Altered calcium regulation and function of human neutrophils during multiple trauma

S Rose1, M Illerhaus, A Wiercinski

  • 1University of Saarland, Department of Trauma, Hand and Reconstructive Surgery, Homburg/Saar, Germany.

Shock (Augusta, Ga.)
|February 12, 2000
PubMed

Insights

Severe trauma alters neutrophil function by affecting intracellular calcium (Ca2+) regulation. Elevated basal Ca2+ in neutrophils correlates with reduced superoxide production, suggesting Ca2+-mediated disturbances in NADPH-oxidase metabolism following trauma.

Area of Science:

  • Immunology
  • Cellular Biology
  • Trauma Research

Background:

  • Intracellular calcium (Ca2+) concentration is crucial for leukocyte function.
  • Polymorphonuclear neutrophils (PMN) play a role in traumatic organ dysfunction.

Purpose of the Study:

  • To investigate Ca2+ regulation and function of circulating PMN in multiple trauma patients.
  • To compare PMN function and Ca2+ levels between trauma severity groups (ISS < 27 and ISS ≥ 27).

Main Methods:

  • Prospective study of circulating PMN isolation over 12 days.
  • Measurement of formyl-methionyl-leucyl-phenylalanine (fMLP)-induced PMN-superoxide production (PMN-SOP).
  • Determination of PMN cytosolic Ca2+ concentration ([Ca2+]i) using fura2/AM.

Main Results:

  • PMN-SOP was significantly higher in severe trauma patients (Group B) on admission.
  • Elevated basal [Ca2+]i in Group B between Day 2 and Day 4 was associated with lower PMN-SOP.
  • fMLP-induced [Ca2+]i response was supranormal in both groups; PMN-elastase, IL-6, IL-8, and soluble TNF-receptor were higher in Group B.

Conclusions:

  • Severe trauma exhibits a biphasic pattern of neutrophil priming with early increase and secondary suppression.
  • Elevated basal [Ca2+]i in neutrophils suggests Ca2+-mediated disturbance of NADPH-oxidase metabolism.
  • These findings highlight Ca2+ dysregulation's role in neutrophil dysfunction post-severe trauma.

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