Human microparticles generated during sepsis in patients with critical illness are neutrophil-derived and modulate

Priya S Prakash1, Charles C Caldwell, Alex B Lentsch

  • 1Division of Research, Department of Surgery University of Cincinnati, Cincinnati, Ohio, USA. priya.prakash09@gmail.com

Abstract

Insights

Neutrophil-derived microparticles (NDMPs) are generated at inflammation sites in critical illness sepsis. These NDMPs uniquely activate immune cells while deactivating bystander cells, suggesting a key role in sepsis regulation.

Area of Science:

  • Immunology
  • Critical Care Medicine
  • Cell Biology

Background:

  • Microparticles (MPs) are cell-derived vesicles implicated in sepsis pathophysiology.
  • MPs are generated during cell activation or apoptosis.
  • Their specific role in critical illness sepsis requires elucidation.

Purpose of the Study:

  • To investigate the generation and function of MPs in critically ill patients with sepsis.
  • To test the hypothesis that MPs originate at inflammatory sites and modulate immune responses.

Main Methods:

  • Collected inflammatory site fluids (abdominal washings, bronchoalveolar lavage) from surgical sepsis patients.
  • Isolated and characterized MPs using differential centrifugation and flow cytometry.
  • Assessed immunomodulatory effects of neutrophil-derived MPs (NDMPs) on monocytic cells (THP-1).

Main Results:

  • NDMPs were detected exclusively at sites of inflammation, not in non-inflamed areas.
  • THP-1 cells phagocytosed NDMPs, leading to increased activation.
  • Bystander THP-1 cells, not ingesting NDMPs, showed decreased activation.

Conclusions:

  • NDMPs are produced at inflammatory loci in sepsis patients.
  • NDMPs exert differential immune effects: activating phagocytes and suppressing bystander cells.
  • NDMPs likely play a significant role in modulating the inflammatory response during critical illness sepsis.