Abstract:
Manganese (Mn2+) is an essential nutrient required in trace amounts for human
health; however excessive exposure to the metal, predominantly reported in
adults exposed occupationally via inhalation, has been associated with adverse
central nervous system effects and respiratory symptoms. Pro-oxidative
interactions with cells of the innate immune system may play a role in mediating
these effects.
The aim of the current study was to investigate the pro-oxidative and proinflammatory
interactions of Mn2+ with cells of the innate immune system,
specifically neutrophils and monocyte-derived macrophages. The primary
objectives of the current study were to investigate:i) the pro-oxidative interactions
of MnCl2 (1.56-100μM) with isolated human blood neutrophils stimulated with the
chemoattractant, N-Formyl-L-methionyl-L-leucyl-L-phenylalanine (FMLP), or the
phorbol ester, phorbol 12-myristate 13-acetate (PMA), according to effects on
the generation of superoxide, hydroxyl radical, hypohalous acids and hydrogen
peroxide;ii) the effects of MnCl2 on the generation of the reactive oxygen species
(ROS), superoxide, hydrogen peroxide and nitric oxide by PMA-activated human blood monocyte-derived macrophages;iii) the effects of MnCl2 on the production
of the pro-inflammatory cytokines, interleukin 1β (IL-1β), interleukin 6 (IL-6),
interleukin 8 (IL-8), granulocyte colony-stimulating factor (G-CSF), interferon
gamma (IFN لا), and tumor necrosis factor (TNF) by unstimulated and
lipopolysaccharide (LPS)-activated monocyte-derived macrophages; and iv) the
effects of MnCl2 on signal transduction pathways involved in pro-inflammatory
cytokine production. The generation of ROS was measured using a series of
laboratory procedures designed to precisely characterize the pro-oxidative
properties of MnCl2. These included measurement of oxygen consumption,
lucigenin/luminol-enhanced chemiluminescence, spectrofluorimetric detection of
oxidation of 2,7-dichlorodihydrofluorescein, and radiometric assessment of
myeloperoxidase-mediated protein iodination, while a spectrophotometric
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method was used for measurement of nitric oxide (NO). In addition, several cellfree
ROS-generating systems were used. The Bio-Plex Pro TM assay kit was
used to measure/ detect the production of pro-inflammatory cytokines, while
inhibitors (NFκB activation inhibitor, a p38MAP kinase inhibitor and dithiothreitol)
were used to probe the signal transduction pathways utilized by MnCl2 to
modulate the production of the pro-inflammatory cytokines by monocyte-derived
macrophages.
The findings of the study demonstrated that treatment of neutrophils and
macrophages with Mn2+ markedly increasedthe production of the ROS, H2O2 and
HOCl in the setting of decreased reactivity of superoxide, while cellular O2
consumption and generation of NO were unaffected. Taken together with the
findings of experiments using cell-free ROS-generating systems, these
observations are compatible with a mechanism whereby Mn2+,by acting as a
superoxide dismutase mimetic, increases the formation of H2O2 by activated
phagocytes.
Mn2+ also potentiated the production of pro-inflammatory cytokines by monocytederived
macrophages, apparently by affecting H2O2-mediated redox-sensitive
signaling pathways.
Importantly, this is the first study which has:
i) conclusively established that exposure of human neutrophils and macrophages
to MnCl2potentiates the generation of the relatively stable, cell-permeable,
potentially damaging ROS, H2O2; and
ii) that H2O2, in turn, via activation of redox-regulated intracellular signaling
mechanisms in macrophages, initiates and potentiates the generation of proinflammatory
cytokines by the cells.
These findings not only provide a mechanism for Mn2+-mediated toxicity, but also
underscore the requirement for strictly controlled exposure to this metal in both
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the occupational and environmental settings, as well as the potential for H2O2-
neutralizing, anti-oxidative preventive and therapeutic strategies.