Severity: Warning
Message: file_get_contents(https://...@pubfacts.com&api_key=b8daa3ad693db53b1410957c26c9a51b4908&a=1): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
Filename: helpers/my_audit_helper.php
Line Number: 176
Backtrace:
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 176
Function: file_get_contents
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 250
Function: simplexml_load_file_from_url
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 1034
Function: getPubMedXML
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3152
Function: GetPubMedArticleOutput_2016
File: /var/www/html/application/controllers/Detail.php
Line: 575
Function: pubMedSearch_Global
File: /var/www/html/application/controllers/Detail.php
Line: 489
Function: pubMedGetRelatedKeyword
File: /var/www/html/index.php
Line: 316
Function: require_once
Immune complexes activate cells by cross-linking leukocyte surface Fc(gamma)Rs. Diseases associated with immune complex deposition, such as rheumatoid arthritis, glomerulonephritis, or idiopathic pulmonary fibrosis, are characterized by compartmentalized monocyte infiltration. The factors that recruit monocytes to these compartments are not well characterized; however, monocyte chemoattractant protein-1 (MCP-1) has been found in areas of tissue injury. To account for these observations we hypothesized that PBMC Fc(gamma)R cross-linking may induce MCP-1 synthesis, which stimulates further monocyte recruitment. To test this hypothesis, PBMC were incubated on increasing concentrations of immobilized human IgG, a stimulus for Fc(gamma)R cross-linking. Immunoreactive MCP-1 was produced in a dose-dependent manner (p < 0.0001). MCP-1 was specifically induced by Fc(gamma)R cross-linking, since immobilized F(ab')2 fragments of human IgG did not activate MCP-1 production. This effect was reproduced by directly cross-linking PBMC Fc(gamma)RIII, but not by cross-linking Fc(gamma)RI or Fc(gamma)RII. PBMC-derived MCP-1 stimulated monocyte chemotaxis that was inhibited by a neutralizing anti-MCP-1 Ab. MCP-1 levels correlated with increased PBMC mRNA expression. Interestingly, Fc(gamma)R cross-linking with either immobilized IgG or anti-Fc(gamma)RIII induced more MCP-1 release from PBMC than from autologous monocytes (p = 0.02). Lymphocytes, the main cell type found in PBMC preparations, did not independently produce a significant amount of MCP-1, but when incubated on immobilized IgG or anti-Fc(gamma)RIII secreted a soluble factor(s) that induced monocyte MCP-1 production. These data suggest that cross-linking PBMC Fc(gamma)R induces the production of bioactive MCP-1. This occurs in part at the level of gene transcription and involves a cooperative interaction between monocytes and lymphocytes.
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