PMID- 12824003 OWN - NLM STAT- MEDLINE DCOM- 20040129 LR - 20191107 IS - 1043-4666 (Print) IS - 1043-4666 (Linking) VI - 21 IP - 6 DP - 2003 Mar 21 TI - Excessive increase of serum interleukin 6 jeopardizes host defense against multi-bacterial infection. PG - 295-302 AB - Serum interleukin 6 (IL-6) is elevated among patients who have undergone surgery, trauma, and thermal injury. It is well known that the greater the increase of serum IL-6, the higher the incidence of post-injury morbidity and mortality is. However, it has not been determined whether the physiological effects of IL-6 increase the rate of morbidity and mortality or if IL-6 is just a bystander that only indicates the severity of the injury. To elucidate this, we planned to investigate the effect of IL-6 on a multi-bacterial infection, one of the most frequent post-injury complications. CDF1 male mice were administered recombinant human IL-6 (hIL-6) continuously at a dose of 0, 1, or 10 microg/day. The mice then underwent cecal ligation without puncture that induced slow multi-bacterial infection. The survival rate of mice receiving 10 microg/day of hIL-6 was significantly lower (38.5%) than the rate of those receiving 0 (83.3%) or 1 (92.3%) microg/day of hIL-6. The result of this study showed that only excessive increases in serum IL-6, to levels that were observed among patients who underwent severe injury or extensive surgery with high incidence of post-injury infection, jeopardize the host's defense against bacterial infection. FAU - Soda, Kuniyasu AU - Soda K AD - Department of Surgery, Omiya Medical Center, Jichi Medical School, 1-847 Amanuma, Saitama Saitama-city 330-0834, Japan. soda@omiya.jichi.ac.jp FAU - Kano, Yoshihiko AU - Kano Y FAU - Kawakami, Masanobu AU - Kawakami M FAU - Konishi, Fumio AU - Konishi F LA - eng PT - Journal Article PL - England TA - Cytokine JT - Cytokine JID - 9005353 RN - 0 (Interleukin-6) RN - 0 (Recombinant Proteins) SB - IM MH - Animals MH - Bacterial Infections/blood/*immunology MH - Body Weight/drug effects MH - Cecum/surgery MH - Epididymis/drug effects MH - Interleukin-6/administration & dosage/*blood/immunology MH - Ligation MH - Male MH - Mice MH - Mice, Inbred Strains MH - Organ Size/drug effects MH - Peritonitis/mortality MH - Platelet Count MH - Punctures MH - Recombinant Proteins/administration & dosage MH - Survival Rate EDAT- 2003/06/26 05:00 MHDA- 2004/01/30 05:00 CRDT- 2003/06/26 05:00 PHST- 2003/06/26 05:00 [pubmed] PHST- 2004/01/30 05:00 [medline] PHST- 2003/06/26 05:00 [entrez] AID - S104346660300108X [pii] AID - 10.1016/s1043-4666(03)00108-x [doi] PST - ppublish SO - Cytokine. 2003 Mar 21;21(6):295-302. doi: 10.1016/s1043-4666(03)00108-x.