Effects of oxiris® therapy on cytokine elimination after a LPS infusion: an experimental animal study

The clinical effectiveness of Oxiris®, particularly in reducing cytokines, remains uncertain due to the limited data provided. This study explored and analyzed the application value of Oxiris® endotoxin adsorption technology in a large animal model. Pigs received an intravenous LPS infusion. Six ani...

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Hauptverfasser: Kalenka, Armin (VerfasserIn) , Arens, Philipp (VerfasserIn) , Müllenbach, Ralf M. (VerfasserIn) , Weigand, Markus A. (VerfasserIn) , Brune, Maik (VerfasserIn) , Fiedler-Kalenka, Mascha (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 27 August 2024
In: International journal of molecular sciences
Year: 2024, Jahrgang: 25, Heft: 17, Pages: 1-13
ISSN:1422-0067
DOI:10.3390/ijms25179283
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.3390/ijms25179283
Verlag, kostenfrei, Volltext: https://www.mdpi.com/1422-0067/25/17/9283
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Verfasserangaben:Armin Kalenka, Philipp Arens, Ralf M. Müllenbach, Markus A. Weigand, Maik Brune and Mascha O. Fiedler-Kalenka
Beschreibung
Zusammenfassung:The clinical effectiveness of Oxiris®, particularly in reducing cytokines, remains uncertain due to the limited data provided. This study explored and analyzed the application value of Oxiris® endotoxin adsorption technology in a large animal model. Pigs received an intravenous LPS infusion. Six animals were treated 2 h after the infusion with an Oxiris® hemadsorption using a pumpless extracorporeal technique for 6 h. Five animals served as controls. Cardiocirculatory parameters, hyperspectral analysis, and a panel of cytokines were measured. The lipopolysaccharide infusion induced sepsis-like inflammation with tachycardia, elevated pulmonary pressure, elevated lactate level, as well as elevated pro-inflammatory cytokines like interferon (IFN)-γ, interleukin (IL)-1β, IL-2, IL-6, IL-8, IL-12 and tumor necrosis factor alpha (TNF-α). In addition, increases of anti-inflammatory cytokines like IL-1ra and IL-10 were found. After 3 and 6 h in both groups, pro-inflammatory cytokines were significantly reduced. No differences between the intervention and the control group could be detected after 3 and 6 h for IL-1β, IL-2, IL-6, IL-8, IL-12 and TNF-α, suggesting no effect of the Oxiris® filter on the elimination of elevated cytokines with a pumpless extracorporeal hemadsorption technique. The presented large animal model may be a promising option for studying the effects of hemadsorption techniques.
Beschreibung:Im Text ist "®" hochgestellt
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Beschreibung:Online Resource
ISSN:1422-0067
DOI:10.3390/ijms25179283