PMID- 16850155 OWN - NLM STAT- MEDLINE DCOM- 20061212 LR - 20181113 IS - 0364-2313 (Print) IS - 0364-2313 (Linking) VI - 30 IP - 9 DP - 2006 Sep TI - Anti-high-mobility group box chromosomal protein 1 antibodies improve survival of rats with sepsis. PG - 1755-62 AB - BACKGROUND: High-mobility group box chromosomal protein 1 (HMGB1) has recently been shown to be an important late mediator of endotoxin shock, intraabdominal sepsis, and acute lung injury, and a promising therapeutic target of severe sepsis. We sought to investigate the effect of antibodies to HMGB1 on severe sepsis in a rat cecal ligation and puncture (CLP) model. METHODS: Adult male Sprague-Dawley rats underwent CLP and then were randomly divided into two groups: treatment with anti-HMGB1 polyclonal antibodies, and non-immune IgG-treated controls. The serum HMGB1 concentrations were measured at ten time points (preoperatively, and postoperatively at 4, 8, 20, 32, and 48 h and at 3, 4, 5, and 6 days). Hematoxylin-eosin staining, elastica-Masson staining, and immunohistochemical staining for HMGB1 were performed on the cecum and the lung to assess pathological changes 24 h after the CLP procedure. RESULTS: Treatment with anti-HMGB1 antibodies significantly increased survival [55% (anti-HMGB1) vs. 9% (controls); P< 0.01]. The serum HMGB1 concentrations at postoperative hours 20 and 32 of the anti-HMGB1 antibody-treated animals were significantly lower than those of the controls (P < 0.05). Treatment with anti-HMGB1 antibodies markedly diminished the pathological changes and the number of HMGB1-positive cells in the cecum and the lung. CONCLUSIONS: The present study demonstrates that anti-HMGB1 antibodies are effective in the treatment of severe sepsis in a rat model, thereby supporting the relevance of HMGB1 eradication therapy for severe sepsis. FAU - Suda, Koichi AU - Suda K AD - Department of Surgery, School of Medicine, Keio University, Shinanomachi 35, Shinjuku-ku, Tokyo 160-8582, Japan. FAU - Kitagawa, Yuko AU - Kitagawa Y FAU - Ozawa, Soji AU - Ozawa S FAU - Saikawa, Yoshiro AU - Saikawa Y FAU - Ueda, Masakazu AU - Ueda M FAU - Ebina, Masahito AU - Ebina M FAU - Yamada, Shingo AU - Yamada S FAU - Hashimoto, Satoru AU - Hashimoto S FAU - Fukata, Shinji AU - Fukata S FAU - Abraham, Edward AU - Abraham E FAU - Maruyama, Ikuro AU - Maruyama I FAU - Kitajima, Masaki AU - Kitajima M FAU - Ishizaka, Akitoshi AU - Ishizaka A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - World J Surg JT - World journal of surgery JID - 7704052 RN - 0 (Antibodies) RN - 0 (HMGB1 Protein) RN - 0 (Hbp1 protein, rat) RN - 0 (High Mobility Group Proteins) RN - 0 (Repressor Proteins) SB - IM MH - Animals MH - Antibodies/*therapeutic use MH - Cecum/pathology/surgery MH - Disease Models, Animal MH - HMGB1 Protein MH - High Mobility Group Proteins/blood/*immunology MH - Immunohistochemistry MH - Ligation MH - Male MH - Neutralization Tests MH - Peritonitis/*immunology/*therapy MH - Rats MH - Rats, Sprague-Dawley MH - Repressor Proteins/blood/*immunology MH - Sepsis/*therapy EDAT- 2006/07/20 09:00 MHDA- 2006/12/13 09:00 CRDT- 2006/07/20 09:00 PHST- 2006/07/20 09:00 [pubmed] PHST- 2006/12/13 09:00 [medline] PHST- 2006/07/20 09:00 [entrez] AID - 10.1007/s00268-005-0369-2 [doi] PST - ppublish SO - World J Surg. 2006 Sep;30(9):1755-62. doi: 10.1007/s00268-005-0369-2.