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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Immunol
2014 ; 192
(11
): 5363-72
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Citrullination alters immunomodulatory function of LL-37 essential for prevention
of endotoxin-induced sepsis
#MMPMID24771854
Koziel J
; Bryzek D
; Sroka A
; Maresz K
; Glowczyk I
; Bielecka E
; Kantyka T
; Pyr? K
; Svoboda P
; Pohl J
; Potempa J
J Immunol
2014[Jun]; 192
(11
): 5363-72
PMID24771854
show ga
Cathelicidin LL-37 plays an essential role in innate immunity by killing invading
microorganisms and regulating the inflammatory response. These activities depend
on the cationic character of the peptide, which is conferred by arginine and
lysine residues. At inflammatory foci in vivo, LL-37 is exposed to peptidyl
arginine deiminase (PAD), an enzyme released by inflammatory cells. Therefore, we
hypothesized that PAD-mediated citrullination of the arginine residues within
LL-37 will abrogate its immunomodulatory functions. We found that, when
citrullinated, LL-37 was at least 40 times less efficient at neutralizing the
proinflammatory activity of LPS due to a marked decrease in its affinity for
endotoxin. Also, the ability of citrullinated LL-37 to quench macrophage
responses to lipoteichoic acid and poly(I:C) signaling via TLR2 and TLR3,
respectively, was significantly reduced. Furthermore, in stark contrast to native
LL-37, the modified peptide completely lost the ability to prevent morbidity and
mortality in a mouse model of d-galactosamine-sensitized endotoxin shock. In
fact, administration of citrullinated LL-37 plus endotoxin actually exacerbated
sepsis due to the inability of LL-37 to neutralize LPS and the subsequent
enhancement of systemic inflammation due to increased serum levels of IL-6.
Importantly, serum from septic mice showed increased PAD activity, which strongly
correlated with the level of citrullination, indicating that PAD-driven protein
modification occurs in vivo. Because LL-37 is a potential treatment for sepsis,
its administration should be preceded by a careful analysis to ensure that the
citrullinated peptide is not generated in treated patients.