Effects of acute endotoxemia and glucose administration on circulating leukocyte populations in normal and diabetic subjects

Harriet S. Gilbert, Elliot J. Rayfield, Harry Smith, Gerald T. Keusch

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Effects of intravenous endotoxin and glucose administration on circulating leukocyte populations were compared in seven normal subjects and seven patients with juvenile-onset diabetes by means of automated cytochemical differential counting to quantitate each cell type. Both groups had comparable control cell counts that were unaffected by glucose tolerance testing but altered significantly by endotoxin. Different patterns of response to endotoxin were observed for different circulating cell types. The response of diabetics was parallel to that of normals but showed lower neutrophil and monocyte rebound, longer lasting depression of lymphocytes and eosinophils, and greater rebound of basophils on the day following endotoxin exposure. Characterization of distinctive normal response patterns of circulating leukocyte populations to endotoxin and comparison with responses in diabetics revealed abnormalities under conditions of stress that may impair the diabetic's ability to cope with acute infection.

Original languageEnglish
Pages (from-to)889-899
Number of pages11
JournalMetabolism: Clinical and Experimental
Volume27
Issue number8
DOIs
StatePublished - Aug 1978
Externally publishedYes

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