Caspase inhibitors improve survival in sepsis: a critical role of the lymphocyte

RS Hotchkiss, KC Chang, PE Swanson… - Nature …, 2000 - nature.com
RS Hotchkiss, KC Chang, PE Swanson, KW Tinsley, JJ Hui, P Klender, S Xanthoudakis…
Nature immunology, 2000nature.com
Sepsis induces lymphocyte apoptosis and prevention of lymphocyte death may improve the
chances of surviving this disorder. We compared the efficacy of a selective caspase-3
inhibitor to a polycaspase inhibitor and to caspase-3−/− mice. Both inhibitors prevented
lymphocyte apoptosis and improved survival. Caspase-3−/− mice shared a decreased, but
not total, block of apoptosis. The polycaspase inhibitor caused a very substantial decrease
in bacteremia. Caspase inhibitors did not benefit RAG-1−/− mice, which had a> tenfold …
Abstract
Sepsis induces lymphocyte apoptosis and prevention of lymphocyte death may improve the chances of surviving this disorder. We compared the efficacy of a selective caspase-3 inhibitor to a polycaspase inhibitor and to caspase-3−/− mice. Both inhibitors prevented lymphocyte apoptosis and improved survival. Caspase-3−/− mice shared a decreased, but not total, block of apoptosis. The polycaspase inhibitor caused a very substantial decrease in bacteremia. Caspase inhibitors did not benefit RAG-1−/− mice, which had a> tenfold increase in bacteremia compared to controls. Adoptive transfer of T cells that overexpressed the anti-apoptotic protein Bcl-2 increased survival. T cells stimulated with anti-CD3 and anti-CD28 produced increased interleukin 2 and interferon γ by 6 h. Thus, caspase inhibitors enhance immunity by preventing lymphocyte apoptosis and lymphocytes act rapidly, within 24 h, to control infection.
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