R. Silverstein et al., NATURAL ADRENOCORTICOSTEROIDS DO NOT RESTORE RESISTANCE TO ENDOTOXIN IN THE ADRENALECTOMIZED MOUSE, Circulatory shock, 41(3), 1993, pp. 162-165
Chronic loss of adrenocorticosteroid activity by adrenalectomy (10 day
s) or acute inhibition of glucocorticoid receptor function by injectio
n of an anti-progestin (RU-38486) increased sensitivity to lipopolysac
charide about 200-fold, compared to that of control animals. Daily sub
cutaneous injection of a mixture of the natural glucocorticoid cortico
sterone and the mineralocorticoid deoxycorticosterone did not restore
resistance to the endotoxin. The largest dose of steroid, 400 mug cort
icosterone + 200 mug deoxycorticosterone, provided only partial protec
tion against 20 mug LPS, which was 10% of the LD50 for animals with ad
renals. The mechanisms involved in lack of effectiveness of natural co
rticosteroids will require further experimentation. (C) 1993 Wiley-Lis
s, Inc.