Surface-bound myeloperoxidase is a ligand for recognition of late apoptotic neutrophils by human lung surfactant proteins A and D

Anne Jäkel , Howard Clark , Kenneth B. M. Reid , Robert B. Sim

Protein Cell ›› 2010, Vol. 1 ›› Issue (6) : 563 -572.

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Protein Cell ›› 2010, Vol. 1 ›› Issue (6) :563 -572. DOI: 10.1007/s13238-010-0076-0
Research article
Surface-bound myeloperoxidase is a ligand for recognition of late apoptotic neutrophils by human lung surfactant proteins A and D
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Abstract

Surfactant proteins A (SP-A) and D (SP-D), both members of the collectin family, play a well established role in apoptotic cell recognition and clearance. Recent in vitro data show that SP-A and SP-D interact with apoptotic neutrophils in a distinct manner. SP-A and SP-D bind in a Ca2+-dependent manner to viable and early apoptotic neutrophils whereas the much greater interaction with late apoptotic neutrophils is Ca2+-independent. Cell surface molecules on the apoptotic target cells responsible for these interactions had not been identified and this study was done to find candidate target molecules. Myeloperoxidase (MPO), a specific intracellular defense molecule of neutrophils that becomes exposed on the outside of the cell upon apoptosis, was identified by affinity purification, mass-spectrometry and western blotting as a novel binding molecule for SP-A and SP-D. To confirm its role in recognition, it was shown that purified immobilised MPO binds SP-A and SP-D, and that MPO is surface-exposed on late apoptotic neutrophils. SP-A and SP-D inhibit binding of an anti-MPO monoclonal Ab to late apoptotic cells. Fluorescence microscopy confirmed that anti-MPO mAb and SP-A/SP-D colocalise on late apoptotic neutrophils. Desmoplakin was identified as a further potential ligand for SP-A, and neutrophil defensin as a target for both proteins.

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Keywords

SP-A / SP-D / myeloperoxidase / neutrophils / flow cytometry / mass spectrometry

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Anne Jäkel, Howard Clark, Kenneth B. M. Reid, Robert B. Sim. Surface-bound myeloperoxidase is a ligand for recognition of late apoptotic neutrophils by human lung surfactant proteins A and D. Protein Cell, 2010, 1 (6) : 563-572 DOI:10.1007/s13238-010-0076-0

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INTRODUCTION

Apoptosis is regarded as the process of programmed cell death, in which the rearrangement of plasma-membrane components, including proteins and phospholipids mark the apoptotic cell as a target for the binding of innate immune system proteins and subsequently for phagocytic clearance. Clearance of apoptotic cells is an important step in the resolution of the inflammatory response, as well as in normal growth and development during embryogenesis (Fadok and Henson, 2003). As apoptosis progresses, the integrity of the plasma membrane is lost, resulting in leakage of potentially toxic intracellular contents into the environment and triggering of an inflammatory response (Fadok and Chimini, 2001).

Efficient clearance of dying cells may be particularly important in the lung in which immune challenges occur regularly, sometimes eliciting the influx of massive numbers of inflammatory cells. Recognition and clearance of apoptotic cells are accomplished by a redundant system of phagocyte receptors (Fadok et al., 2001; Ogden et al., 2001; Somersan and Bhardwaj, 2001), soluble bridging molecules (Somersan and Bhardwaj, 2001), and apoptotic cell ligands (Fadok et al., 1992; Somersan and Bhardwaj, 2001). Evidence indicates that two members of the collectin family, surfactant protein A (SP-A) and surfactant protein D (SP-D), participate in apoptotic cell removal by alveolar macrophages in vitro (Schagat et al., 2001).

The collectins, including SP-A and SP-D, are part of the innate immune system and are thought to be primarily important in host defense because of their capability specifically to recognize pathogens and facilitate their removal through opsonin-mediated phagocytosis. Collectins are oligomeric proteins characterized by N-terminal collagen-like domains and C-terminal lectin or carbohydrate binding domains (Holmskov et al., 1994). Family members are pattern recognition molecules that bind nonself moieties, thereby targeting the foreign material for rapid clearance by immune cells. SP-A in particular can bind to a variety of substrates, including carbohydrates, surfactant lipids and lipid vesicles (Haagsman et al., 1990; Haagsman et al., 1991; Kuroki and Akino, 1991; Jäkel et al., 2010) and proteins (myosin) (Michelis et al., 1994). Binding of SP-A to both bacteria and lipid vesicles enhances their phagocytosis by macrophages (Gaynor et al., 1995; Wright and Youmans, 1995; Tino and Wright, 1999).

Several in vivo models of pulmonary injury demonstrate the importance of alveolar macrophage (AM) phagocytosis of apoptotic granulocytes in the resolution of inflammation (Cox et al., 1995; Hussain et al., 1998), and it has been suggested that chronic pulmonary inflammation may be a result of inefficient clearance of apoptotic granulocytes (Haslett, 1999).

Recent data imply a distinct role of SP-A and SP-D in the recognition of apoptotic cells. Jäkel and coworkers (Jäkel et al., 2010) show that SP-A and SP-D interact with late apoptotic Jurkat cells and neutrophils in a Ca2+-independent manner whereas the binding to viable and early apoptotic target cells for SP-A was Ca2+-dependent and inhibited by mannose (for both cell types). SP-D did not interact with viable and early apoptotic Jurkat cells at all but bound in a mixed mode (Ca2+-dependent or-independent) to viable and early apoptotic neutrophils. However, in these studies it was not investigated which surface molecules on the apoptotic target cell were involved in this association. In the present study, the binding of SP-A and SP-D to neutrophil proteins was investigated. Here we report the identification of myeloperoxidase (MPO) by affinity selection, mass spectrometry and western blotting as a novel SP-A and SP-D binding molecule on the late apoptotic cell. Flow cytometry data show MPO is exposed on the cell surface, and that SP-A and SP-D both inhibit the binding of an anti-MPO specific mAb to the surface of late apoptotic cells. These findings were confirmed by fluorescence microscopy showing colocalization of SP-A/SP-D and anti-MPO mAb. Thus, we conclude that SP-A and SP-D interact with MPO on the surface of late apoptotic neutrophils. Neutrophil defensin and desmoplakin were also indentified as potential target proteins.

RESULTS

Identification of MPO as a binding molecule for SP-A and SP-D

Streptavidin-activated magnetic beads were coated with biotinylated SP-A and SP-D and incubated with cell lysates of viable, early and late apoptotic neutrophils in a CaCl2-containing buffer in order to enrich putative target proteins which might interact with the lung collectins. As a background control, streptavidin-activated beads without SP-A or SP-D were also incubated with the cell supernatant and compared with the SP-A and SP-D coated beads.

After washing, bound proteins were eluted with 1 mM EDTA and subsequently with citric acid, pH 2.5. Eluted fractions were analyzed by SDS-PAGE followed by silver staining. Bands visible on the gel, corresponding to putative receptor candidates, were submitted for analysis by mass spectrometry.

Independently of the stage of cell viability, the pattern of enriched protein bands was very similar for SP-A (Fig. 1A), showing five distinct bands (labeled 1–5), two of which eluted in EDTA (bands 1 and 2) and the rest in acid.

This suggested that during entry into cell death no additional SP-A binding proteins were expressed. There were no protein bands visible with the blank beads, showing that the washing procedure did not leave any non-specifically bound proteins on the beads.

The pattern of proteins eluted from SP-D coated beads (Fig. 1B) also showed no difference between stages of cell viability. The proteins eluted in acid (tracks 4) were very similar to those eluted from SP-A coated beads, such that the major bands (labeled 6, 7, 8) appear to be the same as the major bands (labeled 3, 4, 5) eluted from SP-A coated beads (Fig. 1A, tracks 4). A striking difference, however, is that no proteins were eluted from the SP-D coated beads in EDTA (Fig. 1B, tracks 2). Thus, bands 1 and 2 (Fig. 1A, tracks 2) bind only to SP-A.

The molecular weights (MW) of the isolated protein bands were calculated in a logMW versus mobility plot of the protein standard (Weber and Osborn, 1969). For SP-A coated beads only, two prominent protein bands of > 200 kDa and ~20 kDa were seen which eluted with EDTA (Fig. 1A, bands 1, 2), suggesting a calcium ion-dependent binding mechanism of SP-A. These gel bands were submitted for identification by mass spectrometry analysis. For SP-D coated beads, no calcium-dependent binding proteins were seen (Fig. 1B).

For SP-A beads, the elution pattern of the low pH buffer (Fig. 1A) showed several protein bands, which are candidates for the non-Ca2+-dependent binding of SP-A. The three strongest bands running at 60 kDa (band 3), 15 kDa (band 4) and 5 kDa (band 5) in SDS-PAGE were submitted for identification by mass spectrometry analysis. These were assumed to be the same as bands 6, 7, 8, respectively, eluted from the SP-D coated beads (Fig. 1B).

Protein identification by mass spectrometry revealed the presence of five candidate proteins (Table 1). The protein identified in band 1, is desmoplakin, which belongs to a group of molecules which are involved in the formation of desmosomes, the major intercellular junctions of epithelial cells (Kowalczyk et al., 1999). The molecular weight of desmoplakin is consistent with its running position at the top of the gel (Fig. 1A). It was not excluded as a candidate binding protein as it shows a relatively high protein score (Table 1). However, western blot analysis performed as described for MPO (Fig. 2) but using 10 μg/mL anti-desmoplakin 1 + 2 mAb (AbD Serotec, Abingdon, UK) failed to confirm the presence of desmoplakin. A cell lysate of HeLa cells was positive in this assay.

Band 2 (Fig. 1A) was not identified satisfactorily. Two peptide matches to IgG3 heavy chain were noted but with a low score. Band 2 may be a fragment (20 kDa) of a human IgG3 (heavy chain 50 kDa), which may have reacted with some feature of the biotinylated proteins or their adduct with the beads.

Band 3 (60 kDa) matches well with the identification of myeloperoxidase (MPO) (very high protein score), with two heavy (60 kDa) and two light chains (15 kDa). This protein seems to be a strong candidate as band 4 (15 kDa) was also identified as MPO, so both heavy and light chains are present. The elution was not in EDTA, but at low pH, indicating that the interaction with SP-A is not Ca2+-dependent.

The presence of MPO in the acidic eluates of beads coated with SP-A and SP-D was confirmed by western blotting (Fig. 2). For both proteins, the presence of MPO was shown in viable, early and late apoptotic cell lysates.

MPO (Swiss Protein number P05164) is a dimer of 2 disulfide-linked heavy chains (~60 kDa, amino acids 279–745) non-covalently linked to two light chains (~15 kDa, amino acids 165–278). The mAb appears to recognize both heavy and light chain. This has been observed previously (Audrain et al., 1997). Sequence similarity suggests there may be common epitope(s), e.g., EPLAR (heavy chain) and EPAAR (light chain).

Neutrophil defensin 1 was identified in band 5 (5 kDa) with five peptide matches. The presence of defensin in this band was confirmed by western blotting using 10 μg/mL anti-αdefensin 1 + 2 + 3 mAb (Abcam, Cambridge, UK).

SP-A and SP-D bind MPO in ELISA

To confirm the interaction of SP-A and SP-D with isolated, immobilised MPO, an ELISA was performed. MPO was coated onto microtiter plates and incubated with SP-A and SP-D in the presence of CaCl2 or EDTA. Binding was detected with specific mAbs against SP-A or SP-D. Data show that SP-A (Fig. 3A) and SP-D (Fig. 3B) bind to MPO in a concentration-dependent manner. This interaction appeared to be Ca2+-independent.

MPO appears on the surface of late apoptotic neutrophils

To detect in which stage of viability MPO is expressed on the outside of the cell, and can therefore be a target for SP-A or SP-D binding, a flow cytometry-based binding assay was performed. Viable, early apoptotic and late apoptotic neutrophils were incubated with anti-MPO mAb in a CaCl2-containing buffer. Binding was detected with FITC-labeled rabbit anti-mouse IgG. Data in Fig. 4 show that viable and early apoptotic neutrophils do not show exposure of MPO on the cell surface as judged by the mean fluorescence intensity (MFI, 19 and 20 for viable and early apoptotic cells, respectively). In contrast, late apoptotic cells show an increase in MFI (63), showing increased expression of MPO on the cell surface. These results confirm the findings of Flemmig et al. (2008), indicating that MPO becomes increasingly exposed on the cell surface of neutrophils as the cells undergo apoptosis.

SP-A and SP-D inhibit the binding of anti-MPO mAbs to late apoptotic neutrophils

This flow cytometry based inhibition assay was performed to examine whether SP-A and SP-D binding can block the epitope on the cell surface recognized by the mAb directed against MPO. Late apoptotic neutrophils were simultaneously incubated with anti-MPO mAbs and different concentrations of unlabelled SP-A or SP-D.

Results show that for both SP-A and SP-D the binding of anti-MPO is inhibited with increased concentration of SP-A or SP-D (Fig. 5). For both proteins, 30 μg led to complete inhibition of anti-MPO binding (Fig. 5(e)).

SP-A and SP-D colocalize with anti-MPO mAbs on late apoptotic neutrophils

Studies on SP-A and SP-D binding in the presence of anti-MPO mAbs were performed on late apoptotic neutrophils in EDTA and CaCl2. The binding was examined by fluorescence microscopy. As seen in Fig. 6, anti-MPO mAb bound strongly to the cells. This occurred in EDTA and CaCl2. The binding of SP-A and SP-D to late apoptotic cells showed relatively weak fluorescence. Previous results showed strong binding to late apoptotic neutrophils (Jäkel et al., 2010), but in the present binding assay biotinylated proteins were used in comparison to specific mAbs in the published results. The differences are likely to be due to biotinylation status of the proteins. The merged images show overlap of binding of SP-A or SP-D and of the anti-MPO mAb. Binding of mAb and collectins occurred both in the presence of EDTA and calcium ions. This confirms the findings of the ELISA data, showing binding of SP-A and SP-D to MPO in both CaCl2 and EDTA and confirms previous results (Jäkel et al., 2009), indicating a non-calcium dependent binding of collectins to late apoptotic cells.

DISCUSSION

Recent evidence shows that SP-A and SP-D interact with apoptotic target cells in a very distinct manner (Jäkel et al., 2010). SP-A bound to viable and early apoptotic cells predominantly Ca2+-dependently but the interaction with late apoptotic cells was much greater and was Ca2+-independent, suggesting involvement of sites on SP-A other than the lectin- or Ca2+-binding sites. This was consistent for neutrophils and Jurkat cells.

SP-D in contrast, did not interact with viable and early apoptotic Jurkat cells but strongly and in a Ca2+-independent manner with late apoptotic Jurkat cells. SP-D binding to viable and early apoptotic neutrophils was inhibited by maltose and EDTA, suggesting lectin binding site involvement whereas the binding to late apoptotic neutrophils was predominantly Ca2+-independent. However, the surface molecules involved in these interactions were not identified in the previous study (Jäkel et al., 2010).

In the present study, we show that MPO is a novel non-Ca2+-dependent binding molecule on the surface of late apoptotic cells for SP-A and SP-D.

The haem protein myeloperoxidase (MPO) is stored in large amounts in azurophilic granules present in granulocytes and is assumed to play an important role in pathogen defense by generation of halogenated products and other oxidants (Klebanoff, 1991). Recently, it has been shown that MPO adheres tightly to phosphatidylserine (PS) epitopes on the surface of apoptotic spermatozoa, while no binding of MPO occurred to vital cells (Lessig et al., 2007). It was also demonstrated that MPO can be found on the surface of apoptotic neutrophils in close association with PS epitopes (Flemmig et al., 2008).

The present data demonstrate that the lung collectins SP-A and SP-D vary in their binding behavior to proteins derived from neutrophils since their overall binding patterns showed some differences (Fig. 1). The comparison of protein bands obtained from neutrophil cell lysates shows that the elution pattern of the EDTA eluate for SP-A and SP-D is different as there were no protein bands recovered from neutrophils for SP-D. In contrast to that, the protein bands derived from the low pH eluate for SP-A and SP-D were very similar in their MW spectrum, suggesting that these bands most likely represent the same proteins.

The identification of MPO heavy and light chain by mass spectrometry and western blotting in two gel bands and the high protein score suggest that identification of this protein as a ligand for SP-A and SP-D is reliable.

MPO appears on the surface of late apoptotic cells (Fig. 4) and the direct binding of SP-A and SP-D to MPO was demonstrated and was not Ca2+-dependent (Fig. 3). MPO is likely to contribute to the recognition of late apoptotic cells by SP-A and SP-D (Jäkel et al., 2010). MPO might play a role of a bridging molecule between PS epitopes on apoptotic cells and SP-A, and facilitates in this way the internalisation of apoptotic cells by macrophages.

Other molecules identified in the present study include neutrophil defensin 1 and desmoplakin. No interactions of desmoplakins with the lung collectins have been reported before. The mass spectrometry data however were not confirmed by western blotting. Whether desmoplakin is indeed a binding molecule for SP-A and SP-D remains to be investigated further. However, desmoplakin is likely to be synthesized by neutrophils as mRNA for an associated intercellular junction-forming protein, plakoglobin, has been detected in granulocytes of healthy donors (Tonks et al., 2007).

Interactions of neutrophil defensins with SP-D were described by Hartshorn et al. (2006). In that study, human neutrophil defensins were found to bind to the neck and/or carbohydrate recognition domain (CRD) region of SP-D in a Ca2+-independent manner. Also, neutrophil defensins precipitated SP-D from broncho-alveolar lavage fluid (BALF) and reduced the antiviral activity of BALF against Influenza A virus.

In summary, our data show that MPO is a strong candidate binding target which mediates interaction of SP-A and SP-D to late apoptotic neutrophils. Desmoplakin and neutrophil defensin are also possible candidates, but further data on their localization on the surface of apoptotic neutrophils would be required to confirm that they are real targets.

MATERIALS AND METHODS

All chemicals used were purchased from Sigma (St. Louis, MO, USA) unless otherwise indicated. Biotinylated anti-human SP-A and anti-human SP-D monoclonal antibodies were obtained from Antibody-shop (Gentofte, Denmark). 7-amino-actinomycin D (7-AAD) solution was purchased from BD Pharmingen (Cat #51-68981E, San Diego, CA, USA). FITC-labeled annexin V solution (Cat #31490013) and phycoerythrin (PE)-labeled streptavidin solution (Cat #31274244) were obtained from Immunotools (Friesoythe, Germany).

Protein purification

Native human SP-D and native human SP-A were purified from bronchiolar lavage fluid (BALF) obtained from alveolar proteinosis patients as described previously (Suwabe et al., 1996; Strong et al., 1998). Purity of the proteins was verified by SDS-PAGE analysis and was>95%. The purified proteins were dialysed into 20 mM Tris, 150 mM NaCl, pH 7.4 (TBS) and concentrated up to 1 mg/mL using Amicon filter units (cut off 100 kDa, Amicon, Denver, CO, USA).

Purified proteins were treated to remove endotoxin by passing the protein solutions through a 10-mL Polymyxin B column (Pierce, Rockford, IL, USA) in sterile TBS plus 0.02% (w/v) sodium azide, pH 7.4. Remaining levels of endotoxin were assayed using a Limulus Amoebocyte Lysate kit, according to the manufacturer’s instructions (Biowhittaker). An endotoxin level of < 10 pg/μg of protein was judged acceptable to use in cell-based assays.

Isolation of neutrophils and induction of apoptosis

Human neutrophils were isolated from venous blood from consenting healthy volunteers as previously described (Jäkel et al., 2009). Spontaneous apoptosis was achieved by incubation of the cells over a time course of 0–48 h at 37°C, 5% CO2 and 95% humidity. Early and late apoptosis was confirmed by flow cytometry as previously described (Jäkel et al., 2009) by assessing annexin V binding and 7-AAD incorporation into the cells.

Statistical analysis

All data are expressed as the mean ± standard error of the mean (SEM) and were plotted with Graph Pad Prism Software (GraphPad Software Inc., La Jolla, CA, USA).

Pre-cast SDS-PAGE (reducing)

SDS-PAGE was done by the Invitrogen NuPAGE® System (Invitrogen, Cambridge, UK). Protein samples were incubated with NuPAGE® SDS Sample buffer (Invitrogen) and reducing agent (Invitrogen). The samples were incubated at 95°C for 5 min. Pre-stained low molecular weight marker (Invitrogen) was used as size standard.

NuPAGE® 4%–12% Bis-Tris-HCl gels (Invitrogen) were run at 200 V and 400 mA in NuPAGE® MES SDS running buffer (Invitrogen) for approximately 30 min. After electrophoresis, gels were stained with SilverQuest™ Silver Staining Kit (Invitrogen) according to the manufacturer’s instructions.

Biotinylation of SP-A and SP-D

Proteins (1 mg in 1–2 mL final volume) were dialysed into 0.1 M NaCl, 0.1 M NaHCO3, pH 8.3 overnight at 4°C. Biotin stock solution was prepared by dissolving 0.5 mg EZ-Link™Sulfo-NHS-SS-Biotin (Pierce, Rockford, IL, USA) in 50 μL dimethylsulphoxide (DMSO, Sigma) The protein was incubated with 20-fold molar excess of biotin at room temperature (RT) for 6 h in the dark. The biotinylated protein was then dialysed into TBS overnight at 4°C in the dark to remove unbound biotin.

Preparation of magnetic beads coated with SP-A and SP-D

Dynabeads® M-280 Streptavidin (Invitrogen) (400 μL) were washed twice in 0.5 mL TBS by placing the tube on a magnetic particle concentrator (Invitrogen) for 1–2 min and removing the supernatant while the tube remained on the magnet. Solutions of biotinylated SP-A or SP-D (200 μg in 200 μL TBS plus 1 mM EDTA (TBS/EDTA)) were centrifuged at 9000 g for 10 min and absorbance of the supernatant was measured at 280 nm before applying the protein solution to the washed beads. The mixture was incubated for 30 min at RT with gentle rotation.

After removing and centrifuging the supernatant as stated above, the absorbance was measured again. Binding was indicated when the absorbance of the supernatant decreased markedly. The coated beads were washed twice in 0.5 mL TBS/EDTA before incubating them for 5 min with 100 μL 100 mM citric acid, pH 2.5 to remove non-covalently-bound protein from the beads. After washing once with 0.5 mL TBS/EDTA, the beads were re-equilibrated in 0.5 mL TBS plus 2.5 mM CaCl2 (TBS/Ca) and stored at 4°C for further use.

Binding of the collectins to the beads was verified by SDS-PAGE analysis of the coated beads in comparison to non-coated beads.

Lysis of neutrophils

Approximately 108 cells were harvested and centrifuged for 10 min at 800 g. After washing with TBS, pellets were resuspended in 1 mL of TBS/Ca containing 2% Triton X-100, 10 μg/mL DNase I (Sigma), 10 μg/mL RNase A (Sigma) and 1/4 protease inhibitor cocktail tablet (Roche Diagnostics, Mannheim, Germany). The mixture was incubated for 2 h at 37°C. The cell debris was spun down at 9000 g for 10 min and supernatants were stored at −20°C for further use.

Isolation of collectin binding proteins from neutrophil cell lysates

The magnetic beads coated with SP-A or SP-D (500 μL) were incubated with 1 mL of neutrophil cell lysate overnight at RT in the dark and with gentle rotation. On the following day, the supernatants were separated from the beads, followed by washing 16 × with 0.5 mL TBS/Ca. Proteins bound in a calcium ion dependent manner were eluted with 2 × 50 μL TBS/EDTA for 5 min each. Further elution of proteins was performed by incubating the beads with 2 × 50 μL 100 mM citric acid, pH 2.5 for 5 min each. The supernatants of EDTA and pH 2.5 elutions were centrifuged at 9000 g for 10 min to remove contaminating beads before running them on SDS-PAGE.

Western Blotting

Samples containing the eluates obtained from SP-A and SP-D coated magnetic beads were run reduced on SDS-PAGE. The unstained gel was equilibrated in transfer buffer (39 mM glycine, 48 mM Tris-HCl, 20% methanol, pH 8.3), then transferred to a PVDF membrane (Millipore Corp., MA, USA) pre-soaked for 10s in 100% methanol, 5 min in water and 5 min in transfer buffer. A semi-dry blotting apparatus (Biometra, Goettingen, Germany) was used and proteins transferred by electrophoresis for 4 h, 50 mA, 200 V at RT. The membrane was blocked with TBS plus 0.05% Tween-20 and 2% BSA (TBS/Tween/BSA) at 4°C, washed three times with TBS plus 0.05% Tween-20 (TBS/Tween) for 5 min each and incubated for 1 h at RT with 1 μg/mL anti-MPO mAb (AbD Serotec, Abingdon, UK) in 10 mL TBS/Tween/BSA. The membrane was washed three times with TBS/Tween as above and incubated for 1 h at RT with 1000-fold diluted HRP-conjugated rabbit anti-mouse polyclonal antibodies (Sigma) for 1 h at RT in 10 mL TBS/Tween/BSA. After washing three times as above, the membrane was exposed to Enhanced Chemiluminescence Western Blot Detection Reagents (Amersham Biosciences, Amersham, UK) for detection.

ELISA

Ninty-six-well Maxisorp microtiter plates (Greiner Bio One, Frickenhausen, Germany) were coated with 5 μg/Ml MPO (Sigma) in 100 μL TBS and left overnight at 4°C. Wells were washed three times with 200 μL TBS/Tween and blocked with 200 μL TBS plus 1% (w/v) BSA (TBS/BSA) for 30 min at RT. After washing three times again with TBS/Tween, SP-A or SP-D at different concentrations (10 μg/mL or 20 μg/mL) were added to each well in 100 μL TBS/BSA containing 2.5 mM CaCl2 (TBS/BSA/Ca) or 1 mM EDTA (TBS/BSA/EDTA). After incubating for 1 h at RT and washing three times with TBS/Tween, bound proteins were detected using biotinylated monoclonal anti-SP-A or anti-SP-D antibodies (1 μg/mL) in 100 μL TBS/BSA/Ca or TBS/BSA/EDTA by incubating at RT for 1 h. After washing with TBS/Tween, 100 μL of 200-fold diluted Streptavidin-HRP (Cat # S5512, Sigma) in TBS/BSA/Ca or TBS/BSA/EDTA was added to each well, and plates were incubated at RT for 1 h prior to washing. Finally, 100 μL substrate (FAST™ o-phenylenediamine dihydrochloride tablet set, Sigma) was added to each well and after sufficient color development, the reaction was stopped with 100 μL 1M H2SO4. Absorbance values were measured at 492 nm.

Flow cytometry assay of anti-MPO binding

Viable, early and late apoptotic neutrophils (500, 000) in 50 μL of TBS/BSA/Ca were incubated with anti-MPO mAb (AbD Serotec, 1 μg/mL final concentration). Cells were washed once in 200 μL TBS/BSA/Ca, followed by simultaneous incubation with FITC-conjugated Rabbit anti-mouse antibodies (100-fold diluted, Sigma), PE-labeled annexin V (20-fold diluted) and 7-AAD (20-fold diluted) in the same buffer. After 1 h incubation at RT in the dark, the cells were centrifuged and washed once in 200 μL TBS/BSA/Ca and fixed with 200 μL TBS containing 2.5 mM CaCl2 and 1% (v/v) Formaldehyde for 15 min before being measured by flow cytometry.

Inhibition of anti-MPO mAb binding to late apoptotic cells was performed by adding unlabelled SP-A or SP-D in various concentrations to the sample simultaneously with the anti-MPO Ab. All subsequent steps were performed as described above. A decrease of fluorescence in comparison to the sample without SP-A or SP-D indicated inhibition of binding.

Cells were assessed for fluorescence using a FACScan instrument (Becton Dickinson Immunocytometry systems, San Jose, CA, USA). Acquisition and processing of data from 10,000 cells per sample were carried out with the CellQuest software (Becton Dickinson).

Fluorescence microscopy

Briefly, 500,000 cells were suspended in TBS/BSA and centrifuged at 800 g for 10 min. The pellet was resuspended in 50 μL of the same buffer containing 2.5 mM CaCl2 or 1 mM EDTA. Biotinylated SP-A or SP-D (10 μg in 10–20 μL) and anti-MPO mAb (AbD Serotec, 1 μg/mL) were added before incubating the samples for 1 h at RT. After spinning at 800 g for 10 min, the pellet was washed once in 200 μL TBS/BSA containing 2.5 mM CaCl2 or 1 mM EDTA, resuspended in 50 μL of the same buffer containing PE-labeled streptavidin (200-fold diluted) and FITC-conjugated rabbit anti-mouse Ab (100-fold diluted, Sigma) and incubated for 1 h in the dark at RT. After washing and fixation of the cells in 200 μL TBS containing CaCl2 or EDTA and 1% (v/v) formaldehyde for 15 min, cells were centrifuged again for 10 min at 800 g. The pellet was dissolved in 20 μL ProLong® Gold antifade mounting medium (Invitrogen). Cells were mounted on glass slides, covered with coverslips and cured for 24 h prior to imaging. Fluorescent cells were observed using a Zeiss Axioskop 2 Plus fluorescence microscope. Images were collected using a Retiga-SRV camera (QImaging, Surrey, Canada).

Identification of proteins by mass spectrometry

After running SDS-PAGE and silver staining the bands to investigate were excised using a clean scalpel and cut into 1 mm cubes. Proteins were reduced using 10 mM DTT for 30 min at 37°C and alkylated with 55 mM iodoacetamide for 60 min at RT. The reduced and alkylated peptides were digested with trypsin 150 wtwt (Sequence grade-modified, Promega, Madison WI, USA) for 16 h at 37°C in 50 mM NH4HCO3, pH 8.0 and subsequently desalted on a C18 packed pipette tip. Samples were injected onto an Ultimate 3000 nano HPLC (Dionex, Sunnyvale, CA, USA) system coupled to Orbitrap mass spectrometer (Thermo Electron, Waltham, MA, USA). Samples were resolved on a 100 μm id/5 cm picotip column (New Objective, Woburn, MA, USA), which was packed in-house with Reprosil-Pur C18-AQ phase (SGE Analytical Science, Milton Keynes, UK). A 40-min gradient was used to separate the peptides. The mass spectrometer was operated in a data-dependent acquisition mode. Precursor scans were performed in the orbitrap at a resolving power of 60,000, from which five precursor ions were selected and fragmented in the linear ion trap. Charge state + 1 ions were rejected. Peak lists were generated using DTASuperCharge (Matrix Science, London, UK) and searched using Mascot (Matrix Science). Data were searched against International Protein Index (IPI) database, restricting the taxonomy to human. Carbamidomethyl cysteine was set as fixed modification and oxidised methionine and deamidation of asparagine and glutamine as potential variable modifications. Precursor mass accuracy tolerance was set at 10 ppm and MS/MS at 0.5 Da.

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