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Prepublished online as a Blood First Edition Paper on June 28, 2002; DOI 10.1182/blood-2002-02-0454.

Submitted February 12, 2002
Accepted June 6, 2002
Involvement of a ferro-protein sensor in hypoxia-mediated inhibition of neutrophil apoptosis
Katy I Mecklenburgh, Sarah R Walmsley, Andrew S Cowburn, Michael Wiesener, Benjamin J Reed, Paul D Upton, John Deighton, Andrew P Greening, and Edwin R Chilvers*
Department of Medicine, University of Edinburgh, Edinburgh, Scotland, United Kingdom
Department of Medicine, University of Cambridge, Cambridge, Cambridgeshire, United Kingdom
Wellcome Trust Centre for Human Genetics, Institute of Molecular Medicine, Oxford, Oxfordshire, United Kingdom
Respiratory Medicine, Western General Hospital, Edinburgh, Scotland, United Kingdom
* Corresponding author; email: erc24{at}hermes.cam.ac.uk.
Neutrophil apoptosis represents a major mechanism involved in the resolution of acute inflammation. In contrast to the effect of hypoxia observed in many other cell types we have shown that oxygen deprivation causes a profound but reversible delay in the rate of constitutive apoptosis in human neutrophils when aged in vitro. This effect was mimicked by exposing cells to two structurally unrelated iron-chelating agents, desferrioxamine (DFO) and hydroxypyridones (CP-94), and appeared specific for hypoxia in that no modulation of apoptosis was observed with mitochondrial electron transport inhibitors, glucose deprivation or heat shock. The involvement of chelatable iron in the oxygen sensing mechanism was confirmed by the abolition of the DFO and CP-94 survival effect by Fe2+ ions. While HIF-1 mRNA was identified in freshly isolated neutrophils, HIF-1 protein was only detected in neutrophils incubated under hypoxic conditions or in the presence of DFO. Moreover, studies with cyclohexamide demonstrated that the survival effect of hypoxia was fully dependent on continuing protein synthesis. These results indicate that the neutrophil has an identical ferro-protein oxygen sensing mechanism to that identified for erythropoietin regulation and results in both HIF-1 upregulation and a profound but reversible inhibition of neutrophil apoptosis. This finding may have important implications for the resolution of granulocytic inflammation at sites of low oxygen tension.

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