Paradoxical cytoskeleton and microparticle formation changes in monocytes and polymorphonuclear leukocytes in severe

Yuka Itakura Sumi1, Hiroshi Ogura, Hiroshi Tanaka

  • 1Department of Traumatology, Suita-shi, Osaka University Medical School, Japan. itakura@hp-emerg.med.osaka-u.ac.jp

The Journal of Trauma
|December 17, 2003
PubMed
Abstract

Insights

In severe systemic inflammatory response syndrome (SIRS), microparticle (MP) formation and cytoskeleton changes in monocytes paradoxically decrease, while polymorphonuclear leukocytes (PMNLs) show increased MP production and activation. This study highlights distinct cellular responses in SIRS patients.

Area of Science:

  • Immunology
  • Cell Biology
  • Critical Care Medicine

Background:

  • Systemic inflammatory response syndrome (SIRS) involves monocytes and polymorphonuclear leukocytes (PMNLs) in regulating inflammation.
  • Activated monocytes and PMNLs are known to produce microparticles (MPs).
  • Investigating these cellular changes in SIRS is crucial for understanding inflammatory processes.

Purpose of the Study:

  • To evaluate microparticle (MP) production and cytoskeleton changes in monocytes from severe SIRS patients.
  • To compare these monocyte alterations with those observed in PMNLs.
  • To assess monocyte and PMNL activation markers in SIRS.

Main Methods:

  • Flow cytometry was used to measure MP formation and F-actin content in monocytes and PMNLs from 20 SIRS patients and 15 healthy controls.
  • Cells were stimulated with lipopolysaccharide or formylmethionyl-leucyl-phenylalanine (FMLP).
  • Human leukocyte antigen-DR, CD64 expression, and O2- production were quantified.

Main Results:

  • Monocyte MP formation and F-actin content significantly decreased in SIRS patients compared to controls.
  • PMNL MP formation, F-actin content, and O2- production significantly increased in SIRS patients.
  • Reduced human leukocyte antigen-DR expression on monocytes indicated monocyte modulation, while increased O2- production confirmed PMNL activation.

Conclusions:

  • Circulating monocytes and PMNLs exhibit paradoxically different changes in MP formation and cytoskeleton during severe SIRS.
  • These findings suggest distinct roles and responses of monocytes and PMNLs in the inflammatory cascade of SIRS.
  • The study underscores the complex cellular dynamics in severe inflammatory conditions.

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