J. Gomezjimenez et al., INTERLEUKIN-10 AND THE MONOCYTE MACROPHAGE-INDUCED INFLAMMATORY RESPONSE IN SEPTIC SHOCK, The Journal of infectious diseases, 171(2), 1995, pp. 472-475
Interleukin (IL)-10 is a potent immunosuppressant of monocyte/macropha
ge function and may help control the inflammatory response induced by
bacterial infection. To analyze whether IL-10 is detectable in plasma
of patients with septic shock and to evaluate its relationship with en
dotoxin (lipopolysaccharide [LPS])-induced and monocyte/macrophage-ind
uced inflammatory response, plasma IL-10, tumor necrosis factor (TNF)-
alpha, IL-1 beta, IL-6, IL-8, LPS, and neopterin were studied in 24 pa
tients with septic shock and in 12 critically ill patients. Eighty-thr
ee percent of patients with septic shock and 25% of critically ill pat
ients had detectable levels of IL-10 (P < .001). There was a significa
nt correlation between plasma IL-10, neopterin (r = .72), TNF-alpha (r
= .76), IL-6 (r = .68), and IL-8 (r = .61) levels in patients with se
ptic shock. Monocyte/macrophage activation leads to massive secretion
of IL-10, which, however, seems to be unable to control the increased
production of proinflammatory mediators during septic shock.