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Prepublished online as a Blood First Edition Paper on June 28, 2002; DOI 10.1182/blood-2001-12-0266.

Submitted December 18, 2001
Accepted June 5, 2002
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*
Department of Medicine, University of Washington, Seattle, WA, USA
Department of Pathology, University of Washington, Seattle, WA, USA
Department of Surgery, University of Washington, Seattle, WA, USA
* Corresponding author; email: ichuang{at}u.washington.edu.
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 necrotic-like 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 TNF and cycloheximide ex vivo. Nevertheless, 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 apoptotic-like and necrotic-like features. This occurred without apparent alteration in NF- B activation. Nevertheless, intracellular oxidant production was enhanced and sustained in caspase inhibitor-sensitized, TNF -stimulated neutrophils obtained from normal 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 NADPH oxidase activity.

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