Dopamine induces neutrophil apoptosis through a dopamine D-1 receptor-independent mechanism

S Sookhai1, J H Wang, M McCourt

  • 1Department of Surgery, Cork University Hospital, Ireland.

Surgery
|August 24, 1999
PubMed
Abstract

Insights

Dopamine induces neutrophil apoptosis and improves their function in patients with systemic inflammatory response syndrome (SIRS). This suggests dopamine offers benefits beyond hemodynamic support by influencing neutrophil behavior.

Area of Science:

  • Immunology
  • Pharmacology

Background:

  • Neutrophil (PMN) apoptosis is crucial for resolving inflammation and maintaining immune homeostasis.
  • Delayed PMN apoptosis is linked to the pathogenesis of systemic inflammatory response syndrome (SIRS).
  • Dopamine, used for hemodynamic stability in SIRS, may possess immunomodulatory effects.

Purpose of the Study:

  • To investigate dopamine's influence on PMN apoptosis, function, and activation in SIRS patients.
  • To determine if dopamine has immunoregulatory properties affecting neutrophils.

Main Methods:

  • Isolated PMNs from healthy volunteers and SIRS patients were treated with dopamine and fenoldopam.
  • PMN apoptosis was measured using propidium iodide DNA staining.
  • PMN function was assessed via respiratory burst, phagocytosis, and receptor expression (CD11a, CD11b, CD18).

Main Results:

  • SIRS patients exhibited delayed PMN apoptosis compared to controls.
  • Dopamine treatment (10-100 µmol/L) induced apoptosis in PMNs from both groups.
  • Dopamine enhanced phagocytic function, while fenoldopam did not induce apoptosis.

Conclusions:

  • Dopamine induces PMN apoptosis and modulates PMN function in both healthy individuals and SIRS patients.
  • Dopamine may provide therapeutic benefits in SIRS via a non-hemodynamic, PMN-dependent proapoptotic mechanism.

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