Publication Date:
2010-03-06
Description:
Injury causes a systemic inflammatory response syndrome (SIRS) that is clinically much like sepsis. Microbial pathogen-associated molecular patterns (PAMPs) activate innate immunocytes through pattern recognition receptors. Similarly, cellular injury can release endogenous 'damage'-associated molecular patterns (DAMPs) that activate innate immunity. Mitochondria are evolutionary endosymbionts that were derived from bacteria and so might bear bacterial molecular motifs. Here we show that injury releases mitochondrial DAMPs (MTDs) into the circulation with functionally important immune consequences. MTDs include formyl peptides and mitochondrial DNA. These activate human polymorphonuclear neutrophils (PMNs) through formyl peptide receptor-1 and Toll-like receptor (TLR) 9, respectively. MTDs promote PMN Ca(2+) flux and phosphorylation of mitogen-activated protein (MAP) kinases, thus leading to PMN migration and degranulation in vitro and in vivo. Circulating MTDs can elicit neutrophil-mediated organ injury. Cellular disruption by trauma releases mitochondrial DAMPs with evolutionarily conserved similarities to bacterial PAMPs into the circulation. These signal through innate immune pathways identical to those activated in sepsis to create a sepsis-like state. The release of such mitochondrial 'enemies within' by cellular injury is a key link between trauma, inflammation and SIRS.〈br /〉〈br /〉〈a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2843437/" target="_blank"〉〈img src="https://static.pubmed.gov/portal/portal3rc.fcgi/4089621/img/3977009" border="0"〉〈/a〉 〈a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2843437/" target="_blank"〉This paper as free author manuscript - peer-reviewed and accepted for publication〈/a〉〈br /〉〈br /〉〈span class="detail_caption"〉Notes: 〈/span〉Zhang, Qin -- Raoof, Mustafa -- Chen, Yu -- Sumi, Yuka -- Sursal, Tolga -- Junger, Wolfgang -- Brohi, Karim -- Itagaki, Kiyoshi -- Hauser, Carl J -- R01 GM059179/GM/NIGMS NIH HHS/ -- R01 GM059179-08/GM/NIGMS NIH HHS/ -- R01 GM059179-09/GM/NIGMS NIH HHS/ -- England -- Nature. 2010 Mar 4;464(7285):104-7. doi: 10.1038/nature08780.〈br /〉〈span class="detail_caption"〉Author address: 〈/span〉Department of Surgery, Division of Trauma, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215, USA.〈br /〉〈span class="detail_caption"〉Record origin:〈/span〉 〈a href="http://www.ncbi.nlm.nih.gov/pubmed/20203610" target="_blank"〉PubMed〈/a〉
Keywords:
Acute Lung Injury/immunology/pathology
;
Animals
;
Calcium Signaling
;
Cells, Cultured
;
CpG Islands/immunology
;
DNA, Mitochondrial/blood/immunology
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Femur/injuries
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Fractures, Bone/immunology/pathology
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Humans
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Immunity, Innate/immunology
;
Liver/immunology/injuries/pathology
;
Male
;
Mitochondria/*immunology/*secretion
;
Mitogen-Activated Protein Kinases/metabolism
;
Muscle, Skeletal/immunology/pathology
;
N-Formylmethionine Leucyl-Phenylalanine/immunology/metabolism
;
Neutrophils/enzymology/immunology/metabolism
;
Phosphorylation
;
Rats
;
Rats, Sprague-Dawley
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Receptors, Formyl Peptide/metabolism
;
Sepsis/immunology/metabolism/microbiology
;
Systemic Inflammatory Response
;
Syndrome/blood/*complications/*immunology/pathology
;
Toll-Like Receptor 9/metabolism
;
Wounds and Injuries/blood/*complications/*immunology/pathology
Print ISSN:
0028-0836
Electronic ISSN:
1476-4687
Topics:
Biology
,
Chemistry and Pharmacology
,
Medicine
,
Natural Sciences in General
,
Physics
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