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Erschienen in: Inflammation Research 9/2010

01.09.2010 | Original Research Paper

Inadequate cytoplasmatic calcium signals in alveolar macrophages after cardiac surgery

verfasst von: Katharina Berger, Michael Sander, Anke Kohlar, Christian Meisel, Wolfgang Konertz, Thomas Volk

Erschienen in: Inflammation Research | Ausgabe 9/2010

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Abstract

Objective and design

Patients undergoing cardiac surgery have an elevated risk for pulmonary complications. A dysfunction of alveolar macrophages (AM) might promote postoperative infections. Therefore intracellular calcium [Ca2+]i as an important second messenger in cellular signaling was assessed in AM.

Materials and methods

Twelve patients undergoing elective coronary artery bypass graft surgery (CABG) were enrolled in this clinical trial. After anesthesia induction and 2 h after cardiopulomary bypass (CPB) declamping, the bronchoalveolar lavage (BAL) fluid was collected preoperatively from the right middle lobe and postoperatively from the left lingula of the lung. Cell subpopulations and [Ca2+]i signals were assessed via flow cytometry. To express the changes of [Ca2+]i signals the Fluo4/FuraRed-Ratio was used.

Results

After surgery the [Ca2+]i baseline in unstimulated AMs were significantly reduced (p < 0.001). A significant signal reduction after fMLP (p = 0.021) and C5a (p = 0.028) stimulation was found in FSC high AMs after surgery, even though all populations showed a trend of less responsiveness.

Conclusion

We suggest that the reduced [Ca2+]i signaling in postoperative AMs is caused by a reduced coupling to membrane channels. These preliminary data suggest an inadequate [Ca2+]i signal of AM after surgery, which may contribute to a local immune dysfunction in the lung.
Literatur
1.
Zurück zum Zitat Sander M, von Heymann C, Neumann T, Braun JP, Kastrup M, Beholz S, et al. Increased interleukin-10 and cortisol in long-term alcoholics after cardiopulmonary bypass: a hint to the increased postoperative infection rate? Alcohol Clin Exp Res. 2005;29:1677–84.CrossRefPubMed Sander M, von Heymann C, Neumann T, Braun JP, Kastrup M, Beholz S, et al. Increased interleukin-10 and cortisol in long-term alcoholics after cardiopulmonary bypass: a hint to the increased postoperative infection rate? Alcohol Clin Exp Res. 2005;29:1677–84.CrossRefPubMed
2.
Zurück zum Zitat Sander M, von Heymann C, von Dossow V, Spaethe C, Konertz WF, Jain U, et al. Increased interleukin-6 after cardiac surgery predicts infection. Anesth Analg. 2006;102:1623–9.CrossRefPubMed Sander M, von Heymann C, von Dossow V, Spaethe C, Konertz WF, Jain U, et al. Increased interleukin-6 after cardiac surgery predicts infection. Anesth Analg. 2006;102:1623–9.CrossRefPubMed
3.
Zurück zum Zitat Volk T, Schmutzler M, Engelhardt L, Docke WD, Volk HD, Konertz W, et al. Influence of aminosteroid and glucocorticoid treatment on inflammation and immune function during cardiopulmonary bypass. Crit Care Med. 2001;29:2137–42.CrossRefPubMed Volk T, Schmutzler M, Engelhardt L, Docke WD, Volk HD, Konertz W, et al. Influence of aminosteroid and glucocorticoid treatment on inflammation and immune function during cardiopulmonary bypass. Crit Care Med. 2001;29:2137–42.CrossRefPubMed
4.
Zurück zum Zitat Volk T, Dopfmer UR, Schmutzler M, Rimpau S, Schnitzler H, Konertz W, et al. Stress induced IL-10 does not seem to be essential for early monocyte deactivation following cardiac surgery. Cytokine. 2003;24:237–43.CrossRefPubMed Volk T, Dopfmer UR, Schmutzler M, Rimpau S, Schnitzler H, Konertz W, et al. Stress induced IL-10 does not seem to be essential for early monocyte deactivation following cardiac surgery. Cytokine. 2003;24:237–43.CrossRefPubMed
5.
Zurück zum Zitat Volk T, Schenk M, Voigt K, Tohtz S, Putzier M, Kox WJ. Postoperative epidural anesthesia preserves lymphocyte, but not monocyte, immune function after major spine surgery. Anesth Analg. 2004;98:92–1086. table. Volk T, Schenk M, Voigt K, Tohtz S, Putzier M, Kox WJ. Postoperative epidural anesthesia preserves lymphocyte, but not monocyte, immune function after major spine surgery. Anesth Analg. 2004;98:92–1086. table.
6.
Zurück zum Zitat Hortal J, Munoz P, Cuerpo G, Litvan H, Rosseel PM, Bouza E. Ventilator-associated pneumonia in patients undergoing major heart surgery: an incidence study in Europe. Crit Care. 2009;13:R80.PubMed Hortal J, Munoz P, Cuerpo G, Litvan H, Rosseel PM, Bouza E. Ventilator-associated pneumonia in patients undergoing major heart surgery: an incidence study in Europe. Crit Care. 2009;13:R80.PubMed
7.
Zurück zum Zitat Leal-Noval SR, Marquez-Vacaro JA, Garcia-Curiel A, Camacho-Larana P, Rincon-Ferrari MD, Ordonez-Fernandez A, et al. Nosocomial pneumonia in patients undergoing heart surgery. Crit Care Med. 2000;28:935–40.CrossRefPubMed Leal-Noval SR, Marquez-Vacaro JA, Garcia-Curiel A, Camacho-Larana P, Rincon-Ferrari MD, Ordonez-Fernandez A, et al. Nosocomial pneumonia in patients undergoing heart surgery. Crit Care Med. 2000;28:935–40.CrossRefPubMed
8.
Zurück zum Zitat Volk T, Gerst J, Faust-Belbe G, Stroehmann A, Kox WJ. Monocyte stimulation by reactive oxygen species: role of superoxide and intracellular Ca2+. Inflamm Res. 1999;48:544–9.CrossRefPubMed Volk T, Gerst J, Faust-Belbe G, Stroehmann A, Kox WJ. Monocyte stimulation by reactive oxygen species: role of superoxide and intracellular Ca2+. Inflamm Res. 1999;48:544–9.CrossRefPubMed
9.
Zurück zum Zitat Volk T, Hensel M, Mading K, Egerer K, Kox WJ. Intracellular Ca2+ dependence of nitric oxide mediated enhancement of interleukin-8 secretion in human endothelial cells. FEBS Lett. 1997;415:169–72.CrossRefPubMed Volk T, Hensel M, Mading K, Egerer K, Kox WJ. Intracellular Ca2+ dependence of nitric oxide mediated enhancement of interleukin-8 secretion in human endothelial cells. FEBS Lett. 1997;415:169–72.CrossRefPubMed
10.
Zurück zum Zitat Hanley PJ, Mussett B, Renigunta V, Limberg SH, Dalpke AH, Sus R, et al. Extracellular ATP induces oscillations of intracellular Ca2+ and membrane potential and promotes transcription of IL-6 in macrophages. Proc Natl Acad Sci USA. 2004;101:9479–84.CrossRefPubMed Hanley PJ, Mussett B, Renigunta V, Limberg SH, Dalpke AH, Sus R, et al. Extracellular ATP induces oscillations of intracellular Ca2+ and membrane potential and promotes transcription of IL-6 in macrophages. Proc Natl Acad Sci USA. 2004;101:9479–84.CrossRefPubMed
11.
Zurück zum Zitat Hotchkiss RS, Karl IE. Calcium: a regulator of the inflammatory response in endotoxemia and sepsis. New Horiz. 1996;4:58–71.PubMed Hotchkiss RS, Karl IE. Calcium: a regulator of the inflammatory response in endotoxemia and sepsis. New Horiz. 1996;4:58–71.PubMed
12.
Zurück zum Zitat TranVan NG, Clair C, Grompone G, Sansonetti P. Calcium signaling during cell interactions with bacterial pathogens. Biol Cell. 2004;96:93–101.CrossRef TranVan NG, Clair C, Grompone G, Sansonetti P. Calcium signaling during cell interactions with bacterial pathogens. Biol Cell. 2004;96:93–101.CrossRef
13.
Zurück zum Zitat Cuschieri J, Gourlay D, Garcia I, Jelacic S, Maier RV. Slow channel calcium inhibition blocks proinflammatory gene signaling and reduces macrophage responsiveness. Trauma. 2002;52:434–42.CrossRef Cuschieri J, Gourlay D, Garcia I, Jelacic S, Maier RV. Slow channel calcium inhibition blocks proinflammatory gene signaling and reduces macrophage responsiveness. Trauma. 2002;52:434–42.CrossRef
14.
Zurück zum Zitat Marasco WA, Phan SH, Krutzsch H, Showell HJ, Feltner DE, Nairn R, et al. Purification and identification of formyl-methionyl-leucyl-phenylalanine as the major peptide neutrophil chemotactic factor produced by Escherichia coli. Bio Chem. 1984;259:5430–9. Marasco WA, Phan SH, Krutzsch H, Showell HJ, Feltner DE, Nairn R, et al. Purification and identification of formyl-methionyl-leucyl-phenylalanine as the major peptide neutrophil chemotactic factor produced by Escherichia coli. Bio Chem. 1984;259:5430–9.
15.
Zurück zum Zitat Selvatici R, Falzarano S, Traniello S, Pagani ZG, Spisani S. Formylpeptides trigger selective molecular pathways that are required in the physiological functions of human neutrophils. Cell Signal. 2003;15:377–83.CrossRefPubMed Selvatici R, Falzarano S, Traniello S, Pagani ZG, Spisani S. Formylpeptides trigger selective molecular pathways that are required in the physiological functions of human neutrophils. Cell Signal. 2003;15:377–83.CrossRefPubMed
16.
Zurück zum Zitat Elferink JGR, Dekoster BM. The effect of Cyclic-Gmp and Cyclic-Amp on migration by electroporated human neutrophils. Eur J Pharmacol. 1993;246:157–61.CrossRefPubMed Elferink JGR, Dekoster BM. The effect of Cyclic-Gmp and Cyclic-Amp on migration by electroporated human neutrophils. Eur J Pharmacol. 1993;246:157–61.CrossRefPubMed
17.
Zurück zum Zitat Howard RJ, Crain C, Franzini DA, Hood I, Hugli TE. Effects of cardiopulmonary bypass on pulmonary leukostasis and complement activation. Arch Surg. 1988;123:1496–501.PubMed Howard RJ, Crain C, Franzini DA, Hood I, Hugli TE. Effects of cardiopulmonary bypass on pulmonary leukostasis and complement activation. Arch Surg. 1988;123:1496–501.PubMed
18.
Zurück zum Zitat Roach TIA, Rebres RA, Fraser IDC, Decamp DL, Lin KM, Sternweis PC, et al. Signaling and cross-talk by C5a and UDP in macrophages selectively use PLC beta 3 to regulate intracellular free calcium. Bio Chem. 2008;283:17351–61.CrossRef Roach TIA, Rebres RA, Fraser IDC, Decamp DL, Lin KM, Sternweis PC, et al. Signaling and cross-talk by C5a and UDP in macrophages selectively use PLC beta 3 to regulate intracellular free calcium. Bio Chem. 2008;283:17351–61.CrossRef
19.
Zurück zum Zitat Mulligan MS, Schmid E, BeckSchimmer B, Till GO, Friedl HP, Brauer RB, et al. Requirement and role of C5a in acute lung inflammatory injury in rats. Clin Invest. 1996;98:503–12.CrossRef Mulligan MS, Schmid E, BeckSchimmer B, Till GO, Friedl HP, Brauer RB, et al. Requirement and role of C5a in acute lung inflammatory injury in rats. Clin Invest. 1996;98:503–12.CrossRef
20.
Zurück zum Zitat Schneider C, Volk T. Endothelial Ca2 + signal transduction is altered by postoperative serum from patients undergoing coronary surgery with cardiopulmonary bypass. Anesth Analg. 2006;102:1630–7.CrossRefPubMed Schneider C, Volk T. Endothelial Ca2 + signal transduction is altered by postoperative serum from patients undergoing coronary surgery with cardiopulmonary bypass. Anesth Analg. 2006;102:1630–7.CrossRefPubMed
21.
Zurück zum Zitat June CH, Abe R, Rabinovitch PS. Measurement of intracellular calcium ions by flow cytometry. In: Current protocols in cytometry; 2001. chap 9, unit 8 June CH, Abe R, Rabinovitch PS. Measurement of intracellular calcium ions by flow cytometry. In: Current protocols in cytometry; 2001. chap 9, unit 8
22.
Zurück zum Zitat Missiaen L, Robberecht W, Van Den Bosch L, Callewaert G, Parys JB, Wuytack F, et al. Abnormal intracellular Ca2+ homeostasis and disease. Cell Calcium. 2000;28:1–21.CrossRefPubMed Missiaen L, Robberecht W, Van Den Bosch L, Callewaert G, Parys JB, Wuytack F, et al. Abnormal intracellular Ca2+ homeostasis and disease. Cell Calcium. 2000;28:1–21.CrossRefPubMed
23.
Zurück zum Zitat Chen LW, Jan CR. Mechanisms and modulation of formyl-methionyl-leucyl-phenylalanine (fMLP)-induced Ca2+ mobilization in human neutrophils. Int Immunopharmacol. 2001;1:1341–9.CrossRefPubMed Chen LW, Jan CR. Mechanisms and modulation of formyl-methionyl-leucyl-phenylalanine (fMLP)-induced Ca2+ mobilization in human neutrophils. Int Immunopharmacol. 2001;1:1341–9.CrossRefPubMed
24.
Zurück zum Zitat Yang D, Chen Q, Stoll S, Chen X, Howard OMZ, Oppenheim JJ. Differential regulation of responsiveness to fMLP and C5a upon dendritic cell maturation: correlation with receptor expression. Immunology. 2000;165:2694–702. Yang D, Chen Q, Stoll S, Chen X, Howard OMZ, Oppenheim JJ. Differential regulation of responsiveness to fMLP and C5a upon dendritic cell maturation: correlation with receptor expression. Immunology. 2000;165:2694–702.
25.
Zurück zum Zitat Sabroe I, Williams TJ, Hebert CA, Collins PD. Chemoattractant cross-desensitization of the human neutrophil IL-8 receptor involves receptor internalization and differential receptor subtype regulation. Immunology. 1997;158:1361–9. Sabroe I, Williams TJ, Hebert CA, Collins PD. Chemoattractant cross-desensitization of the human neutrophil IL-8 receptor involves receptor internalization and differential receptor subtype regulation. Immunology. 1997;158:1361–9.
26.
Zurück zum Zitat Kotani N, Lin CY, Wang JS, Gurley JM, Tolin FP, Michelassi F, et al. Loss of alveolar macrophages during anesthesia and operation in humans. Anesth Analg. 1995;81:1255–62.CrossRefPubMed Kotani N, Lin CY, Wang JS, Gurley JM, Tolin FP, Michelassi F, et al. Loss of alveolar macrophages during anesthesia and operation in humans. Anesth Analg. 1995;81:1255–62.CrossRefPubMed
27.
Zurück zum Zitat Rabinovitch PS, June CH, Kavanagh TJ. Introduction to functional cell assays. Ann NY Acad Sci. 1993;677:252–64.CrossRefPubMed Rabinovitch PS, June CH, Kavanagh TJ. Introduction to functional cell assays. Ann NY Acad Sci. 1993;677:252–64.CrossRefPubMed
28.
Zurück zum Zitat Burchiel SW, Edwards BS, Kuckuck FW, Lauer FT, Prossnitz ER, Ransom JT, et al. Analysis of free intracellular calcium by flow cytometry: multiparameter and pharmacologic applications. Methods. 2000;21:221–30.CrossRefPubMed Burchiel SW, Edwards BS, Kuckuck FW, Lauer FT, Prossnitz ER, Ransom JT, et al. Analysis of free intracellular calcium by flow cytometry: multiparameter and pharmacologic applications. Methods. 2000;21:221–30.CrossRefPubMed
Metadaten
Titel
Inadequate cytoplasmatic calcium signals in alveolar macrophages after cardiac surgery
verfasst von
Katharina Berger
Michael Sander
Anke Kohlar
Christian Meisel
Wolfgang Konertz
Thomas Volk
Publikationsdatum
01.09.2010
Verlag
SP Birkhäuser Verlag Basel
Erschienen in
Inflammation Research / Ausgabe 9/2010
Print ISSN: 1023-3830
Elektronische ISSN: 1420-908X
DOI
https://doi.org/10.1007/s00011-010-0188-2

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