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Am J Physiol Gastrointest Liver Physiol 285: G621-G629, 2003. First published May 28, 2003; doi:10.1152/ajpgi.00177.2003
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INFLAMMATION/IMMUNITY/MEDIATORS

IL-6 is essential for development of gut barrier dysfunction after hemorrhagic shock and resuscitation in mice

Runkuan Yang,1 Xiaonan Han,1 Takashi Uchiyama,1 Simon K. Watkins,2 Arino Yaguchi,1 Russell L. Delude,1,3 and Mitchell P. Fink1,4

Departments of 1Critical Care Medicine, 3Pathology, and 4Surgery and the 2Center for Biologic Imaging, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15260

Submitted 16 April 2003 ; accepted in final form 16 May 2003

We sought to determine the role of IL-6 as a mediator of the alterations in gut barrier function that occur after hemorrhagic shock and resuscitation (HS/R). C57Bl/6 wild-type (WT) and IL-6 knockout (KO) mice on a C57Bl/6 background were subjected to either a sham procedure or HS/R. Organ and tissue samples were obtained 4 h after resuscitation. In WT mice, HS/R significantly increased ileal mucosal permeability to fluorescein isothiocyanate-labeled dextran (average molecular mass, 4 kDa) and bacterial translocation to mesenteric lymph nodes. These alterations in gut barrier function were not observed in IL-6 KO animals. HS/R increased ileal steady-state mRNA levels for IL-6, TNF, and IL-10 in WT but not in IL-6 KO mice. Ileal mucosal expression of the tight junction protein, ZO-1, decreased after HS/R in WT but not IL-6 KO mice. Collectively, these data support the view that expression of IL-6 is essential for the development of gut barrier dysfunction after HS/R.

mesenteric lymph nodes; mucosal permeability; inducible nitric oxide synthase



Address for reprint requests and other correspondence: M. P. Fink, Dept. of Critical Care Medicine, Scaife Hall, 3550 Terrace St., Pittsburgh, PA 15260 (E-mail: finkmp{at}ccm.upmc.edu).




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