PMID- 10192566 OWN - NLM STAT- MEDLINE DCOM- 19990517 LR - 20061115 IS - 1102-4151 (Print) IS - 1102-4151 (Linking) VI - 165 IP - 2 DP - 1999 Feb TI - The cytokines IL-1beta and IL-1 receptor antagonist, IL-2 and IL-2 soluble receptor-alpha, IL-6 and IL-6 soluble receptor, TNF-alpha and TNF soluble receptor I, and IL10 in drained and systemic blood after major orthopaedic surgery. PG - 101-9 AB - OBJECTIVE: To measure the concentration of the cytokines interleukin-1beta (IL-1beta), interleukin-2 (IL-2), interleukin-6 (IL-6), interleukin-10 (IL-10), and tumour necrosis factor-alpha (TNF-alpha) and the modulators of their function interleukin-1 receptor antagonist (IL-1Ra), interleukin-2 soluble receptor alpha (IL-2 sRalpha), interleukin-6 soluble receptor (IL-6sR) and soluble tumour necrosis factor receptor I (sTNFR-I) in systemic and drained blood for the first six hours after a major orthopaedic operation. DESIGN: Prospective study. SETTING: University hospital, Oslo. PATIENTS: 8 patients operated on for thoracic scoliosis. MAIN OUTCOME MEASURE: Concentrations of IL-1beta, IL-2, IL-6, IL-10, TNF-alpha, IL-1Ra, IL-2 sRalpha , IL-6sR, and sTNFR-I were measured together with haemoglobin (Hb) concentration, white cell count (WCC), and differential count in arterial and drained blood at wound closure and 1, 2, 4, and 6 hours postoperatively. RESULTS: IL-1beta and IL-6 concentrations increased significantly in drained blood, whereas that of TNF-alpha increased only in arterial blood. The modulating factors IL-1Ra, sTNFR-I, and IL-10 were increased both in arterial and drained blood. IL-6sR had decreased slightly at 6 hours in drained blood. No IL-2 was found and IL-2 sRalpha decreased simultaneously with the haemodilution. In arterial blood there was a granulocytosis and in drained blood a relative lymphocytosis. CONCLUSION: Cytokine responses to surgical trauma include modulating factors such as soluble receptors and receptor antagonists that have different responses systemically and locally. FAU - Krohn, C D AU - Krohn CD AD - Centre for Orthopaedics, National Hospital, Trondhjemsveien, Oslo, Norway. FAU - Reikeras, O AU - Reikeras O FAU - Aasen, A O AU - Aasen AO LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Eur J Surg JT - The European journal of surgery = Acta chirurgica JID - 9105264 RN - 0 (Interleukin-1) RN - 0 (Interleukin-2) RN - 0 (Interleukin-6) RN - 0 (Interleukins) RN - 0 (Receptors, Interleukin) RN - 0 (Receptors, Interleukin-1) RN - 0 (Receptors, Interleukin-6) RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (Tumor Necrosis Factor-alpha) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Adolescent MH - Child MH - Female MH - Humans MH - Interleukin-1/blood MH - Interleukin-10/blood MH - Interleukin-2/blood MH - Interleukin-6/blood MH - Interleukins/*blood MH - Male MH - *Orthopedic Procedures MH - *Receptors, Interleukin MH - Receptors, Interleukin-1/antagonists & inhibitors MH - Receptors, Interleukin-6/blood MH - Receptors, Tumor Necrosis Factor/blood MH - Scoliosis/blood/surgery MH - Tumor Necrosis Factor-alpha/analysis EDAT- 1999/04/07 00:00 MHDA- 1999/04/07 00:01 CRDT- 1999/04/07 00:00 PHST- 1999/04/07 00:00 [pubmed] PHST- 1999/04/07 00:01 [medline] PHST- 1999/04/07 00:00 [entrez] AID - 10.1080/110241599750007261 [doi] PST - ppublish SO - Eur J Surg. 1999 Feb;165(2):101-9. doi: 10.1080/110241599750007261.