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Lymphokine Res. 1987 Spring;6(2):63-70.

Plasma interleukin-1 activity in humans undergoing hemodialysis with regenerated cellulosic membranes.


Because of the similarity between the acute phase response and the post-hemodialysis syndrome, it has been proposed that human blood monocytes adhering to the hemodialysis membrane are exposed to several inducers of interleukin-1 (IL-1). These include endotoxin from the dialysate fluid and C5a activated on the surface of regenerated cellulosic hemodialysis membranes. In order to test this hypothesis, we measured IL-1 plasma activity by employing gel filtration to remove IL-1 inhibitors and subsequent augmentation of lectin-induced murine thymocyte proliferation in each fraction. To evaluate the acute response of end stage renal disease patients during a single hemodialysis with a regenerated cellulosic membrane, plasmas were tested before and after hemodialysis. Control plasmas were obtained from healthy individuals. Plasma IL-1 activity eluted at a molecular weight of predominantly 15 kD. This material was neutralized by anti-human-IL-1 which does not recognize IL-2. IL-1 activity was detected in the pre-dialysis plasma of 6 out of 7 patients and rose in 6 patients following a 5 hour hemodialysis. This increase was associated with a significant rise in body temperature. This study supports the hypothesis that hemodialysis with regenerated cellulose might augment IL-1 production in endstage renal disease patients maintained on longterm hemodialysis. It demonstrates for the first time that dialysis patients have detectable plasma levels of IL-1 compared to normal individuals.

[Indexed for MEDLINE]

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