Heparinoid sevuparin inhibits Streptococcus‐induced vascular leak through neutralizing neutrophil‐derived proteins

ABSTRACTAcute lung injury (ALI) and respiratory distress can develop as a consequence of sepsis with pathogens such as group A Streptococcus (GAS). In the pathogenesis of sepsis‐associated ALI, endothelial barrier disruption brought on by phagocyte activation is considered a causative factor. Here,...

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Veröffentlicht in:The FASEB journal 2019-09, Vol.33 (9), p.10443-10452
Hauptverfasser: Rasmuson, Joel, Kenne, Ellinor, Wahlgren, Mats, Soehnlein, Oliver, Lindbom, Lennart
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container_start_page 10443
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creator Rasmuson, Joel
Kenne, Ellinor
Wahlgren, Mats
Soehnlein, Oliver
Lindbom, Lennart
description ABSTRACTAcute lung injury (ALI) and respiratory distress can develop as a consequence of sepsis with pathogens such as group A Streptococcus (GAS). In the pathogenesis of sepsis‐associated ALI, endothelial barrier disruption brought on by phagocyte activation is considered a causative factor. Here, we find that sevuparin, a heparinoid with low anticoagulant activity, prevents neutrophil‐induced lung plasma leakage in a murine model of systemic inflammation evoked by heat‐killed GAS (hkGAS). Furthermore, using human neutrophils and endothelial cell monolayers, we demonstrate that sevuparin inhibits hkGAS‐induced endothelial barrier disruption by neutralizing the activity of neutrophil‐derived proteins. By mass spectrometry of neutrophil secretion, we identify proteins, including serprocidins, S100 proteins, and histone H4, that interact with sevuparin and that are responsible for the disruptive effect on endothelial integrity. Collectively, our results demonstrate the critical role of neutrophil‐derived proteins in vascular hyperpermeability caused by GAS and suggest sevuparin as a potential therapeutic in acute neutrophilic inflammation.—Rasmuson, J., Kenne, E., Wahlgren, M., Soehnlein, O., Lindbom, L. Heparinoid sevuparin inhibits Streptococcus‐induced vascular leak through neutralizing neutrophil‐derived proteins. FASEB J. 33, 10443–10452 (2019). www.fasebj.org
doi_str_mv 10.1096/fj.201900627R
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In the pathogenesis of sepsis‐associated ALI, endothelial barrier disruption brought on by phagocyte activation is considered a causative factor. Here, we find that sevuparin, a heparinoid with low anticoagulant activity, prevents neutrophil‐induced lung plasma leakage in a murine model of systemic inflammation evoked by heat‐killed GAS (hkGAS). Furthermore, using human neutrophils and endothelial cell monolayers, we demonstrate that sevuparin inhibits hkGAS‐induced endothelial barrier disruption by neutralizing the activity of neutrophil‐derived proteins. By mass spectrometry of neutrophil secretion, we identify proteins, including serprocidins, S100 proteins, and histone H4, that interact with sevuparin and that are responsible for the disruptive effect on endothelial integrity. Collectively, our results demonstrate the critical role of neutrophil‐derived proteins in vascular hyperpermeability caused by GAS and suggest sevuparin as a potential therapeutic in acute neutrophilic inflammation.—Rasmuson, J., Kenne, E., Wahlgren, M., Soehnlein, O., Lindbom, L. Heparinoid sevuparin inhibits Streptococcus‐induced vascular leak through neutralizing neutrophil‐derived proteins. 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Collectively, our results demonstrate the critical role of neutrophil‐derived proteins in vascular hyperpermeability caused by GAS and suggest sevuparin as a potential therapeutic in acute neutrophilic inflammation.—Rasmuson, J., Kenne, E., Wahlgren, M., Soehnlein, O., Lindbom, L. Heparinoid sevuparin inhibits Streptococcus‐induced vascular leak through neutralizing neutrophil‐derived proteins. 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subjects Animals
Cell Adhesion
Endothelium, Vascular - immunology
Endothelium, Vascular - metabolism
Endothelium, Vascular - pathology
heparin
Heparin - analogs & derivatives
Heparin - pharmacology
Histones - metabolism
Humans
inflammation
Lipopolysaccharides - toxicity
Male
Medicin och hälsovetenskap
Mice
Mice, Inbred BALB C
Neutrophils - immunology
Neutrophils - metabolism
Neutrophils - pathology
Pneumonia - etiology
Pneumonia - metabolism
Pneumonia - pathology
Pneumonia - prevention & control
S100 Proteins - metabolism
sepsis
Sepsis - complications
Sepsis - microbiology
Serine Proteases - metabolism
Streptococcal Infections - complications
Streptococcal Infections - microbiology
Streptococcus - pathogenicity
vascular permeability
title Heparinoid sevuparin inhibits Streptococcus‐induced vascular leak through neutralizing neutrophil‐derived proteins
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