Staphylococcal enterotoxins (SE) interact with major histocompatibilit
y complex (MHC) class II cell-surface receptors, eliciting signal tran
sduction in antigen-presenting cells (APC). Subsequent toxin-dass II c
omplex interaction with specific T-cell receptors induces T-cell activ
ation. We investigated the effect of niacinamide and interleukin (IL)-
10 on SEB-induced responses. In a macrophage cell line, niacinamide (E
D(50) - 2 mM) and IL-10 (ED(50) - 7 U/ml) inhibited interferon (IFN)-g
amma-induced MHC class II expression in a dose-dependent manner. Also,
niacinamide was a potent inhibitor of T-cell proliferation induced by
SEB (ED(50) - 1 mM) while IL-10 had minimal effects. In mice, the tem
poral responses of IL-1 alpha, tumor necrosis factor (TNF)-alpha, IL-2
, and IFN-gamma evoked by SEB were synergistically potentiated by lipo
polysaccharide (LPS). Lethality occurred only when SEB was potentiated
by LPS. Niacinamide or IL-10 improved survival of mice after lethal S
EB challenge. Niacinamide reduced cytokine serum levels, although the
pattern differed from that of IL-10. Niacinamide primarily reduced IL-
2 and IFN-gamma, while IL-10 predominantly reduced IL-1 alpha and TNF-
alpha. The immunomodulatory effects of niacinamide observed on SEB-ind
uced activation of APC and T-cells in vitro and in the LPS potentiated
murine model for SEB-induced toxicity suggest it may have therapeutic
value.