Methylglyoxal-Modified Human Serum Albumin Binds to Leukocyte Myeloperoxidase and Inhibits its Enzymatic Activity

Oleg M Panasenko1,2, Viktor A Ivanov1, Elena V Mikhalchik1

  • 1Department of Biophysics, Federal Research and Clinical Center of Physical-Chemical Medicine of Federal Medical Biological Agency, Moscow 119435, Russia.

Insights

Methylglyoxal-modified human serum albumin (HSA-MG) binds to myeloperoxidase (MPO), inhibiting its activity and enhancing neutrophil NADPH oxidase. This impairs neutrophil bactericidal function, potentially explaining infections in diabetes.

Area of Science:

  • Immunology
  • Biochemistry
  • Diabetology

Background:

  • Hyperglycemia in diabetes mellitus causes protein modifications, including methylglyoxal (MG) modification of human serum albumin (HSA).
  • Neutrophils utilize myeloperoxidase (MPO) and NADPH oxidase for bactericidal activity, generating reactive oxygen (ROS) and halogen (RHS) species.
  • The interaction between modified proteins and neutrophil components in hyperglycemia is not fully understood.

Purpose of the Study:

  • To investigate the binding of MG-modified HSA (HSA-MG) to MPO.
  • To determine the effects of HSA-MG on MPO activity and neutrophil function.
  • To explore the implications for innate immunity and infection susceptibility in diabetic patients.

Main Methods:

  • Studied HSA-MG binding to MPO using affinity chromatography, disc-electrophoresis, ligand Western blotting, and ELISA.
  • Assessed MPO peroxidase and chlorinating activities using specific substrates.
  • Measured ROS and RHS generation via chemiluminescence, neutrophil degranulation by flow cytometry, and NETosis by DNA staining.

Main Results:

  • HSA-MG formed a stable complex with MPO, non-competitively inhibiting its enzymatic activities.
  • HSA-MG induced degranulation of peroxidase-negative granules and enhanced ROS generation, but not RHS or NETosis.
  • HSA-MG binding to MPO dampened MPO-dependent functions while stimulating NADPH oxidase activity.

Conclusions:

  • HSA modification under hyperglycemia impairs neutrophil bactericidal capacity by inhibiting MPO activity.
  • The stimulation of NADPH oxidase suggests a complex effect on neutrophil oxidative burst.
  • These findings may explain impaired innate immunity, delayed wound healing, and increased infection risk in diabetic individuals.