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Prepublished online as a Blood First Edition Paper on June 28, 2002; DOI 10.1182/blood-2001-12-0266.
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Blood, 1 January 2003, Vol. 101, No. 1, pp. 295-304
PHAGOCYTES
Broad-spectrum caspase inhibition paradoxically augments cell
death in TNF- -stimulated neutrophils
Chien-Ying Liu,
Akihiro Takemasa,
W. Conrad Liles,
Richard B. Goodman,
Mechthild Jonas,
Henry Rosen,
Emil Chi,
Robert K. Winn,
John M. Harlan, and
Peter I. Chuang
From the Department of Medicine, Pathology, and
Surgery, University of Washington, Seattle.
It is increasingly clear that there are caspase-dependent and
-independent mechanisms for the execution of cell death and that the
utilization of these mechanisms is stimulus- and cell type-dependent.
Intriguingly, broad-spectrum caspase inhibition enhances death receptor
agonist-induced cell death in a few transformed cell lines.
Endogenously produced oxidants are causally linked to
necroticlike cell death in these instances. We report here that broad-spectrum caspase inhibitors effectively attenuated apoptosis
induced in human neutrophils by incubation with agonistic anti-Fas
antibody or by coincubation with tumor necrosis factor- (TNF- )
and cycloheximide ex vivo. In contrast, the same caspase inhibitors
could augment cell death upon stimulation by TNF- alone during the
6-hour time course examined. Caspase inhibitor-sensitized, TNF- -stimulated, dying neutrophils exhibit apoptoticlike and necroticlike features. This occurred without apparent alteration in
nuclear factor- B (NF- B) activation. Nevertheless, intracellular oxidant production was enhanced and sustained in caspase
inhibitor-sensitized, TNF- -stimulated neutrophils obtained from
healthy subjects. However, despite reduced or absent intracellular
oxidant production following TNF- stimulation, cell death was also
augmented in neutrophils isolated from patients with chronic
granulomatous disease incubated with a caspase inhibitor and TNF- .
These results demonstrate that, in human neutrophils, TNF- induces a
caspase-independent but protein synthesis-dependent cell death signal.
Furthermore, they suggest that TNF- activates a caspase-dependent
pathway that negatively regulates reduced nicotinamide adenine
dinucleotide phosphate (NADPH) oxidase activity.

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