1. M2 monocyte polarization in dialyzed patients is associated with increased levels of M-CSF and myeloperoxidase-associated oxidative stress
- Author
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Pierre Van Antwerpen, Alexandre Rousseau, Valérie Pireaux, Karim Zouaoui Boudjeltia, Martine Raes, Cédric Delporte, and Jean-Marc Desmet
- Subjects
0301 basic medicine ,medicine.medical_treatment ,Chimie analytique ,Medicine (miscellaneous) ,Sciences biomédicales en général ,030204 cardiovascular system & hematology ,medicine.disease_cause ,Monocytes ,chemistry.chemical_compound ,0302 clinical medicine ,Polarization ,Medicine ,Chimie pharmaceutique ,lcsh:QH301-705.5 ,Myeloperoxidase ,biology ,medicine.diagnostic_test ,Phenotype ,myeloperoxidase ,medicine.anatomical_structure ,lipids (amino acids, peptides, and proteins) ,Hemodialysis ,medicine.symptom ,monocytes ,medicine.medical_specialty ,oxidation ,Inflammation ,General Biochemistry, Genetics and Molecular Biology ,Article ,Flow cytometry ,03 medical and health sciences ,Internal medicine ,Oxidation ,Dialysis ,Homocitrulline ,Inflammation biomarkers ,polarization ,business.industry ,Monocyte ,030104 developmental biology ,Endocrinology ,chemistry ,lcsh:Biology (General) ,inflammation ,biology.protein ,dialysis ,Sciences pharmaceutiques ,business ,Oxidative stress - Abstract
Cardiovascular diseases represent a major issue in terms of morbidity and mortality for dialysis patients. This morbidity is due to the accelerated atherosclerosis observed in these patients. Atherosclerosis is a chronic inflammatory disease characterized by key players such as monocytes, macrophages, or oxidized LDLs. Monocytes-macrophages are classified into subsets of polarized cells, with M1 and M2 macrophages considered, respectively, as pro- and anti-inflammatory. (1) Methods: The monocyte subsets and phenotypes were analyzed by flow cytometry. These data were completed by the quantification of plasma M-CSF, IL-8, CRP, Mox-LDLs, Apo-B, Apo-AI, chloro-tyrosine, and homocitrulline concentrations. The statistical differences and associations between two continuous variables were assessed using the Mann&ndash, Whitney U test and Spearman&rsquo, s correlation coefficient, respectively. (2) Results: Hemodialyzed patients showed a significant increase in their concentrations of CRP, M-CSF, and IL-8 (inflammation biomarkers), as well as chloro-tyrosine and homocitrulline (myeloperoxidase-associated oxidative stress biomarkers). Moreover, we observed a higher percentage of M2 monocytes in the plasma of hemodialysis patients as compared to the controls. (3) Conclusions: Our data suggest that oxidative stress and an inflammatory environment, which is amplified in hemodialysis patients, seems to favor an increase in the concentration of circulating M-CSF, therefore leading to an increase in M2 polarization among circulating monocytes.
- Published
- 2021