Hydrogen peroxide generation by polymorphonuclear leukocytes exposed to peritoneal dialysis effluent

I. Daniels, K. S.S. Bhatia, C. J. Porter, M. A. Lindsay, A. G. Morgan, R. P. Burden, J. Fletcher

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In the presence of peritoneal dialysis effluent (PDE), human polymorphonuclear leukocytes (PMN) showed reduced production of hydrogen peroxide and hypochlorous acid (H2O2 and HOCl, respectively) when at rest and when stimulated with both soluble (formylmethionyl-leucyl-phenylalanine and phorbol myristate acetate) and particulate (Staphylococcus epidermidis) agonists. This effect occurred in a concentration-dependent manner between 0 and 70% (vol/vol) dialysis effluent. The inhibition of H2O2 and HOCl observed in resting, formylmethionyl-leucyl-phenylalanine-stimulated and S. epidermidis-stimulated PMN was confined to a low-molecular-mass (< 10,000-Da) fraction of PDE, whereas the inhibition of the PMA response was equally dispersed throughout both low (< 10,000-Da)- and high-molecular-mass (> 10,000-Da) fractions. Human serum albumin, a major component of PDE, also inhibited H2O2 and HOCl production by PMN; however, results from cell-free systems suggested that human serum albumin was not wholly responsible for the inhibition of PMN function seen with PDE. The solute(s) responsible did not affect myeloperoxidase but very rapidly scavenged H2O2 and HOCl. These data suggest that the factors capable of affecting H2O2 and HOCl production by PMN accumulate in uremia and are removed from the circulation into dialysis effluent.

Original languageEnglish
Pages (from-to)682-688
Number of pages7
JournalClinical and Diagnostic Laboratory Immunology
Issue number6
Publication statusPublished - 30 Nov 1996

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Clinical Biochemistry
  • Microbiology (medical)


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