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From the Department of Nephrology and Medical Intensive
Care,*
the Department of Surgery,
Campus Virchow-Klinikum, and the Franz Volhard
Klinik,
Campus Berlin-Buch, Medical Faculty
Charité, Humboldt-Universität zu Berlin, Berlin, Germany
Leukocyte accumulation during peritonitis is believed to be
controlled by chemotactic factors released by resident peritoneal
macrophages or mesothelial cells. Recent data indicate,
however, that in many tissues fibroblasts play a key role in
mediating leukocyte recruitment. We have therefore examined human
peritoneal fibroblasts (HPFBs) for the expression and regulation of
C-X-C and C-C chemokines. Quiescent HPFBs secreted monocyte
chemoattractant protein (MCP)-1 and interleukin (IL)-8 constitutively.
This release could be dose-dependently augmented with the
pro-inflammatory cytokines IL-1ß and tumor necrosis factor-
.
Stimulated IL-8 production reached a plateau within 48 hours while
MCP-1 continued to accumulate throughout 96 hours. Induction of IL-8
and MCP-1 synthesis by HPFBs was also triggered by peritoneal
macrophage-conditioned medium. This effect was partly related to the
presence of IL-1ß as demonstrated by IL-1 receptor antagonist
inhibition. Pretreatment of HPFBs with actinomycin D or puromycin
dose-dependently reduced cytokine-stimulated IL-8 and MCP-1
secretion, which suggested de novo chemokine
synthesis. Indeed, exposure of HPFBs to IL-1ß and tumor
necrosis factor-
produced a significant up-regulation of IL-8 and
MCP-1 mRNA. This effect was associated with the rapid induction of
nuclear factor-
B binding activity mediated through p65
and p50 subunits, and with a transient increase in the mRNA
expression for RelB and inhibitory protein
B-
proteins. These
data indicate that peritoneal fibroblasts are capable of generating
large quantities of chemokines under a tight control of nuclear
factor-
B/Rel transcription factors. Thus, peritoneal
fibroblast-derived chemokines may contribute to the intraperitoneal
recruitment of leukocytes during peritonitis.
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