PMID- 26550577 OWN - NLM STAT- MEDLINE DCOM- 20160802 LR - 20181113 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2015 DP - 2015 TI - Glutamine may repress the weak LPS and enhance the strong heat shock induction of monocyte and lymphocyte HSP72 proteins but may not modulate the HSP72 mRNA in patients with sepsis or trauma. PG - 806042 LID - 10.1155/2015/806042 [doi] LID - 806042 AB - OBJECTIVE: We assessed the lipopolysaccharide (LPS) or heat shock (HS) induction of heat shock protein-72 (HSP72) in peripheral blood mononuclear cells (PBMCs) of patients with severe sepsis (SS) or trauma-related systemic inflammatory response syndrome (SIRS), compared to healthy individuals (H); we also investigated any pre- or posttreatment modulating glutamine (Gln) effect. METHODS: SS (11), SIRS (10), and H (19) PBMCs were incubated with 1 mug/mL LPS or 43 degrees HS. Gln 10 mM was either added 1 h before or 1 h after induction or was not added at all. We measured monocyte (m), lymphocyte (l), mRNA HSP72, HSP72 polymorphisms, interleukins (ILs), monocyte chemoattractant protein-1 (MCP-1), and cortisol levels. RESULTS: Baseline lHSP72 was higher in SS (p < 0.03), and mHSP72 in SIRS (p < 0.02), compared to H. Only HS induced l/mHSP72/mRNA HSP72; LPS induced IL-6, IL-8, IL-10, and MCP-1. Induced mRNA was related to l/mHSP72, and was related negatively to cytokines. Intracellular l/mHSP72/HSP72 mRNA was related to serum ILs, not being influenced by cortisol, illness severity, and HSP72 polymorphisms. Gln did not induce mRNA in any group but modified l/mHSP72 after LPS/HS induction unpredictably. CONCLUSIONS: HSP72 mRNA and l/mHSP72 are higher among critically ill patients, further induced by HS, not by LPS. HSP72 proteins and HSP72 mRNA are related to serum ILs and are negatively related to supernatant cytokines, not being influenced by HSP72 polymorphisms, cortisol, or illness severity. Gln may depress l/mHSP72 after LPS exposure and enhance them after HS induction, but it may not affect early induced HSP72 mRNA. FAU - Briassouli, Efrossini AU - Briassouli E AD - First Department of Propaedeutic Internal Medicine, University of Athens, Athens, Greece. FAU - Tzanoudaki, Marianna AU - Tzanoudaki M AD - Department of Immunology-Histocompatibility, Specialized Center & Referral Center for Primary Immunodeficiencies-Paediatric Immunology, "Aghia Sophia" Children's Hospital, Athens, Greece. FAU - Goukos, Dimitris AU - Goukos D AD - First Department of Propaedeutic Internal Medicine, University of Athens, Athens, Greece. FAU - Routsi, Christina AU - Routsi C AD - First Critical Care Department, Evangelismos Hospital, University of Athens, Athens, Greece. FAU - Nanas, Serafim AU - Nanas S AD - First Critical Care Department, Evangelismos Hospital, University of Athens, Athens, Greece. FAU - Vardas, Kostas AU - Vardas K AD - First Critical Care Department, Evangelismos Hospital, University of Athens, Athens, Greece. FAU - Apostolou, Kleovoulos AU - Apostolou K AD - First Critical Care Department, Evangelismos Hospital, University of Athens, Athens, Greece. FAU - Kanariou, Maria AU - Kanariou M AD - Department of Immunology-Histocompatibility, Specialized Center & Referral Center for Primary Immunodeficiencies-Paediatric Immunology, "Aghia Sophia" Children's Hospital, Athens, Greece. FAU - Daikos, George AU - Daikos G AD - First Department of Propaedeutic Internal Medicine, University of Athens, Athens, Greece. FAU - Briassoulis, George AU - Briassoulis G AD - Pediatric Intensive Care Unit, University Hospital, University of Crete, 71500 Heraklion, Greece. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151013 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - 0 (HSP72 Heat-Shock Proteins) RN - 0 (Lipopolysaccharides) RN - 0 (RNA, Messenger) RN - 0RH81L854J (Glutamine) SB - IM MH - Cells, Cultured MH - Dose-Response Relationship, Drug MH - Glutamine/*administration & dosage MH - HSP72 Heat-Shock Proteins/genetics/*immunology MH - Heat-Shock Response MH - Humans MH - Lipopolysaccharides/administration & dosage MH - Lymphocytes/drug effects/*immunology MH - Monocytes/drug effects/*immunology MH - RNA, Messenger/metabolism MH - Sepsis/*immunology/pathology MH - Systemic Inflammatory Response Syndrome/*immunology/pathology MH - Wounds and Injuries/immunology/pathology PMC - PMC4621332 EDAT- 2015/11/10 06:00 MHDA- 2016/08/03 06:00 PMCR- 2015/10/13 CRDT- 2015/11/10 06:00 PHST- 2015/06/17 00:00 [received] PHST- 2015/08/23 00:00 [revised] PHST- 2015/08/31 00:00 [accepted] PHST- 2015/11/10 06:00 [entrez] PHST- 2015/11/10 06:00 [pubmed] PHST- 2016/08/03 06:00 [medline] PHST- 2015/10/13 00:00 [pmc-release] AID - 10.1155/2015/806042 [doi] PST - ppublish SO - Biomed Res Int. 2015;2015:806042. doi: 10.1155/2015/806042. Epub 2015 Oct 13.