학술논문

Heme induces significant neutrophil adhesion in vitro via an NF[kappa]B and reactive oxygen species-dependent pathway
Article
Document Type
Academic Journal
Source
Molecular and Cellular Biochemistry. November 2021, Vol. 476 Issue 11, p3963, 12 p.
Subject
Glycoproteins
Cytokines
Heme
Blood proteins
Sickle cell anemia
Microfluidics
Language
English
ISSN
0300-8177
Abstract
Author(s): Lediana I. Miguel [sup.1], Flávia C. Leonardo [sup.1], Lidiane S. Torres [sup.1], Flávia Garcia [sup.1], Rafaela Mendonça [sup.1], Wilson A. Jr Ferreira [sup.1], Érica M. F. Gotardo [sup.1], Fernanda [...]
Intravascular hemolysis, a major manifestation of sickle cell disease (SCD) and other diseases, incurs the release of hemoglobin and heme from red blood cells, in turn triggering inflammatory processes. This study investigated the in vitro effects of heme, a major inflammatory DAMP, on the adhesive properties of isolated human neutrophils. Heme (20 and 50 [micro]M) significantly increased the adhesion of neutrophils to fibronectin and to recombinant ICAM-1, under static conditions, even more efficiently than the potent pro-inflammatory cytokine, tumor necrosis factor-[alpha] (TNF); a microfluidic assay confirmed that heme stimulated neutrophil adhesion under conditions of shear stress. Heme-induced neutrophil adhesion was associated with the increased activities, but not expressions, of the Mac-1 and LFA-1 integrin subunits, CD11b and CD11a, on the cell surface. Notably, heme (50 [micro]M) significantly induced NF[kappa]B translocation in neutrophils, and inhibition of NF[kappa]B activity with the BAY11-7082 molecule abolished heme-induced cell adhesion to fibronectin and significantly decreased CD11a activity. Flow cytometric analysis demonstrated major reactive oxygen species (ROS) generation in neutrophils following heme stimulation that could be inhibited by the antioxidant, [alpha]-tocopherol, and by BAY11-7082. Furthermore, co-incubation with [alpha]-tocopherol abrogated both heme-stimulated neutrophil adhesion and CD11a/CD11b activation. Thus, our data indicate that heme, at clinically relevant concentrations, is a potent activator of neutrophil adhesion, increasing the ligand affinity of the [beta]2 integrins via a mechanism that may be partially mediated by an NFkB-dependent pathway and the generation of ROS. Given the fundamental role that the adhesion of neutrophils to the vascular wall plays in SCD vaso-occlusion and other vascular inflammatory processes, our findings provide further evidence that cell-free heme is a major therapeutic target in the hemolytic diseases.