Abstract
Sepsis and its derivative endotoxic shock are still serious conditions with high mortality in the intensive care unit. The mechanisms that ensure the balance of proinflammatory cytokines and anti-inflammatory cytokine production are of particular importance. As an active α- and β-adrenergic agonist, ephedrine hydrochloride (EH) is a widely used agent for cardiovascular diseases, especially boosting blood pressure. Here we demonstrate that EH increased Toll-like receptor 4 (TLR4)-mediated production of interleukin 10 (IL-10) through p38 MAPK activation. Simultaneously, EH negatively regulated the production of proinflammatory cytokines. Consistently, EH increased lipopolysaccharide (LPS)-induced serum IL-10 and inhibited tumor necrotic factor-α (TNFα) production in vivo. As a result, EH treatment protected mice from endotoxic shock by lethal LPS challenge. In brief, our data demonstrated that EH could contribute to immune homeostasis by balancing the production of proinflammatory cytokines and anti-inflammatory cytokine in TLR4 signaling. This study provides a potential usage of EH in autoimmunologic diseases or other severe inflammations.
Copyright © 2012 Elsevier B.V. All rights reserved.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Animals
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Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
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Anti-Inflammatory Agents, Non-Steroidal / pharmacology
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Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
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Apoptosis / drug effects
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Blotting, Western
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Cell Culture Techniques
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Cell Line
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Chemokine CXCL2 / antagonists & inhibitors
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Chemokine CXCL2 / blood
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Dose-Response Relationship, Drug
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Ephedrine / administration & dosage
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Ephedrine / pharmacology
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Ephedrine / therapeutic use*
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Female
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Flow Cytometry
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Interleukin-10 / blood
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Interleukin-10 / metabolism*
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Interleukin-12 / antagonists & inhibitors
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Interleukin-12 / blood
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Interleukin-6 / antagonists & inhibitors
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Interleukin-6 / blood
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Lipopolysaccharides / pharmacology*
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Macrophages, Peritoneal / drug effects*
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Macrophages, Peritoneal / immunology
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Mice
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Mice, Inbred C57BL
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Nitric Oxide / biosynthesis
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Sepsis / blood
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Sepsis / immunology
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Sepsis / prevention & control*
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Tumor Necrosis Factor-alpha / antagonists & inhibitors
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Tumor Necrosis Factor-alpha / blood
Substances
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Anti-Inflammatory Agents, Non-Steroidal
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Chemokine CXCL2
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Cxcl2 protein, mouse
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IL10 protein, mouse
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Interleukin-6
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Lipopolysaccharides
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Tumor Necrosis Factor-alpha
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Interleukin-10
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Interleukin-12
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Nitric Oxide
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Ephedrine