@article{3114768, title = "Monocytes as a site of production of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) in the septic host", author = "Plachouras, Diamantis and Routsi, Christina and Giamarellos-Bourboulis, and Evangelos J. and Spyridaki, Ekaterini and Andrianakis, Ilias and and Metzelopoulos, Spyridon and Tsaganos, Thomas and Floros, Ioannis and and Douzinas, Emmanuel E. and Armaganidis, Apostolos and Roussos, Charis and and Giamarellou, Helen", journal = "Scandinavian Journal of Infectious Diseases", year = "2006", volume = "38", number = "10", pages = "909-915", publisher = "Informa Healthcare", issn = "0036-5548, 1651-1980", doi = "10.1080/00365540600786523", abstract = "The role of blood monocytes in the secretion of soluble triggering receptor expressed on myeloiod cells (sTREM-1) was studied in 90 patients with septic syndrome due to ventilator-associated pneumonia. Blood monocytes were isolated on 7 consecutive d after initiation of symptoms. Monocytes were incubated in the absence or presence of LPS and concentrations of sTREM-1 and TNF alpha in cell supernatants and serum were estimated by an enzyme-immunoassay. sTREM-1 and TNF alpha were consistently present at detectable levels in the cell supernatants. LPS induced increased levels of TNFa but not of sTREM-1. Supernatants recovered from monocytes on d 1 showed levels of sTREM-1 higher than those recovered on any of the following 6 d (p < 0.05); these levels were higher in non-survivors than in survivors. Supernatants recovered from monocytes on d 1 of patients with severe sepsis had elevated concentrations of sTREM-1 compared to patients with septic shock and similar to patients with sepsis. A negative correlation was found between levels of sTREM-1 in the cell supernatants and the percentage of apoptotic monocytes. In essence, the above results suggest that monocytes contribute to the production of sTREM-1 in the event of septic syndrome." }