PMID- 8429642 OWN - NLM STAT- MEDLINE DCOM- 19930311 LR - 20190817 IS - 0022-4804 (Print) IS - 0022-4804 (Linking) VI - 54 IP - 1 DP - 1993 Jan TI - The role of the adrenals in the acute phase response to interleukin-1 and tumor necrosis factor-alpha. PG - 70-8 AB - The purpose of this study was to investigate the role of the adrenals, particularly the glucocorticoids, in the acute phase response following daily injections for 5 days of recombinant human interleukin-1 alpha,beta and tumor necrosis factor-alpha (TNF alpha). Adult weight-stable freely fed or pair-fed (to cytokine-injected mice) mice (C57Bl/6J) with and without adrenals were used. Adrenalectomized animals showed a sensitivity to both IL-1 alpha and -1 beta (40 ng IL-1/day) greater than 10-fold higher than that of normal mice (420 ng IL-1/day) in regard to mortality and anorexia. Microscopic examination of tissue specimens from adrenalectomized IL-1 alpha,beta-injected mice did not reveal any histologic alterations in lung, kidney, liver, brain, or gastrointestinal tract to explain the mortality. This mortality was not prevented by physiologic replacement doses of hydrocortisone (10-20 micrograms/day); however, a pharmacological dose of 2.5 mg hydrocortisone/day abolished completely the increased toxicity to IL-1 alpha,beta and the anorectic response to IL-1 alpha,beta and TNF alpha. Increased toxicity (mortality) was not observed in adrenalectomized animals with TNF alpha at the dose interval used (450 ng TNF alpha/day and lower). The hepatic acute phase response (liver weight and RNA and liver protein content) was increased by both IL-1 alpha,beta and TNF alpha in a glucocorticoid-independent way. The cytokine-induced alterations of plasma concentrations of acute phase proteins (serum amyloid P, transferrin, complement C3) were significantly dependent on glucocorticoids, while the decline in plasma albumin was not.(ABSTRACT TRUNCATED AT 250 WORDS) FAU - Gelin, J L AU - Gelin JL AD - Department of Surgery, University of Gothenburg, Sahlgrenska Hospital, Sweden. FAU - Moldawer, L L AU - Moldawer LL FAU - Iresjo, B M AU - Iresjo BM FAU - Lundholm, K G AU - Lundholm KG LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Surg Res JT - The Journal of surgical research JID - 0376340 RN - 0 (Glucocorticoids) RN - 0 (Interleukin-1) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Acute-Phase Reaction/chemically induced/*physiopathology MH - Adrenal Glands/*physiopathology MH - Adrenalectomy MH - Animals MH - Anorexia/chemically induced MH - Body Weight MH - Dose-Response Relationship, Drug MH - Eating MH - Female MH - Glucocorticoids/*physiology MH - *Interleukin-1/administration & dosage/pharmacology MH - Mice MH - Mice, Inbred C57BL MH - *Tumor Necrosis Factor-alpha/administration & dosage/pharmacology EDAT- 1993/01/01 00:00 MHDA- 1993/01/01 00:01 CRDT- 1993/01/01 00:00 PHST- 1993/01/01 00:00 [pubmed] PHST- 1993/01/01 00:01 [medline] PHST- 1993/01/01 00:00 [entrez] AID - S0022480483710127 [pii] AID - 10.1006/jsre.1993.1012 [doi] PST - ppublish SO - J Surg Res. 1993 Jan;54(1):70-8. doi: 10.1006/jsre.1993.1012.