PMID- 17011266 OWN - NLM STAT- MEDLINE DCOM- 20061027 LR - 20131121 IS - 1531-5037 (Electronic) IS - 0022-3468 (Linking) VI - 41 IP - 10 DP - 2006 Oct TI - Glucocorticoid pretreatment suppresses chemokine expression and inflammatory cell infiltration in cholestatic rats receiving biliary intervention. PG - 1669-75 AB - AIM: Biliary intervention may augment chemokine expression and inflammatory cell infiltration and aggravates liver injury in cholestatic rats. We tested the efficacy of glucocorticoid pretreatment to prevent the complications. METHODS: A model of biliary intervention was established in rats without (sham) or with bile duct ligation (BDL). Before biliary intervention, rats were randomly assigned to receiving intravenous injection of dexamethasone (DX group) or normal saline (NS group). Plasma levels of monocyte chemoattractant protein-1 (MCP-1) and macrophage inflammatory protein-2 (MIP-2) were measured with enzyme-linked immunosorbent assay, and liver messenger RNA of these chemokines was quantified with real-time quantitative reverse transcriptase-polymerase chain reaction. Monocytes, Kupffer cells, and neutrophils in the rat liver were characterized with antibodies to ectodermal dysplasia 1 (ED1), ED2, and myeloperoxidase, respectively. RESULTS: By 3 hours after biliary intervention, plasma MCP-1 and MIP-2 proteins in BDL-NS rats were significantly higher than in BDL-DX. At 3 hours, liver MCP-1 and MIP-2 messenger RNA levels were significantly upregulated in BDL-NS than in BDL-DX. The amount of ED1-, ED2- and myeloperoxidase-staining cells were significantly greater in BDL-NS than in BDL-DX. Most of the changes returned to baseline levels by 24 hours. CONCLUSION: Glucocorticoid pretreatment suppresses chemokine expression and inflammatory cell infiltration, which may consequently alleviate liver injury in cholestatic rats receiving biliary intervention. FAU - Hsieh, Chih-Sung AU - Hsieh CS AD - Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Kaohsiung 833, Taiwan. FAU - Wang, Pei-Wen AU - Wang PW FAU - Lee, Shin-Ye AU - Lee SY FAU - Huang, Chao-Cheng AU - Huang CC FAU - Chang, Nyuk-Kong AU - Chang NK FAU - Chen, Ching-Mei AU - Chen CM FAU - Wu, Chia-Ling AU - Wu CL FAU - Wang, Hsiu-Chuan AU - Wang HC FAU - Chuang, Jiin-Haur AU - Chuang JH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Pediatr Surg JT - Journal of pediatric surgery JID - 0052631 RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CXCL2) RN - 0 (Chemokines) RN - 0 (Chemokines, CXC) RN - 0 (Cxcl2 protein, rat) RN - 0 (Ectodysplasins) RN - 0 (Glucocorticoids) RN - 0 (Membrane Proteins) RN - 0 (Protein Isoforms) RN - 0 (RNA, Messenger) RN - 0 (Tumor Necrosis Factors) RN - 7S5I7G3JQL (Dexamethasone) RN - EC 1.11.1.7 (Peroxidase) SB - IM MH - Animals MH - Chemokine CCL2/blood/genetics MH - Chemokine CXCL2 MH - Chemokines/*antagonists & inhibitors MH - Chemokines, CXC/blood/genetics MH - Cholestasis/metabolism/*pathology/*therapy MH - Dexamethasone/administration & dosage/*therapeutic use MH - Ectodysplasins MH - Glucocorticoids/administration & dosage/*therapeutic use MH - Inflammation/*pathology MH - Injections, Intravenous MH - Liver/metabolism/pathology MH - Male MH - Membrane Proteins/metabolism MH - Peroxidase/metabolism MH - *Premedication MH - Protein Isoforms/metabolism MH - RNA, Messenger/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Tumor Necrosis Factors/metabolism EDAT- 2006/10/03 09:00 MHDA- 2006/10/28 09:00 CRDT- 2006/10/03 09:00 PHST- 2006/10/03 09:00 [pubmed] PHST- 2006/10/28 09:00 [medline] PHST- 2006/10/03 09:00 [entrez] AID - S0022-3468(06)00397-6 [pii] AID - 10.1016/j.jpedsurg.2006.05.039 [doi] PST - ppublish SO - J Pediatr Surg. 2006 Oct;41(10):1669-75. doi: 10.1016/j.jpedsurg.2006.05.039.