The Parenteral Vitamin C Improves Sepsis and Sepsis-Induced Multiple Organ Dysfunction Syndrome via Preventing Cellular Immunosuppression

Cellular immunosuppression appears to be involved in sepsis and sepsis-induced multiple organ dysfunction syndrome (MODS). Recent evidence showed that parenteral vitamin C (Vit C) had the ability to attenuate sepsis and sepsis-induced MODS. Herein, we investigated the impact of parenteral Vit C on c...

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Main Authors: Yu-Lei Gao, Bin Lu, Jian-Hua Zhai, Yan-Cun Liu, Hai-Xia Qi, Ying Yao, Yan-Fen Chai, Song-Tao Shou
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2017/4024672
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author Yu-Lei Gao
Bin Lu
Jian-Hua Zhai
Yan-Cun Liu
Hai-Xia Qi
Ying Yao
Yan-Fen Chai
Song-Tao Shou
author_facet Yu-Lei Gao
Bin Lu
Jian-Hua Zhai
Yan-Cun Liu
Hai-Xia Qi
Ying Yao
Yan-Fen Chai
Song-Tao Shou
author_sort Yu-Lei Gao
collection DOAJ
description Cellular immunosuppression appears to be involved in sepsis and sepsis-induced multiple organ dysfunction syndrome (MODS). Recent evidence showed that parenteral vitamin C (Vit C) had the ability to attenuate sepsis and sepsis-induced MODS. Herein, we investigated the impact of parenteral Vit C on cellular immunosuppression and the therapeutic value in sepsis. Using cecal ligation and puncture (CLP), sepsis was induced in WT and Gulo−/− mice followed with 200 mg/Kg parenteral Vit C administration. The immunologic functions of CD4+CD25+ regulatory T cells (Tregs) and CD4+CD25− T cells, as well as the organ functions, were determined. Administration of parenteral Vit C per se markedly improved the outcome of sepsis and sepsis-induced MODS of WT and Gulo−/− mice. The negative immunoregulation of Tregs was inhibited, mainly including inhibiting the expression of forkhead helix transcription factor- (Foxp-) 3, cytotoxic T lymphocyte associated antigen- (CTLA-) 4, membrane associated transforming growth factor-β (TGF-βm+), and the secretion of inhibitory cytokines [including TGF-β and interleukin- (IL-) 10], as well as CD4+ T cells-mediated cellular immunosuppression which was improved by parenteral Vit C in WT and Gulo−/− septic mice. These results suggested that parenteral Vit C has the ability to improve the outcome of sepsis and sepsis-induced MODS and is associated with improvement in cellular immunosuppression.
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spelling doaj-art-c180210dde1f4a3bb5be9e9f8fca28962025-02-03T05:59:33ZengWileyMediators of Inflammation0962-93511466-18612017-01-01201710.1155/2017/40246724024672The Parenteral Vitamin C Improves Sepsis and Sepsis-Induced Multiple Organ Dysfunction Syndrome via Preventing Cellular ImmunosuppressionYu-Lei Gao0Bin Lu1Jian-Hua Zhai2Yan-Cun Liu3Hai-Xia Qi4Ying Yao5Yan-Fen Chai6Song-Tao Shou7Department of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, ChinaCellular immunosuppression appears to be involved in sepsis and sepsis-induced multiple organ dysfunction syndrome (MODS). Recent evidence showed that parenteral vitamin C (Vit C) had the ability to attenuate sepsis and sepsis-induced MODS. Herein, we investigated the impact of parenteral Vit C on cellular immunosuppression and the therapeutic value in sepsis. Using cecal ligation and puncture (CLP), sepsis was induced in WT and Gulo−/− mice followed with 200 mg/Kg parenteral Vit C administration. The immunologic functions of CD4+CD25+ regulatory T cells (Tregs) and CD4+CD25− T cells, as well as the organ functions, were determined. Administration of parenteral Vit C per se markedly improved the outcome of sepsis and sepsis-induced MODS of WT and Gulo−/− mice. The negative immunoregulation of Tregs was inhibited, mainly including inhibiting the expression of forkhead helix transcription factor- (Foxp-) 3, cytotoxic T lymphocyte associated antigen- (CTLA-) 4, membrane associated transforming growth factor-β (TGF-βm+), and the secretion of inhibitory cytokines [including TGF-β and interleukin- (IL-) 10], as well as CD4+ T cells-mediated cellular immunosuppression which was improved by parenteral Vit C in WT and Gulo−/− septic mice. These results suggested that parenteral Vit C has the ability to improve the outcome of sepsis and sepsis-induced MODS and is associated with improvement in cellular immunosuppression.http://dx.doi.org/10.1155/2017/4024672
spellingShingle Yu-Lei Gao
Bin Lu
Jian-Hua Zhai
Yan-Cun Liu
Hai-Xia Qi
Ying Yao
Yan-Fen Chai
Song-Tao Shou
The Parenteral Vitamin C Improves Sepsis and Sepsis-Induced Multiple Organ Dysfunction Syndrome via Preventing Cellular Immunosuppression
Mediators of Inflammation
title The Parenteral Vitamin C Improves Sepsis and Sepsis-Induced Multiple Organ Dysfunction Syndrome via Preventing Cellular Immunosuppression
title_full The Parenteral Vitamin C Improves Sepsis and Sepsis-Induced Multiple Organ Dysfunction Syndrome via Preventing Cellular Immunosuppression
title_fullStr The Parenteral Vitamin C Improves Sepsis and Sepsis-Induced Multiple Organ Dysfunction Syndrome via Preventing Cellular Immunosuppression
title_full_unstemmed The Parenteral Vitamin C Improves Sepsis and Sepsis-Induced Multiple Organ Dysfunction Syndrome via Preventing Cellular Immunosuppression
title_short The Parenteral Vitamin C Improves Sepsis and Sepsis-Induced Multiple Organ Dysfunction Syndrome via Preventing Cellular Immunosuppression
title_sort parenteral vitamin c improves sepsis and sepsis induced multiple organ dysfunction syndrome via preventing cellular immunosuppression
url http://dx.doi.org/10.1155/2017/4024672
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