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Oxidant-mediated phosphatidylserine exposure and macrophage uptake of activated neutrophils: possible impairment in chronic granulomatous disease.

Abstract
The removal of neutrophils from inflammatory sites is essential for the resolution of inflammation. Surface changes, including phosphatidylserine exposure, label neutrophils for phagocytosis by macrophages. Here, we demonstrate that externalization of phosphatidylserine and uptake by monocyte-derived macrophages occurred in human neutrophils ingesting Staphylococcus aureus. Both processes were dependent on oxidant production from the neutrophil NADPH oxidase. There was no requirement for myeloperoxidase, and H(2)O(2) was identified as the most likely trigger for PS exposure. We hypothesize that clearance of stimulated neutrophils would be delayed in chronic granulomatous disease (CGD) neutrophils, which lack a functional NADPH oxidase. To explore this possibility, heat-killed S. aureus were injected into the peritoneum of CGD and normal mice. Elevated neutrophil numbers were observed in the inflammatory exudate of the CGD animals, consistent with impaired recognition and clearance.
AuthorsMark B Hampton, Margret C M Vissers, Jacqueline I Keenan, Christine C Winterbourn
JournalJournal of leukocyte biology (J Leukoc Biol) Vol. 71 Issue 5 Pg. 775-81 (May 2002) ISSN: 0741-5400 [Print] United States
PMID11994501 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Oxidants
  • Phosphatidylserines
  • Peroxidase
Topics
  • Adolescent
  • Animals
  • Cells, Cultured
  • Coculture Techniques
  • Endocytosis
  • Female
  • Granulomatous Disease, Chronic (enzymology, immunology)
  • Humans
  • Macrophages (immunology)
  • Mice
  • Mice, Inbred C57BL
  • Neutrophil Activation
  • Neutrophils (cytology, drug effects, enzymology, immunology)
  • Oxidants (pharmacology)
  • Peroxidase (metabolism)
  • Phagocytosis
  • Phosphatidylserines (metabolism)
  • Staphylococcus aureus

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