PMID- 10329825 OWN - NLM STAT- MEDLINE DCOM- 19990608 LR - 20190723 IS - 0091-6749 (Print) IS - 0091-6749 (Linking) VI - 103 IP - 5 Pt 1 DP - 1999 May TI - Staphylococcal toxic shock syndrome toxin-1 inhibits monocyte apoptosis. PG - 895-900 AB - BACKGROUND: Chronic atopic dermatitis (AD) lesions are associated with colonization by exotoxin-producing Staphylococcus aureus. Evidence suggests that cytokine production in AD, particularly of GM-CSF, prolongs survival of both peripheral blood monocytes and dermal monocyte-macrophages, the predominate inflammatory cell in lesions caused by chronic AD. OBJECTIVE: We sought to determine whether the staphylococcal exotoxin, toxic shock syndrome toxin-1 (TSST-1), could stimulate prosurvival cytokine production in monocytes and thereby inhibit apoptosis. METHODS: Cultures of peripheral blood monocytes from normal donors and subjects with AD were incubated with various concentrations of TSST-1, and the incidence of apoptosis was assessed by examining cytospin preparations and the appearance of hypodiploid DNA in the flow cytometer. Culture supernatants were analyzed for GM-CSF, IL-1beta, and TNF-alpha by ELISA. RESULTS: TSST-1, in a concentration-dependent manner starting at 0.1 pg/mL, significantly inhibited monocyte apoptosis and resulted in the production of the prosurvival cytokines GM-CSF, IL-1beta, and TNF-alpha. In coculture conditions with conditioned media from TSST-1-stimulated monocytes, with or without neutralizing antibody to the various cytokines, the data show GM-CSF production was responsible for the inhibition of apoptosis. CONCLUSIONS: The data strongly suggest that staphylococcal exotoxins known to colonize skin lesions on patients with chronic AD may induce the production of GM-CSF, resulting in inhibition of monocyte-macrophage apoptosis, and thereby contribute to the chronicity of this inflammatory disease. FAU - Bratton, D L AU - Bratton DL AD - Division of Allergy-Immunology, Department of Pediatrics, and the Department of Medicine, National Jewish Medical and Research Center, Denver, CO, USA. FAU - May, K R AU - May KR FAU - Kailey, J M AU - Kailey JM FAU - Doherty, D E AU - Doherty DE FAU - Leung, D Y AU - Leung DY LA - eng GR - AR41256/AR/NIAMS NIH HHS/United States GR - GM48211/GM/NIGMS NIH HHS/United States GR - HL34303/HL/NHLBI NIH HHS/United States GR - etc. PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Allergy Clin Immunol JT - The Journal of allergy and clinical immunology JID - 1275002 RN - 0 (Bacterial Toxins) RN - 0 (Enterotoxins) RN - 0 (Superantigens) RN - 0 (enterotoxin F, Staphylococcal) RN - 83869-56-1 (Granulocyte-Macrophage Colony-Stimulating Factor) SB - IM MH - Apoptosis/drug effects MH - *Bacterial Toxins MH - Dermatitis, Atopic/blood/pathology MH - Dose-Response Relationship, Drug MH - Enterotoxins/*pharmacology MH - Granulocyte-Macrophage Colony-Stimulating Factor/biosynthesis/blood MH - Humans MH - Monocytes/*cytology MH - Staphylococcus aureus/immunology MH - *Superantigens EDAT- 1999/05/18 00:00 MHDA- 1999/05/18 00:01 CRDT- 1999/05/18 00:00 PHST- 1999/05/18 00:00 [pubmed] PHST- 1999/05/18 00:01 [medline] PHST- 1999/05/18 00:00 [entrez] AID - S0091-6749(99)70435-5 [pii] AID - 10.1016/s0091-6749(99)70435-5 [doi] PST - ppublish SO - J Allergy Clin Immunol. 1999 May;103(5 Pt 1):895-900. doi: 10.1016/s0091-6749(99)70435-5.