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1.
Neurogastroenterol Motil ; 23(12): 1132-9, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21988661

ABSTRACT

BACKGROUND: The probiotic Bifidobacterium longum NCC3001 normalizes anxiety-like behavior and hippocampal brain derived neurotrophic factor (BDNF) in mice with infectious colitis. Using a model of chemical colitis we test whether the anxiolytic effect of B. longum involves vagal integrity, and changes in neural cell function. Methods Mice received dextran sodium sulfate (DSS, 3%) in drinking water during three 1-week cycles. Bifidobacterium longum or placebo were gavaged daily during the last cycle. Some mice underwent subdiaphragmatic vagotomy. Behavior was assessed by step-down test, inflammation by myeloperoxidase (MPO) activity and histology. BDNF mRNA was measured in neuroblastoma SH-SY5Y cells after incubation with sera from B. longum- or placebo-treated mice. The effect of B. longum on myenteric neuron excitability was measured using intracellular microelectrodes. KEY RESULTS: Chronic colitis was associated with anxiety-like behavior, which was absent in previously vagotomized mice. B. longum normalized behavior but had no effect on MPO activity or histological scores. Its anxiolytic effect was absent in mice with established anxiety that were vagotomized before the third DSS cycle. B. longum metabolites did not affect BDNF mRNA expression in SH-SY5Y cells but decreased excitability of enteric neurons. CONCLUSIONS & INFERENCES: In this colitis model, anxiety-like behavior is vagally mediated. The anxiolytic effect of B. longum requires vagal integrity but does not involve gut immuno-modulation or production of BDNF by neuronal cells. As B. longum decreases excitability of enteric neurons, it may signal to the central nervous system by activating vagal pathways at the level of the enteric nervous system.


Subject(s)
Anti-Anxiety Agents/therapeutic use , Anxiety/drug therapy , Bifidobacterium/metabolism , Colitis , Gastrointestinal Tract , Probiotics , Vagus Nerve , Animals , Anxiety/physiopathology , Behavior, Animal/drug effects , Behavior, Animal/physiology , Brain/metabolism , Brain-Derived Neurotrophic Factor/genetics , Brain-Derived Neurotrophic Factor/metabolism , Cell Line , Colitis/chemically induced , Colitis/drug therapy , Colitis/physiopathology , Dextran Sulfate/pharmacology , Enteric Nervous System/cytology , Enteric Nervous System/drug effects , Enteric Nervous System/physiology , Feces/microbiology , Gastrointestinal Tract/drug effects , Gastrointestinal Tract/innervation , Gastrointestinal Tract/microbiology , Humans , Male , Mice , Neurons/cytology , Neurons/drug effects , Neurons/physiology , Placebos , Probiotics/pharmacology , Probiotics/therapeutic use , Vagotomy , Vagus Nerve/anatomy & histology , Vagus Nerve/physiology
3.
Antimicrob Agents Chemother ; 47(10): 3240-6, 2003 Oct.
Article in English | MEDLINE | ID: mdl-14506036

ABSTRACT

An increased density of Helicobacter pylori in the gastric mucosa can be associated with more severe gastritis and an increased incidence of peptic ulcers. Therefore, people with asymptomatic gastritis would certainly benefit from a nutritional approach to help them manage the infection and therefore decrease the risk of development of associated pathologies. We analyzed the activities of 60 essential oils against H. pylori P1 and identified 30 oils that affected growth, with in vitro inhibition zones ranging between 0.7 and 6.3 cm in diameter. We further analyzed the effects of 16 oils with different activities on H. pylori P1 viability. Fifteen showed strong bactericidal activities, with minimal bactericidal concentrations after 24 h ranging from 0.02 to 0.1 g/liter at pH 7.4. Even though slight variations in activities were observed, the essential oils that displayed the strongest bactericidal potentials against H. pylori P1 were also active against other Helicobacter strains tested. Among the pure constituents of different essential oils tested, carvacrol, isoeugenol, nerol, citral, and sabinene exhibited the strongest anti-H. pylori activities. Although oral treatment of H. pylori SS1-infected mice with carrot seed oil did not result in significant decreases in the bacterial loads in the treated animals compared to those in the control animals, in all experiments performed, the infection was cleared in 20 to 30% of carrot seed oil-treated animals. Our results indicate that essential oils are unlikely to be efficient anti-Helicobacter agents in vivo. However, their effects may not be irrelevant if one plans to use them as food additives to complement present therapies.


Subject(s)
Helicobacter Infections/drug therapy , Helicobacter pylori/growth & development , Oils, Volatile/pharmacology , Animal Feed , Animals , Anti-Bacterial Agents/pharmacology , Cell Survival/drug effects , Colony Count, Microbial , Daucus carota/chemistry , Female , Helicobacter pylori/enzymology , Helicobacter pylori/genetics , Hydrogen-Ion Concentration , Mice , Mice, Inbred C57BL , Microbial Sensitivity Tests/methods , Oils, Volatile/chemistry , Plant Oils/pharmacology , Urease/antagonists & inhibitors
4.
Diabetes ; 50(12): 2666-72, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11723048

ABSTRACT

Over long periods, feeding and metabolism are tightly regulated at the central level. The total amount of nutrients ingested is thought to result from a delicate balance between orexigenic and anorexigenic factors expressed and secreted by specialized hypothalamic neuronal populations. We have developed a system of perifused hypothalamic neurons to characterize the relationships existing between the orexigenic peptide galanin and two other physiological modulators of feeding: neuropeptide Y (NPY) and corticotropin-releasing hormone (CRH). We demonstrated that galanin stimulates CRH and NPY secretion from hypothalamic neurons in a dose-dependent manner. Exposure to leptin for 24 h before galanin stimulation decreased NPY secretion by 30%, leaving the responsiveness of CRH neurons intact. These results suggest that CRH and NPY neurons participate to the intrahypothalamic signaling pathway of galanin, an observation that can explain the lower potency of galanin to stimulate food intake in vivo compared with NPY. The differential effects exerted by leptin on CRH and NPY suggest that there exists a subset of NPY neurons that are exquisitely sensitive to marked variations in leptin levels, and that the CRH neurons are less responsive to increases in leptin concentrations.


Subject(s)
Corticotropin-Releasing Hormone/physiology , Eating/physiology , Galanin/pharmacology , Hypothalamus/physiology , Leptin/pharmacology , Neuropeptide Y/physiology , Animals , Axons/ultrastructure , Blotting, Northern , Cells, Cultured , Corticotropin-Releasing Hormone/genetics , Corticotropin-Releasing Hormone/metabolism , Drug Interactions , Embryo, Mammalian , Galanin/administration & dosage , Gene Expression/drug effects , Hypothalamus/drug effects , Immunohistochemistry , Leptin/administration & dosage , Microtubule-Associated Proteins/analysis , Neurites/ultrastructure , Neurons/drug effects , Neurons/physiology , Neurons/ultrastructure , Neuropeptide Y/genetics , Neuropeptide Y/metabolism , RNA, Messenger/analysis , Rats , Reverse Transcriptase Polymerase Chain Reaction
5.
J Biol Chem ; 272(41): 25659-67, 1997 Oct 10.
Article in English | MEDLINE | ID: mdl-9325289

ABSTRACT

Sequencing of a fragment of Helicobacter pylori genome led to the identification of two open reading frames showing striking homology with Coenzyme A (CoA) transferases, enzymes catalyzing the reversible transfer of CoA from one carboxylic acid to another. The genes were present in all H. pylori strains tested by polymerase chain reaction or slot blotting but not in Campylobacter jejuni. Genes for the putative A and B subunits of H. pylori CoA-transferase were introduced into the bacterial expression vector pKK223-3 and expressed in Escherichia coli JM105 cells. Amino acid sequence comparisons, combined with measurements of enzyme activities using different CoA donors and acceptors, identified the H. pylori CoA-transferase as a succinyl CoA:acetoacetate CoA-transferase. This activity was consistently observed in different H. pylori strains. Antibodies raised against either recombinant A or B subunits recognized two distinct subunits of Mr approximately 26,000 and 24, 000 that are both necessary for H. pylori CoA-transferase function. The lack of alpha-ketoglutarate dehydrogenase and of succinyl CoA synthetase activities indicates that the generation of succinyl CoA is not mediated by the tricarboxylic acid cycle in H. pylori. We postulate the existence of an alternative pathway where the CoA-transferase is essential for energy metabolism.


Subject(s)
Coenzyme A-Transferases/genetics , Helicobacter pylori/enzymology , Acyl Coenzyme A/metabolism , Amino Acid Sequence , Base Sequence , Binding Sites , Campylobacter jejuni/enzymology , Cloning, Molecular , DNA, Bacterial/chemistry , Escherichia coli/enzymology , Gene Expression , Humans , Models, Chemical , Molecular Sequence Data , Molecular Weight , Polymerase Chain Reaction
6.
Thromb Haemost ; 77(6): 1090-5, 1997 Jun.
Article in English | MEDLINE | ID: mdl-9241738

ABSTRACT

BACKGROUND: Previously we observed in some but not all septic patients a low plasma concentration of plasminogen. OBJECTIVES: To investigate prospectively whether plasma levels of plasminogen or the ratio of plasminogen to alpha-2-antiplasmin have a prognostic value for survival from sepsis and to study the variation of other hemostatic parameters during septicemia. PATIENTS: The study population consisted of 45 consecutive patients with septicemia, 15 non-septic patients from the same intensive care unit and 30 healthy volunteers. MEASUREMENTS AND MAIN RESULTS: Plasminogen concentrations were significantly lower (p < 0.001) in plasma of septic patients (median 0,62 IU/ml range: 0.15-1,06) than in plasma of healthy controls (median 1.00 IU/ml, range: 0.75-1.10) or of non-septic intensive care patients (median 1.00 IU/ml, range: 0.82-1.08). Among the other parameters tested, plasminogen activator inhibitor (PAI-1) antigen concentration and PAI activity were similar in septic and non-septic intensive care patients, but higher than in healthy controls. Concentrations of elastase-alpha-1-protease inhibitor or of thrombin-antithrombin complexes were higher in septic patients than in non-septic intensive care patients or healthy controls. A degraded form of plasminogen of 38 kDa was detected by Western blot analysis in the plasma of septic patients, but not in plasma of non-septic intensive care patients or controls. Plasminogen alone or the ratio of plasminogen to antiplasmin were good markers for survival from septicemia. E.g. for plasminogen at a cut off of 0.65 IU/ml, sensitivity was 90.5% and specificity 66.7%, whereas for the ratio of plasminogen over antiplasmin at a cut off ratio of 0,65 IU/ml, sensitivity was 95.2% and specificity 70.8%. CONCLUSION: Plasminogen or the ratio of plasminogen to antiplasmin are sensitive markers for survival in patients with septicemia.


Subject(s)
Hemostasis , Plasminogen/analysis , Sepsis/blood , alpha-2-Antiplasmin/analysis , Adult , Aged , Humans , Middle Aged , Prognosis , Prospective Studies , Sepsis/physiopathology
7.
Circulation ; 95(4): 1007-14, 1997 Feb 18.
Article in English | MEDLINE | ID: mdl-9054764

ABSTRACT

BACKGROUND: Connexin43 (Cx43), a membrane protein involved in the control of cell-to-cell communication, is thought to play a role in the contractility of the vascular wall and in the electrical coupling of cardiac myocytes. The aim of this study was to investigate the effects of experimental hypertension on Cx43 expression in rat aorta and heart. METHODS AND RESULTS: Rats were made hypertensive after one renal artery was clipped (two kidney, one-clip renal model) or after the administration of deoxycorticosterone and salt (DOCA-salt model). After 4 weeks, all rats showed a similar increase in intra-arterial mean blood pressure and in the thickness of both the aortic wall and the heart. Northern blot analysis of aorta mRNA and immunolabeling for Cx43 showed that hypertensive rats expressed twice as much Cx43 in aorta as the control animals. In contrast, no difference in Cx43 mRNA or in the immunolabeled protein was observed in heart. CONCLUSIONS: The results show that rats exhibiting a similar degree of blood pressure elevation, as the result of different mechanisms, feature a comparable increase in Cx43 gene expression, which was observed in the aortic but not in the cardiac muscle. These data suggest that localized mechanical forces induced by hypertension are major tissue-specific regulators of Cx43 expression.


Subject(s)
Aorta/metabolism , Connexin 43/biosynthesis , Hypertension, Renovascular/metabolism , Myocardium/metabolism , Transcription, Genetic , Animals , Aorta/pathology , Blood Pressure , Connexin 43/analysis , Desoxycorticosterone , Fluorescent Antibody Technique, Indirect , Hypertension, Renovascular/pathology , Hypertension, Renovascular/physiopathology , Male , Myocardium/pathology , Nephrectomy , Organ Specificity , Polymerase Chain Reaction , RNA, Messenger/biosynthesis , Rats , Rats, Wistar , Renal Artery
8.
Arterioscler Thromb ; 13(7): 1090-100, 1993 Jul.
Article in English | MEDLINE | ID: mdl-7686395

ABSTRACT

High plasma levels of plasminogen activator inhibitor type-1 (PAI-1), the principal inhibitor of the fibrinolytic system, have been associated with thrombotic and arterial disease. To study PAI-1 expression in healthy and atherosclerotic human arteries, a detailed analysis was made by light and electron microscopy immunocytochemistry and by in situ hybridization. In healthy arteries PAI-1 was found both at the level of endothelial cells and of smooth muscle cells (SMCs) of the arterial media. In early atherosclerotic lesions PAI-1 was also detected in intimal SMCs and in extracellular areas in association with vitronectin. Immunogold analysis by electron microscopy revealed PAI-1 in vesicular structures in endothelial cells and in SMCs with normal or foam cell characteristics. In advanced atheromatous plaques, PAI-1 mRNA expression in SMCs within the fibrous cap was increased compared with SMCs located in the adjacent media or in normal arterial tissue. PAI-1 mRNA was also detected in macrophages located at the periphery of the necrotic core. The increased synthesis of PAI-1 by cellular components of the atherosclerotic plaque and the extracellular accumulation of PAI-1 may contribute to the thrombotic complications associated with plaque rupture and possibly play a role in the accumulation of extracellular matrix deposits.


Subject(s)
Arteries/chemistry , Arteriosclerosis/metabolism , Plasminogen Activator Inhibitor 1/analysis , Plasminogen Activator Inhibitor 1/biosynthesis , Arteries/metabolism , Arteries/ultrastructure , Blood Proteins/analysis , Endothelium, Vascular/cytology , Endothelium, Vascular/metabolism , Endothelium, Vascular/ultrastructure , Glycoproteins/analysis , Humans , Immunohistochemistry , In Situ Hybridization , Microscopy, Electron , Muscle, Smooth, Vascular/cytology , Muscle, Smooth, Vascular/metabolism , Subcellular Fractions/chemistry , Vitronectin
9.
Endocrinology ; 131(3): 1467-72, 1992 Sep.
Article in English | MEDLINE | ID: mdl-1354603

ABSTRACT

Gene expression of plasminogen activator inhibitor (PAI) types 1 and 2 is modulated by the protein kinase-C (PKC) and cAMP-dependent protein kinase-A (PKA) signal transduction pathways. To determine whether the PKC and PKA pathways functionally interact during modulation of PAI gene expression, we assessed changes in gene transcription rates, mRNA, and antigen levels of PAI-1 and PAI-2 in HT-1080 fibrosarcoma cells treated with the PKC activator phorbol 12-myristate 13-acetate (PMA), alone or in combination with cAMP agonists and analogs. PMA produced a transient increase in PAI-1 and a sustained increase in PAI-2, which was evident at the level of gene transcription and mRNA. Treatment with the cAMP agonist forskolin or the cAMP analog 8-bromo-cAMP decreased constitutive and PMA-mediated expression of PAI-1 mRNA. PAI-2 mRNA was below detection limits in nontreated and cAMP-treated cells. However, elevated levels of cAMP reduced the stimulatory effect of PMA on PAI-2 mRNA. The antagonism of the PMA effect by cAMP was evident at the level of gene transcription, suggesting that the end point of the functional interplay between the PKC and PKA pathways requires modulation of a nuclear transcription factor(s). Our results suggest that the PKC- and PKA-dependent signaling pathways have counteractive effects on transcriptional expression of the PAI-1 and PAI-2 genes in HT-1080 cells.


Subject(s)
8-Bromo Cyclic Adenosine Monophosphate/pharmacology , Colforsin/pharmacology , Cyclic AMP/metabolism , Plasminogen Inactivators/metabolism , Protein Kinase C/metabolism , Protein Kinases/metabolism , Tetradecanoylphorbol Acetate/pharmacology , Transcription, Genetic/drug effects , Cell Line , Cell Nucleus/drug effects , Cell Nucleus/physiology , DNA Probes , Fibrosarcoma , Gene Expression/drug effects , Humans , Kinetics , Plasminogen Inactivators/analysis , Poly A/analysis , Poly A/metabolism , RNA, Messenger/analysis , RNA, Messenger/genetics , RNA, Messenger/metabolism , Signal Transduction/drug effects , Time Factors
10.
J Cell Physiol ; 148(2): 306-13, 1991 Aug.
Article in English | MEDLINE | ID: mdl-1652590

ABSTRACT

Hyperthermia is a clinical sign of inflammation and constitutes in itself an adaptive defense mechanism. The fibrinolytic system, a highly regulated proteolytic system, is involved in inflammatory processes. Plasminogen activator inhibitor 1 (PAI-1) is the principal inhibitor of the two activators of the fibrinolytic system: tissue- and urokinase-type PAs (t-PA and u-PA). Our present paper provides the first evidence that hyperthermia can directly induce PAI-1. A moderate heat stress, sufficient to induce heat shock protein 70 mRNA approximately 100-fold, resulted in a two- to three-fold increase in functionally active PAI-1 in the conditioned medium of human HT-1080 fibrosarcoma and Hep G2 hepatoma cells. Exposure of these cells to 42 degrees C led to a similar two-fold and two- to five-fold induction of PAI-1 mRNA expression in HT-1080 and Hep G2 cells, respectively, as has been determined by using both oligo d(T) selected and total RNA preparations. These results suggest that the observed increase in PAI-1 accumulation is due to an induction of PAI-1 biosynthesis. Run-on transcription analysis indicates that the induction of PAI-1 biosynthesis by hyperthermia is mediated by a stimulation of PAI-1 gene transcription. No significant effect of hyperthermia was found on t-PA or u-PA at the level of antigen accumulation, mRNA, and gene transcription in human HT-1080 fibrosarcoma cells. These results point to an additional regulatory mechanism of fibrinolysis in the context of inflammation.


Subject(s)
Hot Temperature , Plasminogen Inactivators/metabolism , Transcription, Genetic , Base Sequence , Carcinoma, Hepatocellular , Fibrosarcoma , Humans , Liver Neoplasms , Molecular Sequence Data , Plasminogen Activators/metabolism , RNA, Messenger/genetics , RNA, Messenger/metabolism , Tissue Plasminogen Activator/metabolism , Tumor Cells, Cultured , Urokinase-Type Plasminogen Activator/metabolism
11.
Thromb Haemost ; 66(2): 222-5, 1991 Aug 01.
Article in English | MEDLINE | ID: mdl-1663279

ABSTRACT

We studied the production of PAI-1 by human Hep G2 hepatoma cells. When culturing these cells in fresh medium (FM), PAI-1 accumulation rate was not linear: PAI-1 antigen after 24 h was 200 ng/10(6) cells while in subsequent 24 h periods, it was on average 1,000 ng/10(6) cells. Culture of Hep G2 cells in regular changes of a 12 h conditioned medium (CM) obtained from other Hep G2, instead of in FM, resulted in a 2-fold higher PAI-1 accumulation. In cells incubated in FM, PAI-1 mRNA declined rapidly after medium change and returned to basal levels after 24 h. In contrast, PAI-1 mRNA remained relatively stable when CM was used. The acute phase mediator interleukin 6 (IL-6) was not responsible for the autocrine stimulation of PAI-1: neither IL-6 nor antibodies to IL-6 altered the observed variations in PAI-1 expression. Our studies suggest the presence of an unknown PAI-1 stimulating factor.


Subject(s)
Biological Factors/metabolism , Carcinoma, Hepatocellular/metabolism , Liver Neoplasms/metabolism , Plasminogen Inactivators/metabolism , Culture Media , Fibrinogen/biosynthesis , Humans , Interleukin-6/antagonists & inhibitors , Interleukin-6/pharmacology , RNA, Messenger/metabolism , Tumor Cells, Cultured/drug effects , Tumor Cells, Cultured/metabolism
12.
Nucleic Acids Res ; 19(14): 3881-6, 1991 Jul 25.
Article in English | MEDLINE | ID: mdl-1650454

ABSTRACT

Gene transcription rates and mRNA levels of plasminogen activator inhibitor type 2 (PAI-2) are markedly induced by the tumor promoting agent phorbol 12-myristate 13-acetate (PMA) in human HT1080 fibrosarcoma cells. To identify promoter elements required for basal-, and phorbol ester-inducible expression, deletion mutants of the PAI-1 promoter fused to the chloramphenicol acetyl transferase (CAT) reporter gene, were transiently expressed in HT1080 cells. Constitutive CAT activity was expressed from constructs containing more than 215 bp of promoter sequence, whereas deletion to position -91 bp abolished CAT gene expression. Treatment of transfected cells with PMA resulted in a three- to ten-fold increase in CAT expression from all constructs except from the construct shortened to position -91. DNAse1 protection analysis of the promoter region between -215 and the transcription initiation site revealed numerous protected regions, including two AP1-like binding sites (AP1a and AP1b) and one CRE-like element. Site-directed mutagenesis of the AP1a site or of the CRE-like site resulted in the loss of basal CAT activity and abolished the PMA effect, whereas mutagenesis of AP1b only partially inhibited basal and PMA-mediated expression. Our results suggest that the PAI-2 promoter contains at least two elements required for basal gene transcription and PMA-mediated induction.


Subject(s)
Plasminogen Inactivators/metabolism , Promoter Regions, Genetic , Base Sequence , Chloramphenicol O-Acetyltransferase/genetics , Chloramphenicol O-Acetyltransferase/metabolism , Cyclic AMP/metabolism , DNA , DNA-Binding Proteins/genetics , Deoxyribonuclease I/metabolism , Fibrosarcoma , Humans , Molecular Sequence Data , Mutagenesis, Site-Directed , Proto-Oncogene Proteins c-jun , Tetradecanoylphorbol Acetate , Transcription Factors/genetics , Transcription, Genetic , Transfection , Tumor Cells, Cultured
13.
Proc Natl Acad Sci U S A ; 87(18): 6939-43, 1990 Sep.
Article in English | MEDLINE | ID: mdl-2169614

ABSTRACT

We have analyzed the role of plasminogen-activator inhibitor type 1 (PAI-1) in the regulation of tumor cell-mediated extracellular matrix degradation. Immunocytochemical analysis revealed PAI-1 associated with microgranular and fibrillar material of the extracellular matrix and demonstrated the presence of PAI-1 as a cell surface-associated antigen. Transforming growth factor beta significantly reduced matrix degradation mediated by HT-1080 human fibrosarcoma cells. This inhibition was correlated with an increase in PAI-1 antigen expression, whereas urinary-type plasminogen activator (u-PA) secretion was unaffected. In this experimental system, PAI-1 regulated extracellular matrix breakdown, as added PAI-1 inhibited matrix solubilization, whereas monoclonal antibodies to PAI-1 increased it. A cell line (LPAI) producing high levels of biologically active PAI-1 was established by transfection of a human PAI-1 cDNA clone into mouse L cells. Coculture experiments demonstrated that LPAI cells prevented matrix degradation by Lu-PA cells (L cells expressing high levels of u-PA) or Co-115 human colon carcinoma cells (expressing tissue-type plasminogen activator). These results indicate that PAI-1 may play a critical role in the regulation of extracellular matrix degradation during tumor cell invasion.


Subject(s)
Colonic Neoplasms/metabolism , Extracellular Matrix/metabolism , Fibrosarcoma/metabolism , Plasminogen Inactivators/metabolism , Animals , Carcinoma, Hepatocellular , Cell Line , Extracellular Matrix/ultrastructure , Humans , Kinetics , L Cells/metabolism , Liver Neoplasms , Mice , Plasminogen Activators/isolation & purification , Plasminogen Activators/metabolism , Plasminogen Inactivators/isolation & purification , Transfection
14.
Thromb Res ; 47(5): 553-60, 1987 Sep 01.
Article in English | MEDLINE | ID: mdl-2445046

ABSTRACT

Plasma from 7 septic patients with positive blood cultures were studied. None of them presented either clinical or laboratory evidence of Disseminated Intravascular Coagulation. The white cells count varied between 5 and 45 X 10(9)/l. In plasma functional plasminogen levels varied between 25 and 45%, while those of alpha 2-antiplasmin were normal (80-105%). The levels of elastase ranged between 250 and 750 micrograms/ml. Leukocyte elastase digests plasminogen "in vitro" and is able to produce several fragments; one of them called mini-plasminogen lacking lysine binding sites; therefore it does not bind to lysine-Sepharose 4B. Two different behaviors were observed in the plasmatic plasminogen of these patients with respect to their binding capacity to lysine-Sepharose 4 B. 3 patients had plasminogen which did not bind to lysine-Sepharose 4 B; the other 4 had two different components, one of which bound to lysine-Sepharose 4 B and another one which did not bind. Previous studies "in vitro" have shown that leukocyte elastase modifies alpha 2-antiplasmin, initially producing a non-plasminogen binding form. A free alpha 2-antiplasmin (non-plasminogen binding form) was detected in the plasma of these patients with sepsis by crossed immunoelectrophoresis with plasminogen in the first dimension. It seems tenable that high levels of leukocyte elastase could be responsible for these findings although, the possible relationships to leukocyte elastase still remain to be proven but could possibly explain this effect.


Subject(s)
Plasminogen/metabolism , Sepsis/blood , Blood Proteins/metabolism , Humans , Leukocytes/enzymology , Pancreatic Elastase/blood , alpha 1-Antitrypsin , alpha-2-Antiplasmin/metabolism
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