title: Mechanisms involved in the induction of human endothelial cell necrosis.
abstract: The effects of the inflammatory mediators lipopolysaccharide (LPS) and tumor necrosis factor-alpha (TNF) and unstimulated and activated neutrophils (PMNs) on endothelial cell (EC) necrosis were studied using the cultured human EC line (ECV-304) and human PMNs in vitro. LPS and TNF alone or their combination failed to induce EC necrosis. Activated PMNs, as evidenced by augmentations in CD11b expression and respiratory burst, induced significant EC necrosis commencing at 12 hr of coculture, which was strongly dependent on the ratio of PMN:ECs and the duration of PMN:EC coculture. In contrast, unstimulated PMNs induced no significant increases in EC necrosis. To examine the mechanisms of activated PMN-mediated EC necrosis, the oxygen radical scavengers superoxide dismutase (SOD) and catalase, as well as the protease inhibitors phenylmethylsulfonyl fluoride (PMSF), alpha 1-antitrypsin (alpha 1-AT), soybean trypsin-chymotrypsin inhibitor (TCI), and aprotinin, were studied in coculture experiments. EC necrosis induced by activated PMNs could be markedly attenuated by SOD, PMSF, alpha 1-AT, TCI, aprotinin, or their combinations. Although aprotinin enhanced respiratory burst, this agent inhibited necrosis by downregulating PMN CD11b and PMN-EC adhesion. These results demonstrate that the inflammatory mediators LPS and TNF and quiescent PMNs fail to induce EC necrosis. However, PMNs activated by inflammatory mediators can induce EC necrosis through oxidative and nonoxidative mechanisms and this process is dependent on PMN-EC adhesion.
authors.affiliation: Department of Surgery, The Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin.
authors.forename: J H
authors.initials: JH
authors.lastname: Wang
authors.forename: H P
authors.initials: HP
authors.lastname: Redmond
authors.forename: R W
authors.initials: RW
authors.lastname: Watson
authors.forename: S
authors.initials: S
authors.lastname: Duggan
authors.forename: J
authors.initials: J
authors.lastname: McCarthy
authors.forename: M
authors.initials: M
authors.lastname: Barry
authors.forename: D
authors.initials: D
authors.lastname: Bouchier-Hayes
mesh_terms: D000328:Adult; D007611:Aprotinin / Q000494:pharmacology; D002448:Cell Adhesion / Q000187:drug effects; D002460:Cell Line; D004357:Drug Synergism; D004730:Endothelium, Vascular / Q000187:drug effects / Q000473:pathology*; D006801:Humans; D018799:Intercellular Adhesion Molecule-1 / Q000096:biosynthesis; D008070:Lipopolysaccharides / Q000633:toxicity; D009336:Necrosis; D018375:Neutrophil Activation; D014409:Tumor Necrosis Factor-alpha / Q000633:toxicity; D014471:Umbilical Veins
chemical_list: D008070:Lipopolysaccharides; D014409:Tumor Necrosis Factor-alpha; D018799:Intercellular Adhesion Molecule-1; D007611:Aprotinin