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Blood, 15 January 2006, Vol. 107, No. 2, pp. 558-565.
Prepublished online as a Blood First Edition Paper on September 15, 2005; DOI 10.1182/blood-2005-05-2152.
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Submitted May 31, 2005
Accepted September 6, 2005
The principal eosinophil peroxidase product, HOSCN,is a uniquely potent phagocyte oxidant inducer of endothelial cell tissue factor activity: a potential mechanism for thrombosis in eosinophilic inflammatory states
Jian-Guo Wang, Shawn Mahmud, Jake A Thompson, Jian-Guo Geng, Nigel S Key, and Arne Slungaard*
Department of Medicine, Hematology, Oncology, and Transplantation Section and the Vascular Biology Center, University of Minnesota, Minneapolis, MN, USA
* Corresponding author; email: slung001{at}umn.edu.
In vivo, bromide (Br-), nitrite (NO2-), and thiocyanate (SCN-) compete for oxidation by eosinophil peroxidase (EPO) and H2O2 yielding, respectively, HOBr, NO2, and HOSCN. We have recently shown that SCN- is the strongly preferred substrate for EPO in vivo and that HOSCN, in contrast to other EPO-generated oxidants and HOCl, is a relatively weak, cell-permeant, sulfhydryl (SH)-reactive oxidant. We here show that HOSCN is a uniquely potent (up to 100-fold) phagocyte oxidant inducer of tissue factor (TF) activity in human umbilical vein endothelial cells (HUVEC). This induction is attributable to transcriptional upregulation of TF gene expression dependent upon both activation of the p65/c-Rel TF-kB transcription factor and activity of the ERK 1/2 kinase pathway upstream of Egr-1 and was markedly further enhanced in the presence of wortmannin, an inhibitor of the PI3 kinase/Akt pathway. HOSCN also markedly activates the proinflammatory p65/p50 NF-kB pathway. Based on these findings we hypothesize that HOSCN generated by adherent and infiltrating eosinophils may provoke the development of a prothrombotic and proinflammatory endothelial/endocardial phenotype that promotes the pronounced thrombotic diathesis characteristic of the Hypereosinophilic Syndrome.

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