PMID- 19593412 OWN - NLM STAT- MEDLINE DCOM- 20090924 LR - 20211020 IS - 1528-3658 (Electronic) IS - 1076-1551 (Print) IS - 1076-1551 (Linking) VI - 15 IP - 7-8 DP - 2009 Jul-Aug TI - Spermine protects mice against lethal sepsis partly by attenuating surrogate inflammatory markers. PG - 275-82 LID - 10.2119/molmed.2009.00062 [doi] AB - The pathogenesis of sepsis is partly attributable to dysregulated inflammatory response mediated by pathogen-associated molecular patterns (PAMPs) (for example, endotoxin) and damage-associated molecular patterns (DAMPs) (for example, high-mobility group box 1 [HMGB1]). An endogenous ubiquitous polyamine, spermine, inhibits endotoxin-induced cytokine release in vitro, but its capacities to attenuate sepsis- and HMGB1-induced inflammatory responses was previously unknown. We thus tested the hypothesis that spermine protects mice against lethal sepsis by attenuating sepsis-induced local and systemic inflammatory responses. Intraperitoneal (i.p.) administration of spermine (10 mg/kg, twice daily, for 3 d) conferred a significant protection against lethal sepsis. The protective effects were associated with a significant reduction in peritoneal and serum levels of several surrogate markers of sepsis (for example, Interleukin-6 [IL-6], keratinocyte-derived chemokine [KC], monocytes chemoattractant protein-1 [MCP-1], macrophage inflammatory protein-2 [MIP-2], tissue inhibitor of metalloproteinase-1 [TIMP-1], soluble tumor necrosis factor-alpha receptor I [sTNFRI], and soluble tumor necrosis factor-alpha receptor II [sTNFRII]) during a late stage of sepsis. In vitro, spermine effectively inhibited HMGB1-induced release of the above surrogate markers in peritoneal macrophages. Thus, spermine confers protection against lethal sepsis partly by attenuating sepsis- and HMGB1-induced inflammatory responses. FAU - Zhu, Shu AU - Zhu S AD - Department of Emergency Medicine, North Shore University Hospital, New York University School of Medicine, Manhasset, New York 11030, United States of America. FAU - Ashok, Mala AU - Ashok M FAU - Li, Jianhua AU - Li J FAU - Li, Wei AU - Li W FAU - Yang, Huan AU - Yang H FAU - Wang, Ping AU - Wang P FAU - Tracey, Kevin J AU - Tracey KJ FAU - Sama, Andrew E AU - Sama AE FAU - Wang, Haichao AU - Wang H LA - eng GR - R01GM070817/GM/NIGMS NIH HHS/United States GR - R01 GM062508-05A1/GM/NIGMS NIH HHS/United States GR - R01 GM062508/GM/NIGMS NIH HHS/United States GR - R01 GM070817/GM/NIGMS NIH HHS/United States GR - R01GM063075/GM/NIGMS NIH HHS/United States GR - R01 GM062508-01/GM/NIGMS NIH HHS/United States GR - R01 GM063075/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20090501 PL - England TA - Mol Med JT - Molecular medicine (Cambridge, Mass.) JID - 9501023 RN - 0 (Biomarkers) RN - 0 (Cytokines) RN - 0 (HMGB1 Protein) RN - 0 (Hbp1 protein, rat) RN - 0 (Inflammation Mediators) RN - 0 (Lipopolysaccharides) RN - 0 (lipopolysaccharide, Escherichia coli O111 B4) RN - 2FZ7Y3VOQX (Spermine) SB - IM MH - Analysis of Variance MH - Animals MH - Biomarkers/metabolism MH - Cells, Cultured MH - Cytokines/*metabolism MH - Disease Models, Animal MH - HMGB1 Protein/pharmacology MH - Inflammation/drug therapy/metabolism/pathology MH - Inflammation Mediators/*antagonists & inhibitors/metabolism MH - Injections, Intraperitoneal MH - Lipopolysaccharides/pharmacology MH - Macrophages, Peritoneal/metabolism MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Rats MH - Sepsis/*drug therapy/metabolism/pathology MH - Spermine/*pharmacology PMC - PMC2707519 EDAT- 2009/07/14 09:00 MHDA- 2009/09/25 06:00 PMCR- 2009/07/01 CRDT- 2009/07/14 09:00 PHST- 2009/04/28 00:00 [received] PHST- 2009/04/29 00:00 [accepted] PHST- 2009/07/14 09:00 [entrez] PHST- 2009/07/14 09:00 [pubmed] PHST- 2009/09/25 06:00 [medline] PHST- 2009/07/01 00:00 [pmc-release] AID - 09_62_zhu [pii] AID - 10.2119/molmed.2009.00062 [doi] PST - ppublish SO - Mol Med. 2009 Jul-Aug;15(7-8):275-82. doi: 10.2119/molmed.2009.00062. Epub 2009 May 1.