Role of kupffer cells in interleukin-6 release following trauma-hemorrhage and resuscitation

Academic Article

Abstract

  • Although Interleukin-6 (IL-6) plays an important role in the pathophysiology of trauma-hemorrhage and resuscitation, the cellular origin of this inflammatory cytokine remains unknown. This study was undertaken to determine whether Kupffer cells (KC) are a major source of IL-6 release following trauma-hemorrhage and resuscitation. KC numbers were significantly (p < .05) reduced in vivo with gadolinium chloride (GdCI3; 10 mg/kg IV). KC-reduced (KC(-)) and KC-normal (saline-treated; KC(+)) rats underwent laparotomy (i.e., trauma-induced), followed by either sham operation or hemorrhage. Hemorrhaged rats were bled to and maintained at a mean arterial pressure of 40 mmHg until 40% of the shed blood volume was returned as Ringer’s lactate, and then resuscitated with Ringer’s lactate (four times shed blood volume over 1 h). Results indicate that KC reduction per se had no effect on any measured parameter at any time. At 0.5 and 2.0 h postresuscitation, mean arterial pressure, heart rate, cardiac output, stroke volume, and hematocrit were reduced to a similar extent in both the KC(+) and KC(-) hemorrhage groups. KC reduction did, however, significantly reduce plasma IL-6 concentration (means ± S.E.; U/ml) at both 0.5 h (KC(+) = 709 ± 391 vs. KC(−) = 159 ± 5) and at 2.0 h (KC(+) = 527 ± 394 vs. KC(−) = 83 ± 20) postresuscitation. In conclusion, this study demonstrates that KC are a major source of in vivo IL-6 release following trauma-hemorrhage and resuscitation. © 1994 The Shock Society.
  • Authors

    Published In

  • Shock  Journal
  • Author List

  • O Neill PJ; Ayala A; Wang P; Ba ZF; Morrison MH; Schultze EA; Reich SS; Chaudry IH
  • Start Page

  • 43
  • End Page

  • 47
  • Volume

  • 1
  • Issue

  • 1