In SIRS, we observed increased expression of TNF-R55 on monocytes (6.9 +/- 3.4, p &lt; .001) and neutrophils (2.2 +/- 1.9, p &lt; .01), as well as decreased expression of TNF-R75 on monocytes (17.3 +/- 13.2; p &lt; .001). The extent of TNF-R55 up-regulation did not correlate with that of TNF-R75 down-regulation. TNF-R55 on monocytes and neutrophils strongly correlated with body temperature but not with survival, whereas monocyte TNF-R75 was considerably lower in nonsurvivors, albeit not significantly (12.3 +/- 7.1 vs. 23.9 +/- 16.7; p = .07). CONCLUSIONSThese data indicate that leukocyte TNF-R55 and TNF-R75 react differentially and probably serve different functions in SIRS, which prompts the investigation of receptor subtype-specific therapeutic approaches. (Crit Care Med 1999; 27:319-324)</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>10075056</pmid><doi>10.1097/00003246-199902000-00038</doi><tpages>6</tpages></addata></record>
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subjects Adult
Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Antibodies - blood
Biological and medical sciences
Emergency and intensive care: infection, septic shock
Female
Flow Cytometry - methods
Flow Cytometry - statistics & numerical data
Fluorescent Antibody Technique - statistics & numerical data
Humans
Intensive care medicine
Leukocytes - classification
Leukocytes - physiology
Linear Models
Male
Medical sciences
Middle Aged
Molecular Weight
Prospective Studies
Receptors, Tumor Necrosis Factor - blood
Receptors, Tumor Necrosis Factor - classification
Receptors, Tumor Necrosis Factor - immunology
Reference Values
Statistics, Nonparametric
Systemic Inflammatory Response Syndrome - blood
title Differential expression of tumor necrosis factor receptor subtypes on leukocytes in systemic inflammatory response syndrome
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