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Blood, 15 January 2002, Vol. 99, No. 2, pp. 672-679
PHAGOCYTES
Granulocyte colony-stimulating factor inhibits the
mitochondria-dependent activation of caspase-3 in neutrophils
Nikolai A. Maianski,
Frederik P. J. Mul,
Jaap D. van Buul,
Dirk Roos, and
Taco W. Kuijpers
From Emma Children's Hospital, Academic Medical
Center, University of Amsterdam; Central Laboratory of the Netherlands
Blood Transfusion Service (CLB) and Laboratory for Experimental and
Clinical Immunology, Academic Medical Center, University of Amsterdam,
The Netherlands; Medical Academy, Nizhnyi Novgorod, Russia.
The exact mechanism of apoptosis in neutrophils (PMNs) and the
explanation for the antiapoptotic effect of granulocyte
colony-stimulating factor (G-CSF) in PMNs are unclear. Using specific
fluorescent mitochondrial staining, immunofluorescent confocal
microscopy, Western blotting, and flow cytometry, this study found that
PMNs possess an unexpectedly large number of mitochondria, which are involved in apoptosis. Spontaneous PMN apoptosis was associated with
translocation of the Bcl-2-like protein Bax to the mitochondria and
subsequent caspase-3 activation, but not with changes in the expression
of Bax. G-CSF delayed PMN apoptosis and prevented both associated
events. These G-CSF effects were inhibited by cycloheximide. The
general caspase inhibitor z-Val-Ala-DL-Asp-fluoromethylketone (zVAD-fmk) prevented caspase-3 activation and apoptosis in
PMNs, but not Bax redistribution. PMN-derived cytoplasts, which lack a
nucleus, granules, and mitochondria, spontaneously underwent caspase-3
activation and apoptosis (phosphatidylserine exposure), without Bax
redistribution. zVAD-fmk inhibited both caspase-3 activation and
phosphatidylserine exposure in cultured cytoplasts. Yet, G-CSF
prevented neither caspase-3 activation nor apoptosis in cytoplasts,
confirming the need for protein synthesis in the G-CSF effects. These
data demonstrate that (at least) 2 routes regulate PMN apoptosis: one
via Bax-to-mitochondria translocation and a second
mitochondria-independent pathway, both linked to caspase-3 activation.
Moreover, G-CSF exerts its antiapoptotic effect in the first, that is,
mitochondria-dependent, route and has no impact on the second.

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