In this study, a mechanism is reported which determines the lifetime of pol
ymorphonuclear neutrophils (PMN). In human PMM freshly isolated from the ci
rculation, expression of bcl-X-I, bax-alpha, and bak, members of the bcl-2
family of apoptosis-associated genes, was found using the reverse transcrip
tion-polymerase chain reaction technique. In contrast, no expression of bcl
-2 was seen in PMN, whereas the myeloid cell line HL-60 was positive for bc
l-2 mRNA. Two gene products, Bcl-X-I and Bax-alpha, which are known to func
tion as the regulatory machinery of programmed cell death (apoptosis), were
detected at the protein level in PMN, Moreover, differential expression of
these proteins was found upon induction or prevention of apoptosis by cyto
kines: Whereas induction of apoptosis by tumor necrosis factor-alpha was as
sociated with a reduction of expression of the anti-apoptotic Bcl-X-I prote
in, prevention of apoptosis by granulocyte-macrophage colony-stimulating fa
ctor led to a downregulation of expression of the death-promoting Bax-alpha
protein. This shift of balance of anti- and pro-apoptotic proteins was fou
nd to control caspase-3 activity which, in turn, downregulated Bcl-X-I expr
ession in PMN undergoing apoptosis. Thus, cytokines can affect the ratio of
Bax-alpha/Bcl-X-I expression in human PMN and modulate the subsequent acti
vity of caspase-3, which functions as executer of the programmed cell death
and may promote apoptosis by a positive feed-forward mechanism that downre
gulates Bcl-X-I. (C) 1999 by The American Society of Hematology.