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Published on: April 14, 2010
Interleukin 6 receptor alpha expression in PMNs isolated from prematurely born neonates: decreased expression is
Robert A Campbell1, Mark J Cody2, Bhanu K Manne1
1Program in Molecular Medicine, University of Utah, Salt Lake City, UT, USA.
Insights
Neonatal neutrophils have reduced mammalian target of rapamycin (mTOR) signaling, leading to lower interleukin-6 receptor alpha (IL-6Rα) synthesis. This impaired IL-6Rα production may prolong inflammation and increase illness in preterm infants.
Area of Science:
- Immunology
- Neonatal Medicine
- Molecular Biology
Background:
- Dysregulated inflammation in neonates contributes to significant morbidity and mortality.
- Neutrophil-mediated inflammation is a key driver of inflammatory tissue damage.
- The mammalian target of rapamycin (mTOR) pathway regulates IL-6 receptor alpha (IL-6Rα) expression in neutrophils.
Purpose of the Study:
- To investigate the hypothesis that preterm neonatal neutrophils fail to synthesize IL-6Rα due to alterations in mTOR signaling.
- To compare IL-6Rα expression and mTOR signaling in neutrophils from preterm neonates and healthy adults.
Main Methods:
- Studied IL-6Rα and PAF receptor expression, and mTOR signaling in plasma and neutrophils from neonates and adults.
- Utilized techniques including ELISA, RT-PCR, western blotting, flow cytometry, and immunocytochemistry.
Main Results:
- Neonatal plasma had less soluble IL-6Rα than adult plasma.
- While IL-6Rα mRNA levels were similar, IL-6Rα protein expression was decreased in preterm neonatal neutrophils.
- mTOR signaling was reduced in preterm neonatal neutrophils following PAF stimulation.
Conclusions:
- Preterm neonatal neutrophils show diminished mTOR signaling, resulting in reduced IL-6Rα synthesis.
- This decreased IL-6Rα synthesis may impair IL-6/IL-6Rα trans-signaling, potentially leading to prolonged inflammation and increased morbidity in preterm infants.
Background:
Dysregulated inflammation leads to morbidity and mortality in neonates. Neutrophil-mediated inflammation can cause inflammatory tissue damage. The mammalian target of rapamycin (mTOR) pathway governs IL-6Rα protein expression in human neutrophils. Shed IL-6Rα then participates in trans-signaling of IL-6/IL-6Rα to cells not otherwise sensitive to IL-6. Signaling to endothelial cells triggers efferocytosis where macrophages limit persistent inflammation by phagocytizing neutrophils. We hypothesized that preterm neonatal PMNs fail to synthesize IL-6Rα due to alterations in mTOR signaling.
Methods:
We studied IL-6Rα expression, PAF receptor expression, and mTOR signaling in plasma and PAF-stimulated PMNs isolated from newborn infants and healthy adults using ELISA, real-time RT-PCR, western blotting, flow cytometry, and immunocytochemistry with phospho-specific antibodies.
Results:
Compared to healthy adults, plasma from neonates contains significantly less soluble IL-6Rα. IL-6Rα mRNA expression in PAF-stimulated PMNs does not differ between neonates and adults, but IL-6Rα protein expression is decreased in preterm neonatal PMNs. Rapamycin, an mTOR inhibitor, blocks IL-6Rα protein expression. mTOR signaling following PAF stimulation is decreased in preterm neonatal PMNs.
Conclusions:
Preterm neonatal PMNs exhibit decreased mTOR pathway signaling leading to decreased IL-6Rα synthesis. Decreased synthesis of IL-6Rα by neonatal PMNs may result in decreased IL-6/IL-6Rα trans-signaling with prolonged inflammatory response and increased morbidity.
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