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2030-01-01
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- IOC - Artigos de Periódicos [12696]
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CHEMOKINES AND MITOCHONDRIAL PRODUCTS ACTIVATE NEUTROPHILS TO AMPLIFY ORGAN INJURY DURING MOUSE ACUTE LIVER FAILURE
Neutrófilos
Produtos Mitocondriais
Lesão orgânica
Ratos
Insuficiência Hepática Aguda
Affilliation
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Desenvolvimento Tecnológico em Virologia. Rio de Janeiro, RJ. Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Desenvolvimento Tecnológico em Virologia. Rio de Janeiro, RJ. Brasil.
Múltipla Afiliação - ver em Notas
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Desenvolvimento Tecnológico em Virologia. Rio de Janeiro, RJ. Brasil.
Múltipla Afiliação - ver em Notas
Abstract
Acetaminophen (APAP) is a safe analgesic and antipyretic drug. However, APAP overdose
leads to massive hepatocyte death. Cell death during APAP toxicity occurs by oncotic necrosis,
in which the release of intracellular contents can elicit a reactive inflammatory
response. We have previously demonstrated that an intravascular gradient of chemokines and
mitochondria-derived formyl peptides collaborate to guide neutrophils to sites of liver necrosis
by CXC chemokine receptor 2 (CXCR2) and formyl peptide receptor 1 (FPR1), respectively.
Here, we investigated the role of CXCR2 chemokines and mitochondrial products
during APAP-induced liver injury and in liver neutrophil influx and hepatotoxicity. During
APAP overdose, neutrophils accumulated into the liver, and blockage of neutrophil infiltration
by anti–granulocyte receptor 1 depletion or combined CXCR2-FPR1 antagonism significantly
prevented hepatotoxicity. In agreement with our in vivo data, isolated human
neutrophils were cytotoxic to HepG2 cells when cocultured, and the mechanism of neutrophil
killing was dependent on direct contact with HepG2 cells and the CXCR2-FPR1–signaling
pathway. Also, in mice and humans, serum levels of both mitochondrial DNA (mitDNA)
and CXCR2 chemokines were higher during acute liver injury, suggesting that necrosis products
may reach remote organs through the circulation, leading to a systemic inflammatory
response. Accordingly, APAP-treated mice exhibited marked systemic inflammation and lung
injury, which was prevented by CXCR2-FPR1 blockage and Toll-like receptor 9 (TLR9) absence
(TLR92/2 mice). Conclusion: Chemokines and mitochondrial products (e.g., formyl
peptides and mitDNA) collaborate in neutrophil-mediated injury and systemic inflammation
during acute liver failure. Hepatocyte death is amplified by liver neutrophil infiltration, and
the release of necrotic products into the circulation may trigger a systemic inflammatory
response and remote lung injury.
Keywords in Portuguese
QuimiocinasNeutrófilos
Produtos Mitocondriais
Lesão orgânica
Ratos
Insuficiência Hepática Aguda
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