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Am J Physiol Gastrointest Liver Physiol 292: G1173-G1180, 2007. First published January 18, 2007; doi:10.1152/ajpgi.00420.2006
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INFLAMMATION/IMMUNITY/MEDIATORS

Treatment with BX471, a CC chemokine receptor 1 antagonist, attenuates systemic inflammatory response during sepsis

Min He,1 Richard Horuk,2 Shabbir M. Moochhala,3 and Madhav Bhatia1

1Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; 2Department of Immunology, Berlex Biosciences, Richmond, California; and 3Defense Science Organization National Laboratories, Singapore

Submitted 11 September 2006 ; accepted in final form 10 January 2007

Sepsis is a complex clinical syndrome resulting from a harmful host inflammatory response to infection. Chemokines and their receptors play a key role in the pathogenesis of sepsis. BX471 is a potent nonpeptide CC chemokine receptor-1 (CCR1) antagonist in both human and mouse. The aim of the present study was to evaluate the effect of prophylactic and therapeutic treatment with BX471 on cecal ligation and puncture-induced sepsis in the mouse and to investigate the underlying mechanisms. In sepsis induced by cecal ligation and puncture, treatment with BX471 significantly protected mice against lung and liver injury by attenuating MPO activity, an indicator of neutrophil recruitment in lungs and livers and attenuating lung and liver morphological changes in histological sections. Blocking CCR1 by BX471 also downregulated ICAM-1, P-selectin, and E-selectin expression at mRNA and protein levels in lungs and livers compared with placebo-treated groups. These findings suggest that blockage of CCR1 by specific antagonist may represent a promising strategy to prevent disease progression in sepsis.

acute respiratory distress syndrome; multiple organ dysfunction syndrome; systemic inflammatory response syndrome



Address for reprint requests and other correspondence: M. Bhatia, Cardiovascular Biology Research Programme, Dept. of Pharmacology, Centre for Life Sciences, National Univ. of Singapore, Yong Loo Lin School of Medicine, 28 Medical Dr., #03-02, Singapore 117456 (e-mail: mbhatia{at}nus.edu.sg)




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