Resistance to experimental peritonitis induced by local nonspecific stimulation of the reticuloendothelial system. 1980

L D Joyce, and H G Mauer, and J M Smith, and R C Lillehei

Zymosan, a yeast cell wall preparation from Saccharomyces cerevisiae, stimulates the reticuloendothelial system (RES) in animals. Pretreatment with zymosan induces resistance to several types of shock. We have shown evidence that zymosan given intraperitoneally (IP) induces greater protection than intravenous (IV) zymosan against E coli peritonitis in the rat. Moreover, IP zymosan has few systemic RES effects, which are commonly associated with IV zymosan. IV and IP zymosan stimulation were compared for effectiveness against experimental fibrinopurulent peritonitis in dogs (a peritonitis model quite similar to clinical peritonitis). Ten dogs received zymosan IV (10 mg/kg), ten dogs received zymosan IP (10 mg/kg), and eight dogs received an equal volume of saline IP on three consecutive days. On day 4, a 7.5 cm length of terminal ileum was isolated and its blood supply ligated to create an infarcted, blind loop of bowel. This loop was left in the peritoneal cavity for five days. Five-day survival was 80% (8/10) for the zymosan IP (P less than 0.05), 60% (6/10) for the zymosan IV and 12.5% (1/8) for the saline controls. All survivors were sacrificed at five days and found to have an intact enteric anastomosis with varying degrees of walled-off abscess at the site of the necrotic loop. Histologic evaluation of intraabdominal organs, peritoneum, and abscess wall was carried out. The IP zymosan had no significant systemic RES effects, whereas the IV zymosan produced a marked increase in liver and spleen weights. These findings reinforce the hypothesis that local nonspecific RES stimulation could have a major role in the preparation of certain high-risk patients for abdominal surgery where the chance of peritoneal soilage is high.

UI MeSH Term Description Entries
D007109 Immunity Nonsusceptibility to the invasive or pathogenic effects of foreign microorganisms or to the toxic effect of antigenic substances. Immune Process,Immune Response,Immune Processes,Immune Responses,Process, Immune,Response, Immune
D007274 Injections, Intraperitoneal Forceful administration into the peritoneal cavity of liquid medication, nutrient, or other fluid through a hollow needle piercing the abdominal wall. Intraperitoneal Injections,Injection, Intraperitoneal,Intraperitoneal Injection
D007275 Injections, Intravenous Injections made into a vein for therapeutic or experimental purposes. Intravenous Injections,Injection, Intravenous,Intravenous Injection
D010538 Peritonitis INFLAMMATION of the PERITONEUM lining the ABDOMINAL CAVITY as the result of infectious, autoimmune, or chemical processes. Primary peritonitis is due to infection of the PERITONEAL CAVITY via hematogenous or lymphatic spread and without intra-abdominal source. Secondary peritonitis arises from the ABDOMINAL CAVITY itself through RUPTURE or ABSCESS of intra-abdominal organs. Primary Peritonitis,Secondary Peritonitis,Peritonitis, Primary,Peritonitis, Secondary
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D012157 Mononuclear Phagocyte System Mononuclear cells with pronounced phagocytic ability that are distributed extensively in lymphoid and other organs. It includes MACROPHAGES and their precursors; PHAGOCYTES; KUPFFER CELLS; HISTIOCYTES; DENDRITIC CELLS; LANGERHANS CELLS; and MICROGLIA. The term mononuclear phagocyte system has replaced the former reticuloendothelial system, which also included less active phagocytic cells such as fibroblasts and endothelial cells. (From Illustrated Dictionary of Immunology, 2d ed.) Reticuloendothelial System,Phagocyte System, Mononuclear,System, Mononuclear Phagocyte,System, Reticuloendothelial
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D015054 Zymosan Zymosan A

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