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Blood, 1 June 2002, Vol. 99, No. 11, pp. 4160-4165
PHAGOCYTES
Neutrophil activation by heme: implications for inflammatory
processes
Aurélio V. Graça-Souza,
Maria Augusta B. Arruda,
Marta
S. de Freitas,
Christina Barja-Fidalgo, and
Pedro L. Oliveira
From the Departamento de Farmacologia, Instituto de
Biologia, Universidade do Estado do Rio de Janeiro; and Departamento de
Bioquimica Médica, Instituto de Ciências Biomédicas,
Centro de Ciências da Saúde, Universidade Federal do Rio de
Janeiro, Brazil.
Heme, a ubiquitous iron-containing compound, is present in large
amounts in many cells and is inherently dangerous, particularly when it
escapes from intracellular sites. The release of heme from damaged
cells and tissues is supposed to be higher in diseases such as malaria
and hemolytic anemia or in trauma and hemorrhage. We investigated here
the role of free ferriprotoporphyrin IX (hemin) as a proinflammatory
molecule, with particular attention to its ability to activate
neutrophil responses. Injecting hemin into the rat pleural cavity
resulted in a dose-dependent migration of neutrophils, indicating that
hemin is able to promote the recruitment of these cells in vivo. In
vitro, hemin induced human neutrophil chemotaxis and cytoskeleton
reorganization, as revealed by the increase of neutrophil actin
polymerization. Exposure of human neutrophils to 3 µM hemin activated
the expression of the chemokine interleukin-8, as demonstrated by
quantitative reverse-transcription polymerase chain reaction,
indicating a putative molecular mechanism by which hemin induces
chemotaxis in vivo. Brief incubation of human neutrophils with
micromolar concentrations of hemin (1-20 µM) triggered the oxidative
burst, and the production of reactive oxygen species was directly
proportional to the concentration of hemin added to the cells. Finally,
we observed that human neutrophil protein kinase C was activated by
hemin in vitro, with a K1/2 of 5 µM. Taken together,
these results suggest a role for hemin as a proinflammatory agent able
to induce polymorphonuclear neutrophil activation in situations of
clinical relevance, such as hemolysis or hemoglobinemia.

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