PMID- 9835289 OWN - NLM STAT- MEDLINE DCOM- 19990222 LR - 20071114 IS - 0145-6008 (Print) IS - 0145-6008 (Linking) VI - 22 IP - 8 DP - 1998 Nov TI - Suppression of the granulocyte colony-stimulating factor response to Escherichia coli challenge by alcohol intoxication. PG - 1740-5 AB - Alcohol's suppressive effects on polymorphonuclear leukocyte (PMN) production and function increases host susceptibility to a wide variety of infections and impairs the ability of these effector cells to seek and destroy invading pathogens. Granulocyte colony-stimulating factor (G-CSF), an important regulator of PMN production and function, is known to be increased in the plasma during infectious episodes. In previous studies we found acute alcohol intoxication to suppress the tumor necrosis factor-alpha (TNF alpha) response to in vivo challenges with bacteria or lipopolysaccharide. The present study was initiated to determine the impact of alcohol intoxication on the plasma G-CSF response to gram-negative infection. For this purpose, rats received an intravenous challenge of Escherichia coli (10(6) CFU) 30 min after an intraperitoneal injection of ethanol (5.5 g/kg) or an equivalent volume of saline (control). Ethanol-intoxicated rats had a greater 48 hr mortality to live E. coli injection than did unintoxicated animals (45% vs. 8%). Despite an increased bacterial burden in both the lung and liver at 24 hr after initiating E. coli infection in alcohol-intoxicated animals, PMN tissue recruitment, indexed as myeloperoxidase activity, did not differ between control and alcohol-treated rats. Moreover, alcohol suppressed blood PMN phagocytic capacity to a greater extent in animals given alcohol than controls at 5 and 24 hr after initiating infection. In control animals after intravenous E. coli injection, bioactive G-CSF increased in plasma and peaked near 300 ng/ml at 8 hr. In rats pretreated with alcohol, the plasma G-CSF response was markedly suppressed in response to intravenous E. coli (p < 0.05). In a second experiment, neutralization of the E. coli-induced plasma TNF alpha response by pretreatment with anti-TNF alpha antibody similarly inhibited the plasma G-CSF response. These results support the postulate that alcohol-induced inhibition of TNF alpha directly contributes to the adverse effects of alcohol on PMN function by suppressing the normal autocrine amplification pathway responsible for G-CSF production. FAU - Bagby, G J AU - Bagby GJ AD - Department of Medicine, Louisiana State University Medical Center, New Orleans 70112, USA. FAU - Zhang, P AU - Zhang P FAU - Stoltz, D A AU - Stoltz DA FAU - Nelson, S AU - Nelson S LA - eng GR - AA05470/AA/NIAAA NIH HHS/United States GR - AA0983/AA/NIAAA NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Alcohol Clin Exp Res JT - Alcoholism, clinical and experimental research JID - 7707242 RN - 0 (Tumor Necrosis Factor-alpha) RN - 143011-72-7 (Granulocyte Colony-Stimulating Factor) SB - IM MH - Alcoholic Intoxication/*immunology MH - Animals MH - Dose-Response Relationship, Drug MH - Escherichia coli/*immunology MH - Granulocyte Colony-Stimulating Factor/*antagonists & inhibitors/physiology MH - Immune Tolerance/drug effects/immunology MH - Male MH - Neutrophils/drug effects/immunology MH - Phagocytosis/drug effects/immunology MH - Rats MH - Rats, Sprague-Dawley MH - Tumor Necrosis Factor-alpha/metabolism EDAT- 1998/12/03 00:00 MHDA- 1998/12/03 00:01 CRDT- 1998/12/03 00:00 PHST- 1998/12/03 00:00 [pubmed] PHST- 1998/12/03 00:01 [medline] PHST- 1998/12/03 00:00 [entrez] AID - 00000374-199811000-00017 [pii] PST - ppublish SO - Alcohol Clin Exp Res. 1998 Nov;22(8):1740-5.