Immune dysfunction following trauma-haemorrhage: Influence of gender and age

Recent studies indicate that young female proestrus mice show an enhanced i mmune response following trauma-haemorrhage, as opposed to the immunodepres sion observed in males of comparable age. Testosterone is suggested as the cause of immunodepression in males, whereas oestradiol seems to be responsi ble for the enhanced immune response in females, however, sex hormone level s decrease with age. To determine if the sexual dimorphism in immune respon ses observed in young mice following trauma-haemorrhage changes with age, y oung (2-3 months) and aged (18-19 months) male and female CBA/J NIA mice we re subjected to soft-tissue trauma (laparatomy) and haemorrhage (35+5 mmHg for 90 min and fluid resuscitation) or sham operation. Mice were killed 24 h later, and whole blood, as well as splenic and peritoneal macrophages (M phi) obtained. Plasma 17 beta-oestradiol and free testosterone decreased in aged females and males, respectively, M phi from young females had enhance d IL-1 beta and suppressed IL-10 production following trauma-haemorrhage, w hile aged females had unchanged production IL-1 beta and IL-6 production an d enhanced IL-10 release. In contrast, IL-1 beta and IL-6 production by MP from young males was suppressed and IL-10 production enhanced following tra uma-haemorrhage, whereas M phi from aged males produced elevated levels of IL-1 beta and IL-6 and suppressed levels of IL-10 following trauma-haemorrh age. Thus, the gender-related changes in the immune response to trauma-haem orrhage were reversed in aged mice, (C) 2000 Academic Press.