TY - JOUR TI - Monocytes as a site of production of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) in the septic host AU - Plachouras, Diamantis AU - Routsi, Christina AU - Giamarellos-Bourboulis, AU - Evangelos J. AU - Spyridaki, Ekaterini AU - Andrianakis, Ilias and AU - Metzelopoulos, Spyridon AU - Tsaganos, Thomas AU - Floros, Ioannis and AU - Douzinas, Emmanuel E. AU - Armaganidis, Apostolos AU - Roussos, Charis and AU - Giamarellou, Helen JO - Scandinavian Journal of Infectious Diseases PY - 2006 VL - 38 TODO - 10 SP - 909-915 PB - Informa Healthcare SN - 0036-5548, 1651-1980 TODO - 10.1080/00365540600786523 TODO - null TODO - 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. ER -