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Hyporesponsiveness of natural killer cells and impaired inflammatory responses in critically ill patients

Authors
 Minkyung Kim  ;  Minjoo Kim  ;  Hana Jeong  ;  Jey Sook Chae  ;  Young Sam Kim  ;  Jae Gil Lee  ;  Younsoo Cho  ;  Jong Ho Lee 
Citation
 BMC Immunology, Vol.18(1) : 48, 2017 
Journal Title
 BMC Immunology 
Issue Date
2017
Keywords
Cytokine ; ICU ; Inflammatory response ; NK cell ; PBMC
Abstract
BACKGROUND: To investigate natural killer (NK) cell activity, circulating cytokine level and peripheral blood mononuclear cell (PBMC) cytokine production status in critically ill patients. METHODS: Blood samples were collected <24 h after admission from 24 intensive care unit (ICU) patients and 24 age-, sex-, and body mass index (BMI)-matched healthy controls. Serum cytokine concentrations and cytokine production by PBMCs and lipopolysaccharide (LPS)-stimulated PBMCs were measured. RESULTS: The ICU group showed lower NK cell activity than the controls under all conditions and an absence of interferon (IFN)-γ. After adjusting for triglycerides, LDL- and HDL-cholesterol, and glucose, the ICU group exhibited lower serum levels of albumin and interleukin (IL)-12 and higher leukocyte counts and hs-CRP and IL-6 levels than the controls. Non-stimulated PBMCs from ICU patients secreted significantly greater amounts of IL-6 and IL-1β than the controls; however, the production of IL-6, TNF-α and IL-1β in response to LPS stimulation was significantly lower in the ICU group. CONCLUSIONS: Significant reductions in NK cell activity and serum IL-12 level, an absence of serum IFN-γ, and decreased cytokine production from LPS-stimulated PBMCs indicate the hyporesponsiveness of NK cells and an impaired early phase inflammatory response in critically ill patients (ClinicalTrials.gov NCT02565589 :).
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/161506
DOI
10.1186/s12865-017-0231-y
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
김영삼(Kim, Young Sam) ; 이재길(Lee, Jae Gil) ; 조윤수(Cho, Youn Soo)
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