Volume 13 Supplement 4

Sepsis 2009

Open Access

Nandrolone abuse aggravates septic shock

  • YF Hsu1,
  • C Lin1, 2 and
  • D-R Chen1, 2
Critical Care200913(Suppl 4):P4

https://doi.org/10.1186/cc8060

Published: 11 November 2009

Introduction

One million individuals in the United States alone are estimated to be current or past users of anabolic-androgenic steroid.

Methods

To investigate the effects of nandrolone, an anabolic-androgenic steroid, 108 6-week-old male BALB/c inbred mice were used (minimal lethal dose n = 30, high-dose vs. low-dose n = 24, screening surrogates n = 6, and surrogates n = 48). Mice were sacrificed at 0, 3 or 6 hours after septic shock induction. The serum levels of malondialdehyde, liver TNFα and spleen IFNγ in mice with septic shock were analyzed. The gene expression of insulin-like growth factor 1, insulin-like growth factor type 1 receptor and insulin-like growth factor binding proteins were also studied.

Results

Nandrolone significantly increased serum malondialdehyde at 0, 3 and 6 hours (P = 0.004, 0.006 and 0.004), and liver TNFα at 0 and 6 hours (P = 0.04 and 0.016). It also increased the spleen IFNγ level at 0 and 6 hours (P = 0.031 and 0.01). Compared with 0 hours, the data indicated that nandrolone increases lung insulin-like growth factor type 1 receptor, insulin-like growth factor binding protein 1 and insulin-like growth factor binding protein 2 mRNA expression at 6 hours (P < 0.05). These indicated changes due to nandrolone.

Conclusion

Nandrolone abuse hastens mortality due to septic shock and increases serum malondialdehyde, liver TNFα, spleen IFNγ level and lung insulin-like growth factor type 1 receptor mRNA, as well as lung insulin-like growth factor binding proteins. Nandrolone abuse may aggravate septic shock.

Authors’ Affiliations

(1)
Department of Research, Changhua Christian Hospital
(2)
Department of Surgery, Changhua Christian Hospital

Copyright

© BioMed Central Ltd 2009

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