Endothelial Microparticles Induce Inflammation in Acute Lung Injury

• Published in: The Journal of surgical research 2011-03, Vol.166 (1), p.32-39
• Main Authors: Buesing, Keely L., M.D, Densmore, John C., M.D, Kaul, Sushma, M.S, Pritchard, Kirkwood A., Ph.D, Jarzembowski, Jason A., Ph.D., M.D, Gourlay, David M., M.D, Oldham, Keith T., M.D
• Format: Article
• Language: English
• Subjects: Acute Lung Injury - immunology; Acute Lung Injury - pathology; Animals; Biological and medical sciences; Bronchoalveolar Lavage Fluid - immunology; Cell-Derived Microparticles - immunology; Cell-Derived Microparticles - pathology; Endothelial Cells - immunology; Endothelial Cells - pathology; endothelial microparticles; General aspects; Humans; IL-1β; Interleukin-1beta - blood; lung injury; Male; Medical sciences; Mice; Mice, Inbred C57BL; myeloperoxidase; Neutrophils - immunology; Neutrophils - metabolism; Neutrophils - pathology; Peroxidase - metabolism; Pneumonia - immunology; Pneumonia - pathology; Surgery; TNF-α; Tumor Necrosis Factor-alpha - blood; Umbilical Veins - cytology
• ISSN: 0022-4804; 1095-8673
• DOI: 10.1016/j.jss.2010.05.036

Background Previously, we have shown that endothelial microparticles (EMPs) injected into mice induce acute lung injury (ALI) [1]. In this study, we hypothesize that EMPs induce ALI by initiating cytokine release in the lung, leading to recruitment and activation of neutrophils. Materials and methods C57BL/6J male mice (8–10 wk old) were intravenously injected with EMPs (200,000/mL), LPS (2 mg/kg), or both. Bronchoalveolar lavage (BAL) and serum levels of IL-1β and TNF-α were analyzed by enzyme-linked immunoassay (ELISA). Morphometric analysis was performed on H and E stained lung sections. Myeloperoxidase (MPO) levels were determined via an enzymatic assay and immunofluorescence of stained sections. Results EMPs led to significantly increased pulmonary and systemic IL-1β and TNF-α levels, which correlated with increased neutrophil recruitment to the lung. MPO levels in the lungs were increased significantly following injection of EMPs or LPS, compared to PBS. In mice treated with EMPs and LPS either simultaneously or successively, the cytokine and MPO levels were significantly increased over that of either treatment alone. Conclusion EMPs contribute to lung injury through the initiation of a cytokine cascade that increases recruitment of neutrophils and subsequent release of MPO. Furthermore, treatment of mice with both EMPs and LPS induced greater lung injury than either treatment alone, suggesting that EMPs prime the lung for increased injury by other pathogens. Therapies aimed at reducing or blocking EMPs may be a useful strategy for attenuating lung injury.