PMID- 12022754 OWN - NLM STAT- MEDLINE DCOM- 20021129 LR - 20191210 IS - 1073-2322 (Print) IS - 1073-2322 (Linking) VI - 17 IP - 5 DP - 2002 May TI - Effect of abdominal infections on peritoneal and systemic production of interleukin 6 and monocyte chemoattractant protein-1. PG - 361-4 AB - The aim of the study was to compare peritoneal and systemic production of interleukin 6 (IL-6) and monocyte chemoattractant protein-1 (MCP-1) in uninfected patients and in patients with peritonitis. Peritoneum was excised at laparotomy for acute peritonitis (n = 22) or noninfectious reasons (n = 61), and was incubated with or without lipopolysaccharide (LPS). Mediator concentrations in the culture-supernatants, in the patients' serum, and in plasmasupernatants of LPS-stimulated whole blood were related to outcome. Spontaneous production of IL-6 by the peritoneum was increased in infected patients compared with uninfected patients. In contrast to IL-6, LPS-stimulated production of MCP-1 was significantly less in infected patients. Serum concentrations of both mediators were higher in infected patients and the highest concentrations of MCP-1 were in patients who died. LPS-stimulated production of IL-6 in whole blood was least, whereas that of MCP-1 was greatest in infected patients who died. These contrasting results for local and systemic production of mediators illustrate the compartmentalized immune response to intra-abdominal infection. FAU - Riese, Jutta AU - Riese J AD - Department of Surgery, University of Erlangen-Nuremberg, Germany. FAU - Schoolmann, Sven AU - Schoolmann S FAU - Denzel, Christian AU - Denzel C FAU - Herrmann, Olaf AU - Herrmann O FAU - Hohenberger, Werner AU - Hohenberger W FAU - Haupt, Werner AU - Haupt W LA - eng PT - Journal Article PL - United States TA - Shock JT - Shock (Augusta, Ga.) JID - 9421564 RN - 0 (Chemokine CCL2) RN - 0 (Interleukin-6) RN - 0 (Lipopolysaccharides) SB - IM MH - Blood/metabolism MH - Chemokine CCL2/*blood MH - Female MH - Humans MH - Infections/immunology/*metabolism MH - Interleukin-6/*blood MH - Lipopolysaccharides MH - Male MH - Middle Aged MH - Organ Culture Techniques MH - Peritoneum/metabolism MH - Peritonitis/immunology/*metabolism/surgery MH - Survival Rate MH - Treatment Outcome EDAT- 2002/05/23 10:00 MHDA- 2002/11/30 04:00 CRDT- 2002/05/23 10:00 PHST- 2002/05/23 10:00 [pubmed] PHST- 2002/11/30 04:00 [medline] PHST- 2002/05/23 10:00 [entrez] AID - 10.1097/00024382-200205000-00003 [doi] PST - ppublish SO - Shock. 2002 May;17(5):361-4. doi: 10.1097/00024382-200205000-00003.