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Updated: Feb 12, 2026

Quantifying Myeloperoxidase-DNA and Neutrophil Elastase-DNA Complexes from Neutrophil Extracellular Traps by Using a Modified Sandwich ELISA
Published on: May 12, 2023
A myeloperoxidase precursor, pro-myeloperoxidase, is present in human plasma and elevated in cardiovascular disease
Irada S Khalilova1, Nina Dickerhof1, Tessa J Mocatta1
1Centre for Free Radical Research, Department of Pathology, University of Otago Christchurch, Christchurch, New Zealand.
Abstract:
Myeloperoxidase (MPO)-derived oxidants have emerged as a key contributor to tissue damage in inflammatory conditions such as cardiovascular disease. Pro-myeloperoxidase (pro-MPO), an enzymatically active precursor of myeloperoxidase (MPO), is known to be secreted from cultured bone marrow and promyelocytic leukemia cells, but evidence for the presence of pro-MPO in circulation is lacking. In the present study, we used a LC-MS/MS in addition to immunoblot analyses to show that pro-MPO is present in human blood plasma. Furthermore, we found that pro-MPO was more frequently detected in plasma from patients with myocardial infarction compared to plasma from control donors. Our study suggests that in addition to mature MPO, circulating pro-MPO may cause oxidative modifications of proteins thereby contributing to cardiovascular disease.
Insights
Circulating pro-myeloperoxidase (pro-MPO) was detected in human blood plasma. This precursor enzyme was more prevalent in patients with myocardial infarction, suggesting its role in cardiovascular disease.
Area of Science:
- Biochemistry
- Cardiovascular Research
- Immunology
Background:
- Myeloperoxidase (MPO)-derived oxidants contribute to tissue damage in inflammatory diseases like cardiovascular disease.
- Pro-myeloperoxidase (pro-MPO), the precursor to MPO, is secreted by certain cells but its presence in circulation is unconfirmed.
Purpose of the Study:
- To investigate the presence of pro-myeloperoxidase (pro-MPO) in human blood plasma.
- To determine if circulating pro-MPO levels differ between patients with myocardial infarction and healthy controls.
Main Methods:
- Liquid chromatography-tandem mass spectrometry (LC-MS/MS) analysis.
- Immunoblot analyses of human blood plasma samples.
Main Results:
- Pro-myeloperoxidase (pro-MPO) was detected in human blood plasma.
- Pro-MPO was identified more frequently in plasma from myocardial infarction patients than in control donors.
Conclusions:
- Circulating pro-MPO is present in human plasma.
- Elevated pro-MPO in myocardial infarction patients suggests a potential role in cardiovascular disease pathogenesis through protein oxidative modification.
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