title: Endogenous glucocorticoids modulate neutrophil function in a murine model of haemolytic uraemic syndrome.
abstract: Haemolytic uraemic syndrome (HUS) is caused by Shiga-toxin-producing Escherichia coli (STEC). Although, Shiga toxin type 2 (Stx2) is responsible for the renal pathogenesis observed in patients, the inflammatory response, including cytokines and polymorphonuclear neutrophils (PMN), plays a key role in the development of HUS. Previously, we demonstrated that Stx2 injection generates an anti-inflammatory reaction characterized by endogenous glucocorticoid (GC) secretion, which attenuates HUS severity in mice. Here, we analysed the effects of Stx2 on the pathogenic function of PMN and the potential role of endogenous GC to limit PMN activation during HUS development in a murine model. For this purpose we assessed the functional activity of isolated PMN after in vivo treatment with Stx2 alone or in simultaneous treatment with Ru486 (GC receptor antagonist). We found that Stx2 increased the generation of reactive oxygen intermediates (ROI) under phobol-myristate-acetate (PMA) stimulation and that the simultaneous treatment with Ru486 strengthened this effect. Conversely, both treatments significantly inhibited in vitro phagocytosis. Furthermore, Stx2 augmented in vitro PMN adhesion to fibrinogen (FGN) and bovine serum albumin (BSA) but not to collagen type I (CTI). Stx2 + Ru486 caused enhanced adhesion to BSA and CTI compared to Stx2. Whereas Stx2 significantly increased migration towards N-formyl-methionyl-leucyl-phenylalanine (fMLP), Stx2 + Ru486 treatment enhanced and accelerated this process. The percentage of apoptotic PMN from Stx2-treated mice was higher compared with controls, but equal to Stx2 + Ru486 treated mice. We conclude that Stx2 activates PMN and that the absence of endogenous GC enhances this activation suggesting that endogenous GC can, at least partially, counteract PMN inflammatory functions.
authors.affiliation: Departamento de Inmunología, Instituto de Investigaciones Hematológicas, Academia Nacional de Medicina, Buenos Aires, Argentina.
authors.forename: S A
authors.initials: SA
authors.lastname: Gómez
authors.forename: G C
authors.initials: GC
authors.lastname: Fernández
authors.forename: G
authors.initials: G
authors.lastname: Camerano
authors.forename: G
authors.initials: G
authors.lastname: Dran
authors.forename: F A
authors.initials: FA
authors.lastname: Rosa
authors.forename: P
authors.initials: P
authors.lastname: Barrionuevo
authors.forename: M A
authors.initials: MA
authors.lastname: Isturiz
authors.forename: M S
authors.initials: MS
authors.lastname: Palermo
mesh_terms: D000818:Animals; D017209:Apoptosis / Q000276:immunology; D002448:Cell Adhesion / Q000276:immunology; D002464:Cell Migration Inhibition; D024043:Collagen Type II / Q000276:immunology; D004195:Disease Models, Animal; D005340:Fibrinogen / Q000276:immunology; D005938:Glucocorticoids / Q000276:immunology*; D006463:Hemolytic-Uremic Syndrome / Q000276:immunology*; D006727:Hormone Antagonists / Q000276:immunology; D007958:Leukocyte Count / Q000379:methods; D008297:Male; D051379:Mice; D008807:Mice, Inbred BALB C; D015735:Mifepristone / Q000276:immunology; D009504:Neutrophils / Q000276:immunology*; D010587:Phagocytosis / Q000187:drug effects / Q000276:immunology; D017382:Reactive Oxygen Species / Q000276:immunology; D011965:Receptors, Glucocorticoid / Q000037:antagonists & inhibitors; D012710:Serum Albumin, Bovine / Q000276:immunology; D022641:Shiga Toxin 2 / Q000276:immunology*; D013755:Tetradecanoylphorbol Acetate / Q000276:immunology
chemical_list: D024043:Collagen Type II; D005938:Glucocorticoids; D006727:Hormone Antagonists; D017382:Reactive Oxygen Species; D011965:Receptors, Glucocorticoid; D022641:Shiga Toxin 2; D012710:Serum Albumin, Bovine; D015735:Mifepristone; D005340:Fibrinogen; D013755:Tetradecanoylphorbol Acetate