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Activation of factor VII-activating protease in human inflammation: a sensor for cell death

INTRODUCTION: Cell death is a central event in the pathogenesis of sepsis and is reflected by circulating nucleosomes. Circulating nucleosomes were suggested to play an important role in inflammation and were demonstrated to correlate with severity and outcome in sepsis patients. We recently showed...

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Autores principales: Stephan, Femke, Hazelzet, Jan A, Bulder, Ingrid, Boermeester, Marja A, van Till, JW Olivier, van der Poll, Tom, Wuillemin, Walter A, Aarden, Lucien A, Zeerleder, Sacha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219388/
https://www.ncbi.nlm.nih.gov/pubmed/21466697
http://dx.doi.org/10.1186/cc10131
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author Stephan, Femke
Hazelzet, Jan A
Bulder, Ingrid
Boermeester, Marja A
van Till, JW Olivier
van der Poll, Tom
Wuillemin, Walter A
Aarden, Lucien A
Zeerleder, Sacha
author_facet Stephan, Femke
Hazelzet, Jan A
Bulder, Ingrid
Boermeester, Marja A
van Till, JW Olivier
van der Poll, Tom
Wuillemin, Walter A
Aarden, Lucien A
Zeerleder, Sacha
author_sort Stephan, Femke
collection PubMed
description INTRODUCTION: Cell death is a central event in the pathogenesis of sepsis and is reflected by circulating nucleosomes. Circulating nucleosomes were suggested to play an important role in inflammation and were demonstrated to correlate with severity and outcome in sepsis patients. We recently showed that plasma can release nucleosomes from late apoptotic cells. Factor VII-activating protease (FSAP) was identified to be the plasma serine protease responsible for nucleosome release. The aim of this study was to investigate FSAP activation in patients suffering from various inflammatory diseases of increasing severity. METHODS: We developed ELISAs to measure FSAP-C1-inhibitor and FSAP-α(2)-antiplasmin complexes in plasma. FSAP-inhibitor complexes were measured in the plasma of 20 adult patients undergoing transhiatal esophagectomy, 32 adult patients suffering from severe sepsis and 8 from septic shock and 38 children suffering from meningococcal sepsis. RESULTS: We demonstrate plasma FSAP to be activated upon contact with apoptotic and necrotic cells by an assay detecting complexes between FSAP and its target serpins α(2)-antiplasmin and C1-inhibitor, respectively. By means of that assay we demonstrate FSAP activation in post-surgery patients, patients suffering from severe sepsis, septic shock and meningococcal sepsis. Levels of FSAP-inhibitor complexes correlate with nucleosome levels and correlate with severity and mortality in these patients. CONCLUSIONS: These results suggest FSAP activation to be a sensor for cell death in the circulation and that FSAP activation in sepsis might be involved in nucleosome release, thereby contributing to lethality.
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spelling pubmed-32193882011-11-18 Activation of factor VII-activating protease in human inflammation: a sensor for cell death Stephan, Femke Hazelzet, Jan A Bulder, Ingrid Boermeester, Marja A van Till, JW Olivier van der Poll, Tom Wuillemin, Walter A Aarden, Lucien A Zeerleder, Sacha Crit Care Research INTRODUCTION: Cell death is a central event in the pathogenesis of sepsis and is reflected by circulating nucleosomes. Circulating nucleosomes were suggested to play an important role in inflammation and were demonstrated to correlate with severity and outcome in sepsis patients. We recently showed that plasma can release nucleosomes from late apoptotic cells. Factor VII-activating protease (FSAP) was identified to be the plasma serine protease responsible for nucleosome release. The aim of this study was to investigate FSAP activation in patients suffering from various inflammatory diseases of increasing severity. METHODS: We developed ELISAs to measure FSAP-C1-inhibitor and FSAP-α(2)-antiplasmin complexes in plasma. FSAP-inhibitor complexes were measured in the plasma of 20 adult patients undergoing transhiatal esophagectomy, 32 adult patients suffering from severe sepsis and 8 from septic shock and 38 children suffering from meningococcal sepsis. RESULTS: We demonstrate plasma FSAP to be activated upon contact with apoptotic and necrotic cells by an assay detecting complexes between FSAP and its target serpins α(2)-antiplasmin and C1-inhibitor, respectively. By means of that assay we demonstrate FSAP activation in post-surgery patients, patients suffering from severe sepsis, septic shock and meningococcal sepsis. Levels of FSAP-inhibitor complexes correlate with nucleosome levels and correlate with severity and mortality in these patients. CONCLUSIONS: These results suggest FSAP activation to be a sensor for cell death in the circulation and that FSAP activation in sepsis might be involved in nucleosome release, thereby contributing to lethality. BioMed Central 2011 2011-04-05 /pmc/articles/PMC3219388/ /pubmed/21466697 http://dx.doi.org/10.1186/cc10131 Text en Copyright ©2011 Stephan et al.; licensee BioMed Central Ltd http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/2.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
spellingShingle Research
Stephan, Femke
Hazelzet, Jan A
Bulder, Ingrid
Boermeester, Marja A
van Till, JW Olivier
van der Poll, Tom
Wuillemin, Walter A
Aarden, Lucien A
Zeerleder, Sacha
Activation of factor VII-activating protease in human inflammation: a sensor for cell death
title Activation of factor VII-activating protease in human inflammation: a sensor for cell death
title_full Activation of factor VII-activating protease in human inflammation: a sensor for cell death
title_fullStr Activation of factor VII-activating protease in human inflammation: a sensor for cell death
title_full_unstemmed Activation of factor VII-activating protease in human inflammation: a sensor for cell death
title_short Activation of factor VII-activating protease in human inflammation: a sensor for cell death
title_sort activation of factor vii-activating protease in human inflammation: a sensor for cell death
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219388/
https://www.ncbi.nlm.nih.gov/pubmed/21466697
http://dx.doi.org/10.1186/cc10131
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