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Parenteral lipids impair pneumococcal elimination by human neutrophils

Eur J Clin Invest 2010; 40 (8): 729–734 Background  Lipid‐induced modulation of phagocyte function seems to contribute to increased susceptibility to infections in patients on parenteral nutrition, and an increased risk for development of pneumonia has been observed in this group. The role of variou...

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Published in:European journal of clinical investigation 2010-08, Vol.40 (8), p.729-734
Main Authors: Versleijen, Michelle W., Roelofs, Hennie M., Te Morsche, Rene H., Simonetti, Elles R., Hermans, Peter W., Wanten, Geert J.
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container_title European journal of clinical investigation
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Wanten, Geert J.
description Eur J Clin Invest 2010; 40 (8): 729–734 Background  Lipid‐induced modulation of phagocyte function seems to contribute to increased susceptibility to infections in patients on parenteral nutrition, and an increased risk for development of pneumonia has been observed in this group. The role of various structurally different lipid emulsions, however, remains unclear. In this study, we therefore assessed phagocyte function, as the capacity of neutrophils to eliminate Streptococcus pneumoniae (i.e. combined result of phagocytosis and killing), in the presence of these lipids. Materials and methods  Neutrophils from six healthy volunteers were incubated for 1 h in emulsions (5 mmol L−1) derived from soybean‐ (LCT), fish‐ (VLCT), olive‐ (LCT‐MUFA), mixed soybean/coconut oils (LCT/MCTs) or structured lipids (SL). After opsonization of the pneumococci (strain OREP‐4) by human immunoglobulins, bacteria and neutrophils were incubated in the presence of complement. Next, pneumococcal elimination was evaluated and expressed as the percentage of bacteria eliminated relative to the initial bacterial numbers in neutrophil‐free samples. Results  Neutrophils that were not exposed to lipids showed a pneumococcal elimination capacity of 75 ± 3% (mean ± SD). This significantly decreased after exposure to LCT‐MUFA (70 ± 6%), VLCT (67 ± 2%), SL (63 ± 9%), LCT (66 ± 10%) and LCT/MCT (47 ± 15%). Conclusion  These data demonstrate that parenteral lipids impair the microbial elimination capacity of neutrophils in a structure‐dependent manner. In accordance with our previously reported in vitro effect on a range of phagocyte functions, LCT/MCT is by far the most potent in this respect.
doi_str_mv 10.1111/j.1365-2362.2010.02320.x
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The role of various structurally different lipid emulsions, however, remains unclear. In this study, we therefore assessed phagocyte function, as the capacity of neutrophils to eliminate Streptococcus pneumoniae (i.e. combined result of phagocytosis and killing), in the presence of these lipids. Materials and methods  Neutrophils from six healthy volunteers were incubated for 1 h in emulsions (5 mmol L−1) derived from soybean‐ (LCT), fish‐ (VLCT), olive‐ (LCT‐MUFA), mixed soybean/coconut oils (LCT/MCTs) or structured lipids (SL). After opsonization of the pneumococci (strain OREP‐4) by human immunoglobulins, bacteria and neutrophils were incubated in the presence of complement. Next, pneumococcal elimination was evaluated and expressed as the percentage of bacteria eliminated relative to the initial bacterial numbers in neutrophil‐free samples. Results  Neutrophils that were not exposed to lipids showed a pneumococcal elimination capacity of 75 ± 3% (mean ± SD). This significantly decreased after exposure to LCT‐MUFA (70 ± 6%), VLCT (67 ± 2%), SL (63 ± 9%), LCT (66 ± 10%) and LCT/MCT (47 ± 15%). Conclusion  These data demonstrate that parenteral lipids impair the microbial elimination capacity of neutrophils in a structure‐dependent manner. In accordance with our previously reported in vitro effect on a range of phagocyte functions, LCT/MCT is by far the most potent in this respect.</description><identifier>ISSN: 0014-2972</identifier><identifier>EISSN: 1365-2362</identifier><identifier>DOI: 10.1111/j.1365-2362.2010.02320.x</identifier><identifier>PMID: 20561031</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Bacterial diseases ; Biological and medical sciences ; Cells, Cultured ; Colony Count, Microbial ; Data processing ; Female ; Fish Oils ; General aspects ; Human ; Human bacterial diseases ; Humans ; immune modulation ; Immunoglobulins ; Infection ; Infectious diseases ; Leukocytes (neutrophilic) ; Lipids ; Lipids - pharmacology ; Male ; Medical sciences ; neutrophil ; Neutrophils - drug effects ; Neutrophils - physiology ; Oils ; Opsonization ; parenteral lipid ; Parenteral nutrition ; Phagocytes ; Phagocytosis ; Phagocytosis - drug effects ; Plant Extracts ; pneumococcal survival ; Pneumonia ; Staphylococcal infections, streptococcal infections, pneumococcal infections ; Streptococcus pneumoniae ; Streptococcus pneumoniae - physiology ; Young Adult</subject><ispartof>European journal of clinical investigation, 2010-08, Vol.40 (8), p.729-734</ispartof><rights>2010 The Authors. 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The role of various structurally different lipid emulsions, however, remains unclear. In this study, we therefore assessed phagocyte function, as the capacity of neutrophils to eliminate Streptococcus pneumoniae (i.e. combined result of phagocytosis and killing), in the presence of these lipids. Materials and methods  Neutrophils from six healthy volunteers were incubated for 1 h in emulsions (5 mmol L−1) derived from soybean‐ (LCT), fish‐ (VLCT), olive‐ (LCT‐MUFA), mixed soybean/coconut oils (LCT/MCTs) or structured lipids (SL). After opsonization of the pneumococci (strain OREP‐4) by human immunoglobulins, bacteria and neutrophils were incubated in the presence of complement. Next, pneumococcal elimination was evaluated and expressed as the percentage of bacteria eliminated relative to the initial bacterial numbers in neutrophil‐free samples. Results  Neutrophils that were not exposed to lipids showed a pneumococcal elimination capacity of 75 ± 3% (mean ± SD). This significantly decreased after exposure to LCT‐MUFA (70 ± 6%), VLCT (67 ± 2%), SL (63 ± 9%), LCT (66 ± 10%) and LCT/MCT (47 ± 15%). Conclusion  These data demonstrate that parenteral lipids impair the microbial elimination capacity of neutrophils in a structure‐dependent manner. 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40 (8): 729–734 Background  Lipid‐induced modulation of phagocyte function seems to contribute to increased susceptibility to infections in patients on parenteral nutrition, and an increased risk for development of pneumonia has been observed in this group. The role of various structurally different lipid emulsions, however, remains unclear. In this study, we therefore assessed phagocyte function, as the capacity of neutrophils to eliminate Streptococcus pneumoniae (i.e. combined result of phagocytosis and killing), in the presence of these lipids. Materials and methods  Neutrophils from six healthy volunteers were incubated for 1 h in emulsions (5 mmol L−1) derived from soybean‐ (LCT), fish‐ (VLCT), olive‐ (LCT‐MUFA), mixed soybean/coconut oils (LCT/MCTs) or structured lipids (SL). After opsonization of the pneumococci (strain OREP‐4) by human immunoglobulins, bacteria and neutrophils were incubated in the presence of complement. Next, pneumococcal elimination was evaluated and expressed as the percentage of bacteria eliminated relative to the initial bacterial numbers in neutrophil‐free samples. Results  Neutrophils that were not exposed to lipids showed a pneumococcal elimination capacity of 75 ± 3% (mean ± SD). This significantly decreased after exposure to LCT‐MUFA (70 ± 6%), VLCT (67 ± 2%), SL (63 ± 9%), LCT (66 ± 10%) and LCT/MCT (47 ± 15%). Conclusion  These data demonstrate that parenteral lipids impair the microbial elimination capacity of neutrophils in a structure‐dependent manner. In accordance with our previously reported in vitro effect on a range of phagocyte functions, LCT/MCT is by far the most potent in this respect.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20561031</pmid><doi>10.1111/j.1365-2362.2010.02320.x</doi><tpages>6</tpages></addata></record>
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subjects Adult
Bacterial diseases
Biological and medical sciences
Cells, Cultured
Colony Count, Microbial
Data processing
Female
Fish Oils
General aspects
Human
Human bacterial diseases
Humans
immune modulation
Immunoglobulins
Infection
Infectious diseases
Leukocytes (neutrophilic)
Lipids
Lipids - pharmacology
Male
Medical sciences
neutrophil
Neutrophils - drug effects
Neutrophils - physiology
Oils
Opsonization
parenteral lipid
Parenteral nutrition
Phagocytes
Phagocytosis
Phagocytosis - drug effects
Plant Extracts
pneumococcal survival
Pneumonia
Staphylococcal infections, streptococcal infections, pneumococcal infections
Streptococcus pneumoniae
Streptococcus pneumoniae - physiology
Young Adult
title Parenteral lipids impair pneumococcal elimination by human neutrophils
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