PATHOGENESIS OF FEVER IN HUMANS

人类发烧的发病机制

• 批准号: 3126288
• 负责人: Charles anthony Dinarello
• 金额: $ 21.07万
• 依托单位: TUFTS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 1986
• 资助国家: 美国
• 起止时间: 1986-12-01 至 1987-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3126288
• 关键词: Staphylococcus aureus; T lymphocyte; acute phase protein; arachidonate; autoradiography; body fluids; body temperature regulation; calcium metabolism; cell type; chemical structure function; density gradient ultracentrifugation; endotoxins; enzyme linked immunosorbent assay; gel electrophoresis; gel filtration chromatography; histiocytic lymphoma; human tissue; hybridomas; hyperthermia; hypothalamus; immunofluorescence technique; ion exchange chromatography; ionophores; membrane activity; monoclonal antibody; monocyte; pyrogens; radioimmunoassay; radiotracer; tissue /cell culture

The hypothesis that fever is initiated by the action of the polypeptide leukocytic pyrogen (LP) on the thermoregulatory system is well established; however, considerable evidence now supports the concept that LP also mediates several aspects of the acute phase response and plays an essential role in lymphocyte function. Purification and characterization of LP using fever as well as lymphocyte proliferation and other biological assays have been unable to separate these activities, and the term interleukin-1 (IL-1) has been adopted to denote the activity and hormonal nature of this molecule. Continued investigation is indicated on the biological activities and structure-function relationship of LP. Experiments will focus on large scale production of LP from human monocytes and the histocytic lymphoma line U937 stimulated with the potent LP-inducer, toxic shock toxin. Purification and amino acid sequence studies of LP are included since large scale production and purification schemes have been established. Data from sequence studies are vital to understanding the nature of LP and its effects on the host. Using intrinsic labeling of LP with radioactive amino acids, purification can be monitered and important studies on cell receptors initiated. Specific receptors for LP have not been identified and experiments are designed to use intrinsically labeled, purified human LP to locate areas in the hypothalamus which bind LP. Also, receptor identification on T-cells and human neutrophil membrane vesicles will be undertaken. Demonstrating LP binding to these cells and membranes provides the basis for receptor identification. Despite increasing evidence for the role of LP in mediating several components of the acute phase response, the mechanism by which this molecule affects so many different cell types remains unclear. Therefore, fundamental studies on the ability of LP to act as a calcium ionophore and inducer of arachidonic acid release are included. The role of LP in human disease requires studies on in vitro production and improved biological and immunoassays; recent progress has shed new light on how best to approach detection systems in human body fluids during health and disease. Also included in this proposal are the recovery and characterization of LP in the drainage fluid from patients on peritoneal dialysis and experiments to determine how this procedure stimulates LP production in vivo. The overall purpose of these studies is to link the production of LP to its actions on various host tissues.

发烧是由多肽的作用引发的假设 白细胞热原 (LP) 对体温调节系统的影响已得到充分证实； 然而，现在有相当多的证据支持LP也 介导急性期反应的几个方面，并发挥重要作用 在淋巴细胞功能中的作用。 使用 LP 进行纯化和表征 发烧以及淋巴细胞增殖和其他生物检测 无法将这些活动与术语白细胞介素-1 (IL-1) 分开 已被采用来表示这种物质的活性和荷尔蒙性质 分子。 继续研究表明生物 LP的活动和结构功能关系。 实验将 专注于从人类单核细胞大规模生产LP 用强效 LP 诱导剂刺激的组织细胞淋巴瘤系 U937，有毒 休克毒素。 LP 的纯化和氨基酸序列研究是 包括在内，因为大规模生产和纯化计划已经 已确立的。 序列研究的数据对于理解 LP 的性质及其对宿主的影响。 使用 LP 的内在标记 对于放射性氨基酸，纯化可以被监测并且很重要 启动了细胞受体的研究。 LP 的特异性受体尚未 已被识别并且实验被设计为使用内在标记， 纯化人 LP 以定位下丘脑中与 LP 结合的区域。 还， T 细胞和人中性粒细胞膜囊泡上的受体鉴定 将进行。 展示 LP 与这些细胞和膜的结合 为受体鉴定提供基础。 尽管增加 LP 在介导急性应激的几个组成部分中的作用的证据 相响应，该分子影响许多因素的机制 不同的细胞类型仍不清楚。 因此，基础研究 LP 作为钙离子载体和花生四烯酸诱导剂的能力 包括酸释放。 LP 在人类疾病中的作用需要 体外生产和改进的生物和免疫测定研究； 最近的进展为如何最好地进行检测提供了新的线索 健康和疾病期间人体体液中的系统。 还包含在 该提案是排水中液化石油气的回收和表征 腹膜透析患者的液体和实验以确定如何 该过程刺激体内 LP 的产生。 总体目的 这些研究是将 LP 的产生与其对各种行为的作用联系起来 宿主组织。