Macrophage migration inhibitory factor contributes to anti-neutrophil cytoplasmic antibody-induced neutrophils

Jian Hao1, Tie-Gang Lv1, Chen Wang2

  • 1Renal Division, Department of Medicine, The Affiliated Hospital of Inner Mongolia Medical College, Huhehot, Inner Mongolia 010050, China.

Human Immunology
|August 22, 2016
PubMed
Abstract

Insights

Macrophage migration inhibitory factor (MIF) primes neutrophils, increasing their activation by anti-neutrophil cytoplasmic antibodies (ANCA). Elevated MIF levels are observed in active ANCA-associated vasculitis, indicating its role in autoimmune disease pathogenesis.

Area of Science:

  • Immunology
  • Autoimmune Diseases
  • Inflammation

Background:

  • Macrophage migration inhibitory factor (MIF) is a key inflammatory mediator in innate immunity and a significant factor in autoimmune disease development.
  • This study investigates the role of MIF in the activation of neutrophils by anti-neutrophil cytoplasmic antibodies (ANCA).

Purpose of the Study:

  • To elucidate the role of MIF in ANCA-induced neutrophil activation.
  • To determine the correlation between MIF levels and active ANCA-associated vasculitis (AAV).

Main Methods:

  • Plasma MIF levels were quantified using ELISA in 31 patients with active AAV, remission, and healthy controls.
  • The impact of MIF on ANCA-induced neutrophil respiratory burst and degranulation was assessed.

Main Results:

  • Circulating MIF levels were significantly elevated in AAV patients with active disease compared to those in remission and healthy individuals.
  • MIF-primed neutrophils showed significantly increased activation, respiratory burst, and degranulation when further stimulated with MPO-ANCA or PR3-ANCA IgG.
  • Interleukin-8 (IL-8), IL-6, and IL-23 were identified as key cytokines involved in ANCA-induced activation of MIF-primed neutrophils.

Conclusions:

  • MIF primes neutrophils by enhancing ANCA antigen translocation, making them more susceptible to activation.
  • Primed neutrophils, upon further induction by ANCA, exhibit increased respiratory burst and degranulation, contributing to vasculitis pathogenesis.