Regulating NETosis: Increasing pH Promotes NADPH Oxidase-Dependent NETosis

Neutrophils migrating from the blood (pH 7.35–7.45) into the surrounding tissues encounter changes in extracellular pH (pHe) conditions. Upon activation of NADPH oxidase 2 (Nox), neutrophils generate large amounts of H+ ions reducing the intracellular pH (pHi). Nevertheless, how extracellular pH reg...

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Main Authors: Meraj A. Khan, Lijy M. Philip, Guillaume Cheung, Shawn Vadakepeedika, Hartmut Grasemann, Neil Sweezey, Nades Palaniyar
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-02-01
Series:Frontiers in Medicine
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fmed.2018.00019/full
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author Meraj A. Khan
Meraj A. Khan
Lijy M. Philip
Guillaume Cheung
Shawn Vadakepeedika
Hartmut Grasemann
Hartmut Grasemann
Hartmut Grasemann
Neil Sweezey
Neil Sweezey
Neil Sweezey
Neil Sweezey
Nades Palaniyar
Nades Palaniyar
Nades Palaniyar
Nades Palaniyar
author_facet Meraj A. Khan
Meraj A. Khan
Lijy M. Philip
Guillaume Cheung
Shawn Vadakepeedika
Hartmut Grasemann
Hartmut Grasemann
Hartmut Grasemann
Neil Sweezey
Neil Sweezey
Neil Sweezey
Neil Sweezey
Nades Palaniyar
Nades Palaniyar
Nades Palaniyar
Nades Palaniyar
author_sort Meraj A. Khan
collection DOAJ
description Neutrophils migrating from the blood (pH 7.35–7.45) into the surrounding tissues encounter changes in extracellular pH (pHe) conditions. Upon activation of NADPH oxidase 2 (Nox), neutrophils generate large amounts of H+ ions reducing the intracellular pH (pHi). Nevertheless, how extracellular pH regulates neutrophil extracellular trap (NET) formation (NETosis) is not clearly established. We hypothesized that increasing pH increases Nox-mediated production of reactive oxygen species (ROS) and neutrophil protease activity, stimulating NETosis. Here, we found that raising pHe (ranging from 6.6 to 7.8; every 0.2 units) increased pHi of both activated and resting neutrophils within 10–20 min (Seminaphtharhodafluor dual fluorescence measurements). Since Nox activity generates H+ ions, pHi is lower in neutrophils that are activated compared to resting. We also found that higher pH stimulated Nox-dependent ROS production (R123 generation; flow cytometry, plate reader assay, and imaging) during spontaneous and phorbol myristate acetate-induced NETosis (Sytox Green assays, immunoconfocal microscopy, and quantifying NETs). In neutrophils that are activated and not resting, higher pH stimulated histone H4 cleavage (Western blots) and NETosis. Raising pH increased Escherichia coli lipopolysaccharide-, Pseudomonas aeruginosa (Gram-negative)-, and Staphylococcus aureus (Gram-positive)-induced NETosis. Thus, higher pHe promoted Nox-dependent ROS production, protease activity, and NETosis; lower pH has the opposite effect. These studies provided mechanistic steps of pHe-mediated regulation of Nox-dependent NETosis. Raising pH either by sodium bicarbonate or Tris base (clinically known as Tris hydroxymethyl aminomethane, tromethamine, or THAM) increases NETosis. Each Tris molecule can bind 3H+ ions, whereas each bicarbonate HCO3− ion binds 1H+ ion. Therefore, the amount of Tris solution required to cause the same increase in pH level is less than that of equimolar bicarbonate solution. For that reason, regulating NETosis by pH with specific buffers such as THAM could be more effective than bicarbonate in managing NET-related diseases.
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spelling doaj.art-1c38ff3e0d464930b977cba9019afec12022-12-22T02:15:36ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2018-02-01510.3389/fmed.2018.00019308674Regulating NETosis: Increasing pH Promotes NADPH Oxidase-Dependent NETosisMeraj A. Khan0Meraj A. Khan1Lijy M. Philip2Guillaume Cheung3Shawn Vadakepeedika4Hartmut Grasemann5Hartmut Grasemann6Hartmut Grasemann7Neil Sweezey8Neil Sweezey9Neil Sweezey10Neil Sweezey11Nades Palaniyar12Nades Palaniyar13Nades Palaniyar14Nades Palaniyar15Program in Translational Medicine, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, ON, CanadaDepartment of Laboratory Medicine and Pathobiology, Faculty of Medicine, University of Toronto, Toronto, ON, CanadaProgram in Translational Medicine, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, ON, CanadaProgram in Translational Medicine, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, ON, CanadaProgram in Translational Medicine, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, ON, CanadaProgram in Translational Medicine, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, ON, CanadaDepartment of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, CanadaInstitute of Medical Sciences, Faculty of Medicine, University of Toronto, Toronto, ON, CanadaProgram in Translational Medicine, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, ON, CanadaDepartment of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, CanadaInstitute of Medical Sciences, Faculty of Medicine, University of Toronto, Toronto, ON, CanadaDepartment of Physiology, Faculty of Medicine, University of Toronto, Toronto, ON, CanadaProgram in Translational Medicine, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, ON, CanadaDepartment of Laboratory Medicine and Pathobiology, Faculty of Medicine, University of Toronto, Toronto, ON, CanadaInstitute of Medical Sciences, Faculty of Medicine, University of Toronto, Toronto, ON, CanadaMassachusetts General Hospital, Shriners Hospitals for Children in Boston, Harvard Medical School, Boston, MA, United StatesNeutrophils migrating from the blood (pH 7.35–7.45) into the surrounding tissues encounter changes in extracellular pH (pHe) conditions. Upon activation of NADPH oxidase 2 (Nox), neutrophils generate large amounts of H+ ions reducing the intracellular pH (pHi). Nevertheless, how extracellular pH regulates neutrophil extracellular trap (NET) formation (NETosis) is not clearly established. We hypothesized that increasing pH increases Nox-mediated production of reactive oxygen species (ROS) and neutrophil protease activity, stimulating NETosis. Here, we found that raising pHe (ranging from 6.6 to 7.8; every 0.2 units) increased pHi of both activated and resting neutrophils within 10–20 min (Seminaphtharhodafluor dual fluorescence measurements). Since Nox activity generates H+ ions, pHi is lower in neutrophils that are activated compared to resting. We also found that higher pH stimulated Nox-dependent ROS production (R123 generation; flow cytometry, plate reader assay, and imaging) during spontaneous and phorbol myristate acetate-induced NETosis (Sytox Green assays, immunoconfocal microscopy, and quantifying NETs). In neutrophils that are activated and not resting, higher pH stimulated histone H4 cleavage (Western blots) and NETosis. Raising pH increased Escherichia coli lipopolysaccharide-, Pseudomonas aeruginosa (Gram-negative)-, and Staphylococcus aureus (Gram-positive)-induced NETosis. Thus, higher pHe promoted Nox-dependent ROS production, protease activity, and NETosis; lower pH has the opposite effect. These studies provided mechanistic steps of pHe-mediated regulation of Nox-dependent NETosis. Raising pH either by sodium bicarbonate or Tris base (clinically known as Tris hydroxymethyl aminomethane, tromethamine, or THAM) increases NETosis. Each Tris molecule can bind 3H+ ions, whereas each bicarbonate HCO3− ion binds 1H+ ion. Therefore, the amount of Tris solution required to cause the same increase in pH level is less than that of equimolar bicarbonate solution. For that reason, regulating NETosis by pH with specific buffers such as THAM could be more effective than bicarbonate in managing NET-related diseases.http://journal.frontiersin.org/article/10.3389/fmed.2018.00019/fullneutrophil extracellular trap formationpHspontaneous NETosisNADPH-dependent NETosislipopolysaccharide-induced NETosisGram-negative bacteria-induced NETosis
spellingShingle Meraj A. Khan
Meraj A. Khan
Lijy M. Philip
Guillaume Cheung
Shawn Vadakepeedika
Hartmut Grasemann
Hartmut Grasemann
Hartmut Grasemann
Neil Sweezey
Neil Sweezey
Neil Sweezey
Neil Sweezey
Nades Palaniyar
Nades Palaniyar
Nades Palaniyar
Nades Palaniyar
Regulating NETosis: Increasing pH Promotes NADPH Oxidase-Dependent NETosis
Frontiers in Medicine
neutrophil extracellular trap formation
pH
spontaneous NETosis
NADPH-dependent NETosis
lipopolysaccharide-induced NETosis
Gram-negative bacteria-induced NETosis
title Regulating NETosis: Increasing pH Promotes NADPH Oxidase-Dependent NETosis
title_full Regulating NETosis: Increasing pH Promotes NADPH Oxidase-Dependent NETosis
title_fullStr Regulating NETosis: Increasing pH Promotes NADPH Oxidase-Dependent NETosis
title_full_unstemmed Regulating NETosis: Increasing pH Promotes NADPH Oxidase-Dependent NETosis
title_short Regulating NETosis: Increasing pH Promotes NADPH Oxidase-Dependent NETosis
title_sort regulating netosis increasing ph promotes nadph oxidase dependent netosis
topic neutrophil extracellular trap formation
pH
spontaneous NETosis
NADPH-dependent NETosis
lipopolysaccharide-induced NETosis
Gram-negative bacteria-induced NETosis
url http://journal.frontiersin.org/article/10.3389/fmed.2018.00019/full
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