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  1. Article ; Online: Immunomodulation Through Beta-D-glucan in Chemically-induced Necrotizing Pancreatitis.

    Koliakos, Nikolaos N / Renieris, Georgios / Sotiropoulos, Dimitrios / Pavlou, Kalliopi / Droggiti, Dionysia-Eirini / Gkavogianni, Theologia / Charalampopoulos, Anestis / Giamarellos-Bourboulis, Evangelos J

    The Journal of surgical research

    2021  Volume 261, Page(s) 74–84

    Abstract: Background: Although the ability of β-D-glucan and monophosphoryl lipid A (MPLA) to modulate immune responses has been studied in human primary cells, their effect on sterile inflammation models such as necrotizing pancreatitis has never been ... ...

    Abstract Background: Although the ability of β-D-glucan and monophosphoryl lipid A (MPLA) to modulate immune responses has been studied in human primary cells, their effect on sterile inflammation models such as necrotizing pancreatitis has never been investigated.
    Materials and methods: 85 male New Zealand rabbits were assigned into following groups: A: control, B: pretreatment with β-D-glucan 3 d before pancreatitis, C: pretreatment with MPLA 3 d before pancreatitis, D: pretreatment with β-D-glucan and laminarin 3 d before pancreatitis, E: treatment with β-D-glucan 1 d after pancreatitis, and F: MPLA 1 d after pancreatitis. Pancreatitis was induced by sodium taurocholate injection into the pancreatic duct and parenchyma. Survival was recorded for 21 d. On days 1, 3, and 7, blood was collected for amylase measurement. Peripheral blood mononuclear cells were isolated and stimulated for tumor necrosis factor alpha and interleukin 10 production. Pancreatic necrosis and tissue bacterial load were assessed.
    Results: 21-d survival was prolonged after pretreatment or treatment with β-D-glucan; this benefit was lost with laminarin administration. At sacrifice, pancreatic inflammatory alterations were more prominent in the control group. Bacterial load was lower after pretreatment or treatment with β-D-glucan and MPLA. Tumor necrosis factor alpha production from stimulated peripheral blood mononuclear cells was significantly decreased, whereas interleukin 10 production remained unaltered after pretreatment or treatment with β-D- glucan.
    Conclusions: β-D-glucan reduces mortality of experimental pancreatitis in vivo. This is mediated through attenuation of cytokine production and prevention of bacterial translocation.
    MeSH term(s) Adjuvants, Immunologic/pharmacology ; Adjuvants, Immunologic/therapeutic use ; Amylases/blood ; Animals ; Bacterial Translocation/drug effects ; Drug Evaluation, Preclinical ; Glucans ; Immunomodulation ; Lipid A/analogs & derivatives ; Lipid A/pharmacology ; Lipid A/therapeutic use ; Male ; Pancreatitis, Acute Necrotizing/blood ; Pancreatitis, Acute Necrotizing/drug therapy ; Pancreatitis, Acute Necrotizing/mortality ; Proteoglycans/pharmacology ; Proteoglycans/therapeutic use ; Rabbits ; Taurocholic Acid ; Tumor Necrosis Factor-alpha/metabolism
    Chemical Substances Adjuvants, Immunologic ; Glucans ; Lipid A ; Proteoglycans ; Tumor Necrosis Factor-alpha ; polysaccharide-K (3X48A86C8K) ; Taurocholic Acid (5E090O0G3Z) ; laminaran (9008-22-4) ; Amylases (EC 3.2.1.-) ; monophosphoryl lipid A (MWC0ET1L2P)
    Language English
    Publishing date 2021-01-07
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2020.12.020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: IL-1 Mediates Tissue-Specific Inflammation and Severe Respiratory Failure in COVID-19.

    Renieris, Georgios / Karakike, Eleni / Gkavogianni, Theologia / Droggiti, Dionysia-Eirini / Stylianakis, Emmanouil / Andriopoulou, Theano / Spanou, Victoria-Marina / Kafousopoulos, Dionyssios / Netea, Mihai G / Eugen-Olsen, Jesper / Simard, John / Giamarellos-Bourboulis, Evangelos J

    Journal of innate immunity

    2022  Volume 14, Issue 6, Page(s) 643–656

    Abstract: Acute respiratory distress syndrome (ARDS) in COVID-19 has been associated with catastrophic inflammation. We present measurements in humans and a new animal model implicating a role in danger-associated molecular patterns. Calprotectin (S100A8/A9) and ... ...

    Abstract Acute respiratory distress syndrome (ARDS) in COVID-19 has been associated with catastrophic inflammation. We present measurements in humans and a new animal model implicating a role in danger-associated molecular patterns. Calprotectin (S100A8/A9) and high-mobility group box 1 (HMGB1) were measured in patients without/with ARDS, and admission calprotectin was associated with soluble urokinase plasminogen activator receptor (suPAR). An animal model was developed by intravenous injection of plasma from healthy or patients with COVID-19 ARDS into C57/BL6 mice once daily for 3 consecutive days. Mice were treated with one anti-S100A8/A9 antibody, the IL-1 receptor antagonist anakinra or vehicle, and Flo1-2a anti-murine anti-IL-1α monoclonal antibody or the specific antihuman IL-1α antibody XB2001 or isotype controls. Cytokines and myeloperoxidase (MPO) were measured in tissues. Calprotectin, but not HMGB1, was elevated in ARDS. Higher suPAR indicated higher calprotectin. Animal challenge with COVID-19 plasma led to inflammatory reactions in murine lung and intestines as evidenced by increased levels of TNFα, IL-6, IFNγ, and MPO. Lung inflammation was attenuated with anti-S100A8/A9 pre-treatment. Anakinra treatment restored these levels. Similar decrease was found in mice treated with Flo1-2a but not with XB2001. Circulating alarmins, specifically calprotectin, of critically ill COVID-19 patients induces tissue-specific inflammatory responses through an IL-1-mediated mechanism. This could be attenuated through inhibition of IL-1 receptor or of IL-1α.
    MeSH term(s) Humans ; Mice ; Animals ; COVID-19 ; Respiratory Insufficiency ; Receptors, Interleukin-1
    Chemical Substances Receptors, Interleukin-1
    Language English
    Publishing date 2022-05-11
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2454158-8
    ISSN 1662-8128 ; 1662-811X
    ISSN (online) 1662-8128
    ISSN 1662-811X
    DOI 10.1159/000524560
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: IL-1α Mediates Tissue Specific Inflammation and Severe Respiratory Failure In Covid-19: Clinical And Experimental Evidence

    Renieris, Georgios / Karakike, Eleni / Xu, Zhongli / Gkavogianni, Theologia / Droggiti, Dionysia- Eirini / Schubert, Katja / Kafousopoulos, Dionysios / Hermann, Marlen / Netea, Mihai G / Eugen-Olsen, Jesper / Simard, John / Giamarellos-Bourboulis, Evangelos J

    medRxiv

    Abstract: Background: Acute respiratory distress syndrome (ARDS) in COVID-19 has been associated with dysregulated immune responses leading to catastrophic inflammation. The activation pathways remain to be fully elucidated. We investigated the ability of ... ...

    Abstract Background: Acute respiratory distress syndrome (ARDS) in COVID-19 has been associated with dysregulated immune responses leading to catastrophic inflammation. The activation pathways remain to be fully elucidated. We investigated the ability of circulating to induce dysregulated immune responses. Materials & Methods: Calprotectin and high mobility group box 1 (HMGB1) were associated with ARDS in 60 COVID-19 patients. In a second cohort of 40 COVID-19 patients calprotectin at hospital admission was associated with serum levels of soluble urokinase plasminogen activator receptor (suPAR). A COVID-19 animal model was developed by intravenous injection of plasma from healthy volunteers or patients with COVID-19 ARDS into C57/BL6 mice once daily for 3 consecutive days. In separate experiments, mice were treated with a) the IL-1 receptor antagonist Anakinra or vehicle and b) Flo1-2a anti-murine anti-IL-1α monoclonal antibody or the specific anti-human IL-1α antibody XB2001, or isotype controls. Mice were sacrificed on day 4. Cytokines and myeloperoxidase (MPO) in tissues were measured. Results: Calprotectin, but not HMGB1, was elevated ARDS. Higher suPAR readouts indicated higher calprotectin levels. CHallenge of mice with COVID-19 plasma led to inflammatory reactions in murine lung and intestines as evidenced by increased levels of TNFα, IL-6, IFNγ and MPO. Anakinra treatment brought these levels down. Similar decrease was found in mice treated with Flo1-2a but not with XB2001. Conclusion: Circulating alarmins, specifically calprotectin, of critically ill COVID-19 patients induces tissue-specific inflammatory responses through an IL-1α mediated mechanism. This could be attenuated through inhibition of IL-1 receptor or specific inhibition of IL-1α.
    Keywords covid19
    Language English
    Publishing date 2021-04-15
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2021.04.09.21255190
    Database COVID19

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  4. Article ; Online: Host cystathionine-γ lyase derived hydrogen sulfide protects against Pseudomonas aeruginosa sepsis.

    Renieris, Georgios / Droggiti, Dionysia-Eirini / Katrini, Konstantina / Koufargyris, Panagiotis / Gkavogianni, Theologia / Karakike, Eleni / Antonakos, Nikolaos / Damoraki, Georgia / Karageorgos, Athanasios / Sabracos, Labros / Katsouda, Antonia / Jentho, Elisa / Weis, Sebastian / Wang, Rui / Bauer, Michael / Szabo, Csaba / Platoni, Kalliopi / Kouloulias, Vasilios / Papapetropoulos, Andreas /
    Giamarellos-Bourboulis, Evangelos J

    PLoS pathogens

    2021  Volume 17, Issue 3, Page(s) e1009473

    Abstract: Hydrogen sulfide (H2S) has recently been recognized as a novel gaseous transmitter with several anti-inflammatory properties. The role of host- derived H2S in infections by Pseudomonas aeruginosa was investigated in clinical and mouse models. H2S ... ...

    Abstract Hydrogen sulfide (H2S) has recently been recognized as a novel gaseous transmitter with several anti-inflammatory properties. The role of host- derived H2S in infections by Pseudomonas aeruginosa was investigated in clinical and mouse models. H2S concentrations and survival was assessed in septic patients with lung infection. Animal experiments using a model of severe systemic multidrug-resistant P. aeruginosa infection were performed using mice with a constitutive knock-out of cystathionine-γ lyase (Cse) gene (Cse-/-) and wild-type mice with a physiological expression (Cse+/+). Experiments were repeated in mice after a) treatment with cyclophosphamide; b) bone marrow transplantation (BMT) from a Cse+/+ donor; c) treatment with H2S synthesis inhibitor aminooxyacetic acid (ΑΟΑΑ) or propargylglycine (PAG) and d) H2S donor sodium thiosulfate (STS) or GYY3147. Bacterial loads and myeloperoxidase activity were measured in tissue samples. The expression of quorum sensing genes (QS) was determined in vivo and in vitro. Cytokine concentration was measured in serum and incubated splenocytes. Patients survivors at day 28 had significantly higher serum H2S compared to non-survivors. A cut- off point of 5.3 μΜ discriminated survivors with sensitivity 92.3%. Mortality after 28 days was 30.9% and 93.7% in patients with H2S higher and less than 5.3 μΜ (p = 7 x 10-6). In mice expression of Cse and application of STS afforded protection against infection with multidrug-resistant P. aeruginosa. Cyclophosphamide pretreatment eliminated the survival benefit of Cse+/+ mice, whereas BMT increased the survival of Cse-/- mice. Cse-/- mice had increased pathogen loads compared to Cse+/+ mice. Phagocytic activity of leukocytes from Cse-/- mice was reduced but was restored after H2S supplementation. An H2S dependent down- regulation of quorum sensing genes of P.aeruginosa could be demonstrated in vivo and in vitro. Endogenous H2S is a potential independent parameter correlating with the outcome of P. aeruginosa. H2S provides resistance to infection by MDR bacterial pathogens.
    MeSH term(s) Animals ; Cystathionine gamma-Lyase/metabolism ; Humans ; Hydrogen Sulfide/metabolism ; Mice ; Mice, Knockout ; Pseudomonas Infections/complications ; Pseudomonas Infections/metabolism ; Pseudomonas aeruginosa ; Sepsis/metabolism ; Sepsis/microbiology
    Chemical Substances Cystathionine gamma-Lyase (EC 4.4.1.1) ; Hydrogen Sulfide (YY9FVM7NSN)
    Language English
    Publishing date 2021-03-26
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2205412-1
    ISSN 1553-7374 ; 1553-7366
    ISSN (online) 1553-7374
    ISSN 1553-7366
    DOI 10.1371/journal.ppat.1009473
    Database MEDical Literature Analysis and Retrieval System OnLINE

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