Nucleotide metabolism and cell-cell interactions

Holger K Eltzschig1, Thomas Weissmüller, Alice Mager

  • 1Department of Anesthesiology and Intensive Care Medicine, Tübingen, Germany.

Insights

Neutrophils release nucleotides during inflammation, which are converted to adenosine by endothelial cells. This adenosine strengthens the vascular barrier, preventing fluid loss and edema.

Area of Science:

  • Immunology
  • Vascular Biology
  • Cellular Biology

Background:

  • Neutrophil transmigration (TEM) is crucial for inflammation but can compromise vascular barrier integrity, leading to edema.
  • Neutrophil-endothelial cell interactions are key regulators of inflammatory responses and vascular permeability.
  • Existing knowledge lacks understanding of endogenous mechanisms that mitigate vascular leak during TEM.

Purpose of the Study:

  • To investigate innate mechanisms by which neutrophils and endothelial cells interact to dampen vascular leak during inflammation.
  • To elucidate the role of adenine nucleotides and their metabolites in regulating vascular barrier function during neutrophil emigration.

Main Methods:

  • Observation of polymorphonuclear leukocyte (PMN) activation and release of adenine nucleotides (ATP, AMP).
  • Analysis of endothelial cell-surface enzyme metabolism of ATP and AMP via ecto-apyrase (CD39) and 5'-ecto-nucleotidase (CD73).
  • Assessment of adenosine receptor activation and its downstream effects on endothelial cyclic AMP levels and junctional integrity.

Main Results:

  • Activated PMNs release adenosine triphosphate (ATP) and adenosine monophosphate (AMP).
  • Endothelial enzymes CD39 and CD73 metabolize released ATP and AMP into adenosine.
  • Generated adenosine activates endothelial receptors, increasing cyclic AMP and resealing endothelial junctions, thus enhancing vascular barrier function.

Conclusions:

  • Neutrophil-derived adenine nucleotides, metabolized by endothelial cells, activate an endogenous pathway to restore vascular barrier function.
  • This neutrophil-endothelial crosstalk mechanism limits intravascular fluid loss and edema during inflammatory responses.
  • The process acts as a self-limiting mechanism, with neutrophils effectively 'closing the door' after transmigration.

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