PMID- 29733875 OWN - NLM STAT- MEDLINE DCOM- 20181126 LR - 20181126 IS - 1879-3169 (Electronic) IS - 0378-4274 (Linking) VI - 298 DP - 2018 Dec 1 TI - Neuroinflammation markers and methyl alcohol induced toxic brain damage. PG - 60-69 LID - S0378-4274(18)30175-9 [pii] LID - 10.1016/j.toxlet.2018.05.001 [doi] AB - Methyl alcohol intoxication is a global problem with high mortality and long-term visual sequelae and severe brain damage in survivors. The role of neuroinflammation in the mechanisms of methyl alcohol-induced toxic brain damage has not been well studied. We measured the acute concentrations and dynamics of lipoxins LxA4 and LxB4 and the interleukins IL-4, IL-5, IL-9, IL-10, and IL-13 in the serum of patients treated with methyl alcohol poisoning and the follow-up concentrations in survivors two years after discharge from the hospital. A series of acute measurements was performed in 28 hospitalized patients (mean age 54.2 +/- 5.2 years, mean observation time 88 +/- 20 h) and the follow-up measurements were performed in 36 subjects who survived poisoning (including 12/28 survivors from the acute group). Visual evoked potentials (VEP) and magnetic resonance imaging of the brain (MRI) were performed to detect long-term visual and brain sequelae of intoxication. The acute concentrations of inflammatory mediators were higher than the follow-up concentrations: LxA4, 62.0 +/- 6.0 vs. 30.0 +/- 5.0 pg/mL; LxB4, 64.0 +/- 7.0 vs. 34.0 +/- 4.0 pg/mL; IL-4, 29.0 +/- 4.0 vs. 15.0 +/- 1.0 pg/mL; IL-5, 30.0 +/- 4.0 vs. 13.0 +/- 1.0 pg/mL; IL-9, 30.0 +/- 4.0 vs. 13.0 +/- 1.0 pg/mL; IL-10, 38.0 +/- 5.0 vs. 16.0 +/- 1.0 pg/mL; IL-13, 35.0 +/- 4.0 vs. 14.0 +/- 1.0 pg/mL (all p < 0.001). The patients with higher follow-up IL-5 concentration had prolonged latency P1 (r = 0.413; p = 0.033) and lower amplitude N1P1 (r = -0.498; p = 0.010) of VEP. The higher follow-up IL-10 concentration was associated with MRI signs of brain necrotic damage (r = 0.533; p = 0.001) and brain hemorrhage (r = 0.396; p = 0.020). Our findings suggest that neuroinflammation plays an important role in the mechanisms of toxic brain damage in acute methyl alcohol intoxication. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Zakharov, Sergey AU - Zakharov S AD - First Faculty of Medicine, Charles University, Department of Occupational Medicine, Na Bojisti 1, 12000, Prague, Czech Republic; Toxicological Information Centre, General University Hospital, Na Bojisti 1, 12000, Prague, Czech Republic. Electronic address: sergey.zakharov@vfn.cz. FAU - Hlusicka, Jiri AU - Hlusicka J AD - First Faculty of Medicine, Charles University, Department of Occupational Medicine, Na Bojisti 1, 12000, Prague, Czech Republic; Toxicological Information Centre, General University Hospital, Na Bojisti 1, 12000, Prague, Czech Republic. FAU - Nurieva, Olga AU - Nurieva O AD - First Faculty of Medicine, Charles University, Department of Occupational Medicine, Na Bojisti 1, 12000, Prague, Czech Republic. FAU - Kotikova, Katerina AU - Kotikova K AD - First Faculty of Medicine, Charles University, Department of Occupational Medicine, Na Bojisti 1, 12000, Prague, Czech Republic. FAU - Lischkova, Lucie AU - Lischkova L AD - First Faculty of Medicine, Charles University, Department of Occupational Medicine, Na Bojisti 1, 12000, Prague, Czech Republic; Toxicological Information Centre, General University Hospital, Na Bojisti 1, 12000, Prague, Czech Republic. FAU - Kacer, Petr AU - Kacer P AD - Biocev, First Faculty of Medicine, Charles University, Prumyslova 595, 25250, Vestec, Czech Republic. FAU - Kacerova, Tereza AU - Kacerova T AD - Biocev, First Faculty of Medicine, Charles University, Prumyslova 595, 25250, Vestec, Czech Republic. FAU - Urban, Pavel AU - Urban P AD - First Faculty of Medicine, Charles University, Department of Occupational Medicine, Na Bojisti 1, 12000, Prague, Czech Republic; Centre for Industrial Hygiene and Occupational Medicine, National Institute of Public Health, Srobarova 49/48, 10000, Prague, Czech Republic. FAU - Vaneckova, Manuela AU - Vaneckova M AD - First Faculty of Medicine, Charles University and General University Hospital, Department of Radiology, U Nemocnice 499/2, 12808, Prague, Czech Republic. FAU - Seidl, Zdenek AU - Seidl Z AD - First Faculty of Medicine, Charles University and General University Hospital, Department of Radiology, U Nemocnice 499/2, 12808, Prague, Czech Republic. FAU - Diblik, Pavel AU - Diblik P AD - First Faculty of Medicine, Charles University and General University Hospital, Department of Ophthalmology, U Nemocnice 499/2, 12808, Prague, Czech Republic. FAU - Kuthan, Pavel AU - Kuthan P AD - First Faculty of Medicine, Charles University and General University Hospital, Department of Ophthalmology, U Nemocnice 499/2, 12808, Prague, Czech Republic. FAU - Heissigerova, Jarmila AU - Heissigerova J AD - First Faculty of Medicine, Charles University and General University Hospital, Department of Ophthalmology, U Nemocnice 499/2, 12808, Prague, Czech Republic. FAU - Lesovsky, Jiri AU - Lesovsky J AD - Toxicological Information Centre, General University Hospital, Na Bojisti 1, 12000, Prague, Czech Republic. FAU - Rulisek, Jan AU - Rulisek J AD - First Faculty of Medicine, Charles University and General University Hospital, Clinic of Anesthesiology, Resuscitation and Intensive Medicine, U Nemocnice 499/2, 12808, Prague, Czech Republic. FAU - Vojtova, Lucie AU - Vojtova L AD - Institute of Clinical Biochemistry and Laboratory Diagnostics, First Faculty of Medicine, Charles University and General University Hospital, Katerinska 32, 12108, Prague, Czech Republic. FAU - Hubacek, Jaroslav A AU - Hubacek JA AD - Centre for Experimental Medicine, Institute for Clinical and Experimental Medicine, Videnska 1958/9, 140 21 Prague, Czech Republic. FAU - Navratil, Tomas AU - Navratil T AD - Toxicological Information Centre, General University Hospital, Na Bojisti 1, 12000, Prague, Czech Republic; Department of Biomimetic Electrochemistry, J. Heyrovsky Institute of Physical Chemistry of the AS CR, v.v.i, Dolejskova 2155/3, 18200, Prague, Czech Republic. LA - eng PT - Journal Article DEP - 20180504 PL - Netherlands TA - Toxicol Lett JT - Toxicology letters JID - 7709027 RN - 0 (Biomarkers) RN - 0 (Cytokines) RN - 0 (Inflammation Mediators) RN - Y4S76JWI15 (Methanol) SB - IM MH - Biomarkers/blood MH - Brain/diagnostic imaging/drug effects/physiopathology MH - Cytokines/*blood MH - Evoked Potentials, Visual/drug effects MH - Female MH - Humans MH - Inflammation Mediators/*blood MH - Magnetic Resonance Imaging MH - Male MH - Methanol/*poisoning MH - Middle Aged MH - Neurotoxicity Syndromes/*blood/diagnosis/mortality/physiopathology MH - Prospective Studies MH - Reaction Time/drug effects MH - Time Factors OTO - NOTNLM OT - CNS damage OT - Interleukins OT - Lipoxins OT - Methyl alcohol poisoning OT - Neuroinflammation OT - Non-traumatic brain injury EDAT- 2018/05/08 06:00 MHDA- 2018/11/27 06:00 CRDT- 2018/05/08 06:00 PHST- 2018/02/17 00:00 [received] PHST- 2018/04/22 00:00 [revised] PHST- 2018/05/03 00:00 [accepted] PHST- 2018/05/08 06:00 [pubmed] PHST- 2018/11/27 06:00 [medline] PHST- 2018/05/08 06:00 [entrez] AID - S0378-4274(18)30175-9 [pii] AID - 10.1016/j.toxlet.2018.05.001 [doi] PST - ppublish SO - Toxicol Lett. 2018 Dec 1;298:60-69. doi: 10.1016/j.toxlet.2018.05.001. Epub 2018 May 4.