Staurosporine encapsulated into pH-sensitive liposomes reduces tnf production and increases survival in rat endotoxin shock

Shock. 1994 Jun;1(6):401-7. doi: 10.1097/00024382-199406000-00002.

Abstract

Bacterial lipopolysaccharide (LPS) can elicit septic shock; however, there is growing evidence that most of its pathophysiological effects are mediated by the release of tumor necrosis factor (TNF) and other cytokines. In turn, LPS-induced TNF production is thought to implicate the activation of intracellular protein kinase C (PKC). In this study, we examined whether pH-sensitive liposomes containing staurosporine (STP), a potent inhibitor of PKC, when injected intravenously would suppress TNF production and reduce mortality in an endotoxin rat model. We found that pretreatment of rats with pH-sensitive STP-liposomes by intravenous administration 1.5 h prior to LPS injection decreased lethality from 80% to approximately 30%. Importantly, this improvement in outcome was associated with significant reductions in TNF serum levels; 1 h after LPS injection serum TNF was 73% lower than in a saline control group, and at 2 h TNF levels were 84% lower. STP-liposome pretreatment also ameliorated the severe reduction in body temperature, characteristic for a hypodynamic shock, that was observed in LPS-challenged rats, but had relatively little effect on the transient leukopenia. We conclude that STP-liposomes can suppress LPS-induced TNF production by the mononuclear phagocytic system, can reduce the symptoms of septic shock, and can increase survival.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Alkaloids / administration & dosage*
  • Animals
  • Body Temperature
  • Drug Delivery Systems
  • Hydrogen-Ion Concentration
  • Leukocyte Count
  • Liposomes
  • Male
  • Rats
  • Rats, Sprague-Dawley
  • Shock, Septic / drug therapy*
  • Shock, Septic / mortality
  • Shock, Septic / physiopathology
  • Staurosporine
  • Tumor Necrosis Factor-alpha / biosynthesis*

Substances

  • Alkaloids
  • Liposomes
  • Tumor Necrosis Factor-alpha
  • Staurosporine