The Role of Interleukin-1 in Wound Biology. Part II: In Vivo and Human Translational Studies
The Role of Interleukin-1 in Wound Biology. Part II: In Vivo and Human Translational Studies
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DOI:
10.1213/ane.0b013e3181f691eb
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发表时间:
2010-12-01
影响因子:
5.7
通讯作者:
Peltz, Gary
中科院分区:
文献类型:
--
作者:
Hu, Yajing;Liang, Deyong;Peltz, Gary
BACKGROUND: In the accompanying paper, we demonstrate that genetic variation within Nalp1 could contribute to interstrain differences in wound chemokine production through altering the amount of interleukin (IL)-1 produced. We further investigate the role of IL-1 in incisional wound biology and its effect on wound chemokine production in vivo and whether this mechanism could be active in human subjects.METHODS: A well-characterized murine model of incisional wounding was used to assess the in vivo role of IL-1 in wound biology. The amount of 7 different cytokines/chemokines produced within an experimentally induced skin incision on a mouse paw and the nociceptive response was analyzed in mice treated with an IL-1 inhibitor. We also investigated whether human IL-1 beta or IL-1 alpha stimulated the production of chemokines by primary human keratinocytes in vitro, and whether there was a correlation between IL-1 beta and chemokine levels in 2 experimental human wound paradigms.RESULTS: Administration of an IL-1 receptor antagonist to mice decreased the nociceptive response to an incisional wound, and reduced the production of multiple inflammatory mediators, including keratinocyte-derived chemokine (KC) and macrophage inhibitory protein (MIP)-1 alpha, within the wounds. IL-1 alpha and IL-1 beta stimulated IL-8 and GRO-alpha (human homologues of murine keratinocyte-derived chemokine) production by primary human keratinocytes in vitro. IL-1 beta levels were highly correlated with IL-8 in human surgical wounds, and at cutaneous sites of human ultraviolet B-induced sunburn injury.CONCLUSIONS: IL-1 plays a major role in regulating inflammatory mediator production in wounds through a novel mechanism; by stimulating the production of multiple cytokines and chemokines, it impacts clinically important aspects of wound biology. These data suggest that administration of an IL-1 receptor antagonist within the perioperative period could decrease postsurgical wound pain.