Abstract

BackgroundIt was hypothesized that a pro-atherogenic, high saturated fat and cholesterol diet (HCD) would increase the inflammatory response to E. coli endotoxin (LPS) and increase its concentration in plasma after administration to mice.MethodsC57Bl/6 mice were fed a HCD or a control diet (CD) for 4 weeks, and then treated with saline, 0.5, 1 or 2 mg LPS/kg, ip. Liver injury (alanine:2-oxoglutarate aminotransferase and aspartate aminotransferase, collagen staining), circulating cytokines (tumor necrosis factor-α, interleukin-6 and interferon-γ), factors that can bind LPS (serum amyloid A, apolipoprotein A1, LPS binding protein, and CD14), and plasma levels of LPS were measured. The hepatic response was assessed by measuring vascular cell adhesion molecule (VCAM)-1, inducible nitric oxide synthase (iNOS) and signal transducer and activator of transcription-1 proteins, and VCAM-1 and iNOS mRNAs. Hepatic mRNA encoding the LPS receptor, Toll like receptor 4, was also determined.ResultsTwo mg LPS/kg killed 100% of mice fed HCD within 5 d, while no mice fed CD died. All mice treated with 0 to 1 mg LPS/kg survived 24 h. HCD increased plasma alanine:2-oxoglutarate aminotransferase and aspartate aminotransferase, and the enzymes were increased more by LPS in HCD than CD mice. Induction of plasma tumor necrosis factor-α, interleukin-6, and interferon-γ by LPS was greater with HCD than CD. Hepatic VCAM-1 and iNOS protein and mRNA were induced by LPS more in mice fed HCD than CD. Tyrosine phosphorylation of signal transducer and activator of transcription-1 caused by LPS was prolonged in HCD compared with CD mice. Despite the hepatic effects of HCD, diet had no effect on the LPS plasma concentration-time profile. HCD alone did not affect circulating levels of plasma apolipoprotein A1 or LPS binding protein. However, plasma concentrations of serum amyloid A and CD14, and hepatic toll-like receptor-4 mRNA were increased in mice fed HCD.ConclusionHCD increased the sensitivity of mice to LPS without affecting its plasma level. Although increased serum amyloid A and CD14 in the circulation may inhibit LPS actions, their overexpression, along with hepatic toll-like receptor-4 or other factors, may contribute to the heightened sensitivity to LPS.

Highlights

  • It was hypothesized that a pro-atherogenic, high saturated fat and cholesterol diet (HCD) would increase the inflammatory response to E. coli endotoxin (LPS) and increase its concentration in plasma after administration to mice

  • The results demonstrate that dietary cholesterol/fat can significantly affect the severity of the response to endotoxin

  • The consequences of the increases in serum amyloid A (SAA) and CD14 by HCD for a balance between pro- and antiinflammatory actions of HDL are not known, a number of recent studies suggest that the effects of LPS should be reduced

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Summary

Introduction

It was hypothesized that a pro-atherogenic, high saturated fat and cholesterol diet (HCD) would increase the inflammatory response to E. coli endotoxin (LPS) and increase its concentration in plasma after administration to mice. Systemic effects of Gram-negative sepsis are mediated in large part by lipopolysaccharide (LPS), which causes tissue injury and inflammation. LPS causes endothelial activation with up-regulation of adhesion molecules, and promotes the release cytokines, including tumor necrosis factor-α (TNFα), interleukin-6 (IL-6) and interferon-γ (IFNγ), which typically increase in sequence [7,8,9]. LPS, directly and via cytokines, activates transcription of pro-inflammatory genes such as inducible nitric oxide synthase (iNOS), and vascular cell adhesion molecule-1 (VCAM-1). This results in production of nitric oxide that may contribute to shock and other events, while endothelial VCAM-1 mediates sequestration of leukocytes in tissues [10]. The induction of iNOS and VCAM1 is driven by the activation of several transcription factors, including nuclear factor kappa B (NFkB), activating protein-1 (AP-1) and signal transducer and activator of transcription-1 (STAT1) [11,12,13,14]

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