Abstract

IntroductionC5a plays an crucial role in antineutrophil cytoplasmic antibody (ANCA)-mediated neutrophil recruitment and activation. The current study further investigated the interaction between C5a and sphingosine-1-phosphate (S1P) in neutrophils for ANCA-mediated activation.MethodsThe plasma levels of S1P from 29 patients with ANCA-associated vasculitis (AAV) in active stage and in remission were tested by enzyme-linked immunosorbent assay (ELISA). The generation of S1P was tested in C5a-triggered neutrophils. The effect S1P receptor antagonist was tested on respiratory burst and degranulation of C5a-primed neutrophils activated with ANCA.ResultsThe plasma level of circulating S1P was significantly higher in patients with AAV with active disease compared with patients in remission (2034.2 ± 438.5 versus 1489.3 ± 547.4 nmol/L, P < 0.001). S1P can prime neutrophils for ANCA-induced respiratory burst and degranulation. Compared with non-triggered neutrophils, the mean fluorescence intensity (MFI) value for CD88 expression was up-regulated significantly in S1P-triggered neutrophils. S1P receptor antagonist decreased oxygen radical production in C5a primed neutrophils induced by ANCA-positive IgG from patients. Blocking S1P inhibited C5a-primed neutrophil migration.ConclusionsS1P triggered by C5a-primed neutrophils could further activate neutrophils. Blocking S1P could attenuate C5a-induced activation of neutrophils by ANCA. The interaction between S1P and C5a plays an important role in neutrophils for ANCA-mediated activation.

Highlights

  • C5a plays an crucial role in antineutrophil cytoplasmic antibody (ANCA)-mediated neutrophil recruitment and activation

  • Patients with ANCA-associated vasculitis (AAV) can on the basis of clinical and pathological features be classified as granulomatosis with polyangiitis (GPA, previously named Wegener’s granulomatosis), microscopic polyangiitis (MPA) and eosinophilic granulomatosis with polyangiitis (EGPA, previously named Churg-Strauss syndrome)

  • Plasma levels of S1P were elevated in AAV patients in the active stage compared with remission Among the 29 patients with AAV, (48.3%) were male and (51.7%) were female, with an age of 58.5 ± 12.8 years at diagnosis

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Summary

Introduction

C5a plays an crucial role in antineutrophil cytoplasmic antibody (ANCA)-mediated neutrophil recruitment and activation. The current study further investigated the interaction between C5a and sphingosine-1-phosphate (S1P) in neutrophils for ANCA-mediated activation. Antineutrophil cytoplasmic autoantibody (ANCA) is closely associated with systemic small vessel vasculitis characterized by segmental vessel wall necrotizing inflammation and a paucity of immunoglobulin deposition [1]. ANCAs against either proteinase-3 (PR3) or myeloperoxidase (MPO) are hallmarks of AAV [2]. Cumulating evidence suggests that ANCA-induced neutrophil activation plays a crucial role in the pathogenesis of AAV [3,4,5,6,7]. In an anti-MPO antibody-induced mouse vasculitis model, ANCAs are proven to be pathogenic [8]. Neutrophils are the primary effector cells in AAV [8,9]

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