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DOI: 10.1055/s-2007-994945
Dithiocarbamates Ameliorate the Effects of Endotoxin in a Rabbit Model of Disseminated Intravascular Coagulation
Publikationsverlauf
Publikationsdatum:
06. Februar 2008 (online)
Abstract
Induction of tissue factor (TF) activity by endotoxin and cytokines is an important mechanism for initiation of disseminated intravascular coagulation (DIC) seen in patients with gram-negative sepsis. Based on data from an in vitro study in which dithiocarbamates abrogated endothelial cell TF activity by inhibition of the NF-κB pathway, we investigated whether dithiocarbamates had in vivo activity in an animal model of DIC. Dithiocarbamates ameliorated the adverse clinical and histological effects of endotoxin-induced DIC, including morbidity, hypofibrinogenemia, and target organ damage, especially in the liver and kidney, even when given up to 1 hour after administration of endotoxin. This pilot study confirms the key role of the nuclear factor-kappa β (NF-κB) pathway in induction of TF activity in initiating sepsis-associated DIC and suggests that dithiocarbamates may be useful in treatment of DIC associated with excessive TF expression because of gram-negative sepsis. Additional studies of dithiocarbamates in DIC models are warranted.
Keywords:
Disseminated intravascular coagulation - endotoxin - sepsis - tissue factor - thrombosis