Background. Prolonged neutrophil(PMN) survival has been implicated in tissu
e injury following sepsis. A variety of bacterial products have been identi
fied which inhibit PMN apoptosis including lipopolysaccharide(LPS). Extrace
llular heat shock proteins(Hsp) have recently been identified as potent reg
ulatory signals for the innate immune system during the inflammatory respon
se. We hypothesized that Hsp 27 can affect PMN phenotype with respect to ap
optosis and cytokine profile.
Materials and methods. PMN were isolated from the peripheral blood of healt
hy human volunteers by red blood cell sedimentation and gradient centrifuga
tion. Cells were placed in media and cultured for 18 h with and without rec
ombinant human Hsp 27 at various concentrations. In parallel experiments, P
MN were stimulated with LPS, a known inhibitor of PMN apoptosis, for compar
ison. Apoptosis was quantified using annexin V and propidium iodide stainin
g with flow cytometric analysis. Culture supernatants were assayed for secr
etion of TNF-alpha, IL-10, and IL-12.
Results. Hsp 27 significantly inhibits PMN apoptosis [control; 81.8 +/- 3.6
%, vs Hsp 27, 60.4 +/- 4.1% p < 0.05]. The reduction is similar to that sig
naled by LPS, alone. Together their effect is not synergistic. The Hsp 27 r
esponse is dose-dependent. Hsp 27 does not induce secretion of TNF-<alpha>,
IL-10, or IL-12, whereas LPS does signal IL-12 and TNF-alpha secretion.
Conclusion. These data demonstrate that exogenous Hsp 27 may play a role in
neutrophil-mediated tissue injury during trauma and sepsis via its ability
to inhibit neutrophil apoptosis. However, Hsp 27 does not significantly al
ter neutrophil phenotype with respect to cytokine production profile. (C) 2
001 Academic Press.