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Effect of iron on polymorphonuclear granulocyte phagocytic capacity: role of oxidation state and effect of ascorbic

I M Hoepelman1, E Y Jaarsma, J Verhoef

  • 1Department of Internal Medicine, University Hospital Utrecht, The Netherlands.

Insights

Iron (II) significantly impairs polymorphonuclear granulocyte (PMN) function and bacterial uptake. Ascorbic acid exacerbates this iron toxicity, suggesting direct membrane interaction rather than solely oxygen radical involvement.

Area of Science:

  • Immunology
  • Biochemistry

Background:

  • Iron (III) is known to impair polymorphonuclear granulocyte (PMN) function.
  • The specific effects of iron (II) on PMN membrane function and phagocytosis require further elucidation.

Purpose of the Study:

  • To investigate the impact of iron (II) on the phagocytic capacity of PMN.
  • To explore the role of ascorbic acid and iron-oxygen intermediates in iron-mediated PMN dysfunction.

Main Methods:

  • Assessing the uptake of radiolabelled Staphylococcus aureus by PMN.
  • Evaluating the effects of iron (II), ferrous ascorbate, and oxygen-free radical scavengers on PMN function.
  • Comparing iron's effect on PMN from healthy individuals versus a patient with chronic granulomatous disease.

Main Results:

  • Iron (II) significantly impaired PMN phagocytic function and bacterial uptake.
  • Ferrous ascorbate (1:20 molar ratio) demonstrated toxicity at low iron concentrations (1-10 microM).
  • Toxicity was mitigated by desferrioxamine or transferrin, but not entirely prevented by radical scavengers for ferrous ascorbate.

Conclusions:

  • Iron (II) directly impairs PMN membrane function, independent of oxygen radical generation.
  • Ascorbic acid can potentiate iron (II) toxicity, indicating complex interactions.
  • Iron-mediated PMN impairment involves direct membrane interaction beyond reactive oxygen species.

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