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The Journal of Immunology, 1998, 161: 4356-4365.
Copyright © 1998 by The American Association of Immunologists

Oxidized {alpha}2-Macroglobulin ({alpha}2M) Differentially Regulates Receptor Binding by Cytokines/Growth Factors: Implications for Tissue Injury and Repair Mechanisms in Inflammation1

Sean M. Wu*, Dhavalkumar D. Patel{dagger} and Salvatore V. Pizzo2,*

Departments of * Pathology and {dagger} Medicine, Division of Rheumatology, Duke University Medical Center, Durham, NC 27710

{alpha}2M binds specifically to TNF-{alpha}, IL-1ß, IL-2, IL-6, IL-8, basic fibroblast growth factor (bFGF), ß-nerve growth factor (ß-NGF), platelet-derived growth factor (PDGF), and TGF-ß. Since many of these cytokines are released along with neutrophil-derived oxidants during acute inflammation, we hypothesize that oxidation alters the ability of {alpha}2M to bind to these cytokines, resulting in differentially regulated cytokine functions. Using hypochlorite, a neutrophil-derived oxidant, we show that oxidized {alpha}2M exhibits increased binding to TNF-{alpha}, IL-2, and IL-6 and decreased binding to ß-NGF, PDGF-BB, TGF-ß1, and TGF-ß2. Hypochlorite oxidation of methylamine-treated {alpha}2M ({alpha}2M*), an analogue of the proteinase/{alpha}2M complex, also results in decreased binding to bFGF, ß-NGF, PDGF-BB, TGF-ß1, and TGF-ß2. Concomitantly, we observed decreased ability to inhibit TGF-ß binding and regulation of cells by oxidized {alpha}2M and {alpha}2M*. We then isolated {alpha}2M from human rheumatoid arthritis synovial fluid and showed that the protein is extensively oxidized and has significantly decreased ability to bind to TGF-ß compared with {alpha}2M derived from plasma and osteoarthritis synovial fluid. We, therefore, propose that oxidation serves as a switch mechanism that down-regulates the progression of acute inflammation by sequestering TNF-{alpha}, IL-2, and IL-6, while up-regulating the development of tissue repair processes by releasing bFGF, ß-NGF, PDGF, and TGF-ß from binding to {alpha}2M.




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