The effects of recombinant human granulocyte-colony stimulating factor on vascular dysfunction and splanchnic ischaemia-reperfusion injury (vol 120, pg 333, 1997)

1 The aim of our study was to investigate the effects of recombinant human granulocyte-colony stimulating factor in a rat model of splanchnic ischaemia-reperfusion injury.2 Male anaesthetized rats were subjected to clamping of the splanchnic arteries for 45 min. This surgical procedure resulted in an irreversible state of shock (splanchnic artery occlusion shock; SAO shock). Sham operated animals were used as controls. Survival rate, serum tumour necrosis factor-alpha (TNF-alpha), neutrophil count, bone marrow myeloid precursor cells, myeloperoxidase activity (MPO; studied as a quantitative means to assess leukocyte accumulation), mean arterial blood pressure and the responsiveness of aortic rings to phenylephrine (PE, 1 nM-10 mu M) were studied.3 SAO shocked rats had a decreased survival rate (0% at 4 h of reperfusion, while sham shocked rats survived more than 4h), increased serum levels of TNF-alpha (201+/-10 u ml(-1); sham shocked rats=undetectable), neutropenia, enhanced MPO activity in the ileum (0.11+/-0.06 u x 10(-3) g(-1) tissue; sham shocked rats=0.02+/-0.001 u x 10(-3) g(-1) tissue) and in the lung (1.5+/-0.2 u x 10(-3) g(-1) tissue; sham shocked rats=0.19+/-0.05 u x 10(-3) g(-1) tissue) and unchanged bone marrow myeloid precursor cells. Furthermore aortic rings from shocked rats showed a marked hyporeactivity to PE.4 Administration of recombinant human granulocyte colony stimulating factor (rh G-CSF; 5, 10 and 20 mu g kg(-1) 5 min following the release of occlusion) increased in a dose-dependent manner survival rate (90% at 4 h of reperfusion with the dose of 20 u x 10(-3) g kg(-1)), reduced serum TNF-alpha (13+/-5 u ml(-1)) and MPO activity in the ileum (0.065+/-0.002 u x 10(-3) g(-1) tissue) and in the lung (0.7+/-0.03 mu g kg(-1) tissue), improved neutropenia and mean arterial blood pressure but did not modify bone marrow myeloid progenitor cells. Furthermore rh C-CSF, either in vivo or in vitro (200 nM for 1 h in the organ bath), restored to control values the hyporeactivity to PE. Finally rh G-CSF potently inhibited the activity of inducible nitric oxide synthase in peritoneal macrophages activated with endotoxin.5 Our results suggest that rh G-CSF protects against splanchnic ischaemia reperfusion injury by a mechanism(s) that does not depend upon its haematopoietic effects.