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Publication : Critical role of cRel subunit of NF-κB in sepsis survival.

First Author  Courtine E Year  2011
Journal  Infect Immun Volume  79
Issue  5 Pages  1848-54
PubMed ID  21343350 Mgi Jnum  J:171959
Mgi Id  MGI:5002441 Doi  10.1128/IAI.00021-11
Citation  Courtine E, et al. (2011) Critical Role of cRel Subunit of NF-{kappa}B in Sepsis Survival. Infect Immun 79(5):1848-54
abstractText  NF-kappaB is a critical regulator of gene expression during severe infections. NF-kappaB comprises homo- and heterodimers of proteins from the Rel family. Among them, p50 and p65 have been clearly implicated in the pathophysiology of sepsis. In contrast, the role of cRel in sepsis is still controversial and has been poorly studied in single-pathogen infections. We aimed to investigate the consequences of cRel deficiency in a cecal ligation and puncture (CLP) model of sepsis. We have approached the underlying mechanisms of host defense by analyzing bacterial clearance, systemic inflammation, and the distribution of spleen dendritic cell subsets. Moreover, by using a genome-wide technology, we have also analyzed the CLP-induced modifications in gene expression profiles both in wild-type (wt) and in rel(-/-) mice. The absence of cRel enhances mortality due to polymicrobial sepsis. Despite normal pathogen clearance, cRel deficiency leads to an altered systemic inflammatory response associated with a sustained loss of the spleen lymphoid dendritic cells. Furthermore, a whole-blood microarray study reveals that the differential outcome between wt and rel(-/-) mice during sepsis is preceded by remarkable changes in the expression of hundreds of genes involved in aspects of host-pathogen interaction, such as host survival and lipid metabolism. In conclusion, cRel is a key NF-kappaB member required for host antimicrobial defenses and a regulatory transcription subunit that controls the inflammatory and immune responses in severe infection.
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