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Updated: Jun 6, 2026

Screening Assays to Characterize Novel Endothelial Regulators Involved in the Inflammatory Response
Published on: September 15, 2017
Endothelial activation and apoptosis mediated by neutrophil-dependent interleukin 6 trans-signalling: a novel target
Theresa C Barnes1, David G Spiller, Marina E Anderson
1School of Clinical Sciences, University of Liverpool, Liverpool, UK.
Insights
Systemic sclerosis serum triggers endothelial cell apoptosis and activation, primarily through interleukin-6 (IL-6) in the presence of neutrophils. This suggests IL-6 as a potential therapeutic target for systemic sclerosis.
Area of Science:
- Immunology
- Vascular Biology
- Rheumatology
Background:
- Systemic sclerosis (SSc) is a severe connective tissue disease with limited treatment options.
- Endothelial cell activation and apoptosis are key factors in SSc pathogenesis, but underlying mechanisms are unclear.
Purpose of the Study:
- To investigate the role of endothelial cell-neutrophil interactions in SSc pathogenesis.
- To identify the specific molecular mediators involved in SSc-induced endothelial cell dysfunction.
Main Methods:
- Human dermal microvascular endothelial cells were co-cultured with neutrophils in the presence of healthy or SSc serum.
- Endothelial cell apoptosis was assessed via annexin V-FITC binding.
- Endothelial cell activation was measured by E-selectin expression using flow cytometry and confocal microscopy.
Main Results:
- SSc serum significantly increased endothelial cell apoptosis and E-selectin expression compared to control serum, dependent on neutrophils.
- Recombinant interleukin-6 (IL-6) mimicked these effects.
- IL-6 neutralization and blockade of IL-6 trans-signalling (using soluble gp130) reduced SSc serum-induced endothelial cell activation and apoptosis.
Conclusions:
- SSc serum induces endothelial cell activation and apoptosis in a neutrophil-dependent manner, largely mediated by IL-6.
- These findings highlight IL-6 as a significant factor in SSc vascular pathology.
- Targeting IL-6 presents a promising therapeutic strategy for systemic sclerosis.
Objectives:
Systemic sclerosis (SSc) is a connective tissue disease associated with significant morbidity and mortality and generally inadequate treatment. Endothelial cell activation and apoptosis are thought to be pivotal in the pathogenesis of this disease, but the mechanisms that mediate this remain unknown.
Methods:
Human dermal microvascular endothelial cells were cultured with healthy control neutrophils in the presence of 25% healthy control or SSc serum for 24 h. Apoptosis was measured by annexin V-FITC binding and endothelial cell activation was measured using an allophycocyanin-conjugated E-selectin antibody. Fluorescence was quantified and localised using confocal microscopy.
Results:
SSc serum resulted in significantly increased apoptosis (p=0.006) and E-selectin expression (p=0.00004) in endothelial cells compared with control serum, effects that were critically dependent on the presence of neutrophils. Recombinant interleukin 6 (IL-6) reproduced these findings. Immunodepletion of IL-6 and the use of an IL-6 neutralising antibody decreased the effect of SSc serum on E-selectin expression. Soluble gp130, which specifically blocks IL-6 trans-signalling, negated the effect of SSc serum on both E-selectin expression and apoptosis.
Conclusions:
SSc serum induces endothelial cell activation and apoptosis in endothelial cell-neutrophil co-cultures, mediated largely by IL-6 and dependent on the presence of neutrophils. Together with other pathologically relevant effects of IL-6, these data justify further exploration of IL-6 as a therapeutic target in SSc.
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