PubMed: 29544683

Title
Effects of Histidine-rich glycoprotein on erythrocyte aggregation and hemolysis: Implications for a role under septic conditions.
Journal
Journal of pharmacological sciences
Volume
136
Issue
None
Pages
97-106
Date
2018-03-01
Authors
Gao Y | Liu K | Mori S | Nishibori M | Sakaguchi M | Teshigawara K | Wake H | Zhong H

Evidence 139ceeeaa3

TPEN (20 mM), a chelator for Zn2þ, Fe2þ and Mn2þ, abolished the effects of Zn2þ (Fig. 1A).

Evidence 52d16502a6

The Zn2þ (20 mM)-induced expression of PS on erythrocytes, which was inhibited by TPEN, was not observed by other divalent cations, including Mg2þ and Ca2þ (Fig. 2A).

Evidence 0ddd13ef41

TPEN also inhibited erythrocyte adhesion, but the effect at 20 mM was weaker compared to that in the HRG (100 mg/mL)- treatment group.

Evidence 0d27e2a208

Eryptosis is the apoptotic-like suicidal process of erythrocytes, and is characterized by cell shrinkage and phosphatidylserine (PS) expression on the outer membrane.

Evidence 0f18a0d486

Stimulation with 20 mM Zn2þ resulted in aggregation of washed human erythrocytes 1 h after incubation.

Evidence 127ad756a2

Thus focusing on Zn2þ-stimulated erythrocytes might be an important new approach that could ultimately reveal the mechanism of immunothrombus formation in sepsis.

Evidence 892b6e621e

We found that a considerable number of erythrocytes were attached to the EA.hy926 cells after Zn2þ-stimulation (Fig. 4A).

Evidence 0fbc2f8a9c

In addition, we observed that Zn2þ induced the adhesion of erythrocytes to endothelial cells, and this effect was not inhibited by 100 mg/mL of HSA (Fig. 4), suggesting a specific interaction between erythrocytes and HRG.

Evidence 895be72343

Although neutrophils, platelets and vascular endothelial cells are the main effector cells involved in immunothrombosis, abnormal aggregation of erythrocytes under septic conditions may also contribute to immunothrombosis in sepsis.

Evidence 61de1d505d

The cascade of immunothrombosis includes platelet activation and secretion, which may result in a local increase in Zn2þ concentration because of the presence of Zn2þ in platelet dense granules.

Evidence ef856cd7dd

In 2007, Kempe10 et al. reported that erythrocytes showed an apoptotic tendency in septic patients.

Evidence cbc69967a8

HRG strongly inhibited the aggregation at a concentration of 1 mg/mL, whereas the same concentration of HSA showed no effect (Fig. 1B).

Evidence 6be60de5b7

HRG and HSA both strongly inhibited aggregation when the concentration was increased to 100 mg/mL (Supplementary Fig. 1).

Evidence 2055d3ec90

HRG and HSA both inhibited PS expression when their concentrations were increased to 10 and 100 mg/mL (Fig. 2B).

Evidence ad5c8a2474

HRG treatment significantly inhibited the attachment of erythrocytes to the vascular endothelial cell monolayer in a concentration dependent manner (Fig. 4A and B), while HSA did not affect the adhesion.

Evidence a6fbaf1ff4

To determine the role of PS in the Zn2þ-induced aggregation of erythrocytes, we used Annexin V to block PS expression on the erythrocyte membrane.

Evidence a92881bb83

Annexin V (100 nM) completely inhibited the Zn2þ-induced aggregation (Fig. 1E).

Evidence f120d8586c

The decrease was due to the reduction in HRG gene expression, deposition of HRG on immunothrombi and degradation of HRG by thrombin.

Evidence 0b18b53f43

Surprisingly, HRG at high concentration (100 mg/mL) significantly decreased PS expression on erythrocytes.

Evidence 56ca856876

Although a significant difference in PS expressionwas not observed among the CLP groups treated with PBS, HSA or HRG, incubation of erythrocytes for 4 h enabled the observation of beneficial effects of HRG on PS expression on erythrocytes (Fig. 5B).

Evidence cd82f6745b

Hemin-induced hemolysis was also inhibited by HRG and HRGderived peptide (amino acid sequence in the Histidine-rich domain of HRG: HHPHGHHPHG) (Fig. 6A and B).

Evidence fc94cc4261

Supplementary treatment of septic mice with purified HRG from human plasma remarkably suppressed immunothrombosis in the lungs as well as the associated inflammation.

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