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The Journal of Immunology, 1998, 161: 2524-2532.
Copyright © 1998 by The American Association of Immunologists

Advanced Oxidation Protein Products as Novel Mediators of Inflammation and Monocyte Activation in Chronic Renal Failure1, 2

Véronique Witko-Sarsat*, Miriam Friedlander{dagger}, Thao Nguyen Khoa*, Chantal Capeillère-Blandin{ddagger}, Anh Thu Nguyen*, Sandrine Canteloup*, Jean-Michel Dayer§, Paul Jungers*, Tilman Drüeke* and Béatrice Descamps-Latscha3,*

* Institut National de la Santé et de la Recherche Médicale, Unit 90 and Department of Nephrology, Necker Hospital, Paris, France; {dagger} University Hospitals, Cleveland, OH 44106; {ddagger} Centre National de la Recherche Scientifique, Unité de Recherche Associée 400, Paris, France; and § Division of Immunology and Allergy, University Hospital, Geneva, Switzerland

We previously demonstrated the presence of advanced oxidation protein products (AOPP), a novel marker of oxidative stress in the plasma of uremic patients receiving maintenance dialysis. The present study in a cohort of 162 uremic patients showed that plasma concentrations of AOPP increased with progression of chronic renal failure and were closely related to advanced glycation end products (AGE)-pentosidine (r = 0.52, p < 0.001), taken as a marker of AGE. In vivo, the relevance of AOPP and AGE-pentosidine in monocyte-mediated inflammatory syndrome associated with uremia was evidenced by close correlations between AOPP or AGE-pentosidine and monocyte activation markers, including neopterin, IL-1R antagonist, TNF-{alpha}, and TNF soluble receptors (TNF-sR55 and TNF-sR75). To determine the mechanisms by which AOPP and AGE could be directly involved in monocyte activation, AOPP-human serum albumin (HSA) and AGE-HSA were produced in vitro by treating HSA with oxidants or glucose, respectively. Spectroscopic analysis confirmed that AOPP-HSA contains carbonyls and dityrosine. Both AOPP-HSA and AGE-HSA, but not purified dityrosine, were capable of triggering the oxidative burst of human monocytes in cultures. The AOPP-HSA-induced respiratory burst was dependent on the chlorinated nature of the oxidant and on the molar ratio HSA/HOCl. Collectively, these data first demonstrate that AOPP act as a mediator of oxidative stress and monocyte respiratory burst, which points to monocytes as both target and actor in the immune dysregulation associated with chronic uremia.




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