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Platelets release mitochondria serving as substrate for bactericidal group IIA-secreted phospholipase A2 to promote inflammation.

Abstract
Mitochondrial DNA (mtDNA) is a highly potent inflammatory trigger and is reportedly found outside the cells in blood in various pathologies. Platelets are abundant in blood where they promote hemostasis. Although lacking a nucleus, platelets contain functional mitochondria. On activation, platelets produce extracellular vesicles known as microparticles. We hypothesized that activated platelets could also release their mitochondria. We show that activated platelets release respiratory-competent mitochondria, both within membrane-encapsulated microparticles and as free organelles. Extracellular mitochondria are found in platelet concentrates used for transfusion and are present at higher levels in those that induced acute reactions (febrile nonhemolytic reactions, skin manifestations, and cardiovascular events) in transfused patients. We establish that the mitochondrion is an endogenous substrate of secreted phospholipase A2 IIA (sPLA2-IIA), a phospholipase otherwise specific for bacteria, likely reflecting the ancestral proteobacteria origin of mitochondria. The hydrolysis of the mitochondrial membrane by sPLA2-IIA yields inflammatory mediators (ie, lysophospholipids, fatty acids, and mtDNA) that promote leukocyte activation. Two-photon microscopy in live transfused animals revealed that extracellular mitochondria interact with neutrophils in vivo, triggering neutrophil adhesion to the endothelial wall. Our findings identify extracellular mitochondria, produced by platelets, at the midpoint of a potent mechanism leading to inflammatory responses.
AuthorsLuc H Boudreau, Anne-Claire Duchez, Nathalie Cloutier, Denis Soulet, Nicolas Martin, James Bollinger, Alexandre Paré, Matthieu Rousseau, Gajendra S Naika, Tania Lévesque, Cynthia Laflamme, Geneviève Marcoux, Gérard Lambeau, Richard W Farndale, Marc Pouliot, Hind Hamzeh-Cognasse, Fabrice Cognasse, Olivier Garraud, Peter A Nigrovic, Helga Guderley, Steve Lacroix, Louis Thibault, John W Semple, Michael H Gelb, Eric Boilard
JournalBlood (Blood) Vol. 124 Issue 14 Pg. 2173-83 (Oct 02 2014) ISSN: 1528-0020 [Electronic] United States
PMID25082876 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Copyright© 2014 by The American Society of Hematology.
Chemical References
  • DNA, Mitochondrial
  • Group II Phospholipases A2
  • PLA2G2A protein, human
  • Pla2g2a protein, mouse
Topics
  • Animals
  • Blood Platelets (metabolism)
  • DNA, Mitochondrial (metabolism)
  • Endothelium, Vascular (metabolism)
  • Flow Cytometry
  • Group II Phospholipases A2 (metabolism)
  • Humans
  • Inflammation (metabolism)
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mitochondria (metabolism)
  • Platelet Activation
  • Rickettsia prowazekii (metabolism)

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