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Originally published In Press as doi:10.1074/jbc.M205378200 on August 26, 2002

J. Biol. Chem., Vol. 277, Issue 43, 40775-40781, October 25, 2002
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Loss of Pentameric Symmetry of C-reactive Protein Is Associated with Delayed Apoptosis of Human Neutrophils*

Tarek KhreissDagger §, Levente JózsefDagger §, Shireen HossainDagger , John S. D. Chan, Lawrence A. Potempa||, and János G. FilepDagger **

From the Dagger  Research Center, Maisonneuve-Rosemont Hospital and Department of Medicine, University of Montréal, Montréal, Québec H1T 2M4, Canada,  the Centre de Recherche, Centre Hospitalier de l'Université de Montréal-Hôtel Dieu, University of Montréal, Québec H2W 1T8, Canada, and || NextEra Therapeutics, Vernon Hills, Illinois 60061

Human neutrophil granulocytes die rapidly, and their survival is contingent upon rescue from programmed cell death by signals from the environment. Here we report that a novel signal for delaying neutrophil apoptosis is the classic acute phase reactant, C-reactive protein (CRP). However, this anti-apoptotic activity is expressed only when the cyclic pentameric structure of CRP is lost, resulting in formation of modified or monomeric CRP (mCRP), which may be formed in inflamed tissues. By contrast, native pentameric CRP and CRP peptides 77-82, 174-185, and 201-206 failed to affect neutrophil apoptosis. The apoptosis delaying action of mCRP was markedly attenuated by an antibody against the low affinity IgG immune complex receptor (CD16) but not by an anti-CD32 antibody. mCRP evoked a transient concurrent activation of the extracellular signal-regulated kinase (ERK) and phosphatidylinositol 3-kinase/Akt signaling pathways, leading to inhibition of caspase-3 and consequently to delaying apoptosis. Consistently, pharmacological inhibition of either ERK or Akt reversed the anti-apoptotic action of mCRP; however, they did not produce additive inhibition. Thus, mCRP, but not pentameric CRP or peptides derived from CRP, promotes neutrophil survival and may therefore contribute to amplification of the inflammatory response.


* This study was supported by Grant MOP-12573 from the Canadian Institutes of Health Research (to J. G. F.).The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

§ These two authors contributed equally to this work.

** To whom correspondence should be addressed: Research Center, Maisonneuve-Rosemont Hospital, 5415 boulevard de l'Assomption, Montréal, Québec H1T 2M4, Canada. Tel.: 514-252-3400 (ext. 4662); Fax: 514-252-3430; E-mail: janos.g.filep@umontreal.ca.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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