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The Journal of Thoracic and Cardiovascular Surgery, Vol 98, 1100-1106, Copyright © 1989 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
N Haeffner-Cavaillon, N Roussellier, O Ponzio, MP Carreno, M Laude, A Carpentier and MD Kazatchkine
Systemic reactions resembling inflammation occur in patients undergoing
cardiopulmonary bypass. We now report that interleukin-1, an endogenous
pyrogen and a key mediator of inflammation, is transiently and consistently
generated in vivo by circulating monocytes within hours after
cardiopulmonary bypass. Interleukin-1 production was assessed by measuring
interleukin-1 functional activity and interleukin-1 beta antigen
concentration in cell lysates from monocytes of patients during and after
bypass. There was no increase in intracellular interleukin-1 activity
during bypass and within the first hours after bypass, possibly because of
a suppressive effect of hypothermia on interleukin- 1 production, as
documented in vitro. Maximal generation of interleukin- 1 was observed 24
hours after extracorporeal circulation, concomitantly with the occurrence
of a peak in body temperature. The amount of interleukin-1 generated at
that time was linearly correlated with the increase in patients' body
temperature. The peak in interleukin-1 production followed by 20 hours the
peak in complement activation as assessed by determining C3a desArg and C5a
desArg concentrations in patients' plasma. These results indicate that
interleukin-1 may be involved in the pathogenesis of adverse systemic
reactions associated with cardiopulmonary bypass.
ARTICLES
Induction of interleukin-1 production in patients undergoing cardiopulmonary bypass
INSERM U28, Universite Paris VI, France.
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P. M. Kilbridge, J. E. Mayer, J. W. Newburger, P. R. Hickey, A. Z. Walsh, and E. J. Neufeld Induction of intercellular adhesion molecule-1 and E-selectin mRNA in heart and skeletal muscle of pediatric patients undergoing cardiopulmonary bypass J. Thorac. Cardiovasc. Surg., May 1, 1994; 107(5): 1183 - 1192. [Abstract] [Full Text] |
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Y. J. Gu and W. van Oeveren Reply Ann. Thorac. Surg., April 1, 1994; 57(4): 1056 - 1057. [PDF] |
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P. Menasche, S. Haydar, J. Peynet, C. D. Buit, R. Merval, G. Bloch, A. Piwnica, and A. Tedgui A potential mechanism of vasodilation after warm heart surgery: The temperature-dependent release of cytokines J. Thorac. Cardiovasc. Surg., January 1, 1994; 107(1): 293 - 299. [Abstract] [Full Text] |
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A. B. Millar, L. Armstrong, J. van der Linden, N. Moat, R. Ekroth, J. Westwick, M. Scallan, and C. Lincoln Cytokine production and hemofiltration in children undergoing cardiopulmonary bypass Ann. Thorac. Surg., December 1, 1993; 56(6): 0003497593907409 - 3497593907409. [Abstract] [PDF] |
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S. M Almdahl, A. Waage, T. Ivert, and J. Vaage Release of bioactive interleukin 6 but not of tumour necrosis factor-{alpha} after elective cardiopulmonary bypass Perfusion, May 1, 1993; 8(3): 233 - 238. [Abstract] [PDF] |
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K. Tajima, F. Yamamoto, K. Kawazoe, I. Nakatani, H. Sakai, T. Abe, and Y. Kawashima Cardiopulmonary bypass and cellular immunity: Changes in lymphocyte subsets and natural killer cell activity Ann. Thorac. Surg., March 1, 1993; 55(3): 625 - 630. [Abstract] [PDF] |
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J. Butler, G. M. Rocker, and S. Westaby Inflammatory response to cardiopulmonary bypass Ann. Thorac. Surg., February 1, 1993; 55(2): 552 - 559. [Abstract] [PDF] |
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S. W. Downing and L. H. Edmunds Jr Release of vasoactive substances during cardiopulmonary bypass Ann. Thorac. Surg., December 1, 1992; 54(6): 1236 - 1243. [Abstract] [PDF] |
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J. Butler, G. L. Chong, MMed(Anaes), R. J. Baigrie, R. Pillai, S. Westaby, and G. M. Rocker Cytokine responses to cardiopulmonary bypass with membrane and bubble oxygenation Ann. Thorac. Surg., May 1, 1992; 53(5): 833 - 838. [Abstract] [PDF] |
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