Peroxynitrite mediates the failure of neutrophil migration in severe polymicrobial sepsis in mice

D Torres-Dueñas1, M R N Celes, A Freitas

  • 1Department of Pharmacology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Avenida Bandeirantes, 3900, Ribeirão Preto, São Paulo, Brazil.

Abstract

Insights

Peroxynitrite (ONOO(-)) contributes to neutrophil migration failure during severe sepsis. Scavenging ONOO(-) with uric acid or FeTPPs restored neutrophil function and improved survival rates in septic mice.

Area of Science:

  • Immunology
  • Pathophysiology
  • Biochemistry

Background:

  • Sepsis involves a systemic inflammatory response due to uncontrolled local infection.
  • Neutrophil migration failure is a key mechanism in sepsis pathogenesis.
  • Nitric oxide (NO) mediates neutrophil migration, but the role of its derivative, peroxynitrite (ONOO(-)), is unclear.

Purpose of the Study:

  • To investigate the involvement of peroxynitrite (ONOO(-)) in neutrophil migration failure during sepsis.
  • To determine if scavenging ONOO(-) can ameliorate sepsis-induced neutrophil dysfunction and improve outcomes.

Main Methods:

  • Male C57Bl/6 mice underwent cecal ligation and puncture (CLP) to induce moderate (MSI) or severe (SSI) sepsis.
  • Leukocyte rolling and adhesion were assessed using intravital microscopy.
  • Cytokines (TNF-alpha, MIP-1alpha) and 3-nitrotyrosine (3-NT) levels were measured.

Main Results:

  • Uric acid, an ONOO(-) scavenger, partially restored neutrophil migration and reduced bacterial load in SSI mice.
  • ONOO(-) scavenging decreased 3-NT labeling in leukocytes and peritoneal neutrophils.
  • Treatment with uric acid or FeTPPs (another ONOO(-) scavenger) significantly enhanced survival rates in SSI mice.

Conclusions:

  • ONOO(-) plays a significant role in reducing neutrophil-endothelium interactions during sepsis.
  • This interaction failure leads to impaired neutrophil migration into infection sites, increasing sepsis severity.
  • Targeting ONOO(-) represents a potential therapeutic strategy for severe sepsis.

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