Augmentation of 5-lipoxygenase activity and expression during dengue serotype-2 infection

Wai Mun Loke, Angelia Yee Chow, Karen Lam Mok Sing, Chung-Yung J Lee, Barry Halliwell, Erle C H Lim, Amy M L Quek, Eng Eong Ooi, Raymond C S Seet, Wai Mun Loke, Angelia Yee Chow, Karen Lam Mok Sing, Chung-Yung J Lee, Barry Halliwell, Erle C H Lim, Amy M L Quek, Eng Eong Ooi, Raymond C S Seet

Abstract

Background: Leukotriene B4, a 5-lipoxygenase product of arachidonic acid with potent chemotactic effects on neutrophils, has not been assessed in dengue patients. In this study, plasma leukotriene B4 and serum high-sensitivity C-reactive protein levels were determined in adult patients during the febrile, convalescent and defervescent stages of dengue serotype-2 (DENV-2) infection, and compared with those of age-matched healthy and non-dengue febrile subjects. In vitro studies were performed to examine the effects of live and heat-inactivated DENV-2 on the activities and expression of 5-lipoxygenase in human neutrophils.

Results: Plasma leukotriene B4 was elevated during the febrile stages of dengue infection compared to levels during convalescence and in study controls. Plasma leukotriene B4 also correlated with serum high-sensitivity C-reactive protein in dengue patients (febrile, r = 0.91, p < 0.001; defervescence, r = 0.87, p < 0.001; convalescence, r = 0.87, p < 0.001). Exposure of human neutrophils to DENV-2 resulted in a significant rise in leukotriene B4; the extent of increase, however, did not differ between exposure to live and heat-inactivated DENV-2. Pre-incubation of either live or heat-inactivated DENV-2 resulted in reduced leukotriene B4 release by neutrophils, indicating that contact with dengue antigens (and not replication) triggers the neutrophil response. Production of leukotriene B4 was associated with an increase in 5-lipoxygenase expression in human neutrophils; addition of MK886 (a 5-lipoxygenase activating protein inhibitor) attenuated further increase in leukotriene B4 production.

Conclusion: These findings provide important clinical and mechanistic data on the involvement of 5-lipoxygenase and its metabolites in dengue infection. Further studies are needed to elucidate the therapeutic implications of these findings.

Figures

Figure 1
Figure 1
Production of leukotriene B4 by neutrophils incubated with or without DENV-2. (A) Production of leukotriene B4 (ng/106 cells) by freshly isolated peripheral neutrophils over 7-hour incubation in the presence and absence of live dengue viruses exposure (DENV-2), heat-inactivated dengue viruses exposure (hiDENV-2), and A23187 (A) treatment (N = 5). * p < 0.05 vs untreated cells using one-way ANOVA analysis of the area under the curves with Bonferroni adjustments. (B) Leukotriene B4 production (ng/106 cells) from freshly isolated peripheral neutrophils after 5 hours of incubation with or without live dengue viruses exposure (DENV-2), heat-inactivated dengue viruses exposure (hiDENV-2), MK886 (MK) and A23187 (A) treatment (N = 5). Bars with the same subscripts are not significantly different from each other using one-way ANOVA analysis with Bonferroni adjustments.
Figure 2
Figure 2
5-Lipoxygenase expression by neutrophils incubated with or without dengue viruses. The proteins were isolated from neutrophils and were electrophoretically transferred from the gel onto Hybond-C Extranitrocellulose membrane. The membrane was then cut, based on the size of proteins of interest, to separate the 5-lipoxygenase (79 kDa) and the control protein GAPDH (39 kDa). (A) Representative films from 5-lipoxygenase and GAPDH Western blots performed with untreated neutrophils and neutrophils incubated with live (DENV-2) or heat-inactivated dengue viruses (hiDENV-2). (B) Expression of 5-lipoxygenase protein by untreated neutrophils (×) and neutrophils exposed to live (DENV-2, □) or heat-inactivated dengue viruses (hiDENV-2, ■) (N = 3). * p < 0.05 vs untreated cells using one-way ANOVA analysis of the area under the curves with Bonferroni adjustments.
Figure 3
Figure 3
Production of leukotriene B4 by neutrophils incubated with or without anti-DENV-2 antibody. Production of leukotriene B4 (ng/106 cells) from freshly isolated peripheral neutrophils after 5-hour incubation in the presence and absence of anti-DENV-2 antibody (antiDENV), with live DENV-2 (DENV), heat-inactivated DENV-2 (hiDENV) and A23187 (A) treatment (N = 5). * p < 0.05 vs DENV + A using one-way ANOVA analysis with Bonferroni adjustments. # p < 0.05 vs hiDENV + A using one-way ANOVA analysis with Bonferroni adjustments.

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