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* Department of Veterans Affairs Medical Center, Albuquerque, NM 87108; Departments of
Internal Medicine and
Molecular Genetics and Microbiology, University of New Mexico School of Medicine, Albuquerque, NM 87131
C-reactive protein (CRP) is a component of the acute phase response
to infection, inflammation, and trauma. A major activity of acute phase
proteins is to limit the inflammatory response. It has been
demonstrated that CRP protects mice from lethal doses of LPS.
In the mouse, CRP binds to the regulatory receptor, Fc
RIIb, and to
the
-chain-associated receptor, Fc
RI. The goal ofthis
study was to determine whether Fc
Rs are necessary for the protective
effect of CRP. The ability of CRP to protect mice from a lethal dose of
LPS was confirmed using injections of 500 and 250 µg of CRP at 0 and
12 h. CRP treatment of Fc
RIIb-deficient mice increased
mortality after LPS challenge and increased serum levels of TNF and
IL-12 in response to LPS. CRP did not protect FcR
-chain-deficient
mice from LPS-induced mortality. Treatment of normal mice, but not
-chain-deficient mice, with CRP increased IL-10 levels following LPS
injection. In vitro, in the presence of LPS, CRP enhanced IL-10
synthesis and inhibited IL-12 synthesis by bone marrow macrophages from
normal, but not
-chain-deficient mice. The protective effect of CRP
appears to be mediated by binding to Fc
RI and Fc
RII resulting in
enhanced secretion of the anti-inflammatory cytokine IL-10 and the
down-regulation of IL-12. These results suggest that CRP can alter the
cytokine profile of mouse macrophages by acting through Fc
R leading
to a down-regulation of the inflammatory
response.
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