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1.
Chembiochem ; 24(6): e202200686, 2023 03 14.
Article in English | MEDLINE | ID: mdl-36534957

ABSTRACT

The glycopeptide antibiotics (GPAs) are a clinically approved class of antimicrobial agents that classically function through the inhibition of bacterial cell-wall biosynthesis by sequestration of the precursor lipidĆ¢Ā€Ā…II. The oxidative crosslinking of the core peptide by cytochromeĆ¢Ā€Ā…P450 (Oxy) enzymes during GPA biosynthesis is both essential to their function and the source of their synthetic challenge. Thus, understanding the activity and selectivity of these Oxy enzymes is of key importance for the future engineering of this important compound class. Recent reports of GPAs that display an alternative mode of action and a wider range of core peptide structures compared to classic lipidĆ¢Ā€Ā…II-binding GPAs raises the question of the tolerance of Oxy enzymes for larger changes in their peptide substrates. In this work, we explore the ability of Oxy enzymes from the biosynthesis pathways of lipidĆ¢Ā€Ā…II-binding GPAs to accept altered peptide substrates based on a vancomycin template. Our results show that Oxy enzymes are more tolerant of changes at the N terminus of their substrates, whilst C-terminal extension of the peptide substrates is deleterious to the activity of all Oxy enzymes. Thus, future studies should prioritise the study of Oxy enzymes from atypical GPA biosynthesis pathways bearing C-terminal peptide extension to increase the substrate scope of these important cyclisation enzymes.


Subject(s)
Anti-Bacterial Agents , Glycopeptides , Anti-Bacterial Agents/chemistry , Glycopeptides/chemistry , Peptides , Vancomycin/pharmacology , Cytochrome P-450 Enzyme System/metabolism
2.
Chemistry ; 29(11): e202202491, 2023 Feb 21.
Article in English | MEDLINE | ID: mdl-36451579

ABSTRACT

A highly effective 2-step system for site-specific antibody modification and conjugation of the monoclonal antibody Herceptin (commercially available under Trastuzumab) in a cysteine-independent manner was used to generate labelled antibodies for in vivo imaging. The first step contains redox-activated chemical tagging (ReACT) of thioethers via engineered methionine residues to introduce specific alkyne moieties, thereby offering a novel easy way to fundamentally change the process of antibody bioconjugation. The second step involves modification of the introduced alkyne via azide-alkyne cycloaddition 'click' conjugation. The versatility of this 2-step approach is demonstrated here by the selective incorporation of a fluorescent dye but can also be applied to a wide variety of different conjugation partners depending on the desired application in a facile manner. Methionine-modified antibodies were characterised in vitro, and the diagnostic potential of the most promising variant was further analysed in an in vivo xenograft animal model using a fluorescence imaging modality. This study demonstrates how methionine-mediated antibody conjugation offers an orthogonal and versatile route to the generation of tailored antibody conjugates with in vivo applicability.


Subject(s)
Methionine , Neoplasms , Animals , Humans , Trastuzumab , Antibodies, Monoclonal/chemistry , Racemethionine , Alkynes/chemistry , Azides/chemistry
3.
Chembiochem ; 22(1): 43-51, 2021 01 05.
Article in English | MEDLINE | ID: mdl-32696500

ABSTRACT

The glycopeptide antibiotics (GPAs) are a fascinating example of complex natural product biosynthesis, with the nonribosomal synthesis of the peptide core coupled to a cytochrome P450-mediated cyclisation cascade that crosslinks aromatic side chains within this peptide. Given that the challenges associated with the synthesis of GPAs stems from their highly crosslinked structure, there is great interest in understanding how biosynthesis accomplishes this challenging set of transformations. In this regard, the use of inĆ¢Ā€Ā…vitro experiments has delivered important insights into this process, including the identification of the unique role of the X-domain as a platform for P450 recruitment. In this minireview, we present an analysis of the results of inĆ¢Ā€Ā…vitro studies into the GPA cyclisation cascade that have demonstrated both the tolerances and limitations of this process for modified substrates, and in turn developed rules for the future reengineering of this important antibiotic class.


Subject(s)
Anti-Bacterial Agents/biosynthesis , Cross-Linking Reagents/metabolism , Glycopeptides/biosynthesis , Anti-Bacterial Agents/chemistry , Cross-Linking Reagents/chemistry , Glycopeptides/chemistry , Molecular Conformation
4.
Angew Chem Int Ed Engl ; 59(27): 10899-10903, 2020 06 26.
Article in English | MEDLINE | ID: mdl-32297389

ABSTRACT

Glycopeptide antibiotics (GPAs) are important antibiotics that are highly challenging to synthesise due to their unique and heavily crosslinked structure. Given this, the synthetic production and diversification of this key compound class remains impractical. Furthermore, the possibility of biosynthetic reengineering of GPAs is not yet feasible since the selectivity of the biosynthetic crosslinking enzymes for altered substrates is largely unknown. We show that combining peptide synthesis with enzymatic cyclisation enables the formation of novel examples of GPAs and provides an indication of the utility of these crucial enzymes. By accessing the biosynthetic process inĆ¢Ā€Ā…vitro, we identified peptide modifications that are enzymatically tolerated and can also reveal the mechanistic basis for substrate intolerance where present. Using this approach, we next specifically activated modified residues within GPAs for functionalisation at previously inaccessible positions, thereby offering the possibility of late-stage chemical functionalisation after GPA cyclisation is complete.


Subject(s)
Anti-Bacterial Agents/chemical synthesis , Glycopeptides/chemical synthesis , Anti-Bacterial Agents/chemistry , Cyclization , Glycopeptides/chemistry
5.
Methods Enzymol ; 702: 89-119, 2024.
Article in English | MEDLINE | ID: mdl-39155122

ABSTRACT

Non-ribosomal peptide synthesis produces a wide range of bioactive peptide natural products and is reliant on a modular architecture based on repeating catalytic domains able to generate diverse peptide sequences. In this chapter we detail an in vitro biochemical assay to explore the substrate specificity of condensation domains, which are responsible for peptide elongation, from the biosynthetic machinery that produces from the siderophore fuscachelin. This assay removes the requirement to utilise the specificity of adjacent adenylation domains and allows the acceptance of a wide range of synthetic substrates to be explored.


Subject(s)
Siderophores , Substrate Specificity , Siderophores/chemistry , Siderophores/biosynthesis , Peptide Synthases/metabolism , Peptide Synthases/chemistry , Peptide Synthases/genetics , Peptides/chemistry , Peptides/metabolism , Peptide Biosynthesis, Nucleic Acid-Independent , Catalytic Domain
6.
RSC Chem Biol ; 2024 Aug 12.
Article in English | MEDLINE | ID: mdl-39247680

ABSTRACT

Glycopeptide antibiotics (GPAs) are peptide natural products used as last resort treatments for antibiotic resistant bacterial infections. They are produced by the sequential activities of a linear nonribosomal peptide synthetase (NRPS), which assembles the heptapeptide core of GPAs, and cytochrome P450 (Oxy) enzymes, which perform a cascade of cyclisation reactions. The GPAs contain proteinogenic and nonproteinogenic amino acids, including phenylglycine residues such as 4-hydroxyphenylglycine (Hpg). The ability to incorporate non-proteinogenic amino acids in such peptides is a distinctive feature of the modular architecture of NRPSs, with each module selecting and incorporating a desired amino acid. Here, we have exploited this ability to produce and characterise GPA derivatives containing fluorinated phenylglycine (F-Phg) residues through a combination of mutasynthesis, biochemical, structural and bioactivity assays. Our data indicate that the incorporation of F-Phg residues is limited by poor acceptance by the NRPS machinery, and that the phenol moiety normally present on Hpg residues is essential to ensure both acceptance by the NRPS and the sequential cyclisation activity of Oxy enzymes. The principles learnt here may prove useful for the future production of GPA derivatives with more favourable properties through mixed feeding mutasynthesis approaches.

7.
Methods Mol Biol ; 2670: 187-206, 2023.
Article in English | MEDLINE | ID: mdl-37184705

ABSTRACT

Glycopeptide antibiotics (GPAs) are important and medically relevant peptide natural products. In the context of antimicrobial resistance (AMR), understanding and manipulating GPA biosynthesis is essential to discover new bioactive derivatives of these peptides. Among all the enzymatic steps in GPA biosynthesis, the most complex occurs during the maturation (cross-linking) of the peptide aglycone. This is achieved-while the peptide remains attached to the nonribosomal peptide synthetase (NRPS) machinery-through the action of a cytochrome P450 (CYP450 or Oxy)-mediated cyclization cascade. There is great interest in understanding the formation of the cross-links between the aromatic side chains in GPAs as this process leads to the cup-shaped aglycone, which is itself a requirement for antibiotic activity. In this regard, the use of in vitro experiments is crucial to study this process. To address the process of peptide cyclization during GPA biosynthesis, a series of peptide substrates and different Oxy enzymes are required. In this chapter, we describe a practical and efficient route for the synthesis of peptidyl-CoAs, the expression of proteins/enzymes involved in the in vitro cyclization assay, the loading of the PCP with peptidyl-CoAs, an optimized CYP450-mediated cyclization cascade and assay workup followed by mass spectrometry (MS) characterization. This in vitro assay affords high conversion toĀ cyclic peptides and demonstrates the tolerance of the P450s for novel GPA precursor peptide substrates.


Subject(s)
Anti-Bacterial Agents , Glycopeptides , Glycopeptides/chemistry , Anti-Bacterial Agents/chemistry , Cytochrome P-450 Enzyme System/metabolism , Peptides/metabolism , Peptide Biosynthesis , Peptide Synthases/chemistry
8.
Chem Commun (Camb) ; 59(53): 8234-8237, 2023 Jun 29.
Article in English | MEDLINE | ID: mdl-37310188

ABSTRACT

Nonribosomal peptide synthetases produce many important peptide natural products and are centred around carrier proteins (CPs) that deliver intermediates to various catalytic domains. We show that the replacement of CP substrate thioesters by stabilised ester analogues leads to active condensation domain complexes, whereas amide stabilisation generates non-functional complexes.


Subject(s)
Peptide Biosynthesis, Nucleic Acid-Independent , Peptide Synthases , Peptide Synthases/chemistry , Catalytic Domain , Peptides/metabolism , Pantetheine
9.
Nat Commun ; 12(1): 2511, 2021 05 04.
Article in English | MEDLINE | ID: mdl-33947858

ABSTRACT

Non-ribosomal peptide synthetases are important enzymes for the assembly of complex peptide natural products. Within these multi-modular assembly lines, condensation domains perform the central function of chain assembly, typically by forming a peptide bond between two peptidyl carrier protein (PCP)-bound substrates. In this work, we report structural snapshots of a condensation domain in complex with an aminoacyl-PCP acceptor substrate. These structures allow the identification of a mechanism that controls access of acceptor substrates to the active site in condensation domains. The structures of this complex also allow us to demonstrate that condensation domain active sites do not contain a distinct pocket to select the side chain of the acceptor substrate during peptide assembly but that residues within the active site motif can instead serve to tune the selectivity of these central biosynthetic domains.


Subject(s)
Amino Acids/chemistry , Catalytic Domain , Peptide Synthases/chemistry , Peptides/chemistry , Siderophores/chemistry , Amino Acid Sequence , Chromatography, High Pressure Liquid , Coenzyme A/chemistry , Crystallography, X-Ray , Gene Expression , Models, Molecular , Molecular Docking Simulation , Molecular Dynamics Simulation , Mutation , Protein Domains , Protein Structure, Tertiary , Sequence Alignment , Siderophores/biosynthesis , Substrate Specificity , Thermobifida/chemistry , Thermobifida/metabolism
10.
Br J Cancer ; 100(3): 476-86, 2009 Feb 10.
Article in English | MEDLINE | ID: mdl-19156141

ABSTRACT

The anti-proliferative and anti-angiogenic properties of the endogenous oestrogen metabolite, 2-methoxyoestradiol (2-MeOE2), are enhanced in a series of sulphamoylated derivatives of 2-MeOE2. To investigate possible mechanisms of resistance to these compounds, a cell line, A2780.140, eightfold less sensitive to the 3,17-O,O-bis-sulphamoylated derivative, STX140, was derived from the A2780 ovarian cancer cell line by dose escalation. Other cell lines tested did not develop STX140 resistance. RT-PCR and immunoblot analysis demonstrated that breast cancer resistance protein (BCRP) expression is dramatically increased in A2780.140 cells. The cells are cross-resistant to the most structurally similar bis-sulphamates, and to BCRP substrates, mitoxantrone and doxorubicin; but they remain sensitive to taxol, an MDR1 substrate, and to all other sulphamates tested. Sensitivity can be restored using a BCRP inhibitor, and this pattern of resistance is also seen in a BCRP-expressing MCF-7-derived cell line, MCF-7.MR. In mice bearing wild-type (wt) and BCRP-expressing tumours on either flank, both STX140 and mitoxantrone inhibited the growth of the MCF-7wt xenografts, but only STX140 inhibited growth of the MCF-7.MR tumours. In conclusion, STX140, a promising orally bioavailable anti-cancer agent in pre-clinical development, is highly efficacious in BCRP-expressing xenografts. This is despite an increase in BCRP expression in A2780 cells in vitro after chronic dosing with STX140.


Subject(s)
ATP-Binding Cassette Transporters/genetics , Drug Resistance, Neoplasm , Estrenes/pharmacology , Neoplasm Proteins/genetics , ATP Binding Cassette Transporter, Subfamily G, Member 2 , Animals , Base Sequence , Blotting, Western , Breast Neoplasms/pathology , Cell Cycle , Cell Line, Tumor , DNA Primers , Female , Flow Cytometry , Humans , Mice , Ovarian Neoplasms/pathology , Reverse Transcriptase Polymerase Chain Reaction
12.
Chem Commun (Camb) ; 53(92): 12481, 2017 11 16.
Article in English | MEDLINE | ID: mdl-29114670

ABSTRACT

Correction for 'Novel chemical probes for the investigation of nonribosomal peptide assembly' by Y. T. Candace Ho et al., Chem. Commun., 2017, 53, 7088-7091.

13.
Chem Commun (Camb) ; 53(52): 7088-7091, 2017 06 27.
Article in English | MEDLINE | ID: mdl-28627528

ABSTRACT

Chemical probes were devised and evaluated for the capture of biosynthetic intermediates involved in the bio-assembly of the nonribosomal peptide echinomycin. Putative intermediate peptide species were isolated and characterised, providing fresh insights into pathway substrate flexibility and paving the way for novel chemoenzymatic approaches towards unnatural peptides.


Subject(s)
Echinomycin/biosynthesis , Molecular Probes/analysis , Echinomycin/chemistry , Molecular Probes/chemistry , Molecular Structure
14.
Genetics ; 134(3): 895-908, 1993 Jul.
Article in English | MEDLINE | ID: mdl-8394265

ABSTRACT

A transposable hobo element in the Notch locus of the Uc-1 X chromosome, which does not interfere with the normal expression of the locus, interacts with other hobo elements in the same X chromosome to produce Notch mutations. Almost all of these mutations are associated with deficiencies, inversions or other rearrangements, and hobo elements are present at each of the breakpoints. The Uc-1 X chromosome produces the Notch mutations at a rate of 4-8% in both sexes of flies in a strain that has been inbred for 96 generations. At least two-thirds of the mutations are produced in clusters suggesting that they have originated in mitotic (premeiotic) germ cells of the Uc-1 inbred strain. The interaction of hobo elements in the Uc-1 X chromosome can be repressed by at least two different mechanisms. One found in three inbred strains not related to the Uc-1 strain involves a maternal effect that is not attributable to the actions or products of hobo elements. Repression by this mechanism is manifested by a clear reciprocal cross effect so that the production of Notch mutations is repressed in the daughters of Uc-1 males, but not in the daughters of Uc-1 females. The other mechanism apparently requires genetic factors and/or hobo elements in a particular strain of Oregon-R; complete repression is present in both types of hybrids between Uc-1 and this strain.


Subject(s)
DNA Transposable Elements , Drosophila melanogaster/genetics , Animals , Base Sequence , Blotting, Southern , Crosses, Genetic , Drosophila Proteins , Female , Hybridization, Genetic , Insect Hormones/genetics , Male , Membrane Proteins/genetics , Molecular Sequence Data , Mutation , Oligodeoxyribonucleotides , Receptors, Notch , X Chromosome
15.
J Steroid Biochem Mol Biol ; 86(2): 189-96, 2003 Aug.
Article in English | MEDLINE | ID: mdl-14568571

ABSTRACT

2-methoxyoestradiol (2-MeOE2) is a potent anti-angiogenic agent. Its 3- and 17-sulphamoylated derivatives have been demonstrated to induce G2-M cell cycle arrest and apoptosis in breast cancer cells in vitro as well as tumour regression in rats in vivo with greater potency than the parent oestrogen. To determine whether the anti-cancer properties of these derivatives can be synergistically enhanced with low-dose TNF-alpha co-treatment, we investigated the effects of these treatments in adult human fibroblasts and human umbilical vein endothelial cells (HUVECs). Treatment of fibroblasts with 0.1 microM 2-methoxyoestradiol-3,17-bis sulphamate (2-MeOE2bisMATE) but not 2-MeOE2 caused a reversible morphology change and induced G2-M arrest (from 12 to 33%) but not subsequent apoptosis. In contrast, treatment of HUVECs did not induce morphology change or G2-M arrest. Using a nucleosomal ELISA assay, we showed that TNF-alpha (20 ng/ml) combination treatment synergistically increases 0.1 microM 2-MeOE2bisMATE-induced but not 0.1 microM 2-MeOE2-induced apoptosis in HUVECs. These results suggest that TNF-alpha co-treatment may be a beneficial method of increasing the potency of 2-substituted oestrogens as anti-angiogenic agents through synergistic induction of apoptosis in endothelial cells while maintaining low cytotoxicity to fibroblasts.


Subject(s)
Apoptosis/drug effects , Endothelial Cells/cytology , Estradiol/analogs & derivatives , Estradiol/pharmacology , Fibroblasts/cytology , Tumor Necrosis Factor-alpha/pharmacology , 2-Methoxyestradiol , Angiogenesis Inhibitors/pharmacology , Cell Division/drug effects , Cell Size/drug effects , Cells, Cultured , Drug Synergism , Endothelial Cells/drug effects , Fibroblasts/drug effects , Humans , Interphase/drug effects , Skin/cytology , Sulfonic Acids , Umbilical Veins/cytology
16.
J Air Waste Manag Assoc ; 53(1): 102-12, 2003 Jan.
Article in English | MEDLINE | ID: mdl-12568259

ABSTRACT

Twenty-five volatile organic compounds (VOCs) up to C10 were measured using Carbotrap multibed thermal adsorption tubes during the morning and afternoon rush hours on four different days in all three traffic tunnels in Kaohsiung, Taiwan. A gas chromatograph (GC) equipped with a flame-ionization detector (FID) was then used to analyze the VOCs. The analytical results show that VOC concentrations increase with traffic flow rate, and emission profiles in the three tunnels are mostly in the range C2-C6. In addition to the traffic conditions and vehicle type, the pattern of emissions in each tunnel was also influenced by other factors, such as vehicle age, nearby pollution sources, and the spatial or temporal variation of VOCs in the urban atmosphere. The ozone formation potential (OFP) in each tunnel was assessed based on the maximum incremental reactivities of the organic species, demonstrating that OFP increases with traffic flow rate. Vehicle distribution influences the contributions of organic group to OFP in a tunnel. Meanwhile, when ranked in descending order of contribution to OFP in all tunnels, the organic groups followed the sequence olefins, aromatics, and paraffins.


Subject(s)
Air Pollutants/analysis , Oxidants, Photochemical/analysis , Ozone/analysis , Vehicle Emissions/analysis , Cities , Organic Chemicals/analysis , Particle Size , Taiwan , Volatilization
17.
J Air Waste Manag Assoc ; 54(1): 36-48, 2004 Jan.
Article in English | MEDLINE | ID: mdl-14871011

ABSTRACT

This work analyzes the variations in daily maximum 1-hr ozone (O3) concentrations and the long-term trends in annual means of hourly ambient concentrations of O3, nitrogen oxides (nitrous oxide + nitrogen dioxide), and nonmethane hydrocarbons in the three administrative regions of Kao-Ping airshed in southern Taiwan over a recent 8-yr period. The annual or monthly means of all maxima, most 95th percentiles, and some 90th percentiles of the daily maximum 1-hr O3 concentrations exceed the daily limit of 120 parts per billion by volume in all three regions, namely, Kao-hsiung City, Kso-hsiung County, and P'ing-tung County. The monthly means of daily maximum 1-hr O3 concentrations exhibit distinct seasonal variations, with a bimodal form with the maxima in autumn and late winter to the middle of spring and a minimum in summer. The long-term variations in the annual means of hourly O3 concentrations in the three regions exhibit increasing trends. These increases in O3 are associated with the decline in ambient concentrations of nitrogen oxides and nonmethane hydrocarbons. High O3 episodes occur most often in autumn and most rarely in summer. The seasonal mean mixing heights in descending order follow the order of spring, summer, autumn, and winter. Meteorological parameters in autumn and winter indicate that the ground-level O3 tends to accumulate and trigger a high O3 episode on a warm day with sufficient sunlight and low wind in a high-pressure system, consistent with the low mixing heights in these two seasons.


Subject(s)
Oxidants, Photochemical/analysis , Ozone/analysis , Environmental Monitoring , Meteorological Concepts , Seasons , Taiwan , Temperature , Vehicle Emissions
18.
J Air Waste Manag Assoc ; 51(6): 885-94, 2001 Jun.
Article in English | MEDLINE | ID: mdl-11417680

ABSTRACT

This work summarizes the results of numerical investigations and in situ measurements for turbulent combustion in a full-scale rotary kiln incinerator (RKI). The three-dimensional (3D) governing equations for mass, momentum, energy, and species, together with the kappa - epsilon turbulence model, are formulated and solved using a finite volume method. Volatile gases from solid waste were simulated by gaseous CH4 distributed nonuniformly along the kiln bed. The combustion process was considered to be a two-step stoichiometric reaction for primary air mixed with CH4 gas in the combustion chamber. The mixing-controlled eddy-dissipation model (EDM) was employed to predict the conversion rates of CH4, O2, CO2, and CO. The results of the prediction show that reverse flows occur near the entrance of the first combustion chamber (FCC) and the turning point at the entrance to the second combustion chamber (SCC). Temperature and species are nonuniform and are vertically stratified. Meanwhile, additional mixing in the SCC enhances postflame oxidation. A combustion efficiency of up to 99.96% can be achieved at approximately 150% excess air and 20-30% secondary air. Reasonable agreement is achieved between numerical predictions and in situ measurements.


Subject(s)
Air Pollution/prevention & control , Models, Theoretical , Refuse Disposal , Incineration , Temperature
19.
Br J Cancer ; 97(12): 1673-82, 2007 Dec 17.
Article in English | MEDLINE | ID: mdl-18026194

ABSTRACT

Therapies for hormone-independent prostate and breast cancer are limited, with the effectiveness of the taxanes compromised by toxicity, lack of oral bioavailability and drug resistance. This study aims to identify and characterise new microtubule disruptors, which may have improved efficacy relative to the taxanes in hormone-independent cancer. 2-Methoxy-3-O-sulphamoyl-17beta-cyanomethyl-oestra-1,3,5(10)-triene (STX641), 2-methoxy-3-hydroxy-17beta-cyanomethyl-oestra-1,3,5(10)-triene (STX640) and 2-methoxyoestradiol-3,17-O,O-bis-sulphamate (STX140) were all potent inhibitors of cell proliferation in a panel of prostate and breast cancer cell lines. STX641 and STX640 significantly inhibited tumour growth in the MDA-MB-231 xenograft model. STX641 inhibited both in vitro and in vivo angiogenesis. Despite good in vivo activity, STX641 was not as potent in vivo as STX140. Therefore, STX140 was evaluated in the prostate hormone-independent PC-3 xenograft model. STX140 had superior efficacy to docetaxel, 2-MeOE2 and bevacizumab. In contrast to vinorelbine, no significant toxicity was observed. Furthermore, STX140 could be dosed daily over a 60-day period leading to tumour regression and complete responses, which were maintained after the cessation of dosing. This study demonstrates that STX641 and STX140 have considerable potential for the treatment of hormone-independent breast and prostate cancer. In contrast to the taxanes, STX140 can be dosed orally, with no toxicity being observed even after prolonged daily dosing.


Subject(s)
Angiogenesis Inhibitors/therapeutic use , Breast Neoplasms/drug therapy , Estrenes/therapeutic use , Prostatic Neoplasms/drug therapy , Tubulin Modulators/therapeutic use , Animals , Apoptosis , Cell Cycle/drug effects , Cell Proliferation/radiation effects , Cells, Cultured , Drug Resistance, Neoplasm , Endothelial Cells/drug effects , Female , Humans , Male , Mice , Mice, Nude , Neoplasms, Hormone-Dependent
20.
Vox Sang ; 82(3): 156-60, 2002 Apr.
Article in English | MEDLINE | ID: mdl-11952991

ABSTRACT

BACKGROUND AND OBJECTIVES: The aim of this study was to elucidate the role and identity of cytokines involved in febrile non-haemolytic red cell transfusion reactions (FNHTRs). MATERIALS AND METHODS: Eighty-one patients experiencing transfusion reactions after receiving packed red blood cells (RBCs) were divided into three groups, as follows, based on the reaction experienced: FNHTRs (n = 60); chills without fever (n = 8); and allergic reaction with urticaria (n = 13). The concentrations of interleukin (IL)-1beta, IL-6, IL-8 and tumour necrosis factor (TNF)-alpha were measured in the packed transfused unit and patients' plasma by using enzyme immunoassays. Wilcoxon's matched-pairs signed test was used to compare the difference in cytokine levels in patients' plasma before and after transfusion. The Kruskal-Wallis test was used first, followed by the Mann-Whitney test, to compare the pretransfusion cytokine levels in patients' plasma between groups and to compare the cytokine levels in packed RBCs transfused to each group of patients. RESULTS: The age of the implicated packed RBC was 11.5 +/- 5.7 days. Significant increases were observed in IL-6 (P < 0.001) and IL-8 (P < 0.001) patients' plasma levels, but not in IL-1beta or TNF-alpha levels, in those patients exhibiting FNHTR. No changes were observed in the patients' plasma samples of the other groups. Cytokine levels in the RBC concentrate supernatants were not appreciably elevated. CONCLUSIONS: Transfusion of packed RBCs may significantly increase intravascular levels of IL-6 and IL-8 in patients with FNHTRs.


Subject(s)
Cytokines/metabolism , Erythrocyte Transfusion/adverse effects , Adolescent , Adult , Aged , Aged, 80 and over , Blood Preservation , Child , Female , Fever , Humans , Interleukin-6/blood , Interleukin-6/metabolism , Interleukin-8/blood , Interleukin-8/metabolism , Male , Middle Aged , Specimen Handling
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