PMID- 15212820 OWN - NLM STAT- MEDLINE DCOM- 20040803 LR - 20040623 IS - 0300-483X (Print) IS - 0300-483X (Linking) VI - 200 IP - 2-3 DP - 2004 Aug 5 TI - Cytokine release does not improve the sensitivity and specificity of the direct popliteal lymph node assay. PG - 247-54 AB - The popliteal lymph node assay (PLNA) is being considered as a tool to predict the potential of drugs for inducing systemic autoimmune and hypersensitivity reactions. Despite the use of different technical approaches and the evaluation of over 130 compounds, the sensitivity and specificity of the PLNA are still debatable due to many false positive and negative responses. In this study, cytokine production was assessed as a possible endpoint to improve the direct (primary) PLNA. Diclofenac, imipramine, hydralazine, glafenin and minocycline were tested using the classical procedure. TH1 cytokines (IL-2 and IFN-gamma), TH2 cytokines (IL-4 and IL-5) and pro-inflammatory cytokines (IL-6, TNF-alpha, monocyte chemoattractant protein-1 (MCP-1), IL-12p70 and IL-10) were measured in the serum and in suspensions of popliteal lymph node cells of female Balb/c mice by flow cytometry 7 days after drug administration. Only diclofenac and imipramine induced a cellularity index above 5 (considered as a positive response). Of the five tested drugs, only diclofenac induced a slight increase in TH1 cytokines, but there were no effects on TH2 cytokine production whatever the drug tested. Diclofenac increased the production of pro-inflammatory cytokines, whereas the production of MCP-1 was increased by minocycline and decreased by imipramine. No changes in serum cytokine levels were evident. These results suggest that measuring cytokine release is unlikely to improve the sensitivity and specificity of the direct PLNA. FAU - Ravel, Guillaume AU - Ravel G AD - MDS Pharma Services, Les Oncins, 69210 St. Germain sur L'Arbresle, France. guillaume.ravel@mdsps.com FAU - Christ, Marielle AU - Christ M FAU - Horand, Francoise AU - Horand F FAU - Descotes, Jacques AU - Descotes J LA - eng PT - Journal Article PL - Ireland TA - Toxicology JT - Toxicology JID - 0361055 RN - 0 (Cytokines) RN - 0 (Inflammation Mediators) SB - IM MH - Animals MH - Autoimmunity/*drug effects MH - Cells, Cultured MH - Cytokines/analysis/*metabolism MH - Drug Hypersensitivity/*pathology MH - Female MH - Flow Cytometry MH - Inflammation Mediators/analysis/metabolism MH - *Local Lymph Node Assay MH - Mice MH - Mice, Inbred BALB C MH - Th1 Cells/drug effects/metabolism MH - Th2 Cells/drug effects/metabolism EDAT- 2004/06/24 05:00 MHDA- 2004/08/04 05:00 CRDT- 2004/06/24 05:00 PHST- 2003/12/13 00:00 [received] PHST- 2004/03/11 00:00 [accepted] PHST- 2004/06/24 05:00 [pubmed] PHST- 2004/08/04 05:00 [medline] PHST- 2004/06/24 05:00 [entrez] AID - S0300483X04001854 [pii] AID - 10.1016/j.tox.2004.03.010 [doi] PST - ppublish SO - Toxicology. 2004 Aug 5;200(2-3):247-54. doi: 10.1016/j.tox.2004.03.010.