Novel Chitohexaose Analog Protects Young and Aged mice from CLP Induced Polymicrobial Sepsis

Sci Rep. 2019 Feb 27;9(1):2904. doi: 10.1038/s41598-019-38731-3.

Abstract

In Gram-negative bacterial sepsis, production of excess pro-inflammatory cytokines results in hyperinflammation and tissue injury. Anti-inflammatory cytokines such as IL-10 inhibit inflammation and enhance tissue healing. Here, we report a novel approach to treat septicemia associated with intra-abdominal infection in a murine model by delicately balancing pro- and anti-inflammatory cytokines. A novel oligosaccharide compound AVR-25 selectively binds to the TLR4 protein (IC50 = 0.15 µM) in human peripheral blood monocytes and stimulates IL-10 production. Following the cecal ligation and puncture (CLP) procedure, intravenous dosing of AVR-25 (10 mg/kg, 6-12 h post-CLP) alone and in combination with antibiotic imipenem protected both young adult (10-12 week old) and aged (16-18 month old) mice against polymicrobial infection, organ dysfunction, and death. Proinflammatory cytokines (TNF-α, MIP-1, i-NOS) were decreased significantly and restoration of tissue damage was observed in all organs. A decrease in serum C-reactive protein (CRP) and bacterial colony forming unit (CFU) confirmed improved bacterial clearance. Together, these findings demonstrate the therapeutic ability of AVR-25 to mitigate the storm of inflammation and minimize tissue injury with high potential for adjunctive therapy in intra-abdominal sepsis.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aging / physiology*
  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
  • Cecum / surgery
  • Cells, Cultured
  • Chitin / chemistry
  • Chitin / therapeutic use*
  • Cytokines / metabolism
  • Disease Models, Animal
  • Gram-Negative Bacterial Infections / complications
  • Gram-Negative Bacterial Infections / drug therapy*
  • Humans
  • Inflammation Mediators / metabolism
  • Intraabdominal Infections / complications
  • Intraabdominal Infections / drug therapy*
  • Leukocytes, Mononuclear / drug effects*
  • Leukocytes, Mononuclear / physiology
  • Mice
  • Mice, Inbred C57BL
  • Oligosaccharides / chemistry
  • Oligosaccharides / therapeutic use*
  • Sepsis / etiology
  • Sepsis / prevention & control*
  • Toll-Like Receptor 4 / metabolism

Substances

  • AVR-25
  • Anti-Inflammatory Agents, Non-Steroidal
  • Cytokines
  • Inflammation Mediators
  • Oligosaccharides
  • Toll-Like Receptor 4
  • Chitin
  • chitohexaose