Neutrophil activation in systemic capillary leak syndrome (Clarkson disease)

Zhihui Xie, Douglas B. Kuhns, Xuesong Gu, Hasan H Otu, Towia A. Libermann, John I. Gallin, Samir M. Parikh, Kirk M. Druey

Research output: Contribution to journalArticle

Abstract

Systemic capillary leak syndrome (SCLS; Clarkson disease) is a rare orphan disorder characterized by transient yet recurrent episodes of hypotension and peripheral oedema due to diffuse vascular leakage of fluids and proteins into soft tissues. Humoral mediators, cellular responses and genetic features accounting for the clinical phenotype of SCLS are virtually unknown. Here, we searched for factors altered in acute SCLS plasma relative to matched convalescent samples using multiplexed aptamer-based proteomic screening. Relative amounts of 612 proteins were changed greater than twofold and 81 proteins were changed at least threefold. Among the most enriched proteins in acute SCLS plasma were neutrophil granule components including bactericidal permeability inducing protein, myeloperoxidase and matrix metalloproteinase 8. Neutrophils isolated from blood of subjects with SCLS or healthy controls responded similarly to routine pro-inflammatory mediators. However, acute SCLS sera activated neutrophils relative to remission sera. Activated neutrophil supernatants increased permeability of endothelial cells from both controls and SCLS subjects equivalently. Our results suggest systemic neutrophil degranulation during SCLS acute flares, which may contribute to the clinical manifestations of acute vascular leak.

Original languageEnglish (US)
Pages (from-to)5119-5127
Number of pages9
JournalJournal of cellular and molecular medicine
Volume23
Issue number8
DOIs
StatePublished - Aug 1 2019

Fingerprint

Capillary Leak Syndrome
Neutrophil Activation
Neutrophils
Proteins
Blood Vessels
Permeability
Matrix Metalloproteinase 8
Serum
Proteomics
Hypotension
Peroxidase
Edema
Endothelial Cells
Phenotype

Keywords

  • endothelial cells
  • neutrophils
  • proteomics
  • vascular leak

ASJC Scopus subject areas

  • Molecular Medicine
  • Cell Biology

Cite this

Xie, Z., Kuhns, D. B., Gu, X., Otu, H. H., Libermann, T. A., Gallin, J. I., ... Druey, K. M. (2019). Neutrophil activation in systemic capillary leak syndrome (Clarkson disease). Journal of cellular and molecular medicine, 23(8), 5119-5127. https://doi.org/10.1111/jcmm.14381

Neutrophil activation in systemic capillary leak syndrome (Clarkson disease). / Xie, Zhihui; Kuhns, Douglas B.; Gu, Xuesong; Otu, Hasan H; Libermann, Towia A.; Gallin, John I.; Parikh, Samir M.; Druey, Kirk M.

In: Journal of cellular and molecular medicine, Vol. 23, No. 8, 01.08.2019, p. 5119-5127.

Research output: Contribution to journalArticle

Xie, Z, Kuhns, DB, Gu, X, Otu, HH, Libermann, TA, Gallin, JI, Parikh, SM & Druey, KM 2019, 'Neutrophil activation in systemic capillary leak syndrome (Clarkson disease)', Journal of cellular and molecular medicine, vol. 23, no. 8, pp. 5119-5127. https://doi.org/10.1111/jcmm.14381
Xie, Zhihui ; Kuhns, Douglas B. ; Gu, Xuesong ; Otu, Hasan H ; Libermann, Towia A. ; Gallin, John I. ; Parikh, Samir M. ; Druey, Kirk M. / Neutrophil activation in systemic capillary leak syndrome (Clarkson disease). In: Journal of cellular and molecular medicine. 2019 ; Vol. 23, No. 8. pp. 5119-5127.
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