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Antimicrobial Agents and Chemotherapy, November 2000, p. 3169-3173, Vol. 44, No. 11
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Protection against Lipopolysaccharide-Induced Death
by Fluoroquinolones
Anis A.
Khan,1,2
Teri R.
Slifer,1
Fausto G.
Araujo,1
Yasuhiro
Suzuki,1,2 and
Jack S.
Remington1,2,*
Department of Immunology and Infectious
Diseases, Research Institute, Palo Alto Medical Foundation, Palo Alto,
California 94301,1 and Division of
Infectious Diseases and Geographic Medicine, Department of Medicine,
Stanford University School of Medicine, Stanford, California
943052
Received 1 February 2000/Returned for modification 15 May
2000/Accepted 5 August 2000
Because fluoroquinolones have an immunomodulatory effect on
cytokine production by lipopolysaccharide (LPS)-treated human monocytes, we examined the effect of fluoroquinolones on the survival of mice injected with a lethal dose of LPS. Trovafloxacin (100 mg/kg),
ciprofloxacin (250 mg/kg), and tosufloxacin (100 mg/kg) protected 75%
(P = 0.0001), 25% (P = 0.002), and
50% (P = 0.002), respectively, of mice against death.
The fluoroquinolones significantly reduced serum levels of
interleukin-6 and tumor necrosis factor alpha in LPS-treated mice. The
protective effects of fluoroquinolones in LPS-induced shock in mice may
also occur in humans.
*
Corresponding author. Mailing address: Department of
Immunology and Infectious Diseases, Research Institute, Palo Alto
Medical Foundation, Ames Bldg., 795 El Camino Real, Palo Alto, CA
94301. Phone: (650) 853-6061. Fax: (650) 329-9853.
Antimicrobial Agents and Chemotherapy, November 2000, p. 3169-3173, Vol. 44, No. 11
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
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