Journal
AMERICAN JOURNAL OF SURGERY
Volume 195, Issue 4, Pages 537-545Publisher
EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
DOI: 10.1016/j.amjsurg.2007.05.045
Keywords
Klebsiella pneumoniae; mice; cytokines; humoral immunity; peripheral leukocytes; clearance
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Background: Infection is a serious, costly, and common complication of surgery and constitutes the principal cause of late death in patients undergoing surgery. The objective of this study was to clarify the mechanisms by which active hexose correlated compound (AHCC) increases survival in a murine model of intramuscular infection. Methods: Food-deprived mice receiving either AHCC or excipient were infected with bacteria. Kinetics of bacterial load, white blood cell counts, cytokine levels, and antibody levels were compared between groups. Results: AHCC-treated mice had reduced bacterial load at day 5 and cleared bacteria entirely at day 6. Levels of interleukin-12, tumor necrosis factor-a, and interleukin-6 peaked earlier in this group (day 3) compared with controls (day 5). Increased percentages of peripheral lymphocytes and monocytes and decreased numbers of polymorphonuclear cells were detected in the AHCC group. Conclusions: AHCC appears to induce an early activation of the immune response, leading to an effective clearance of bacteria and rapid recovery. (c) 2008 Elsevier Inc. All rights reserved.
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