Klaihmon Phatchanat, Khuhapinant Archrob, Kheansaard Wasinee, Pattanapanyasat Kovit
Siriraj Center of Excellence for Stem Cell Research, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Division of Hematology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Asian Pac J Allergy Immunol. 2024 Dec;42(4):420-428. doi: 10.12932/AP-040920-0952.
Increased numbers of circulating microparticles (MPs) have long been documented in thalassemia and are considered as a contributing factor in developing the thromboembolic events (TEEs), which are associated with endothelial dysfunction. Indeed, the cellular and molecular mechanisms by which MPs and endothelial cells interact and their consequences remain poorly investigated.
The present study aims to compare the biological effects of MPs obtained from healthy subjects and β-thalassemia/HbE patients on endothelial pro-inflammatory responses.
MPs isolated from plasma by two-step centrifugation from 10 healthy donors, 19 splenectomized and 30 non-splenectomized β-thalassemia/HbE patients were first characterized for their cellular origins, then counted and incubated with primary human umbilical vein endothelial cells (HUVECs). Internalization of MPs into HUVECs and their induction on endothelial cell activation and pro-inflammatory responses were determined.
MPs either from healthy or β-thalassemia/HbE patients could become internalized into endothelial cells, but unlike MPs from healthy donors and non-splenectomized patients, MPs from splenectomized patients were the most active and induced the 2-fold up-regulation of pro-inflammatory genes, IL1B, CXCL8, and CCL2 and 4-fold increase in interleukin-1β. In addition, MPs from both healthy subjects and splenectomized patients at 106/ml failed to trigger the secretion of endothelial IL-6 and IL-8 while higher MP concentration at 5 × 10⁶/ml significantly induced this secretion.
Plasma MPs isolated from splenectomized β-thalassemia/HbE patients are capable of triggering pro-inflammatory responses from endothelial cells reflected at both gene and protein levels.
长期以来,地中海贫血患者循环微颗粒(MPs)数量增多,被认为是引发血栓栓塞事件(TEEs)的一个因素,而血栓栓塞事件与内皮功能障碍有关。事实上,MPs与内皮细胞相互作用的细胞和分子机制及其后果仍未得到充分研究。
本研究旨在比较健康受试者和β-地中海贫血/HbE患者来源的MPs对内皮促炎反应的生物学效应。
通过两步离心从10名健康供者、19名脾切除的和30名未脾切除的β-地中海贫血/HbE患者的血浆中分离出MPs,首先对其细胞来源进行鉴定,然后计数并与原代人脐静脉内皮细胞(HUVECs)共孵育。测定MPs内化入HUVECs的情况及其对内皮细胞活化和促炎反应的诱导作用。
健康受试者或β-地中海贫血/HbE患者来源的MPs均可内化入内皮细胞,但与健康供者和未脾切除患者来源 的MPs不同,脾切除患者来源的MPs活性最强,可使促炎基因IL1B、CXCL8和CCL2上调2倍,白细胞介素-1β增加4倍。此外,健康受试者和脾切除患者来源的MPs在浓度为10⁶/ml时均未触发内皮IL-6和IL-8的分泌,而浓度为5×10⁶/ml时则显著诱导了这种分泌。
从脾切除的β-地中海贫血/HbE患者中分离出的血浆MPs能够引发内皮细胞的促炎反应,这在基因和蛋白水平均有体现。