Abstract

As nuclear factor kappa B (NF-κB) and mitogen-activated protein kinases (MAPKs) seem to be critical mediators in the inflammatory response, we studied the effects of lipopolysaccharide (LPS) and lipoteichoic acid (LTA) on (a) the activation of NF-κB and MAPKs and (b) the expression of tumor necrosis factor alpha (TNF-α) and interleukin 6 (IL-6) with or without the specific inhibitors of these intracellular signal transduction pathways in neonatal cord and adult blood. TNF-α and IL-6 concentrations showed a sharp increase in the supernatants of cord and adult whole blood after stimulation. TNF-α concentrations were significantly higher, whereas IL-6 concentrations were tendentially lower in adult blood after stimulation. Stimulation with LPS or LTA resulted in a significantly decreased activation of p38 MAPK in neonatal compared with adult blood. Although LTA failed to induce additional ERK1/2 phosphorylation, LPS stimulation mediated the moderately increased levels of activated ERK1/2 in neonatal monocytes. The addition of the p38 MAPK inhibitor SB202190 significantly decreased IL-6 and TNF-α production upon LPS or LTA stimulation. Furthermore, the inhibition of ERK1/2 was able to reduce LPS-stimulated TNF-α production in neonatal blood. We conclude that p38 MAPK as well as ERK1/2 phosphorylation is crucially involved in LPS activation and could explain the differences in early cytokine response between neonatal and adult blood.

Highlights

  • Sepsis and its associated syndromes of systemic inflammatory response and multiple organ dysfunction continue to be leading causes of morbidity and mortality in newborns [1]

  • The role of mitogen-activated protein kinases (MAPKs) p38 in the observed cytokine production in LPS- or lipoteichoic acid (LTA)-stimulated whole neonatal and adult blood was examined by incubation with the p38 kinase inhibitor SB202190

  • We focused our investigation on monocytes because TLR2 and TLR4 seem to be mainly expressed on monocytes rather than granulocytes

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Summary

Introduction

Sepsis and its associated syndromes of systemic inflammatory response and multiple organ dysfunction continue to be leading causes of morbidity and mortality in newborns [1]. The interaction between TLRs and microbial antigens (components) initiates the activation of an evolutionary conserved immune signaling network, leading to the rapid and transient phosphorylation of several downstream signaling proteins. P38 MAPK crucially mediates the release of proinflammatory cytokines by the regulation of the expression of a variety of genes, which are involved in the acute-phase response [8,9,10]. The inappropriate and prolonged activation of NF-κB has been linked to several diseases associated with inflammatory events, including septic shock, acute respiratory distress syndrome, ischemia, and reperfusion injury [15]

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