Free hemoglobin : a dangerous signal for the immune system in patients with carotid atherosclerosis?

Atherosclerosis is a chronic inflammatory multifactorial disease in which immune responses are key pathogenetic factors. T cell-mediated immunity contributes to the initiation and progression of atherosclerotic disease, but the nature of antigens responsible for immune cell activation is still not completely elucidated. Convincing evidence supports a determinant role of autoimmune responses to self-structures in shaping the progression of the disease. Autoimmune responses may be directed against altered self-structures, such as oxidized low-density lipoproteins (LDL). Oxidative stress, increasingly reported in patients with atherosclerosis, is the major event causing protein structural modification, thus inducing the appearance of neo/cryptic epitopes on the molecule. Intraplaque hemorrhage, a common event in advanced lesions, causes the deposition of large amounts of hemoglobin (Hb). The pro-oxidative intraplaque microenvironment may induce structural changes in extra-erythrocytic free Hb, thus generating novel/cryptic autoantigenic epitopes. We demonstrated that an oxidized Hb preparation enriched in hemichromes expands IFN-gamma-secreting T lymphocytes in patients with advanced carotid atherosclerosis and enhances the phenotypical and functional maturation of human monocyte-derived dendritic cells induced by lipopolysaccharide (LPS). Overall, our findings suggest that oxidized forms of Hb could act as a dangerous signal for the immune system, thus contributing to the inflammatory process that takes place within the atherosclerotic plaque.

Medienart:

Artikel

Erscheinungsjahr:

2007

Erschienen:

2007

Enthalten in:

Zur Gesamtaufnahme - volume:1107

Enthalten in:

Annals of the New York Academy of Sciences - 1107(2007) vom: 09. Juni, Seite 42-50

Sprache:

Englisch

Beteiligte Personen:

Buttari, Brigitta [VerfasserIn]
Profumo, Elisabetta [VerfasserIn]
Petrone, Linda [VerfasserIn]
Pietraforte, Donatella [VerfasserIn]
Siracusano, Alessandra [VerfasserIn]
Margutti, Paola [VerfasserIn]
Delunardo, Federica [VerfasserIn]
Ortona, Elena [VerfasserIn]
Minetti, Maurizio [VerfasserIn]
Salvati, Bruno [VerfasserIn]
Riganò, Rachele [VerfasserIn]

Themen:

Autoantigens
Hemoglobins
Journal Article

Anmerkungen:

Date Completed 26.09.2007

Date Revised 21.11.2008

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM173149820