Zwitterionic chitosan for the systemic treatment of sepsis

Sci Rep. 2016 Jul 14:6:29739. doi: 10.1038/srep29739.

Abstract

Severe sepsis and septic shock are life-threatening conditions, with Gram-negative organisms responsible for most sepsis mortality. Systemic administration of compounds that block the action of lipopolysaccharide (LPS), a constituent of the Gram-negative outer cell membrane, is hampered by their hydrophobicity and cationic charge, the very properties responsible for their interactions with LPS. We hypothesize that a chitosan derivative zwitterionic chitosan (ZWC), previously shown to suppress the production of pro-inflammatory cellular mediators in LPS-challenged macrophages, will have protective effects in an animal model of sepsis induced by systemic injection of LPS. In this study, we evaluate whether ZWC attenuates the fatal effect of LPS in C57BL/6 mice and investigate the mechanism by which ZWC counteracts the LPS effect using a PMJ2-PC peritoneal macrophage cell line. Unlike its parent compound with low water solubility, intraperitoneally administered ZWC is readily absorbed with no local residue or adverse tissue reaction at the injection site. Whether administered at or prior to the LPS challenge, ZWC more than doubles the animals' median survival time. ZWC appears to protect the LPS-challenged organisms by forming a complex with LPS and thus attenuating pro-inflammatory signaling pathways. These findings suggest that ZWC have utility as a systemic anti-LPS agent.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Line
  • Chemokine CXCL2 / immunology
  • Chemokine CXCL2 / metabolism
  • Chitosan / chemistry
  • Chitosan / pharmacology*
  • Disease Models, Animal*
  • Lipopolysaccharides
  • Macrophages, Peritoneal / drug effects*
  • Macrophages, Peritoneal / immunology
  • Macrophages, Peritoneal / metabolism
  • Male
  • Mice, Inbred C57BL
  • Phosphorylation / drug effects
  • Sepsis / chemically induced
  • Sepsis / immunology
  • Sepsis / prevention & control*
  • p38 Mitogen-Activated Protein Kinases / metabolism

Substances

  • Chemokine CXCL2
  • Cxcl2 protein, mouse
  • Lipopolysaccharides
  • Chitosan
  • p38 Mitogen-Activated Protein Kinases