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Infection and Immunity, November 2008, p. 5285-5293, Vol. 76, No. 11
0019-9567/08/$08.00+0 doi:10.1128/IAI.00310-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

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Wolfram Kessler,1,
Volker Assfalg,2
Katharina Cziupka,1
Pia Koerner,1
Constanze Dassow,1
Katrin Breitbach,3
Marlene Mikulcak,1
Ivo Steinmetz,3
Klaus Pfeffer,4
Claus-Dieter Heidecke,1 and
Stefan Maier1
Department of Surgery, Ernst-Moritz-Arndt-Universität Greifswald, Greifswald, Germany,1 Department of Surgery, Technische Universität München, Munich, Germany,2 Friedrich-Loeffler-Institute of Medical Microbiology, Ernst-Moritz-Arndt-Universität Greifswald, Greifswald, Germany,3 Institute of Medical Microbiology, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany4
Received 9 March 2008/ Returned for modification 13 June 2008/ Accepted 25 August 2008
CC chemokine receptor 4 (CCR4) and its two ligands, CCL17 and CCL22, are critically involved in different immune processes. In models of lipopolysaccharide-induced shock, CCR4-deficient (CCR4–/–) mice showed improved survival rates associated with attenuated proinflammatory cytokine release. Using CCR4–/– mice with a C57BL/6 background, this study describes for the first time the role of CCR4 in a murine model of polymicrobial abdominal sepsis, the colon ascendens stent peritonitis (CASP). CASP-induced sepsis led to a massive downregulation of CCR4 in lymphoid and nonlymphoid tissues, whereas the expression of CCL17 and CCL22 was independent of the presence of CCR4. After CASP, CCR4–/– animals showed a strongly enhanced bacterial clearance in several organs but not in the peritoneal lavage fluid and the blood. In addition, significantly reduced levels of proinflammatory cytokines/chemokines were measured in organ supernatants as well as in the sera of CCR4–/– mice. CCR4 deficiency consequently resulted in an attenuated severity of systemic sepsis and a strongly improved survival rate after CASP or CASP with intervention. Thus, our data provide clear evidence that CCR4 plays a strictly detrimental role in the course of polymicrobial sepsis.
Published ahead of print on 2 September 2008.
T.T. and W.K. contributed equally to this work.
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