Heme-related molecules induce rapid production of neutrophil extracellular traps
Corresponding Author
Mari Kono
Cell Analysis Center, Scientific Affairs, Sysmex Corporation, Kobe, Japan
Address reprint requests to: Mari Kono, 1-3-2 Murotani, Nishi-ku, Kobe 651-2241, Japan; e-mail: [email protected].Search for more papers by this authorKatsuyasu Saigo
Faculty of Pharmacological Sciences, Himeji Dokkyo University, Himeji, Japan
Search for more papers by this authorYuri Takagi
Cell Analysis Center, Scientific Affairs, Sysmex Corporation, Kobe, Japan
Search for more papers by this authorTakayuki Takahashi
Department of Hematology, Shinko Hospital, Kobe, Japan
Search for more papers by this authorSawako Kawauchi
Cell Analysis Center, Scientific Affairs, Sysmex Corporation, Kobe, Japan
Search for more papers by this authorAtsushi Wada
Cell Analysis Center, Scientific Affairs, Sysmex Corporation, Kobe, Japan
Search for more papers by this authorMakoto Hashimoto
Blood Transfusion Division, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorYosuke Minami
Blood Transfusion Division, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorShion Imoto
Department of Health Science, Kobe Tokiwa University, Kobe, Japan
Search for more papers by this authorMariko Takenokuchi
Faculty of Pharmacological Sciences, Himeji Dokkyo University, Himeji, Japan
Search for more papers by this authorTakashi Morikawa
Cell Analysis Center, Scientific Affairs, Sysmex Corporation, Kobe, Japan
Search for more papers by this authorKunihiro Funakoshi
Cell Analysis Center, Scientific Affairs, Sysmex Corporation, Kobe, Japan
Search for more papers by this authorCorresponding Author
Mari Kono
Cell Analysis Center, Scientific Affairs, Sysmex Corporation, Kobe, Japan
Address reprint requests to: Mari Kono, 1-3-2 Murotani, Nishi-ku, Kobe 651-2241, Japan; e-mail: [email protected].Search for more papers by this authorKatsuyasu Saigo
Faculty of Pharmacological Sciences, Himeji Dokkyo University, Himeji, Japan
Search for more papers by this authorYuri Takagi
Cell Analysis Center, Scientific Affairs, Sysmex Corporation, Kobe, Japan
Search for more papers by this authorTakayuki Takahashi
Department of Hematology, Shinko Hospital, Kobe, Japan
Search for more papers by this authorSawako Kawauchi
Cell Analysis Center, Scientific Affairs, Sysmex Corporation, Kobe, Japan
Search for more papers by this authorAtsushi Wada
Cell Analysis Center, Scientific Affairs, Sysmex Corporation, Kobe, Japan
Search for more papers by this authorMakoto Hashimoto
Blood Transfusion Division, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorYosuke Minami
Blood Transfusion Division, Kobe University Hospital, Kobe, Japan
Search for more papers by this authorShion Imoto
Department of Health Science, Kobe Tokiwa University, Kobe, Japan
Search for more papers by this authorMariko Takenokuchi
Faculty of Pharmacological Sciences, Himeji Dokkyo University, Himeji, Japan
Search for more papers by this authorTakashi Morikawa
Cell Analysis Center, Scientific Affairs, Sysmex Corporation, Kobe, Japan
Search for more papers by this authorKunihiro Funakoshi
Cell Analysis Center, Scientific Affairs, Sysmex Corporation, Kobe, Japan
Search for more papers by this authorAbstract
Background
Pulmonary endothelial cell damages caused by neutrophil overactivation could result in acute lung injuries including transfusion-related acute lung injury (TRALI). We previously reported that heme-related molecules derived from hemolysis induced the production of reactive oxygen species from neutrophils. Recently, neutrophil extracellular traps (NETs) have been demonstrated to associate with the onset of TRALI.
Study Design and Methods
In this study, neutrophils' morphologic changes induced by the heme-related molecule hemin were confirmed to be NETs via confocal laser scanning microscopy and electron microscopy (EM). Additionally, concentrations of hemin in red blood cell (RBC) components were measured via enzyme-linked immunosorbent assay and possible contribution of these molecules to the onset of TRALI was discussed.
Results
SYTOX green staining observation via confocal laser scanning microscopy revealed that neutrophil morphology changed rapidly upon addition of hemin. The nuclei began to be enlarged and become segmented after 5 minutes, and NET-like structures were released from neutrophils after 15 minutes. In EM observation, NET-like structures appeared after 10 minutes and the nucleoplasm was partially separated from the nuclear membrane, which were consistent with the features of NET formation. These structures stained positively for both myeloperoxidase and histone H3 antibodies.
Conclusion
Thus, our results suggest that hemin induced NETs in 15 minutes, a quicker reaction than NET induction by phorbol myristate acetate requiring 3 hours. Moreover, since RBC components, especially those with long-term storage, contained sufficient hemin concentration to induce NETs, special attention to hemolysis of stored RBC components is important.
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