PMID- 15793118 OWN - NLM STAT- MEDLINE DCOM- 20050512 LR - 20181113 IS - 0066-4804 (Print) IS - 1098-6596 (Electronic) IS - 0066-4804 (Linking) VI - 49 IP - 4 DP - 2005 Apr TI - Differential expression of cytokines and chemokines in human monocytes induced by lipid formulations of amphotericin B. PG - 1397-403 AB - The immunomodulatory effects of liposomal amphotericin B (LAMB), amphotericin B lipid complex (ABLC), and amphotericin B colloidal dispersion (ABCD) on mRNA and protein profiles of five cytokines and chemokines expressed by human monocyte-enriched mononuclear leukocytes (MNCs) were comprehensively evaluated by semiquantitative reverse transcription-PCR and enzyme-linked immunosorbent assays; they were compared to those of deoxycholate amphotericin B (DAMB). mRNAs of interleukin-1beta (IL-1beta), IL-1 receptor antagonist (IL-1ra), tumor necrosis factor alpha (TNF-alpha), monocyte chemotactic protein 1 (MCP-1), and macrophage inflammatory protein 1beta (MIP-1beta) were assessed after treatment of MNCs with each drug for 0.5, 2, 6, and 22 h. The cytokine protein profiles were obtained after incubation of MNCs with the drugs for 2 h (TNF-alpha) or 6 h (all the others). In the mRNA studies, DAMB resulted in an early increase of inflammatory cytokines or chemokines IL-1beta, TNF-alpha, MCP-1, and MIP-1beta (2 to 6 h) and in a late increase of anti-inflammatory IL-1ra (22 h). ABCD showed a general similar trend of inflammatory gene up-regulation. LAMB and ABLC decreased or did not affect IL-1beta and TNF-alpha, whereas ABLC additionally decreased MIP-1beta. In protein measurement studies, DAMB and ABCD up-regulated production of IL-1beta (P < 0.05), decreased the IL-1ra/IL-1beta ratio, and up-regulated the production of MCP-1 and MIP-1beta. In comparison, LAMB and ABLC down-regulated or did not affect the production of these cytokines/chemokines compared to untreated MNCs; furthermore, ABLC tended to increase the IL-1ra/IL-1beta ratio. These studies demonstrate that amphotericin B formulations differentially affect gene expression and release of an array of proinflammatory and anti-inflammatory cytokines that potentially may explain the differences in infusion-related reactions and dose-dependent nephrotoxicity as well as modulation of the host immune response to invasive fungal infections. FAU - Simitsopoulou, M AU - Simitsopoulou M AD - Laboratory of Infectious Diseases, 3rd Department of Pediatrics, School of Medicine, Aristotle University of Thessaloniki, Greece. FAU - Roilides, E AU - Roilides E FAU - Dotis, J AU - Dotis J FAU - Dalakiouridou, M AU - Dalakiouridou M FAU - Dudkova, F AU - Dudkova F FAU - Andreadou, E AU - Andreadou E FAU - Walsh, T J AU - Walsh TJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Antimicrob Agents Chemother JT - Antimicrobial agents and chemotherapy JID - 0315061 RN - 0 (Antifungal Agents) RN - 0 (Chemokines) RN - 0 (Cytokines) RN - 0 (Liposomes) RN - 0 (RNA, Messenger) RN - 005990WHZZ (Deoxycholic Acid) RN - 7XU7A7DROE (Amphotericin B) SB - IM MH - Amphotericin B/chemistry/*pharmacology MH - Antifungal Agents/chemistry/*pharmacology MH - Chemistry, Pharmaceutical/methods MH - Chemokines/genetics/metabolism MH - Cytokines/genetics/*immunology/*metabolism MH - Deoxycholic Acid MH - Gene Expression Regulation MH - Humans MH - Liposomes MH - Monocytes/*immunology/metabolism MH - RNA, Messenger/genetics/metabolism PMC - PMC1068615 EDAT- 2005/03/29 09:00 MHDA- 2005/05/13 09:00 PMCR- 2005/04/01 CRDT- 2005/03/29 09:00 PHST- 2005/03/29 09:00 [pubmed] PHST- 2005/05/13 09:00 [medline] PHST- 2005/03/29 09:00 [entrez] PHST- 2005/04/01 00:00 [pmc-release] AID - 49/4/1397 [pii] AID - 0960-04 [pii] AID - 10.1128/AAC.49.4.1397-1403.2005 [doi] PST - ppublish SO - Antimicrob Agents Chemother. 2005 Apr;49(4):1397-403. doi: 10.1128/AAC.49.4.1397-1403.2005.