Abstract

This study was performed in order to examine whether the uraemic toxin, methylguanidine (MG), can modulate tumor necrosis factor α (TNFα) release by activated macrophages. In this study we have evaluated the ability of MG to influence TNFα release in vitro, in Escherichia coli lypopolysaccharide- (LPS)-stimulated J774 cells preincubated overnight with MG, and in vivo in rats treated with MG before and after LPS challenge. Parallel experiments employing N G-nitro-L-arginine methyl esther (L-NAME) were also carried out for comparison. The effect of LPS (6 × 10 3 u/ml) on TNFα release by J774, following overnight incubation with MG or L-NAE (1 mM), was examined 3 hours after LPS challenge. LPS-stimulated J774 released 287.83 ± 88 u/ml TNFα into the culture medium. MG (1 mM) significantly inhibited TNFα release by 73 % (P < .05). L-NAME (1 mM) significantly inhibited TNFα release too by 72.88 % (P < 0.05). The effect of MG and L-NAME have been also studied in vivo. Serum TNFα levels in LPS treated rats 2 h after LPS challenge were 88.33 ± 31.7 u/ml as compared to the serum TNFα levels of control rats (undetectable). Treatment of rats with MG (30 mg/kg, i.p.) strongly and significantly reduced TNFα release (98.71 % inhibition; with P < 0.001); in the same experimental setting L-NAME (10 mg/kg, i.p.) also significantly reduced TNFα serum levels (76.47 % inhibition; with P < 0.01). These results could indicate that immunedisfunction related to uremia may be related to the inhibitory capability of uremic catabolyte, MG, on TNFα synthesis and release.

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