title: Activation-induced depletion of protein kinase C alpha provokes desensitization of monocytes/macrophages in sepsis.
abstract: Sepsis accounts for the majority of fatal casualties in critically ill patients, because extensive research failed to significantly improve appropriate therapy strategies. Thus, understanding molecular mechanisms initiating the septic phenotype is important. Symptoms of septic disease are often associated with monocyte/macrophage desensitization. In this study, we provide evidence that a desensitized cellular phenotype is characterized by an attenuated oxidative burst. Inhibition of the oxidative burst and depletion of protein kinase C alpha (PKC alpha) were correlated in septic patients. To prove that PKC alpha down-regulation indeed attenuated the oxidative burst, we set up a cell culture model to mimic desensitized monocytes/macrophages. We show that LPS/IFN-gamma-treatment of RAW264.7 and U937 cells lowered PKC alpha expression and went on to confirm these data in primary human monocyte-derived macrophages. To establish a role of PKC alpha in cellular desensitization, we overexpressed PKC alpha in RAW264.7 and U937 cells and tested for phorbolester-elicited superoxide formation following LPS/IFN-gamma-pretreatment. Inhibition of the oxidative burst, i.e., cellular desensitization, was clearly reversed in cells overexpressing PKC alpha, pointing to PKC alpha as the major transmitter in eliciting the oxidative burst in monocytes/macrophages. However, PKC alpha inactivation by transfecting a catalytically inactive PKC alpha mutant attenuated superoxide formation. We suggest that depletion of PKC alpha in monocytes from septic patients contributes to cellular desensitization, giving rise to clinical symptoms of sepsis.
authors.affiliation: Department of Cell Biology, University Kaiserslautern, Kaiserslautern, Germany. aknethen@rhrk.uni-kl.de
authors.forename: Andreas
authors.initials: A
authors.lastname: von Knethen
authors.forename: Anja
authors.initials: A
authors.lastname: Tautenhahn
authors.forename: Hartmut
authors.initials: H
authors.lastname: Link
authors.forename: Dirk
authors.initials: D
authors.lastname: Lindemann
authors.forename: Bernhard
authors.initials: B
authors.lastname: Brüne
mesh_terms: D000818:Animals; D001483:Base Sequence; D002460:Cell Line; D004247:DNA / Q000235:genetics; D015536:Down-Regulation / Q000187:drug effects; D006801:Humans; D066298:In Vitro Techniques; D007371:Interferon-gamma / Q000494:pharmacology; D008070:Lipopolysaccharides / Q000494:pharmacology; D008262:Macrophage Activation; D008264:Macrophages / Q000187:drug effects / Q000201:enzymology* / Q000276:immunology*; D051379:Mice; D008954:Models, Biological; D009000:Monocytes / Q000187:drug effects / Q000201:enzymology* / Q000276:immunology*; D009154:Mutation; D019331:NG-Nitroarginine Methyl Ester / Q000494:pharmacology; D011493:Protein Kinase C / Q000172:deficiency / Q000235:genetics / Q000378:metabolism*; D051571:Protein Kinase C-alpha; D017382:Reactive Oxygen Species / Q000378:metabolism; D011994:Recombinant Proteins / Q000235:genetics / Q000378:metabolism; D018805:Sepsis / Q000201:enzymology* / Q000276:immunology*; D013481:Superoxides / Q000378:metabolism; D014162:Transfection; D020298:U937 Cells
chemical_list: D008070:Lipopolysaccharides; D017382:Reactive Oxygen Species; D011994:Recombinant Proteins; D013481:Superoxides; D007371:Interferon-gamma; D004247:DNA; C496628:PRKCA protein, human; C496630:Prkca protein, mouse; D011493:Protein Kinase C; D051571:Protein Kinase C-alpha; D019331:NG-Nitroarginine Methyl Ester