Annexin A5 Inhibits Endothelial Inflammation Induced by Lipopolysaccharide-Activated Platelets and Microvesicles via Phosphatidylserine Binding

Sepsis is caused by a dysregulated immune response to infection and is a leading cause of mortality globally. To date, no specific therapeutics are available to treat the underlying septic response. We and others have shown that recombinant human annexin A5 (Anx5) treatment inhibits pro-inflammatory...

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Main Authors: Brent J. Tschirhart, Xiangru Lu, Janice Gomes, Arundhasa Chandrabalan, Gillian Bell, David A. Hess, Guangxin Xing, Hong Ling, Dylan Burger, Qingping Feng
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/16/6/837
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author Brent J. Tschirhart
Xiangru Lu
Janice Gomes
Arundhasa Chandrabalan
Gillian Bell
David A. Hess
Guangxin Xing
Hong Ling
Dylan Burger
Qingping Feng
author_facet Brent J. Tschirhart
Xiangru Lu
Janice Gomes
Arundhasa Chandrabalan
Gillian Bell
David A. Hess
Guangxin Xing
Hong Ling
Dylan Burger
Qingping Feng
author_sort Brent J. Tschirhart
collection DOAJ
description Sepsis is caused by a dysregulated immune response to infection and is a leading cause of mortality globally. To date, no specific therapeutics are available to treat the underlying septic response. We and others have shown that recombinant human annexin A5 (Anx5) treatment inhibits pro-inflammatory cytokine production and improves survival in rodent sepsis models. During sepsis, activated platelets release microvesicles (MVs) with externalization of phosphatidylserine to which Anx5 binds with high affinity. We hypothesized that recombinant human Anx5 blocks the pro-inflammatory response induced by activated platelets and MVs in vascular endothelial cells under septic conditions via phosphatidylserine binding. Our data show that treatment with wildtype Anx5 reduced the expression of inflammatory cytokines and adhesion molecules induced by lipopolysaccharide (LPS)-activated platelets or MVs in endothelial cells (<i>p</i> < 0.01), which was not observed with Anx5 mutant deficient in phosphatidylserine binding. In addition, wildtype Anx5 treatment, but not Anx5 mutant, improved trans-endothelial electrical resistance (<i>p</i> < 0.05) and reduced monocyte (<i>p</i> < 0.001) and platelet (<i>p</i> < 0.001) adhesion to vascular endothelial cells in septic conditions. In conclusion, recombinant human Anx5 inhibits endothelial inflammation induced by activated platelets and MVs in septic conditions via phosphatidylserine binding, which may contribute to its anti-inflammatory effects in the treatment of sepsis.
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spelling doaj.art-ecf56b9a0f834f0e975f87e24fd79aa62023-11-18T12:02:13ZengMDPI AGPharmaceuticals1424-82472023-06-0116683710.3390/ph16060837Annexin A5 Inhibits Endothelial Inflammation Induced by Lipopolysaccharide-Activated Platelets and Microvesicles via Phosphatidylserine BindingBrent J. Tschirhart0Xiangru Lu1Janice Gomes2Arundhasa Chandrabalan3Gillian Bell4David A. Hess5Guangxin Xing6Hong Ling7Dylan Burger8Qingping Feng9Department of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, CanadaDepartment of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, CanadaRobarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, CanadaDepartment of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, CanadaRobarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, CanadaDepartment of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, CanadaDepartment of Biochemistry, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, CanadaDepartment of Biochemistry, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, CanadaKidney Research Centre, Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON K1H 8L6, CanadaDepartment of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, CanadaSepsis is caused by a dysregulated immune response to infection and is a leading cause of mortality globally. To date, no specific therapeutics are available to treat the underlying septic response. We and others have shown that recombinant human annexin A5 (Anx5) treatment inhibits pro-inflammatory cytokine production and improves survival in rodent sepsis models. During sepsis, activated platelets release microvesicles (MVs) with externalization of phosphatidylserine to which Anx5 binds with high affinity. We hypothesized that recombinant human Anx5 blocks the pro-inflammatory response induced by activated platelets and MVs in vascular endothelial cells under septic conditions via phosphatidylserine binding. Our data show that treatment with wildtype Anx5 reduced the expression of inflammatory cytokines and adhesion molecules induced by lipopolysaccharide (LPS)-activated platelets or MVs in endothelial cells (<i>p</i> < 0.01), which was not observed with Anx5 mutant deficient in phosphatidylserine binding. In addition, wildtype Anx5 treatment, but not Anx5 mutant, improved trans-endothelial electrical resistance (<i>p</i> < 0.05) and reduced monocyte (<i>p</i> < 0.001) and platelet (<i>p</i> < 0.001) adhesion to vascular endothelial cells in septic conditions. In conclusion, recombinant human Anx5 inhibits endothelial inflammation induced by activated platelets and MVs in septic conditions via phosphatidylserine binding, which may contribute to its anti-inflammatory effects in the treatment of sepsis.https://www.mdpi.com/1424-8247/16/6/837sepsisendotoxemiainflammationannexin A5endothelial cellsplatelets
spellingShingle Brent J. Tschirhart
Xiangru Lu
Janice Gomes
Arundhasa Chandrabalan
Gillian Bell
David A. Hess
Guangxin Xing
Hong Ling
Dylan Burger
Qingping Feng
Annexin A5 Inhibits Endothelial Inflammation Induced by Lipopolysaccharide-Activated Platelets and Microvesicles via Phosphatidylserine Binding
Pharmaceuticals
sepsis
endotoxemia
inflammation
annexin A5
endothelial cells
platelets
title Annexin A5 Inhibits Endothelial Inflammation Induced by Lipopolysaccharide-Activated Platelets and Microvesicles via Phosphatidylserine Binding
title_full Annexin A5 Inhibits Endothelial Inflammation Induced by Lipopolysaccharide-Activated Platelets and Microvesicles via Phosphatidylserine Binding
title_fullStr Annexin A5 Inhibits Endothelial Inflammation Induced by Lipopolysaccharide-Activated Platelets and Microvesicles via Phosphatidylserine Binding
title_full_unstemmed Annexin A5 Inhibits Endothelial Inflammation Induced by Lipopolysaccharide-Activated Platelets and Microvesicles via Phosphatidylserine Binding
title_short Annexin A5 Inhibits Endothelial Inflammation Induced by Lipopolysaccharide-Activated Platelets and Microvesicles via Phosphatidylserine Binding
title_sort annexin a5 inhibits endothelial inflammation induced by lipopolysaccharide activated platelets and microvesicles via phosphatidylserine binding
topic sepsis
endotoxemia
inflammation
annexin A5
endothelial cells
platelets
url https://www.mdpi.com/1424-8247/16/6/837
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