Neutrophil activation in acute hemorrhagic fever with renal syndrome is mediated by hantavirus-infected microvascular endothelial cells
Open accessAbstract
Hantaviruses cause hemorrhagic fever with renal syndrome (HFRS) and hantavirus cardiopulmonary syndrome (HCPS) in humans. Both diseases are considered to be immunologically mediated but the exact pathological mechanisms are still poorly understood. Neutrophils are considered as the first line of defense against invading microbes but little is still known of their role in virus infections. We wanted to study the role of neutrophils in HFRS using blood and tissue samples obtained from Puumala hantavirus (PUUV)-infected patients. We found that neutrophil activation products myeloperoxidase and neutrophil elastase, together with interleukin-8 (the major neutrophil chemotactic factor in humans), are strongly elevated in blood of acute PUUV-HFRS and positively correlate with kidney dysfunction, the hallmark clinical finding of HFRS. These markers localized mainly in the tubulointerstitial space in the kidneys of PUUV-HFRS patients suggesting neutrophil activation to be a major likely component of the general immune response towards hantaviruses. We also observed increased levels of circulating extracellular histones at the acute stage of the disease supporting previous findings of neutrophil extracellular trap formation in PUUV-HFRS. Mechanistically, we did not find evidence for direct PUUV-mediated activation of neutrophils but instead primary blood microvascular endothelial cells acquired a pro-inflammatory phenotype and promoted neutrophil degranulation in response to PUUV infection in vitro. These results suggest that neutrophils are activated by hantavirus-infected endothelial cells and may contribute to the kidney pathology which determines the severity of HFRS.
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Neutrophil activation products myeloperoxidase, neutrophil elastase, and interleukin-8 were strongly elevated in the blood of patients with hantavirus HFRS and correlate positively with renal dysfunction.
“Tomas Strandin et al., in 2018, found that neutrophil activation products: myeloperoxidase, and neutrophil elastase, along with interleukin-8 (the major neutrophil chemotactic factor in humans), were strongly elevated in the blood of patients with hantavirus HFRS, factors that correlate positively with renal dysfunction [162].”
From The Role of Reactive Species on Innate Immunity (2022) · cites this paper as [162]
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- Authors
- Strandin, T., Mäkelä, S., Mustonen, J., & Vaheri, A.
- Affiliations
- University of Helsinki (FI)
- Tampere University Hospital (FI)
- Corresponding author
- Strandin, Tomas
- Venue
- Frontiers in Immunology
- Publisher
- Frontiers Media SA
- Published
- 2018-09-18
- Volume
- 9
- Pages
- 2098-2098
- ISSN
- 1664-3224 (ISSN-L)
- PMC
- PMC6157395
- OpenAlex
- W2892301109
- Cited by
- 61
- References
- 50
- Citations by year
- 2026: 7 · 2025: 2 · 2024: 9 · 2023: 5 · 2022: 13 · 2021: 14 · 2020: 3 · 2019: 7 · 2018: 1
- FWCI
- 4.72
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Frontiers in Immunology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Tampere University Institutional Repository (Tampere University) (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Työväentutkimus Vuosikirja (submittedVersion)
- Tampere University Institutional Repository (Tampere University) (submittedVersion, cc-by)
- Funders
- Academy of Finland (1275597)
- Sigrid Juséliuksen Säätiö
- Magnus Ehrnroothin Säätiö
- Tampereen TuberkuloosisäätiÖ
- Topics
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Vectors
- Life Sciences › Immunology and Microbiology › Immunology › Neutrophil, Myeloperoxidase and Oxidative Mechanisms
- Life Sciences › Immunology and Microbiology › Immunology › Inflammation biomarkers and pathways
- Keywords
- hemorrhagic fever with renal syndrome, Puumala hantavirus, neutrophil activation, hantavirus infection, microvascular endothelial cells, myeloperoxidase, neutrophil elastase, interleukin-8, extracellular histones, neutrophil extracellular traps, neutrophil degranulation, renal dysfunction, hantavirus pulmonary syndrome
- MeSH terms
- Acute Disease, Cells, Cultured, Hemorrhagic Fever with Renal Syndrome, Humans, Immunity, Innate, Kidney, Peroxidase, Neutrophils, Interleukin-8, Hantaan virus, Neutrophil Activation, Leukocyte Elastase, Nitric Oxide Synthase Type III, Microvessels, Extracellular Traps
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