Neutrophil activation in systemic capillary leak syndrome (Clarkson disease)
Autor: | Zhihui Xie, Xuesong Gu, John I. Gallin, Hasan H. Otu, Towia A. Libermann, Kirk M. Druey, Douglas B. Kuhns, Samir M. Parikh |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
0301 basic medicine
Adult Male Proteomics Neutrophils Peripheral edema Vascular leakage Matrix metalloproteinase Neutrophil Activation 03 medical and health sciences 0302 clinical medicine Medicine Systemic capillary leak syndrome Humans vascular leak biology business.industry Proteomic screening Endothelial Cells Cell Biology Original Articles Blood Proteins Middle Aged medicine.disease Clarkson Disease 030104 developmental biology 030220 oncology & carcinogenesis Myeloperoxidase Immunology biology.protein Neutrophil degranulation Molecular Medicine Original Article Female Endothelium Vascular medicine.symptom business Capillary Leak Syndrome |
Zdroj: | Journal of Cellular and Molecular Medicine |
ISSN: | 1582-4934 1582-1838 |
Popis: | Systemic capillary leak syndrome (SCLS; Clarkson disease) is a rare orphan disorder characterized by transient yet recurrent episodes of hypotension and peripheral oedema due to diffuse vascular leakage of fluids and proteins into soft tissues. Humoral mediators, cellular responses and genetic features accounting for the clinical phenotype of SCLS are virtually unknown. Here, we searched for factors altered in acute SCLS plasma relative to matched convalescent samples using multiplexed aptamer‐based proteomic screening. Relative amounts of 612 proteins were changed greater than twofold and 81 proteins were changed at least threefold. Among the most enriched proteins in acute SCLS plasma were neutrophil granule components including bactericidal permeability inducing protein, myeloperoxidase and matrix metalloproteinase 8. Neutrophils isolated from blood of subjects with SCLS or healthy controls responded similarly to routine pro‐inflammatory mediators. However, acute SCLS sera activated neutrophils relative to remission sera. Activated neutrophil supernatants increased permeability of endothelial cells from both controls and SCLS subjects equivalently. Our results suggest systemic neutrophil degranulation during SCLS acute flares, which may contribute to the clinical manifestations of acute vascular leak. |
Databáze: | OpenAIRE |
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