1. Contrasting effects of linezolid on healthy and dysfunctional human neutrophils: reducing C5a-induced injury
- Author
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Rowena Jenkins, Stephen J. Evans, A. John Simpson, Dietrich Mack, Thomas S. Wilkinson, Llinos G. Harris, Aled E. L. Roberts, Andrew Conway Morris, Evans, Stephen J [0000-0002-5352-9800], and Apollo - University of Cambridge Repository
- Subjects
0301 basic medicine ,Neutrophils ,Antibiotics ,lcsh:Medicine ,692/699/1785 ,medicine.disease_cause ,chemistry.chemical_compound ,0302 clinical medicine ,030212 general & internal medicine ,Acute inflammation ,lcsh:Science ,631/326 ,Respiratory Burst ,Multidisciplinary ,Pneumonia, Ventilator-Associated ,Respiratory burst ,Anti-Bacterial Agents ,Staphylococcus aureus ,Infectious diseases ,Methicillin-Resistant Staphylococcus aureus ,Cell biology ,medicine.drug_class ,631/250/2504 ,Phagocytosis ,030106 microbiology ,Complement C5a ,Microbiology ,Article ,03 medical and health sciences ,medicine ,Humans ,692/699/255 ,Mode of action ,Inflammation ,Respiratory tract diseases ,business.industry ,lcsh:R ,Linezolid ,biochemical phenomena, metabolism, and nutrition ,medicine.disease ,bacterial infections and mycoses ,631/250/255 ,Innate immune cells ,Pneumonia ,631/250/256 ,631/250/256/2516 ,chemistry ,Concomitant ,Immunology ,lcsh:Q ,631/80 ,business - Abstract
Methicillin-resistant Staphylococcus aureus (MRSA) is an important cause of ventilator-associated pneumonia (VAP). Patients with VAP have poorly functioning neutrophils, related to increased levels of the complement fragment C5a. The antibiotic linezolid has been useful in controlling MRSA-related VAP infections; however clinical benefit does not always correlate with antimicrobial effect, suggesting the possibility of immunomodulatory properties. Here the effects of linezolid on healthy and dysfunctional neutrophils (modelled by C5a-induced injury) was investigated. Functional assays (killing, phagocytosis, transmigration, and respiratory burst) were used to assess the effects of pre-, co- and post-incubating linezolid (0.4–40 mg/L) with healthy neutrophils relative to those with C5a-induced injury. C5a decreased neutrophil killing, and phagocytosis of MRSA. Furthermore, C5a significantly decreased neutrophil transmigration to IL-8, but did not affect respiratory burst. Co-incubation of linezolid significantly improved killing of MRSA by dysfunctional neutrophils, which was supported by concomitant increases in phagocytosis. Conversely linezolid impaired killing responses in healthy neutrophils. Pre- or post-incubation of linezolid prior or following C5a induced injury had no effect on neutrophil function. This study suggests that linezolid has immunomodulatory properties that protect human neutrophils from injury and provides insight into its mode of action beyond a basic antibiotic.
- Published
- 2020
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