PMID- 27333499 OWN - NLM STAT- MEDLINE DCOM- 20170912 LR - 20181202 IS - 1440-1681 (Electronic) IS - 0305-1870 (Linking) VI - 43 IP - 10 DP - 2016 Oct TI - Iron-chelating agent, deferasirox, inhibits neutrophil activation and extracellular trap formation. PG - 915-20 LID - 10.1111/1440-1681.12612 [doi] AB - Iron-chelating agents, which are frequently prescribed to transfusion-dependent patients, have various useful biological effects in addition to chelation. Reactive oxygen species (ROS) produced by neutrophils can cause pulmonary endothelial cell damage, which can lead to acute lung injury (ALI). We previously reported that deferasirox (DFS), an iron-chelating agent, inhibits phorbol myristate acetate (PMA) or formyl-methionyl-leucyl-phenylalanine (fMLP)-induced ROS production in neutrophils, in vitro. Here, we investigate whether DFS inhibits vacuolization in neutrophils and neutrophil extracellular trap (NET) formation. Human neutrophils were incubated with DFS and stimulated with PMA or fMLP. Human neutrophils were separated from heparinized peripheral blood using density gradient centrifugation, and subsequently incubated with DFS. After 10 minutes, neutrophils were stimulated by PMA or fMLP. Vacuole formation was observed by electron microscopy. For observing NET formations using microscopes, immunohistological analyses using citrullinated histone H3 and myeloperoxidase antibodies, and SYTOX Green (an impermeable DNA detection dye) staining, were conducted. NET formation was measured as the quantity of double-stranded DNA (dsDNA), using the AccuBlue Broad Range dsDNA Quantitation Kit. DFS (50 mumol/L) inhibited vacuole formation in the cytoplasm and NET formation. Additionally, 5-100 mumol/L concentration of DFS inhibited the release of dsDNA in a dose-independent manner. We demonstrate that DFS inhibits not only ROS production but also vacuolization and NET formation in neutrophils. These results suggest the possibility of protective effects of DFS against NET-related adverse effects, including ALI and thrombosis. CI - (c) 2016 John Wiley & Sons Australia, Ltd. FAU - Kono, Mari AU - Kono M AD - Scientific Research, Scientific Affairs, Sysmex Corporation, Kobe, Japan. FAU - Saigo, Katsuyasu AU - Saigo K AD - Faculty of Pharmacological Sciences, Himeji Dokkyo University, Himeji, Japan. FAU - Yamamoto, Shiori AU - Yamamoto S AD - Scientific Research, Scientific Affairs, Sysmex Corporation, Kobe, Japan. FAU - Shirai, Kohei AU - Shirai K AD - Faculty of Pharmacological Sciences, Himeji Dokkyo University, Himeji, Japan. FAU - Iwamoto, Shuta AU - Iwamoto S AD - Faculty of Pharmacological Sciences, Himeji Dokkyo University, Himeji, Japan. FAU - Uematsu, Tomoko AU - Uematsu T AD - Faculty of Pharmacological Sciences, Himeji Dokkyo University, Himeji, Japan. FAU - Takahashi, Takayuki AU - Takahashi T AD - Department of Hematology, Shinko Hospital, Kobe, Japan. FAU - Imoto, Shion AU - Imoto S AD - Department of Health Science, Kobe Tokiwa University, Kobe, Japan. FAU - Hashimoto, Makoto AU - Hashimoto M AD - Kobe University Hospital, Kobe, Japan. FAU - Minami, Yosuke AU - Minami Y AD - Kobe University Hospital, Kobe, Japan. FAU - Wada, Atsushi AU - Wada A AD - Scientific Research, Scientific Affairs, Sysmex Corporation, Kobe, Japan. FAU - Takenokuchi, Mariko AU - Takenokuchi M AD - Faculty of Pharmacological Sciences, Himeji Dokkyo University, Himeji, Japan. FAU - Kawano, Seiji AU - Kawano S AD - Kobe University Hospital, Kobe, Japan. LA - eng PT - Journal Article PL - Australia TA - Clin Exp Pharmacol Physiol JT - Clinical and experimental pharmacology & physiology JID - 0425076 RN - 0 (Benzoates) RN - 0 (Iron Chelating Agents) RN - 0 (Reactive Oxygen Species) RN - 0 (Triazoles) RN - V8G4MOF2V9 (Deferasirox) SB - IM MH - Benzoates/*pharmacology MH - Cells, Cultured MH - Deferasirox MH - Dose-Response Relationship, Drug MH - Extracellular Traps/*drug effects/metabolism MH - Humans MH - Iron Chelating Agents/*pharmacology MH - Neutrophil Activation/*drug effects/physiology MH - Phagocytosis/drug effects/physiology MH - Reactive Oxygen Species/metabolism MH - Triazoles/*pharmacology OTO - NOTNLM OT - iron chelators OT - morphology OT - neutrophils EDAT- 2016/06/23 06:00 MHDA- 2017/09/13 06:00 CRDT- 2016/06/23 06:00 PHST- 2015/12/22 00:00 [received] PHST- 2016/06/19 00:00 [revised] PHST- 2016/06/20 00:00 [accepted] PHST- 2016/06/23 06:00 [entrez] PHST- 2016/06/23 06:00 [pubmed] PHST- 2017/09/13 06:00 [medline] AID - 10.1111/1440-1681.12612 [doi] PST - ppublish SO - Clin Exp Pharmacol Physiol. 2016 Oct;43(10):915-20. doi: 10.1111/1440-1681.12612.