Modification of natural immunity in mice by imipenem/cilastatin

J Antibiot (Tokyo). 1997 Jun;50(6):502-8. doi: 10.7164/antibiotics.50.502.

Abstract

The imipenem/cilastatin constitutes a broad spectrum beta-lactam antibiotic formulation, especially used in pre and post-operatory treatments for transplanted or drug-immunosuppresed patients. The effect of the dose and the duration of the treatment with imipenem/cilastatin on some parameters of natural immunity in BALB/c mice were examined. The treatment by intraperitoneal route with 1 or 2 g/70 kg/day during 7 days did not alter significantly the parameters tested, whereas the greater dose used (4 g/70 kg/day) had an inhibitory effect on peritoneal cell counts and phagocytic activity, as well as it caused an increase on IL-1 production and natural killer activity. The greater stimulating effect of innate immunity was obtained with the lowest imipenem/cilastatin dose used (0.5 g/70 kg/day). Since this antibiotic apparently does not impair the studied innate immune responses at 1 or 2 g/70 kg/day, it seems to be especially suited for the therapy of systemic bacterial infections in immunocompromised patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Bacterial Agents / pharmacology*
  • Cell Count / drug effects
  • Cilastatin / pharmacology
  • Cilastatin, Imipenem Drug Combination
  • Dose-Response Relationship, Drug
  • Drug Combinations
  • Drug Therapy, Combination / pharmacology*
  • Imipenem / pharmacology
  • Immunity, Innate / drug effects*
  • Interleukin-2 / biosynthesis
  • Killer Cells, Natural / drug effects
  • Killer Cells, Natural / immunology
  • Leukocytes / drug effects
  • Leukocytes / immunology
  • Leukocytes / metabolism
  • Macrophages, Peritoneal / cytology
  • Macrophages, Peritoneal / drug effects
  • Macrophages, Peritoneal / immunology
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Peritoneal Cavity / cytology
  • Phagocytosis / drug effects

Substances

  • Anti-Bacterial Agents
  • Drug Combinations
  • Interleukin-2
  • Cilastatin
  • Imipenem
  • Cilastatin, Imipenem Drug Combination