Antibiotics, Sedatives, and Catecholamines Further Compromise Sepsis-Induced Immune Suppression in Peripheral Blood Mononuclear Cells.

Critical Care Hematology Infectious Disease Anesthesiology
Journal: Critical care medicine
Published Date:

Abstract

OBJECTIVES: We hypothesized that the immunosuppressive effects associated with antibiotics, sedatives, and catecholamines amplify sepsis-associated immune suppression through mitochondrial dysfunction, and there is a cumulative effect when used in combination. We thus sought to determine the impact of the exemplar drugs ciprofloxacin, propofol, and norepinephrine, used alone and in combination, at clinically relevant concentrations, on the ex vivo functionality of peripheral blood mononuclear cells (PBMCs) drawn from healthy, infected, and septic individuals.

Authors

  • Muska Miller
    Bloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.
  • Miranda J Melis
    Bloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.
  • James R C Miller
    Bloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.
  • Anna Kleyman
    Bloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.
  • Manu Shankar-Hari
    Centre for Inflammation Research, Institute for Regeneration and Repair, Edinburgh, United Kingdom.
  • Mervyn Singer
    Bloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.