Suppression of the Granulocyte Colony-Stimulating Factor Response to Escherichia coli Challenge by Alcohol Intoxication

Authors

  • Gregory J. Bagby,

    Corresponding author
    1. Department of Medicine, Section of Pulmonary/Critical Care, and Department of Physiology and the Alcohol Research Center, Louisiana State University Medical Center, New Orleans, Louisiana.
      Reprint requests: Gregory J. Bagby, Ph.D., Department of Physiology, Louisiana State University Medical Center, 1901 Perdido Street, New Orleans, LA 70112.
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  • Ping Zhang,

    1. Department of Medicine, Section of Pulmonary/Critical Care, and Department of Physiology and the Alcohol Research Center, Louisiana State University Medical Center, New Orleans, Louisiana.
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  • David A. Stoltz,

    1. Department of Medicine, Section of Pulmonary/Critical Care, and Department of Physiology and the Alcohol Research Center, Louisiana State University Medical Center, New Orleans, Louisiana.
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  • Steve Nelson

    1. Department of Medicine, Section of Pulmonary/Critical Care, and Department of Physiology and the Alcohol Research Center, Louisiana State University Medical Center, New Orleans, Louisiana.
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  • This work was supported in part by US. Public Health Service Grant AA0983. D.A.S. was supported by a National Research Service Award AA05470.

Reprint requests: Gregory J. Bagby, Ph.D., Department of Physiology, Louisiana State University Medical Center, 1901 Perdido Street, New Orleans, LA 70112.

Abstract

Alcohol's suppressive effects on polymorphonuclear leukocyte (PMN) production and function increases host susceptibility to a wide variety of infections and impairs the ability of these effector cells to seek and destroy invading pathogens. Granulocyte colony-stimulating factor (G-CSF), an important regulator of PMN production and function, is known to be increased in the plasma during infectious episodes. In previous studies we found acute alcohol intoxication to suppress the tumor necrosis factor-α (TNFα) response to in vivo challenges with bacteria or lipopolysaccharide. The present study was initiated to determine the impact of alcohol intoxication on the plasma G-CSF response to Gram-negative infection. For this purpose, rats received an intravenous challenge of Escherichia coli (106 CFU) 30 min after an intraperitoneal injection of ethanol (5.5 g/kg) or an equivalent volume of saline (control). Ethanol-intoxicated rats had a greater 48 hr mortality to live E. coli injection than did unintoxicated animals (45% vs. 8%). Despite an increased bacterial burden in both the lung and liver at 24 hr after initiating E. coli infection in alcohol-intoxicated animals, PMN tissue recruitment, indexed as myeloperoxidase activity, did not differ between control and alcohol-treated rats. Moreover, alcohol suppressed blood PMN phagocytic capacity to a greater extent in animals given alcohol than controls at 5 and 24 hr after initiating infection. In control animals after intravenous E. coli injection, bioactive G-CSF increased in plasma and peaked near 300 ng/ml at 8 hr. In rats pretreated with alcohol, the plasma G-CSF response was markedly suppressed in response to intravenous E. coli (p 0.05). In a second experiment, neutralization of the E. coli-induced plasma TNFα response by pretreatment with anti-TNFα antibody similarly inhibited the plasma G-CSF response. These results support the postulate that alcohol-induced inhibition of TNFα directly contributes to the adverse effects of alcohol on PMN function by suppressing the normal autocrine amplification pathway responsible for G-CSF production.

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