The overzealous production of proinflammatory cytokines in sepsis can
result in shock, multiorgan dysfunction, and even death. In this study
, we assessed the role of monocyte chemoattractant protein-1 (MCP-1) a
s a mediator of sepsis in endotoxin-challenged mice. Intraperitoneal a
dministration of LPS to CD-1 mice induced a substantial time-dependent
increase in MCP-1 in plasma, lung, and liver. The passive immunizatio
n of mice with rabbit antimurine MCP-1 antiserum 2 h before endotoxin
administration resulted in a striking increase in LPS-induced mortalit
y from 10% in control animals to 65% in anti-MCP-1-treated animals. Im
portantly, the administration of anti-MCP-1 antibodies to endotoxin-ch
allenged mice resulted in increases in peak TNF-alpha and IL-12 levels
, and also in a trend toward decreased serum levels of IL-10. Converse
ly, the administration of recombinant murine MCP-1 intraperitoneally s
ignificantly protected mice from endotoxin-induced lethality, and resu
lted in an increase in IL-10 levels, a decrease in IL-12 levels, and a
trend toward decreased levels of TNF. In conclusion, our findings ind
icate that MCP-1 is a protective cytokine expressed in murine endotoxe
mia, and does so by shifting the balance in favor of antiinflammatory
cytokine expression in endotoxin-challenged animals.