Abstract
Group B streptococcal antigens stimulated tumor necrosis factor alpha (TNF-alpha), interleukin-1 (IL-1), and IL-6 production in human blood cultures in a concentration- and time-dependent fashion. The minimal concentrations of type-specific polysaccharides, lipoteichoic acid, and group-specific polysaccharide required to produce these effects were, respectively, 0.01, 1, and 10 microg/ml. Cell separation experiments indicated that monocytes were the cell type mainly responsible for cytokine production. Time course studies indicated that TNF-alpha was released before the other cytokines. TNF-alpha, however, did not appear to directly induce IL-1beta, as shown by blockade experiments with anti-TNF-alpha antibodies. IL-6 levels were moderately but significantly decreased by anti-TNF-alpha. These data indicate that several products from group B streptococci are able to directly stimulate human monocytes to release TNF-alpha, IL-1beta, and IL-6. These findings may be clinically relevant, since proinflammatory cytokines can mediate pathophysiologic changes during sepsis.
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- Alkan M. L., Beachey E. H. Excretion of lipoteichoic acid by group A streptococci. Influence of penicillin on excretion and loss of ability to adhere to human oral mucosal cells. J Clin Invest. 1978 Mar;61(3):671–677. doi: 10.1172/JCI108979. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bhakdi S., Klonisch T., Nuber P., Fischer W. Stimulation of monokine production by lipoteichoic acids. Infect Immun. 1991 Dec;59(12):4614–4620. doi: 10.1128/iai.59.12.4614-4620.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Carey R. B., Eisenstein T. K., Shockman G. D., Greber T. F., Swenson R. M. Soluble group- and type-specific antigens from type III group B Streptococcus. Infect Immun. 1980 Apr;28(1):195–203. doi: 10.1128/iai.28.1.195-203.1980. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cusumano V., Genovese F., Mancuso G., Carbone M., Fera M. T., Teti G. Interleukin-10 protects neonatal mice from lethal group B streptococcal infection. Infect Immun. 1996 Jul;64(7):2850–2852. doi: 10.1128/iai.64.7.2850-2852.1996. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cusumano V., Mancuso G., Genovese F., Delfino D., Beninati C., Losi E., Teti G. Role of gamma interferon in a neonatal mouse model of group B streptococcal disease. Infect Immun. 1996 Aug;64(8):2941–2944. doi: 10.1128/iai.64.8.2941-2944.1996. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DeForge L. E., Kenney J. S., Jones M. L., Warren J. S., Remick D. G. Biphasic production of IL-8 in lipopolysaccharide (LPS)-stimulated human whole blood. Separation of LPS- and cytokine-stimulated components using anti-tumor necrosis factor and anti-IL-1 antibodies. J Immunol. 1992 Apr 1;148(7):2133–2141. [PubMed] [Google Scholar]
- Edwards M. S., Baker C. J. Prospective diagnosis of early onset group B streptococcal infection by countercurrent immunoelectrophoresis. J Pediatr. 1979 Feb;94(2):286–288. doi: 10.1016/s0022-3476(79)80845-8. [DOI] [PubMed] [Google Scholar]
- Elsässer-Beile U., von Kleist S., Gallati H. Evaluation of a test system for measuring cytokine production in human whole blood cell cultures. J Immunol Methods. 1991 Jun 3;139(2):191–195. doi: 10.1016/0022-1759(91)90188-l. [DOI] [PubMed] [Google Scholar]
- Mancuso G., Tomasello F., von Hunolstein C., Orefici G., Teti G. Induction of tumor necrosis factor alpha by the group- and type-specific polysaccharides from type III group B streptococci. Infect Immun. 1994 Jul;62(7):2748–2753. doi: 10.1128/iai.62.7.2748-2753.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Opal S. M., Cross A., Palmer M., Almazan R. Group B streptococcal sepsis in adults and infants. Contrasts and comparisons. Arch Intern Med. 1988 Mar;148(3):641–645. [PubMed] [Google Scholar]
- Standiford T. J., Arenberg D. A., Danforth J. M., Kunkel S. L., VanOtteren G. M., Strieter R. M. Lipoteichoic acid induces secretion of interleukin-8 from human blood monocytes: a cellular and molecular analysis. Infect Immun. 1994 Jan;62(1):119–125. doi: 10.1128/iai.62.1.119-125.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Steinmetz H. T., Herbertz A., Bertram M., Diehl V. Increase in interleukin-6 serum level preceding fever in granulocytopenia and correlation with death from sepsis. J Infect Dis. 1995 Jan;171(1):225–228. doi: 10.1093/infdis/171.1.225. [DOI] [PubMed] [Google Scholar]
- Sullivan J. S., Kilpatrick L., Costarino A. T., Jr, Lee S. C., Harris M. C. Correlation of plasma cytokine elevations with mortality rate in children with sepsis. J Pediatr. 1992 Apr;120(4 Pt 1):510–515. doi: 10.1016/s0022-3476(05)82476-x. [DOI] [PubMed] [Google Scholar]
- Teti G., Calapai M., Calogero G., Tomasello F., Mancuso G., Galli A., Riggio G. Specificity and protective activity of murine monoclonal antibodies directed against the capsular polysaccharide of type III group B streptococci. Hybridoma. 1992 Feb;11(1):13–22. doi: 10.1089/hyb.1992.11.13. [DOI] [PubMed] [Google Scholar]
- Teti G., Mancuso G., Tomasello F. Cytokine appearance and effects of anti-tumor necrosis factor alpha antibodies in a neonatal rat model of group B streptococcal infection. Infect Immun. 1993 Jan;61(1):227–235. doi: 10.1128/iai.61.1.227-235.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vallejo J. G., Baker C. J., Edwards M. S. Interleukin-6 production by human neonatal monocytes stimulated by type III group B streptococci. J Infect Dis. 1996 Aug;174(2):332–337. doi: 10.1093/infdis/174.2.332. [DOI] [PubMed] [Google Scholar]
- Verhoef J., Mattsson E. The role of cytokines in gram-positive bacterial shock. Trends Microbiol. 1995 Apr;3(4):136–140. doi: 10.1016/s0966-842x(00)88902-7. [DOI] [PubMed] [Google Scholar]
- Von Hunolstein C., Ricci M. L., Orefici G. Adherence of glucan-positive and glucan-negative strains of Streptococcus bovis to human epithelial cells. J Med Microbiol. 1993 Jul;39(1):53–57. doi: 10.1099/00222615-39-1-53. [DOI] [PubMed] [Google Scholar]
- Williams P. A., Bohnsack J. F., Augustine N. H., Drummond W. K., Rubens C. E., Hill H. R. Production of tumor necrosis factor by human cells in vitro and in vivo, induced by group B streptococci. J Pediatr. 1993 Aug;123(2):292–300. doi: 10.1016/s0022-3476(05)81706-8. [DOI] [PubMed] [Google Scholar]
- de Bont E. S., Martens A., van Raan J., Samson G., Fetter W. P., Okken A., de Leij L. H. Tumor necrosis factor-alpha, interleukin-1 beta, and interleukin-6 plasma levels in neonatal sepsis. Pediatr Res. 1993 Apr;33(4 Pt 1):380–383. doi: 10.1203/00006450-199304000-00013. [DOI] [PubMed] [Google Scholar]
- von Hunolstein C., D'Ascenzi S., Wagner B., Jelínková J., Alfarone G., Recchia S., Wagner M., Orefici G. Immunochemistry of capsular type polysaccharide and virulence properties of type VI Streptococcus agalactiae (group B streptococci). Infect Immun. 1993 Apr;61(4):1272–1280. doi: 10.1128/iai.61.4.1272-1280.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]