PMID- 9043940 OWN - NLM STAT- MEDLINE DCOM- 19970428 LR - 20190920 IS - 0162-3109 (Print) IS - 0162-3109 (Linking) VI - 35 IP - 3 DP - 1997 Jan TI - Vancomycin down-regulates lipopolysaccharide-induced tumour necrosis factor alpha (TNF alpha) production and TNF alpha-mRNA accumulation in human blood monocytes. PG - 265-71 AB - The cytokines play an important role in the cascade of the pathological events leading to septic shock. The TNF alpha produced by monocytes/macrophages upon stimulation with bacterial fragments may contribute to induction of this cytokine cascade. Moreover, the antibiotics used for antimicrobial therapy may cause the increase of TNF alpha production due to massive bacterial killing and exposure of monocytes/macrophages to bacterial cell constituents. To investigate the effect of Vancomycin on TNF alpha production, an in vitro model of LPS-stimulated monocytes was used. The level of TNF alpha protein or TNF biological activity were tested in the culture supernatants of monocytes with LPS. Vancomycin down-regulated, in dose-dependent manner, the TNF alpha production. Vancomycin also inhibited TNF alpha-mRNA accumulation in LPS-stimulated monocytes, as assessed by fluorescence in situ hybridization (FISH) in cell suspension. The down-regulation of TNF alpha production in LPS-stimulated monocytes may indicate that inhibition of this cytokine release is one of the important therapeutic effects of Vancomycin in sepsis. FAU - Siedlar, M AU - Siedlar M AD - Department of Clinical Immunology, Polish-American Children Hospital, Medical Faculty, Jagiellonian University, Cracow, Poland. FAU - Szczepanik, A AU - Szczepanik A FAU - Wieckiewicz, J AU - Wieckiewicz J FAU - Pituch-Noworolska, A AU - Pituch-Noworolska A FAU - Zembala, M AU - Zembala M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Immunopharmacology JT - Immunopharmacology JID - 7902474 RN - 0 (Anti-Bacterial Agents) RN - 0 (Lipopolysaccharides) RN - 0 (RNA, Messenger) RN - 0 (Tumor Necrosis Factor-alpha) RN - 6Q205EH1VU (Vancomycin) SB - IM MH - Animals MH - Anti-Bacterial Agents/*pharmacology MH - Down-Regulation/*drug effects MH - Drug Interactions MH - Humans MH - Leukocytes, Mononuclear/*drug effects/*metabolism MH - Lipopolysaccharides/*pharmacology MH - Mice MH - RNA, Messenger/*metabolism MH - Stimulation, Chemical MH - Transcription, Genetic/drug effects MH - Tumor Necrosis Factor-alpha/*biosynthesis/metabolism MH - Vancomycin/*pharmacology EDAT- 1997/01/01 00:00 MHDA- 1997/01/01 00:01 CRDT- 1997/01/01 00:00 PHST- 1997/01/01 00:00 [pubmed] PHST- 1997/01/01 00:01 [medline] PHST- 1997/01/01 00:00 [entrez] AID - S0162310996001567 [pii] AID - 10.1016/s0162-3109(96)00156-7 [doi] PST - ppublish SO - Immunopharmacology. 1997 Jan;35(3):265-71. doi: 10.1016/s0162-3109(96)00156-7.