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Blood, 15 May 2008, Vol. 111, No. 10, pp. 5187-5194.
Prepublished online as a Blood First Edition Paper on February 15, 2008; DOI 10.1182/blood-2007-10-117283.
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Submitted October 10, 2007
Accepted February 12, 2008
Circulating neutrophils maintain physiological blood pressure by suppressing bacteria and IFN -dependent iNOS expression in the vasculature of healthy mice
Jonathan Morton, Barbara Coles, Kate Wright, Awen Gallimore, Jason D Morrow, Erin S Terry, Peter B Anning, B. Paul Morgan, Vincent Dioszeghy, Hartmut Kuhn, Pavlos Chaitidis, Adrian J. Hobbs, Simon A Jones, and Valerie B. O'Donnell*
Dept of Medical Biochemistry and Immunology, Cardiff University, Cardiff, United Kingdom
Division of Clinical Pharmacology, Vanderbilt University, Nashville, TN, United States
Institute of Biochemistry, University Medicine Berlin-Charite, Berlin, Germany
Wolfson Institute for Biomedical Research, University College London, London, United Kingdom
* Corresponding author; email: o-donnellvb{at}cardiff.ac.uk.
Whether leukocytes exert an influence on vascular function in vivo is not known. Here, genetic and pharmacologic approaches show that the absence of neutrophils leads to acute blood pressure dysregulation. Following neutrophil depletion, systolic blood pressure falls significantly over 3 days (88.0 ± 3.5 vs 104.0 ± 2.8 mmHg, day 3 vs day 0, mean ± SEM, p < 0.001), and aortic rings from neutropenic mice do not constrict properly. The constriction defect is corrected using L-NAME or the specific iNOS inhibitor 1400W, while acetylcholine relaxation is normal. iNOS or IFN deficient mice are protected from neutropenia-induced hypotension, indicating that iNOS-derived NO is responsible and that its induction involves IFN . Oral enrofloxacin partially inhibited hypotension, implicating bacterial products. Roles for cyclooxygenase, complement C5 or endotoxin were excluded, although urinary prostacyclin metabolites were elevated. Neutrophil depletion required complement opsinization, with no evidence for intravascular degranulation. In summary, circulating neutrophils contribute to maintaining physiological tone in the vasculature, at least in part through suppressing early pro-inflammatory effects of infection. The speed with which hypotension developed provides insight into early changes that occur in the absence of neutrophils and illustrates the importance of constant surveillance of mucosal sites by granulocytes in healthy mice.

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