Protection against lethal polyomicrobial al sepsis CNI-1493, an inhibitor of pro-inflammatory cytokine synthesis

P. Villa, C. Meazza, M. Sironi, M. Bianchi, P. Ulrich, G. Botchkina, K. J. Tracey, P. Ghezzi

Research output: Contribution to journalArticle

Abstract

Polymicrobial sepsis caused by cecal ligation and puncture (CLP) in mice produces the inflammatory and pathological sequelae of lung neutrophil infiltration, adult respiratory distress syndrome (ARDS) and death. These sequelae are dependent upon the synergistic interaction between several inflammatory mediators, including tumor necrosis factor (TNF), interleukin 1 (IL-1), and nitric oxide (NO). The overlapping spectrum of multiple mediator toxicity has hampered efforts to develop therapies for sepsis based on selective inhibition of a single mediator. Therefore we tested the hypothesis that inhibition of multiple pro-inflammatory mediators would abrogate lethality. Our results show that administration of a tetravalent guanylhydrazone compound (CNI-1493) protected mice against 10 day mortality in CLP. Evidence of suppression of the cytokine cascade was given by decreased serum levels of TNF and IL-6 in CNI-1493 treated animals (TNF reduced 60% as compared to controls; IL-6 reduced 90% compared to controls; P<0.05), and decreased levels of the acute-phase protein serum amyloid A response measured 24 h after CLP. Serum nitrites/nitrates, which give an index of NO production, were also significantly reduced (50%). Protection against CLP induced lung damage was observed as attenuation of edema and alveolar neutrophil infiltration, suppression of pulmonary TNF levels, and reduction of TUNEL-positive staining in lung. We conclude that CNI-1493 effectively inhibits the synthesis of multiple pro-inflammatory mediators and protects against death during polymicrobial sepsis.

Original languageEnglish
Pages (from-to)197-204
Number of pages8
JournalJournal of Endotoxin Research
Volume4
Issue number3
Publication statusPublished - 1997

Fingerprint

Punctures
Ligation
Sepsis
Tumor Necrosis Factor-alpha
Cytokines
Lung
Neutrophil Infiltration
Infiltration
Interleukin-6
Nitric Oxide
Serum Amyloid A Protein
Acute-Phase Proteins
Adult Respiratory Distress Syndrome
In Situ Nick-End Labeling
Nitrites
Serum
Interleukin-1
Nitrates
Toxicity
Edema

ASJC Scopus subject areas

  • Microbiology
  • Immunology
  • Toxicology

Cite this

Villa, P., Meazza, C., Sironi, M., Bianchi, M., Ulrich, P., Botchkina, G., ... Ghezzi, P. (1997). Protection against lethal polyomicrobial al sepsis CNI-1493, an inhibitor of pro-inflammatory cytokine synthesis. Journal of Endotoxin Research, 4(3), 197-204.

Protection against lethal polyomicrobial al sepsis CNI-1493, an inhibitor of pro-inflammatory cytokine synthesis. / Villa, P.; Meazza, C.; Sironi, M.; Bianchi, M.; Ulrich, P.; Botchkina, G.; Tracey, K. J.; Ghezzi, P.

In: Journal of Endotoxin Research, Vol. 4, No. 3, 1997, p. 197-204.

Research output: Contribution to journalArticle

Villa, P, Meazza, C, Sironi, M, Bianchi, M, Ulrich, P, Botchkina, G, Tracey, KJ & Ghezzi, P 1997, 'Protection against lethal polyomicrobial al sepsis CNI-1493, an inhibitor of pro-inflammatory cytokine synthesis', Journal of Endotoxin Research, vol. 4, no. 3, pp. 197-204.
Villa, P. ; Meazza, C. ; Sironi, M. ; Bianchi, M. ; Ulrich, P. ; Botchkina, G. ; Tracey, K. J. ; Ghezzi, P. / Protection against lethal polyomicrobial al sepsis CNI-1493, an inhibitor of pro-inflammatory cytokine synthesis. In: Journal of Endotoxin Research. 1997 ; Vol. 4, No. 3. pp. 197-204.
@article{9faf9929568e429ea62e21f380699265,
title = "Protection against lethal polyomicrobial al sepsis CNI-1493, an inhibitor of pro-inflammatory cytokine synthesis",
abstract = "Polymicrobial sepsis caused by cecal ligation and puncture (CLP) in mice produces the inflammatory and pathological sequelae of lung neutrophil infiltration, adult respiratory distress syndrome (ARDS) and death. These sequelae are dependent upon the synergistic interaction between several inflammatory mediators, including tumor necrosis factor (TNF), interleukin 1 (IL-1), and nitric oxide (NO). The overlapping spectrum of multiple mediator toxicity has hampered efforts to develop therapies for sepsis based on selective inhibition of a single mediator. Therefore we tested the hypothesis that inhibition of multiple pro-inflammatory mediators would abrogate lethality. Our results show that administration of a tetravalent guanylhydrazone compound (CNI-1493) protected mice against 10 day mortality in CLP. Evidence of suppression of the cytokine cascade was given by decreased serum levels of TNF and IL-6 in CNI-1493 treated animals (TNF reduced 60{\%} as compared to controls; IL-6 reduced 90{\%} compared to controls; P<0.05), and decreased levels of the acute-phase protein serum amyloid A response measured 24 h after CLP. Serum nitrites/nitrates, which give an index of NO production, were also significantly reduced (50{\%}). Protection against CLP induced lung damage was observed as attenuation of edema and alveolar neutrophil infiltration, suppression of pulmonary TNF levels, and reduction of TUNEL-positive staining in lung. We conclude that CNI-1493 effectively inhibits the synthesis of multiple pro-inflammatory mediators and protects against death during polymicrobial sepsis.",
author = "P. Villa and C. Meazza and M. Sironi and M. Bianchi and P. Ulrich and G. Botchkina and Tracey, {K. J.} and P. Ghezzi",
year = "1997",
language = "English",
volume = "4",
pages = "197--204",
journal = "Journal of Endotoxin Research",
issn = "0968-0519",
publisher = "Maney Publishing",
number = "3",

}

TY - JOUR

T1 - Protection against lethal polyomicrobial al sepsis CNI-1493, an inhibitor of pro-inflammatory cytokine synthesis

AU - Villa, P.

AU - Meazza, C.

AU - Sironi, M.

AU - Bianchi, M.

AU - Ulrich, P.

AU - Botchkina, G.

AU - Tracey, K. J.

AU - Ghezzi, P.

PY - 1997

Y1 - 1997

N2 - Polymicrobial sepsis caused by cecal ligation and puncture (CLP) in mice produces the inflammatory and pathological sequelae of lung neutrophil infiltration, adult respiratory distress syndrome (ARDS) and death. These sequelae are dependent upon the synergistic interaction between several inflammatory mediators, including tumor necrosis factor (TNF), interleukin 1 (IL-1), and nitric oxide (NO). The overlapping spectrum of multiple mediator toxicity has hampered efforts to develop therapies for sepsis based on selective inhibition of a single mediator. Therefore we tested the hypothesis that inhibition of multiple pro-inflammatory mediators would abrogate lethality. Our results show that administration of a tetravalent guanylhydrazone compound (CNI-1493) protected mice against 10 day mortality in CLP. Evidence of suppression of the cytokine cascade was given by decreased serum levels of TNF and IL-6 in CNI-1493 treated animals (TNF reduced 60% as compared to controls; IL-6 reduced 90% compared to controls; P<0.05), and decreased levels of the acute-phase protein serum amyloid A response measured 24 h after CLP. Serum nitrites/nitrates, which give an index of NO production, were also significantly reduced (50%). Protection against CLP induced lung damage was observed as attenuation of edema and alveolar neutrophil infiltration, suppression of pulmonary TNF levels, and reduction of TUNEL-positive staining in lung. We conclude that CNI-1493 effectively inhibits the synthesis of multiple pro-inflammatory mediators and protects against death during polymicrobial sepsis.

AB - Polymicrobial sepsis caused by cecal ligation and puncture (CLP) in mice produces the inflammatory and pathological sequelae of lung neutrophil infiltration, adult respiratory distress syndrome (ARDS) and death. These sequelae are dependent upon the synergistic interaction between several inflammatory mediators, including tumor necrosis factor (TNF), interleukin 1 (IL-1), and nitric oxide (NO). The overlapping spectrum of multiple mediator toxicity has hampered efforts to develop therapies for sepsis based on selective inhibition of a single mediator. Therefore we tested the hypothesis that inhibition of multiple pro-inflammatory mediators would abrogate lethality. Our results show that administration of a tetravalent guanylhydrazone compound (CNI-1493) protected mice against 10 day mortality in CLP. Evidence of suppression of the cytokine cascade was given by decreased serum levels of TNF and IL-6 in CNI-1493 treated animals (TNF reduced 60% as compared to controls; IL-6 reduced 90% compared to controls; P<0.05), and decreased levels of the acute-phase protein serum amyloid A response measured 24 h after CLP. Serum nitrites/nitrates, which give an index of NO production, were also significantly reduced (50%). Protection against CLP induced lung damage was observed as attenuation of edema and alveolar neutrophil infiltration, suppression of pulmonary TNF levels, and reduction of TUNEL-positive staining in lung. We conclude that CNI-1493 effectively inhibits the synthesis of multiple pro-inflammatory mediators and protects against death during polymicrobial sepsis.

UR - http://www.scopus.com/inward/record.url?scp=0030795835&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030795835&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0030795835

VL - 4

SP - 197

EP - 204

JO - Journal of Endotoxin Research

JF - Journal of Endotoxin Research

SN - 0968-0519

IS - 3

ER -