Effect of intermittent inhaled tobramycin on sputum cytokine profiles in cystic fibrosis

J Antimicrob Chemother. 2005 Jul;56(1):247-9. doi: 10.1093/jac/dki179. Epub 2005 Jun 2.

Abstract

Objectives: The aim of this study was to evaluate the anti-inflammatory properties of intermittent inhaled tobramycin.

Methods: To establish this, we initiated a prospective study to measure the concentration of the three pro-inflammatory cytokines IL-8, IL-6 and TNF-alpha in the sputum from 20 cystic fibrosis (CF) patients (15 teenagers and 5 young adults) during cycles and off cycles.

Results: A significant decrease in IL-8 (P = 0.001) and a more moderate decrease in IL-6 (P = 0.046) and TNF-alpha (P = 0.052) levels were observed during cycles, even if no significant decrease in the number of leucocytes was observed.

Conclusions: These results associated with a decrease in the Pseudomonas aeruginosa population can contribute in part to the beneficial effect of intermittent inhaled tobramycin on pulmonary function.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Inhalation
  • Adolescent
  • Adult
  • Cystic Fibrosis / drug therapy*
  • Cystic Fibrosis / immunology
  • Cystic Fibrosis / microbiology
  • Cytokines / analysis*
  • Humans
  • Interleukin-6 / analysis
  • Interleukin-8 / analysis
  • Prospective Studies
  • Pseudomonas aeruginosa / isolation & purification
  • Sputum / drug effects
  • Sputum / immunology*
  • Tobramycin / administration & dosage*
  • Tumor Necrosis Factor-alpha / analysis

Substances

  • Cytokines
  • Interleukin-6
  • Interleukin-8
  • Tumor Necrosis Factor-alpha
  • Tobramycin