SHAJARI G, ABARAEI B, SARRAFNEJAD A. THE EFFECT OF ANTIBIOTICS ON LPS RELEASE FROM SALMONELLA TYPHI AND I T S RELATION TO TNF-a, PRODUCTION BY HUMAN WHOLE BLOOD, "EX-VIVO". Med J Islam Repub Iran 2004; 17 (4) :309-314
URL:
http://mjiri.iums.ac.ir/article-1-1619-en.html
From the Department of Microbiology & Immunology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran. , shajari@dr.com
Abstract: (5392 Views)
It seems that rapid destruction of gram negative bacteria by antibiotics contributes
to the clinical deterioration of some patients with gram negative infections. Antibiotics
increase the concentration of lipopolysaccharide (LPS) in blood and cerebrospinal
fluids. Released LPS can activate blood cells to produce tumor necrosis factor-alpha
(TNF-a) and other cytokines. TNF-a appears to be a major mediator in development
of fever, hypotension, multi-organ failure and death.
In this research, standard Salmonella typhi Ty 2 -5536, a pathogenic Salmonella
and standard Escherichia coli K12,QD5003 for comparing, were incubated in
the presence of chloramphenicol, ampicillin and'co-trimoxazole at concentrations that
killed >99.9% of organisms as determined by quantitative culture techniques.
The results obtained showed that chloramphenicol produced lower LPS levels
and lower TNF-a levels from whole blood cells when compared with those of ampicillin
and co-trimoxazole. Therefore chloramphenicol is the preferred antibiotic against S.
typhi because it decreases the induced-pathological effect of TNF-a in gram negative
infections.