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2016 ; 17
(1
): 155
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Pulmonary endothelial activation caused by extracellular histones contributes to
neutrophil activation in acute respiratory distress syndrome
#MMPMID27871277
Zhang Y
; Guan L
; Yu J
; Zhao Z
; Mao L
; Li S
; Zhao J
Respir Res
2016[Nov]; 17
(1
): 155
PMID27871277
show ga
BACKGROUND: During the acute respiratory distress syndrome (ARDS), neutrophils
play a central role in the pathogenesis, and their activation requires
interaction with the endothelium. Extracellular histones have been recognized as
pivotal inflammatory mediators. This study was to investigate the role of
pulmonary endothelial activation during the extracellular histone-induced
inflammatory response in ARDS. METHODS: ARDS was induced in male C57BL/6 mice by
intravenous injection with lipopolysaccharide (LPS) or exogenous histones.
Concurrent with LPS administration, anti-histone H4 antibody (anti-H4) or
non-specific IgG was administered to study the role of extracellular histones.
The circulating von Willebrand factor (vWF) and soluble thrombomodulin (sTM) were
measured with ELISA kits at the preset time points. Myeloperoxidase (MPO)
activity in lung tissue was measured with a MPO detection kit. The translocation
of P-selectin and neutrophil infiltration were measured by immunohistochemical
detection. For in vitro studies, histone H4 in the supernatant of mouse lung
vascular endothelial cells (MLVECs) was measured by Western blot. The binding of
extracellular histones with endothelial membrane was examined by confocal laser
microscopy. Endothelial P-selectin translocation was measured by cell surface
ELISA. Adhesion of neutrophils to MLVECs was assessed with a color video digital
camera. RESULTS: The results showed that during LPS-induced ARDS extracellular
histones caused endothelial and neutrophil activation, as seen by P-selectin
translocation, release of vWF, an increase of circulating sTM, lung neutrophil
infiltration and increased MPO activity. Extracellular histones directly bound
and activated MLVECs in a dose-dependent manner. On the contrary, the direct
stimulatory effect of exogenous histones on neutrophils was very limited, as
measured by neutrophil adhesion and MPO activity. With the contribution of
activated endothelium, extracellular histones could effectively activating
neutrophils. Both inhibiting the endothelial activation with an anti-toll like
receptor (TLR) antibody and inhibiting the interaction of the endothelium with
neutrophil using an anti-P-selectin antibody decreased the degree of neutrophil
activation. CONCLUSIONS: Extracellular histones are pro-inflammatory mediators in
LPS-induced ARDS in mice. In addition to direct action to neutrophils,
extracellular histones promote neutrophil adhesion and subsequent activation by
first activating the pulmonary endothelium via TLR signaling. Thus, endothelial
activation is important for extracellular histone-induced inflammatory injury.