Adenosine Triphosphate Release is Required for Toll-Like Receptor-Induced Monocyte/Macrophage Activation, Inflammasome Signaling, Interleukin-1β Production, and the Host Immune Response to Infection.

Abstract:

OBJECTIVES:Monocytes and macrophages produce interleukin-1β by inflammasome activation which involves adenosine triphosphate release, pannexin-1 channels, and P2X7 receptors. However, interleukin-1β can also be produced in an inflammasome-independent fashion. Here we studied if this mechanism also involves adenosine triphosphate signaling and how it contributes to inflammasome activation. DESIGN:In vitro studies with human cells and randomized animal experiments. SETTING:Preclinical academic research laboratory. SUBJECTS:Wild-type C57BL/6 and pannexin-1 knockout mice, healthy human subjects for cell isolation. INTERVENTIONS:Human monocytes and U937 macrophages were treated with different inhibitors to study how purinergic signaling contributes to toll-like receptor-induced cell activation and interleukin-1β production. Wild-type and pannexin-1 knockout mice were subjected to cecal ligation and puncture to study the role of purinergic signaling in interleukin-1β production and host immune defense. MEASUREMENTS AND MAIN RESULTS:Toll-like receptor agonists triggered mitochondrial adenosine triphosphate production and adenosine triphosphate release within seconds. Inhibition of mitochondria, adenosine triphosphate release, or P2 receptors blocked p38 mitogen-activated protein kinase and caspase-1 activation and interleukin-1β secretion. Mice lacking pannexin-1 failed to activate monocytes, to produce interleukin-1β, and to effectively clear bacteria following cecal ligation and puncture. CONCLUSIONS:Purinergic signaling has two separate roles in monocyte/macrophage activation, namely to facilitate the initial detection of danger signals via toll-like receptors and subsequently to regulate nucleotide-binding oligomerization domain, leucine rich repeat and pyrin domain containing 3 inflammasome activation. Further dissection of these mechanisms may reveal novel therapeutic targets for immunomodulation in critical care patients.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Lee AH,Ledderose C,Li X,Slubowski CJ,Sueyoshi K,Staudenmaier L,Bao Y,Zhang J,Junger WG

doi

10.1097/CCM.0000000000003446

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

e1183-e1189

issue

12

eissn

0090-3493

issn

1530-0293

journal_volume

46

pub_type

杂志文章
  • Long-term health-related quality of life in survivors of sepsis. Short Form 36: a valid and reliable measure of health-related quality of life.

    abstract:OBJECTIVE:To describe the long-term health-related quality of life (HRQL) of survivors of sepsis and to evaluate the reliability and validity of the medical outcomes study Short Form-36 (SF-36) in this population. STUDY DESIGN:Cross-sectional survey. SETTING:University intensive care unit. PATIENTS:Surviving patient...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200011000-00006

    authors: Heyland DK,Hopman W,Coo H,Tranmer J,McColl MA

    更新日期:2000-11-01 00:00:00

  • Hypertonic saline versus mannitol for the treatment of elevated intracranial pressure: a meta-analysis of randomized clinical trials.

    abstract:OBJECTIVES:Randomized trials have suggested that hypertonic saline solutions may be superior to mannitol for the treatment of elevated intracranial pressure, but their impact on clinical practice has been limited, partly by their small size. We therefore combined their findings in a meta-analysis. DATA SOURCES:We sear...

    journal_title:Critical care medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/CCM.0b013e318206b9be

    authors: Kamel H,Navi BB,Nakagawa K,Hemphill JC 3rd,Ko NU

    更新日期:2011-03-01 00:00:00

  • Extracorporeal Membrane Oxygenation Use in Cardiogenic Shock: Impact of Age on In-Hospital Mortality, Length of Stay, and Costs.

    abstract:OBJECTIVES:Increasing age is a well-recognized risk factor for in-hospital mortality in patients receiving extracorporeal membrane oxygenation for cardiogenic shock, but the shape of this relationship is unknown. In addition, the impact of age on hospital length of stay, patterns of patient disposition, and costs has b...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003631

    authors: Chung M,Zhao Y,Strom JB,Shen C,Yeh RW

    更新日期:2019-03-01 00:00:00

  • High permeability dialysis membrane allows effective removal of myoglobin in acute kidney injury resulting from rhabdomyolysis.

    abstract:OBJECTIVE:The objective of this study was to test the ability of myoglobin removal of a novel, high-permeability polysulphone dialyzer in acute kidney injury as a result of rhabdomyolysis. SETTING:Intensive care unit of a tertiary care hospital. PATIENTS:Six patients (one female; aged 24, 36, 41, 55, 63, and 65 yrs) ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3181feb7f0

    authors: Sorrentino SA,Kielstein JT,Lukasz A,Sorrentino JN,Gohrbandt B,Haller H,Schmidt BM

    更新日期:2011-01-01 00:00:00

  • Foreign-body pneumonitis associated with tracheostomy.

    abstract::Foreign-body aspiration in adults is usually associated with asphyxiation after aspiration of food particles. The present report documents a case of foreign-body aspiration that resulted from poor tracheostomy care in an alcoholic patient, and caused fulminant pneumonitis. ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198408000-00020

    authors: Brischetto MJ,Malouf J,Taylor RW

    更新日期:1984-08-01 00:00:00

  • Changing heat and moisture exchangers after 96 hours rather than after 24 hours: a clinical and microbiological evaluation.

    abstract:OBJECTIVE:The aim of this study was to determine whether changing heat and moisture exchangers (HMEs) every 96 hrs rather than 24 hrs would affect their efficacy to preserve the heat and moisture of inspiratory gases. The impact of a prolonged use of the HME on its microbial colonization was also assessed. DESIGN:Pros...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200003000-00019

    authors: Thomachot L,Boisson C,Arnaud S,Michelet P,Cambon S,Martin C

    更新日期:2000-03-01 00:00:00

  • Tumor necrosis factor in the pathogenesis of infectious diseases.

    abstract:OBJECTIVES:To review the immunologic role of the cytokines and the specific role that tumor necrosis factor (TNF) plays in response to infection. The influence of bacterial lipopolysaccharide on TNF, the cytokine cascade, and resultant pathologies are also reviewed. DATA SOURCES:A MEDLINE search of the international E...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Beutler B,Grau GE

    更新日期:1993-10-01 00:00:00

  • Mechanical influences on the capnogram.

    abstract::We found that altering aspirating flow rate (ASR) and sample tubing length (STL) affected the response time and capnogram of 2 different side-stream capnometers. Increased flow rate shortened rise time, transit time, and total delay time (TDT), whereas increased STL increased transit and TDTs but not rise time. Increa...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198408000-00015

    authors: Schena J,Thompson J,Crone RK

    更新日期:1984-08-01 00:00:00

  • Regulation of beta 2-adrenergic receptors on mononuclear leukocytes in patients with acute ischemic heart disease.

    abstract:OBJECTIVE:To investigate relationships between acute adrenergic stress, plasma catecholamine concentrations, and beta 2-adrenergic receptors. DESIGN:Prospective, descriptive study. SETTING:Emergency medical service at a university hospital. PATIENTS:Twenty-seven patients with out-of-hospital cardiac arrest (n = 11),...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199704000-00015

    authors: Prengel AW,Lindner KH,Anhäupl T,Trunk E,Georgieff M,Lurie KG

    更新日期:1997-04-01 00:00:00

  • Reduced encephalopathy in pigs with ischemia-induced acute hepatic failure treated with a bioartificial liver containing alginate-entrapped hepatocytes.

    abstract:OBJECTIVE:To analyze the effects of an extracorporeal bioartificial liver containing alginate bead-entrapped hepatocytes on pigs with ischemia-induced acute hepatic failure. DESIGN:Prospective animal study. SETTING:University and INSERM laboratory. SUBJECTS:Fifteen Large White/Pietrin female pigs weighing 20-30 kg. ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200203000-00027

    authors: Desille M,Mahler S,Seguin P,Mallédant Y,Frémond B,Sébille V,Bouix A,Desjardins JF,Joly A,Desbois J,Lebreton Y,Campion JP,Clément B

    更新日期:2002-03-01 00:00:00

  • Nosocomial infections in a pediatric intensive care unit.

    abstract::In a prospective 30-month study of nosocomial infections in a pediatric ICU (PICU), the incidence, sites, and causes of infection were determined. Factors associated with increased risk of infection were investigated. In 1,388 patients who remained in the PICU for a minimum of 72 h, 116 infections occurred (6.1 infect...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00003246-198803000-00005

    authors: Milliken J,Tait GA,Ford-Jones EL,Mindorff CM,Gold R,Mullins G

    更新日期:1988-03-01 00:00:00

  • Prevention of hemolysis-induced organ damage by nutritional activation of the vagal anti-inflammatory reflex*.

    abstract:OBJECTIVES:Acute hemolysis is associated with organ damage, inflammation, and impaired vascular function. Stimulation of the cholecystokinin-1 receptor-dependent vagal anti-inflammatory reflex with lipid-rich enteral nutrition was demonstrated to prevent tissue damage and attenuate inflammation. This study investigates...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e31828e9262

    authors: de Haan JJ,Windsant IV,Lubbers T,Hanssen SJ,Hadfoune M,Prinzen FW,Greve JW,Buurman WA

    更新日期:2013-11-01 00:00:00

  • The future of hospital economic health.

    abstract:OBJECTIVE:To evaluate factors which may influence the economic future of academic medical centers (AMCs). DATA SOURCE AND SELECTION:A literature search was performed to identify publications which reviewed the areas of revenue sources for AMCs, costs and expenses incurred by these institutions, and mechanisms for opti...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/01.CCM.0000199991.15912.45

    authors: Gerber DR,Bekes CE,Parrillo JE

    更新日期:2006-03-01 00:00:00

  • Climate of Respect Evaluation in ICUs: Development of an Instrument (ICU-CORE).

    abstract:OBJECTIVES:To develop a valid, reliable measure that reflected the environment of respectfulness within the ICU setting. DESIGN:We developed a preliminary survey instrument based on conceptual domains of respect identified through prior qualitative analyses of ICU patient, family member, and clinician perspectives. Th...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003069

    authors: Beach MC,Topazian R,Chan KS,Sugarman J,Geller G

    更新日期:2018-06-01 00:00:00

  • Medical, legal and ethical issues in critical care.

    abstract::This report is intended to familiarize the reader with the current legislation concerning state definitions of death, the pertinent judicial decisions concerning termination of life support and the current status of medical/ethical committees. However, it is of paramount importance to all health care personnel to beco...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:

    authors: Wallace-Barnhill G,Roth MD,Briggs BA,Bastron DR,Barrocas A

    更新日期:1982-01-01 00:00:00

  • Noise Levels in Surgical ICUs Are Consistently Above Recommended Standards.

    abstract:OBJECTIVE:The equipment, monitor alarms, and acuity of patients in ICUs make it one of the loudest patient care areas in a hospital. Increased sound levels may contribute to worsened outcomes in these particularly vulnerable patients. Our objective was to determine whether ambient sound levels in surgical ICUs comply w...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001378

    authors: Tainter CR,Levine AR,Quraishi SA,Butterly AD,Stahl DL,Eikermann M,Kaafarani HM,Lee J

    更新日期:2016-01-01 00:00:00

  • Improved cardiovascular stability during continuous modes of renal replacement therapy in critically ill patients with acute hepatic and renal failure.

    abstract:OBJECTIVE:To determine whether continuous modes of renal replacement therapy result in improved cardiovascular stability compared with standard daily intermittent treatment in critically ill patients. DESIGN:Prospective, randomized controlled trial. SETTING:Intensive care unit in a quaternary referral center for live...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00003246-199303000-00007

    authors: Davenport A,Will EJ,Davidson AM

    更新日期:1993-03-01 00:00:00

  • Microdialysis-evaluated myocardial cyclooxygenase-mediated inflammation and early circulatory depression in porcine endotoxemia.

    abstract:OBJECTIVE:To evaluate the early myocardial biochemical inflammatory response with the microdialysis technique during porcine endotoxemia and to simultaneously monitor systemic hemodynamics. DESIGN:Prospective, randomized, placebo-controlled trial with parallel groups. SETTING:Animal research laboratory at the Univers...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000075740.61294.a6

    authors: Mutschler DK,Eriksson MB,Wikström BG,Lind L,Larsson A,Bergren-Kiiski R,Lagrange A,Nordgren A,Basu S

    更新日期:2003-06-01 00:00:00

  • Sustained endotoxemia leads to marked down-regulation of early steps in the insulin-signaling cascade.

    abstract:OBJECTIVES:To determine the effects of sustained, 3-day endotoxin infusion on early steps of the insulin-signaling pathway in rat liver and skeletal muscle in vivo; to examine insulin signaling in well-established acute endotoxin models of insulin resistance. DESIGN:Prospective, controlled animal study. SETTING:Unive...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200104000-00032

    authors: McCowen KC,Ling PR,Ciccarone A,Mao Y,Chow JC,Bistrian BR,Smith RJ

    更新日期:2001-04-01 00:00:00

  • Extracellular Mitochondrial DNA and N-Formyl Peptides in Trauma and Critical Illness: A Systematic Review.

    abstract:OBJECTIVES:Extracellular mitochondrial DNA and N-formyl peptides released following tissue damage may contribute to systemic inflammation through stimulation of the innate immune system. In this review, we evaluate existing in vivo human data regarding a role for mitochondrial DNA and N-formyl peptides in producing sys...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003381

    authors: Lubkin DT,Bishawi M,Barbas AS,Brennan TV,Kirk AD

    更新日期:2018-12-01 00:00:00

  • Choosing Wisely in Critical Care: Results of a National Survey From the Critical Care Societies Collaborative.

    abstract:OBJECTIVES:Over-utilization of tests, treatments, and procedures is common for hospitalized patients in ICU settings. American Board of Internal Medicine Foundation's Choosing Wisely campaign tasked professional societies to identify sources of overuse in specialty care practice. The purpose of this study was to assess...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003496

    authors: Kleinpell R,Sessler CN,Wiencek C,Moss M

    更新日期:2019-03-01 00:00:00

  • The Effectiveness of α2 Agonists As Sedatives in Pediatric Critical Care: A Propensity Score-Matched Cohort Study.

    abstract:OBJECTIVES:There is limited evidence supporting the widespread use of α2 agonists (clonidine and dexmedetomidine) in pediatric critical care sedation. This study sought to test the association between the use of α2 agonists and enhanced sedation. DESIGN:A retrospective observational cohort study was conducted. Noninfe...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003789

    authors: Hayden JC,Doherty DR,Dawkins I,Leacy FP,Healy M,Breatnach CV,Cousins G,Gallagher PJ

    更新日期:2019-07-01 00:00:00

  • Restoration of hormonal action and muscle protein.

    abstract::This review focuses on the effects of restoring hormonal levels and/or influence on muscle protein metabolism in the stressed state. We have highlighted our clinical experience in the administration of anabolic and anticatabolic agents in stressed clinical populations, primarily adult and pediatric burn injury, as wel...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/01.CCM.0000278529.44899.57

    authors: Ferrando AA,Wolfe RR

    更新日期:2007-09-01 00:00:00

  • Allometric determination of the distance from the central venous pressure port to wedge position of balloon-tip catheters in pediatric patients.

    abstract::Position of the CVP port on a flow-directed balloon-tip pulmonary arterial catheter affects the accuracy of both thermodilution cardiac output determinations and CVP measurements. Systemic allometry (the study of the growth of a part in relation to the total organism) has been used to determine an easily measured inde...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198611000-00013

    authors: Borland LM

    更新日期:1986-11-01 00:00:00

  • Prolonged mechanical ventilation alters diaphragmatic structure and function.

    abstract:OBJECTIVE:To review current knowledge about the impact of prolonged mechanical ventilation on diaphragmatic function and biology. MEASUREMENTS:Systematic literature review. CONCLUSIONS:Prolonged mechanical ventilation can promote diaphragmatic atrophy and contractile dysfunction. As few as 18 hrs of mechanical ventil...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/CCM.0b013e3181b6e760

    authors: Powers SK,Kavazis AN,Levine S

    更新日期:2009-10-01 00:00:00

  • Hypophosphatemia induced by mechanical ventilation in patients with chronic obstructive pulmonary disease.

    abstract::The aim of this study was to assess prospectively the variations of serum phosphorus concentration (P) after onset of mechanical ventilation (MV) in patients with chronic obstructive pulmonary disease (COPD) and acute respiratory acidosis. In 14 COPD patients, we measured P, PaCO2, and pH, immediately before MV (H0), ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198911000-00005

    authors: Laaban JP,Grateau G,Psychoyos I,Laromiguière M,Vuong TK,Rochemaure J

    更新日期:1989-11-01 00:00:00

  • Critical care problems of the newborn: insensible water loss in small premature infants.

    abstract::During the control period in this study, small premature infants, 1500 g in birth weight, had insensible water loss (IWL) of 2.28 g/kg/hr (equivlaent to 54 ml/kg/day), which is considerably higher than in full term infants. Under phototherapy, there was a significant increase in IWL (3.14 g/kg/hr) associated with incr...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-197511000-00006

    authors: Yeh TF,Vidyasagar D,Pildes RS

    更新日期:1975-11-01 00:00:00

  • History of emergency and critical care ultrasound: the evolution of a new imaging paradigm.

    abstract::The tradition of clinical ultrasound in the hands of physicians who provide critical care to the most acutely ill patients stretches back into the 1980s and is rich with experiences from surgical, emergency medicine, and other practices. Now, as critical care ultrasound explodes around the world, it is important to re...

    journal_title:Critical care medicine

    pub_type: 历史文章,杂志文章

    doi:10.1097/01.CCM.0000260623.38982.83

    authors: Kendall JL,Hoffenberg SR,Smith RS

    更新日期:2007-05-01 00:00:00

  • Clinical practice guidelines for the maintenance of patient physical safety in the intensive care unit: use of restraining therapies--American College of Critical Care Medicine Task Force 2001-2002.

    abstract:OBJECTIVE:To develop clinical practice guidelines for the use of restraining therapies to maintain physical and psychological safety of adult and pediatric patients in the intensive care unit. PARTICIPANTS:A multidisciplinary, multispecialty task force of experts in critical care practice was convened from the members...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/01.CCM.0000095463.72353.AD

    authors: Maccioli GA,Dorman T,Brown BR,Mazuski JE,McLean BA,Kuszaj JM,Rosenbaum SH,Frankel LR,Devlin JW,Govert JA,Smith B,Peruzzi WT,American College of Critical Care Medicine, Society of Critical Care Medicine.

    更新日期:2003-11-01 00:00:00

  • A Quasi-Experimental, Before-After Trial Examining the Impact of an Emergency Department Mechanical Ventilator Protocol on Clinical Outcomes and Lung-Protective Ventilation in Acute Respiratory Distress Syndrome.

    abstract:OBJECTIVES:To evaluate the impact of an emergency department mechanical ventilation protocol on clinical outcomes and adherence to lung-protective ventilation in patients with acute respiratory distress syndrome. DESIGN:Quasi-experimental, before-after trial. SETTING:Emergency department and ICUs of an academic cente...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000002268

    authors: Fuller BM,Ferguson IT,Mohr NM,Drewry AM,Palmer C,Wessman BT,Ablordeppey E,Keeperman J,Stephens RJ,Briscoe CC,Kolomiets AA,Hotchkiss RS,Kollef MH

    更新日期:2017-04-01 00:00:00