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Blood, 29 January 2009, Vol. 113, No. 5, pp. 1129-1138. Prepublished online as a Blood First Edition Paper on October 22, 2008; DOI 10.1182/blood-2008-07-169821.
RED CELLS, IRON, AND ERYTHROPOIESIS Placenta growth factor induces 5-lipoxygenase–activating protein to increase leukotriene formation in sickle cell disease1 Department of Biochemistry and Molecular Biology, Keck School of Medicine, University of Southern California, Los Angeles; and 2 Division of Hematology, Cincinnati Children's Hospital Medical Center, OH
Individuals with sickle cell disease (SCD) have increased inflammation, a high incidence of airway hyperreactivity (AH), and increased circulating leukotrienes (LT). We show that expression of 5-lipoxygenase and 5-lipoxygenase activating protein (FLAP), key catalytic molecules in the LT pathway, were significantly increased in peripheral blood mononuclear cells (MNCs) in patients with SCD, compared with healthy controls. Placenta growth factor (PlGF), elaborated from erythroid cells, activated MNC and THP-1 monocytic cells to induce LT production. PlGF-mediated increased FLAP mRNA expression occurred via activation of phosphoinositide-3 (PI-3) kinase, nicotinamide adenine dinucleotide phosphate (NADPH) oxidase, and hypoxia inducible factor-1
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