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Blood, 1 September 2008, Vol. 112, No. 5, pp. 2046-2054.
Prepublished online as a Blood First Edition Paper on June 4, 2008; DOI 10.1182/blood-2008-04-149575.


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Submitted April 3, 2008
Accepted May 12, 2008

Granulocyte colony-stimulating factor delays neutrophil apoptosis by inhibition of calpains upstream of caspase-3

Bram J van Raam*, Agata Drewniak, Vincent Groenewold, Timo K van den Berg, and Taco W. Kuijpers

Blood Cell Research and Phagocyte Laboratory, Sanquin Research and Landsteiner Laboratory, Amsterdam, Netherlands
Emma Children's Hospital, Academic Medical Center (AMC), Amsterdam, Netherlands

* Corresponding author; email: b.j.vanraam{at}gmail.com.

Neutrophils have a very short life span and undergo apoptosis within 24 hours after leaving the bone marrow. Granulocyte colony-stimulating factor (G-CSF) is essential for the recruitment of fresh neutrophils from the bone marrow but also delays apoptosis of mature neutrophils. To determine the mechanism by which G-CSF inhibits neutrophil apoptosis, the kinetics of neutrophil apoptosis during 24 hours in the absence or presence of G-CSF were analyzed in vitro. G-CSF delayed neutrophil apoptosis for about 12 hours and inhibited caspase-9 and -3 activation, but had virtually no effect on caspase-8 and little effect on the release of pro-apoptotic proteins from the mitochondria. However, G-CSF strongly inhibited the activation of calcium-dependent cysteine proteases calpains, upstream of caspase-3, via apparent control of Ca2+-influx. Calpain inhibition resulted in the stabilization of the X-linked inhibitor of apoptosis (XIAP) and hence inhibited caspase-9 and -3 in human neutrophils. Thus, neutrophil apoptosis is controlled by G-CSF after initial activation of caspase-8 and mitochondrial permeabilization by the control of post-mitochondrial calpain activity.


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