Endothelial cell protection and complement inhibition in xenotransplantation: a novel in vitro model using whole blood

BACKGROUND: Studying the interactions between xenoreactive antibodies, complement and coagulation factors with the endothelium in hyperacute and acute vascular rejection usually necessitates the use of in vivo models. Conventional in vitro or ex vivo systems require either serum, plasma or anti-coagulated whole blood, making analysis of coagulation-mediated effects difficult. Here a novel in vitro microcarrier-based system for the study of endothelial cell (EC) activation and damage, using non-anticoagulated whole blood is described. Once established, the model was used to study the effect of the characterized complement- and coagulation inhibitor dextran sulfate (DXS, MW 5000) for its EC protective properties in a xenotransplantation setting. METHODS: Porcine aortic endothelial cells (PAEC), grown to confluence on microcarrier beads, were incubated with non-anticoagulated whole human blood until coagulation occurred or for a maximum of 90 min. PAEC-beads were either pre- or co-incubated with DXS. Phosphate buffered saline (PBS) experiments served as controls. Fluid phase and surface activation markers for complement and coagulation were analyzed as well as binding of DXS to PAEC-beads. RESULTS: Co- as well as pre-incubation of DXS, followed by washing of the beads, significantly prolonged time to coagulation from 39 +/- 12 min (PBS control) to 74 +/- 23 and 77 +/- 20 min, respectively (P < 0.005 vs. PBS). DXS treatment attenuated surface deposition of C1q, C4b/c, C3b/c and C5b-9 without affecting IgG or IgM deposition. Endothelial integrity, expressed by positivity for von Willebrand Factor, was maintained longer with DXS treatment. Compared with PBS controls, both pre- and co-incubation with DXS significantly prolonged activated partial thromboplastin time (>300 s, P < 0.05) and reduced production of thrombin-antithrombin complexes and fibrinopeptide A. Whilst DXS co-incubation completely blocked classical pathway complement activity (CH50 test) DXS pre-incubation or PBS control experiments showed no inhibition. DXS bound to PAEC-beads as visualized using fluorescein-labeled DXS. CONCLUSIONS: This novel in vitro microcarrier model can be used to study EC damage and the complex interactions with whole blood as well as screen ''endothelial protective'' substances in a xenotransplantation setting. DXS provides EC protection in this in vitro setting, attenuating damage of ECs as seen in hyperacute xenograft rejection.

Potent innate immune response to pathogenic leptospira in human whole blood.

BACKGROUND Leptospirosis is caused by pathogenic spirochetes of the genus Leptospira. The bacteria enter the human body via abraded skin or mucous membranes and may disseminate throughout. In general the clinical picture is mild but some patients develop rapidly progressive, severe disease with a high case fatality rate. Not much is known about the innate immune response to leptospires during haematogenous dissemination. Previous work showed that a human THP-1 cell line recognized heat-killed leptospires and leptospiral LPS through TLR2 instead of TLR4. The LPS of virulent leptospires displayed a lower potency to trigger TNF production by THP-1 cells compared to LPS of non-virulent leptospires. METHODOLOGY/PRINCIPAL FINDINGS We investigated the host response and killing of virulent and non-virulent Leptospira of different serovars by human THP-1 cells, human PBMC's and human whole blood. Virulence of each leptospiral strain was tested in a well accepted standard guinea pig model. Virulent leptospires displayed complement resistance in human serum and whole blood while in-vitro attenuated non-virulent leptospires were rapidly killed in a complement dependent manner. In vitro stimulation of THP-1 and PBMC's with heat-killed and living leptospires showed differential serovar and cell type dependence of cytokine induction. However, at low, physiological, leptospiral dose, living virulent complement resistant strains were consistently more potent in whole blood stimulations than the corresponding non-virulent complement sensitive strains. At higher dose living virulent and non-virulent leptospires were equipotent in whole blood. Inhibition of different TLRs indicated that both TLR2 and TLR4 as well as TLR5 play a role in the whole blood cytokine response to living leptospires. CONCLUSIONS/SIGNIFICANCE Thus, in a minimally altered system as human whole blood, highly virulent Leptospira are potent inducers of the cytokine response.

Phosphatidylethanol (PEth) in blood samples from "driving under the influence" cases as indicator for prolonged excessive alcohol consumption.

Phosphatidylethanol (PEth) is considered as specific biomarker of alcohol consumption. Due to accumulation after repeated drinking, PEth is suitable to monitor long-term drinking behavior. To examine the applicability of PEth in "driving under the influence of alcohol" cases, 142 blood samples with blood alcohol concentrations (BAC) ranging from 0.0-3.12 ‰ were analyzed for the presence of PEth homologues 16:0/18:1 (889 ± 878 ng/mL; range samples with a BAC < 1.6 ‰. Similar results were obtained for PEth 16:0/18:2 with a threshold of 300 ng/mL. Both criteria, PEth 16:0/18:1 and PEth 16:0/18:2, were conform in the evaluation of drinking habits in 88.7 % of blood samples. These results show the possibility to detect prolonged excessive alcohol consumption, even if the BAC is below the legal threshold of 1.6 ‰ for driving aptitude assessment. As a consequence, concentrations of PEth 16:0/18:1 ≥ 700 ng/mL and of PEth 16:0/18:2 ≥ 300 ng/mL may be considered as indicators for the necessity of driving aptitude assessment in addition to BAC.

(Table 3) Major element content of whole-rock samples of DSDP Leg 30 holes

All norms were calculated with an atomic ratio of Fe+3/Fe+2 = 0.2, except analysis 7 which was calculated directly from the analysis.

Element concentrations and isotopic composition of tholeiite and whole rocks samples from the east Mariana Basin

Studies of seafloor magnetic anomaly patterns suggest the presence of Jurassic oceanic crust in a large area in the western Pacific that includes the East Mariana, Nauru and Pigafetta Basins. Sampling of the igneous crust in this area by the Deep Sea Drilling Program (DSDP) and the Ocean Drilling Program (ODP) allows direct evaluation of the age and petrogenesis of this crust. ODP Leg 129 drilled a 51 m sequence of basalt pillows and massive flows in the central East Mariana Basin. 40Ar/39Ar ages determined in this study for two Leg 129 basalts average 114.6 +/- 3.2 Ma. This age is in agreement with the Albian-late Aptian paleontologic age of the overlying sediments, but is distinctively younger than the Jurassic age predicted by magnetic anomaly patterns in the basin. Compositionally, the East Mariana Basin basalts are uniformly low-K tholeiites that are depleted in highly incompatible elements compared to moderately incompatible ones, which is typical of mid-ocean ridge basalts (MORB) erupted near hotspots. The Sr, Nd and Pb isotopic compositions of the tholeiites (87Sr/86Sr init = 0.70360-0.70374; 143Nd/144Nd init = 0.512769-0.512790; 206Pb/204Pb meas = 18.355-18.386) also overlap with some Indian Ocean Ridge MORB, although they are distinct from the isotopic compositions of Jurassic basalts drilled in the Pigafetta Basin, the oldest Pacific MORB. The isotopic compositions of the East Mariana Basin tholeiites are also similar to those of intraplate basalts, and in particular, to the isotopic signature of basalts from the nearby Ontong Java and Manihiki Plateaus. The East Mariana Basin tholeiites also share many petrologic and isotopic characteristics with the oceanic basement drilled in the Nauru Basin at DSDP Site 462. In addition, the new 110.8 +/- 1.0 Ma 40Ar/39Ar age for two flows from the bottom of Site 462 in the Nauru Basin is indistinguishable from the age of the East Mariana Basin flows. Thus, while magnetic anomaly patterns predict that the igneous basement in the Nauru and East Mariana Basins is Jurassic in age, the geochemical and chronological results discussed here suggest that the basement formed during a Cretaceous rifting event within the Jurassic crust. This magmatic and tectonic event was created by the widespread volcanism responsible for the genesis of the large oceanic plateaus of the western Pacific.

Sulphur geochemistry of whole-rock samples from ODP Hole 176-735B

Sulfide petrography plus whole rock contents and isotope ratios of sulfur were measured in a 1.5 km section of oceanic gabbros in order to understand the geochemistry of sulfur cycling during low-temperature seawater alteration of the lower oceanic crust, and to test whether microbial effects may be present. Most samples have low SO4/Sum S values (<= 0.15), have retained igneous globules of pyrrhotite ± chalcopyrite ± pentlandite, and host secondary aggregates of pyrrhotite and pyrite laths in smectite ± iron-oxyhydroxide ± magnetite ± calcite pseudomorphs of olivine and clinopyroxene. Compared to fresh gabbro containing 100-1800 ppm sulfur our data indicate an overall addition of sulfide to the lower crust. Selection of samples altered only at temperatures <= 110 °C constrains microbial sulfate reduction as the only viable mechanism for the observed sulfide addition, which may have been enabled by the production of H2 from oxidation of associated olivine and pyroxene. The wide range in d34Ssulfide values (-1.5 to + 16.3 per mil) and variable additions of sulfide are explained by variable epsilon sulfate-sulfide under open system pathways, with a possible progression into closed system pathways. Some samples underwent oxidation related to seawater penetration along permeable fault horizons and have lost sulfur, have high SO4/Sum S (>= 0.46) and variable d34Ssulfide (0.7 to 16.9 per mil). Negative d34Ssulfate-d34Ssulfide values for the majority of samples indicate kinetic isotope fractionation during oxidation of sulfide minerals. Depth trends in sulfide-sulfur contents and sulfide mineral assemblages indicate a late-stage downward penetration of seawater into the lower 1 km of Hole 735B. Our results show that under appropriate temperature conditions, a subsurface biosphere can persist in the lower oceanic crust and alter its geochemistry.

39Ar/40Ar ratios of whole rock samples from ODP Hole 107-655B and 107-651A (Table 1)

Six whole rocks from the basaltic lava series drilled in the Vavilov basin have been analyzed by 39Ar-40Ar stepwise heating method. One sample from the upper part of the Hole 655B basement gave a plateau-age at 4.3 ± 0.3 Ma whereas the other ones showed disturbed age spectra caused by alteration processes. The weighted averages of ages measured at low and intermediate temperatures on these five samples are concordant (1) one to each other and (2) with independent estimates deduced from paleontological and paleomagnetical arguments. Ages of 4.3 ± 0.3 Ma and from 3 to 2.6 Ma may represent reasonable estimates of the crystallization ages of the basaltic lava series of the Holes 655B and 651A, respectively. These ages must be taken with caution because they correspond to argon released from secondary phases characterized by low argon retention.