Mechanisms of human neutrophil oxidant production after severe injury.
Mechanisms of human neutrophil oxidant production after severe injury.
复制标题
严重损伤后人中性粒细胞氧化剂产生的机制。
DOI:
10.1067/msy.2001.116923
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发表时间:
2001
期刊:
影响因子:
3.8
通讯作者:
Solomkin,JS
中科院分区:
文献类型:
--
作者:
Quaid,G;Cave,C;Williams,MA;Hennigan,RF;Bokoch,G;Solomkin,JS
BackgroundThe purpose of this study was to determine the mechanisms of enhanced oxidant production after severe injury.MethodsNeutrophils were harvested from patients within 24 hours of admission who had an injury severity score greater than 16. Nonadherent and adherent neutrophil oxidant production was measured after N-formyl-methionyl-leucyl-phenylalanine (fMLP) stimulation. Translocation of cytochrome b558and cytosolic components p47phoxand p67phoxwere determined by oxidation-reduction spectroscopy and immunoblotting, respectively. Flow cytometry measured integrin expression. Integrin and p47phoxcolocalization was examined by confocal microscopy.ResultsEighteen patients were studied within 15 ± 1.4 hours. Four women and 14 men suffered a blunt injury and had a mean injury severity score of 22 (range, 16 to 34). Nonadherent patient neutrophils showed a decrease in fMLP-stimulated oxidant production, whereas adherent neutrophil oxidant production was increased in both the vehicle control and fMLP-stimulated groups. Nicotinamide adenine dinucleotide phosphate (NADPH) oxidase components p47phoxand cytochrome b558were mobilized to the plasma membrane, whereas p67phoxshowed minimal change. Integrin CD11b a chain showed a significant increase in expression. Confocal microscopy showed colocalization of p47phoxand a chain CD11b on the plasma membrane of patient neutrophils.ConclusionsColocalization of NADPH oxidase components and integrins may regulate the enhanced oxidant production in human neutrophils after severe injury. (Surgery 2001;130:669-76.)