Table Of ContentRESEARCHARTICLE
Alkalinity of Neutrophil Phagocytic Vacuoles
Is Modulated by HVCN1 and Has
Consequences for Myeloperoxidase Activity
AdamP.Levine1,MichaelR.Duchen2,SimondeVilliers3,PeterR.Rich3,Anthony
W.Segal1*
1 DivisionofMedicine,UniversityCollegeLondon,London,UnitedKingdom,2 DepartmentofCelland
DevelopmentalBiology,UniversityCollegeLondon,London,UnitedKingdom,3 GlynnLaboratoryof
Bioenergetics,DepartmentofBiology,UniversityCollegeLondon,London,UnitedKingdom
* [email protected]
Abstract
TheNADPHoxidaseofneutrophils,essentialforinnateimmunity,passeselectronsacross
thephagocyticmembranetoformsuperoxideinthephagocyticvacuole.Activityoftheoxi-
OPENACCESS
daserequiresthatchargemovementsacrossthevacuolarmembranearebalanced.Using
Citation:LevineAP,DuchenMR,deVilliersS,Rich thepHindicatorSNARF,wemeasuredchangesinpHinthephagocyticvacuoleandcyto-
PR,SegalAW(2015)AlkalinityofNeutrophil
solofneutrophils.Inhumancells,thevacuolarpHroseto~9,andthecytosolacidified
PhagocyticVacuolesIsModulatedbyHVCN1and
slightly.Bycontrast,inHvcn1knockoutmouseneutrophils,thevacuolarpHroseabove11,
HasConsequencesforMyeloperoxidaseActivity.
PLoSONE10(4):e0125906.doi:10.1371/journal. vacuolesswelled,andthecytosolacidifiedexcessively,demonstratingthatordinarilythis
pone.0125906 channelplaysanimportantroleinchargecompensation.Protonextrusionwasnotdimin-
AcademicEditor:AmitGaggar,Universityof ishedinHvcn1-/-mouseneutrophilsarguingagainstitsroleinmaintainingpHhomeostasis
Alabama-Birmingham,UNITEDSTATES acrosstheplasmamembrane.Conditionsinthevacuoleareoptimalforbacterialkillingby
Received:December30,2014 theneutralproteases,cathepsinGandelastase,andnotbymyeloperoxidase,activityof
whichwasunphysiologicallylowatalkalinepH.
Accepted:March21,2015
Published:April17,2015
Copyright:©2015Levineetal.Thisisanopen
accessarticledistributedunderthetermsofthe
CreativeCommonsAttributionLicense,whichpermits
unrestricteduse,distribution,andreproductioninany Introduction
medium,providedtheoriginalauthorandsourceare
Neutrophilsthatencounterabacteriumorfungusengulfitintoaphagocyticvacuoleofinvagi-
credited.
natedplasmamembrane,intowhichcytoplasmicgranulesreleasetheircontentsofpotentially
DataAvailabilityStatement:Allrelevantdataare
lethalenzymes(Fig1).Theseprocessesareassociatedwithaburstofnon-mitochondrialrespi-
withinthepaperanditsSupportingInformationfiles.
rationinwhichelectronsarepassedacrossthemembraneofthevacuolebyanNADPHoxi-
Funding:ThisworkwassupportedbytheWellcome
dase,NOX2,thatgeneratessuperoxide[1].Thiselectrontransportisessentialforefficient
TrustGrantWT081695,theBiotechnologyand
killingofthemicrobesasevidencedbythesevereimmunodeficiencysyndromeofChronic
BiologicalSciencesResearchCouncil,andtheIrwin
GranulomatousDisease(CGD)inwhichthefunctionofNOX2isabsentorcompromised[2].
JoffeMemorialFellowship(APL).Thefundershadno
roleinstudydesign,datacollectionandanalysis, Thetransportofelectronsintothephagocyticvacuoleiselectrogenic,causingalarge,rapid,
decisiontopublish,orpreparationofthemanuscript. membranedepolarisationwhichwillitselfcurtailfurtherelectrontransportunlessthereis
compensatoryionmovement[3]bythepassageofcationsintothevacuoleand/oranionsin
CompetingInterests:Theauthorshavedeclared
thatnocompetinginterestsexist. theoppositedirection(Fig1).Thenatureoftheionsthatcompensatethechargemayhavea
PLOSONE|DOI:10.1371/journal.pone.0125906 April17,2015 1/20
NeutrophilPhagocyticVacuolarpH
Fig1.SchematicrepresentationoftheneutrophilphagocyticvacuoleshowingtheconsequencesofelectrontransportbyNOX2ontooxygen.The
proposedionfluxesthatmightberequiredtocompensatethemovementofchargeacrossthephagocyticmembranetogetherwithmodulatorsofionfluxes
areshown.
doi:10.1371/journal.pone.0125906.g001
directeffectonthepHwithinthevacuoleandthecytosol.Attemptstocharacterisemecha-
nismsofchargecompensationhaveconcentratedontheroleofprotonchannels[4],character-
isedusingdivalentcationssuchasZn2+andCd2+asinhibitors[3,5,6].Theseionsare
reasonablyselectiveforprotonchannelsinthelowmicromolarrange[4,7],buthavemultiple
othertargetswhenusedatmillimolarconcentrations[8–12].Cloningofthegeneforthepro-
tonchannelHvcn1[13,14],andthesubsequentgenerationofHvcn1knockoutmice[15]hasal-
lowedamoreprecisedefinitionofitsroleinneutrophilbiology.Contrarytopredictionsfrom
previousstudiesusinghighconcentrationsofZn2+[8],completeeradicationoftheHVCN1
channelonlyreducedoxidaseactivitybyabout50%[15,16],andhadasurprisinglysmalleffect
onmicrobialkilling[15].InhibitionordeletionoftheHVCN1channelhasbeenshowntore-
sultinexaggeratedacidificationofthecytosolafterphagocytosisofzymosan[17]orstimula-
tionoftheoxidasewithphorbolmyristateacetate(PMA)[18]whichledtothesuggestionthat
thischannelmightbeimportantfortheexpulsionofprotonsfromtheneutrophilcytosol
[17,18]althoughthiswasnotmeasureddirectlyineitherofthesestudies.Thoseobservations
raisethepossibilitythatthedepressanteffectofthelossoftheHVCN1channelonthe
NADPHoxidasemightbeduetothedevelopmentofanexcessivelyacidiccytosol,whichin-
hibitstheoxidase[19],ratherthanasaconsequenceofimpairedchargecompensation.
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NeutrophilPhagocyticVacuolarpH
InasubsequentstudyofHvcn1-/-neutrophilsphagocytosingzymosanparticles[20],averag-
ingthepHoftheentirepopulationofneutrophilphagosomesdidnotyieldasignificantdiffer-
encebetweenwildtypeandHvcn1-deficientcells.However,thepHofHvcn1-/-phagosomes
werefoundtobeheterogeneous,withathirdbeingalkalineand14%acidic.
InordertodefinetheroleoftheHVCN1channelinneutrophilbiology,wehaveusedthe
ratiometricfluorescentpHindicator,SNARF,tomeasurethepHdirectlyinindividualphago-
cyticvacuolesandinthecytosolofhuman,andwildtype(WT)andHvcn1-/-mouseneutro-
philsduringphagocytosis.ThedataconfirmthattheHVCN1channelplaysamajorrolein
chargecompensationacrossthephagocyticvacuolemembrane,andinitsabsencenon-proton
fluxespredominateinchargecompensation.
Therearetwoopposingviewsastothemechanismsbywhichtheoxidasecontributestomi-
crobialkilling.Ontheonehanditisbelievedthatmyeloperoxidase(MPO)promoteskilling
throughtheperoxidaticgenerationofhypochlorousacidfromH O producedbytheoxidase
2 2
[21].Analternativeviewisthatkillingismediatedthroughthedigestiveactionofneutralpro-
teasesthatareactivatedbytheelevatedpH[22]andinfluxofK+[23]generatedbytheoxidase.
Todeterminewhichofthesemechanismsisthemorefeasiblewithintheenvironmentofthe
phagocyticvacuole,wemeasuredthepHdependenceoftheactivityofMPOandthatofthe
twomajorneutralproteases,cathepsinGandelastase,andrelatedthesetotheobservedphago-
cyticvacuolarpHinnormalneutrophils.
Results
TherespiratoryburstisimpairedinHvcn1-/-neutrophilswhilst
extracellularacidreleaseisnormal
InWTneutrophils,oxygenconsumptionwasincreasedtenfoldbyPMAandtoasimilarlevel
bytheadditionofopsonisedCandida.PMAstimulatedoxygenconsumptionwasreducedto
73%ofnormalincellsisolatedfromHvcn1-/-mice(p=0.035),consistentwithpreviousobser-
vations[15,16,18]wasabolishedbytheoxidaseinhibitorDPI(p<0.001),andwasabsentin
neutrophilslackinggp91phox(p<0.001)(Fig2A).OxygenconsumptionbyHvcn1-/-cells
phagocytosingopsonisedCandidawas50%ofthatbyWTmouseneutrophils(p<0.001),and
significantlylowerthaninthesamecellsafterPMAstimulation(p<0.001)buthigherthanthe
20%measuredbyothers[20].UsingAmplexRedtomeasureH O generatedbyPMAstimu-
2 2
latedcells,oxidaseactivitywasdecreasedtosimilarlevelsinHvcn1-/-at58.4%±18.1(SD)
(n=5)ofthatbyWTcells.
ActivationoftheoxidaseusingPMAorCandidaincreasedtheextracellularacidification
rate(ECAR),tosimilarlevelsinHvcn1-/-andWTmouseneutrophilsandlevelsachievedwere
equivalentwithPMAorwithCandida(p=nsforallcomparisons).Theratewassignificantly
reducedinthepresenceofDPI(p=0.035)andremainedatbaselinelevelsinneutrophilslack-
inggp91phox(p<0.01)(Fig2B).Therelativelyhighextracellularacidificationobservedwhen
oxygenconsumptionbyPMAstimulatedcellsisblockedbyDPIcanbeexplainedbytheinhib-
itoryeffectofDPIonmitochondrialelectrontransport[24]aswellasthatoftheneutrophilox-
idase.Inhibitionofmitochondrialelectrontransportleadstoanaerobicglycolysiswiththe
productionoflactateandthereleaseofmoreacid[25].Nodifferencewasobservedbetween
theextracellularacidificationbetweenWTandHvcn1-/-cellsinthepresenceofPMAandDPI
(datanotshown).
OxygenconsumptionbyhumanneutrophilsphagocytosingCandida,asmeasuredwitha
Clarkoxygenelectrode,wasdeterminedas5.8fmols±0.4(SD)(n=5)perCandidaphagocy-
tosedandtherespiratoryburstwasbrief,withapeakratelastingabouttwominutes[26].In
neutrophilsfromtheHvcn1-/-micetheequivalentmeasurementwas3.2fmolscorresponding
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NeutrophilPhagocyticVacuolarpH
Fig2.Oxygenconsumptionandextracellularacidificationratebyneutrophils.(A)Oxygenconsumptionrate(OCR)and(B)extracellularacidification
rate(ECAR)byneutrophilsfromWT,Hvcn1-/-andgp91phox-/-miceinresponsetostimulationwithPMA(withandwithoutDPI)oropsonisedCandida.The
numbersofindependentexperimentsisshownoverthetotalnumberofmeasurements.Statisticalsignificance:***p<0.001,**p<0.01and*p<0.05.
DifferencesbetweenPMAstimulatedWTandgp91phox-/-werep<0.001in(A)andp<0.05in(B).Therewerenosignificantdifferencesin(B)betweenPMA
andCandidaorbetweenWTandHvcn1-/-cells.Median,quartilesand95%centilesareshown.
doi:10.1371/journal.pone.0125906.g002
tothe~50%reductionobserved(Fig2A).Giventhe4:1ratioofelectronspassingacrossthe
vacuolarmembranetooxygenconsumed(Fig1),theconsumptionof~6fmolsofoxygenper
Candidawouldrequire~24fmolsofcompensatingchargeinnormalneutrophilsand~12
fmolsinHvcn1-/-cells.
ThephagocyticvacuoleofhumanandWTmouseneutrophilsreaches
pH8.5–9whilstinHvcn1-/-cellsitexceeds11
ThefluorescenceratioofSNARFcoupledtoheatkilledCandidashowedasigmoidalrelation-
shipwithpHandwasapproximatelylinearwithpH7–10(Fig3D).WetrackedchangesinpH
inthephagocyticvacuolesofindividualneutrophilsfromthetimethatlabelledCandidawere
engulfed.Shortlyfollowingengulfment,thevacuoleunderwentasignificantalkalinisation
(Fig3).Inhumanneutrophils,thisstartedalmostimmediately(Fig3EandS1Video).The
meanmaximumpHreachedpost-phagocytosiswas9.0(SD8.3–10.2)(Fig3E)andthiselevat-
edpHwasmaintainedfor20–30minutes.WhentheNADPHoxidasewasinhibitedbyDPI,
thevacuoleacidifiedtoabout6.3(SD6.1–6.56)(Fig3Band3E),althoughSNARFdetermina-
tionsarenotveryaccurateatthispH,theseresultsaresimilartopreviousfindings[27]and
whenaddedfollowingphagocytosis,DPIrapidlyreducedthevacuolarpH(Fig4CandS2
Video)[20].TheseelevationsinvacuolarpHoccurreddespitethebufferingcapacityofthe
heat-killedCandida(S1Fig).ThemaximumdifferenceinthevacuolarpHinhumanneutro-
philsinthepresenceorabsenceofDPI(~6.5and~9,respectively(Fig3E))required1.9fmols
ofOH-perCandida.AssumingthispHrisewasentirelyduetonon-protoncharge
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Fig3.TimecoursesofchangesinpHinthevacuoleandcytoplasmofphagocytosingneutrophils.RepresentativeimagesofCandidaphagocytosed
byhumanneutrophils(A),withDPI(B),andbyHvcn1-/-neutrophils(C).StandardcurvesfortherelationshipbetweenSNARFratioandpHoforganismsand
cytoplasmareshownin(D).Candidaalonewereaddedtotwodifferentbuffersystems,labelledTrisorBarbital,andintracellularorganismswereexposedto
theBarbitalbuffersafterpermeabilisationofneutrophilswithsaponin.PanelsE-LshowtimecoursesofthepHchangesofphagocytosedCandidaand
cytoplasmofhuman(E,I),mouseWT(F,J)andHvcn1-/-(G,K)neutrophilssynchronisedtothetimeofparticleuptake(0minutes).InE-GandI-K,each
individualblacklinerepresentsserialmeasurementsoftheSNARFratioofasinglephagocytosedCandidaorneutrophilcytoplasm,respectively.Mean±SD
(shadedareas)areshown.InthecompositepanelsHandLthemeandatahavebeensmoothed.DataareplottedaccordingtoSNARFratiowiththe
approximatecorrespondingpHshownontherighty-axis.Thenumberofindependentexperimentsoverthetotalnumberofindividualcellsexaminedis
shown.TheeffectofDPIonvacuolarpHinhumanneutrophilsisshowninE(pinkanddashedlines,12cells).
doi:10.1371/journal.pone.0125906.g003
compensation,itwouldamountto~8%ofthetotal~24fmolcompensatingcharge,closeto
the~5%previouslyestimated[23].
WTmouseneutrophilsshowedasimilar,althoughlessextreme,alkalinisationofthevacu-
olereachingameanmaximumpHof~8.5(SD8.0–9.1)post-phagocytosis(Fig3F).Theinitial
risewasveryrapidandwasfollowedbyabrieffall,possiblyasaresultofdegranulationofacid
granulecontents,beforeresumingitsupwardcourseafteradelayofaboutoneminute.Bycon-
trast,thepHinthevacuolesofHvcn1-/-neutrophilswasrapidlyandgrosslyelevatedtoamean
valueof~11.1(SD9.7–12.5)(Fig3GandS3Video).Thesechangeswereobservedinalmostall
vacuoles.ThedifferencebetweentheareasunderthecurvesoftheWTandHvcn1-/-cellswas
highlysignificant(p<0.001).GiventhestrongbufferingcapacityofCandidainthealkaline
range,ariseinpHfrom~6.5inDPItreatedcellsto~11.1inHvcn1-/-required~9.2fmolsof
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NeutrophilPhagocyticVacuolarpH
Fig4.TheeffectofDPI,azide,4ABH,KCN,zinc,andCCCPonvacuolarpH.(A)Theeffectof300μMZn2+,DPIand60μMCCCPonvacuolarpHinWT
andHvcn1-/-neutrophilsat~30minutesfollowingtheadditionofCandidawithoutsynchronisationtoparticleuptake.(B)Theeffectof5μMDPI,5mMsodium
azide,50μM4ABHand1mMKCN,onvacuolarpHinhumanneutrophilsat~30minutesfollowingtheadditionofCandidawithoutsynchronisationtoparticle
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NeutrophilPhagocyticVacuolarpH
uptake.Theeffectoftheadditionofazide(C)orDPI(D)onvacuolarpHinhumanneutrophilssynchronisedtotimeofaddition(redarrows).Thenumbersof
independentexperimentsisshownoverthetotalnumberofmeasurements.Median,quartilesand95%centilesareshown.Statisticalsignificance:***
p<0.001.
doi:10.1371/journal.pone.0125906.g004
OH-perorganism(S1Fig),similartothe~12fmolsoftotalcompensatingcharge.Inasmall
numberofHvcn1-/-cells(3.3±3.8SDof8experimentsand810cells)thevacuolescollapsed
(e.g.S3VideoandS4Video),whichcoincidedwithsuddenalkalinisationofthecytoplasm.
Theseextremeconditionscouldimpairtheoxidaseinphagocytosingneutrophils.
ThealkalinisationinHvcn1-/-vacuoleswasalmostcompletelypreventedbytheadditionof
theprotonophorecarbonylcyanide-m-chlorophenylhydrazone(CCCP),whichwillproducea
protonshunt,whereasZn2+,increasedalkalinisationofvacuolesinWTmouseneutrophilsata
concentrationof100μM(Fig4A).Sodiumazidehasbeenused[20,28]toinhibittheactionof
MPOwhichwasthoughttoquenchthefluorescenceoffluorescein,theflurophorepreviously
utilisedtodeterminevacuolarpH.Wethereforedeterminedtheeffectoftheadditionofazide
onSNARFfluorescence.Inendpointassays,azidesignificantlyreducedthepHinthevacuoles
at~30minutesinhumanneutrophils(p<0.001,Fig4B)oralmostimmediatelywhenadded
duringatimecourse(Fig4D).ThiseffectofazidewasnotduetoitsinhibitoryeffectonMPO
becauseneither4-aminobenzoicacidhydrazide(4ABH),aselectiveinhibitorofMPO,at
50μM,morethanthreetimestheIC50[29](Fig4B),nor1mMKCN,depressedvacuolarpH.
KCNshowedcompletesaturationofbindingtoMPOinintactneutrophilsatthisconcentra-
tion(S2Fig)atwhichitinhibitsitsperoxidaticactivity[30].WhenSNARF-labelledCandida
wereaddedtobuffersatvaryingpHintheabsenceorpresenceofazide,noeffectofazidewas
seenontheSNARFratio(S3Fig)oftheCandidathemselves.
CytoplasmicpHfallsafterphagocytosis,andthisisexaggeratedin
Hvcn1-/-cells
InhumanorWTmouseneutrophilstherespiratoryburstwasassociatedwithamodestacidifi-
cationofthecytoplasm,fromapHof7.56(SD7.49–7.62)(S4DFig)toameannadirpHof
7.30(SD7.09–7.49)(Fig3IandS1Video),withhomeostasisbeingachievedovertheensuing
20–30minutesasdescribedpreviously[31–33].NeutrophilsfromWTmicebehavedsimilarly
(Fig3J).InHvcn1-/-neutrophilstheacidificationwasmuchmorepronounced(p<0.001,Fig
3KandS3Video),reachingaminimummeanpHof~6.72(SD6.08–7.12)at2.0minutesafter
phagocytosis,beforereturningtonormalafterabout20–30minutes.Therateofrecoveryofcy-
toplasmicpHafteracidificationwith20mMNH Clforfiveand20minuteswasnodifferent
4
betweenWTandHvcn1-/-neutrophils(S4AandS4BFig,respectively).
Thebufferingcapacityoftheneutrophilcytosolhaspreviouslybeendeterminedatbetween
28[34]and50[32]mMunit-1.Givenanapproximateneutrophilvolumeof~300μm3[35]
andthe0.2unitfallincytoplasmicpHinhumanneutrophils(from7.5to7.3)thisequatesto
theaccumulationof~2.3fmols(39mMunit-1×0.2unit×300μm3)ofprotonsleftinthecyto-
solwhenthechargeiscompensatedbyalternativeions(9.6%of~24fmol).InHvcn1-/-cellsthe
fallincytoplasmicpHto6.6equatesto~10.5fmolofprotons(calculatedasabove).
Hvcn1-/-vacuolesarelargerthannormal
ThevacuolesofHvcn1-/-neutrophilscontainingCandidaunderwentaprofoundswelling,
whichwasmuchmoreobviousthaninWTmouseorhumancells(S1VideoandS3Video).To
determinetheextentofthisswellingandtodistinguishitfromthatinducedbytheosmoticef-
fectsoftheproductsofdigestionoftheCandida,wemeasuredthecross-sectionalareasof
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Fig5.VacuolarsizeinWTandHvcn1-/-neutrophilscontainingasinglelatexparticle.Thecross-sectionalareaofalatexparticleis~7μm2.
RepresentativeimagesofaWT(A)andHvcn1-/-neutrophilcontainingasinglelatexparticleareshownin(A)and(B),respectively.(C)Quantitationof
vacuolarswellinginHvcn1-/-neutrophilscomparedwithWT,andtheeffectsof5μMDPI,60μMCCCPand3μMvalinomycin.Thenumbersofindependent
experimentsisshownoverthetotalnumberofmeasurements.Median,quartilesand95%centilesareshown.Statisticalsignificance:***p<0.001and**
p<0.01.
doi:10.1371/journal.pone.0125906.g005
vacuolescontainingasingleindigestiblelatexparticlewithadiameterof3μm(across-section-
alareaof7.1μm2),similartothatofCandida.InneutrophilsfromHvcn1-/-mice,thevacuoles
swelledtoamediancross-sectionalareaof11.2μm2(quartiles8.5–16.6)comparedwith
7.9μm2(6.8–9.1)inneutrophilsfromWTmice(p<0.001)orHvcn1-/-treatedwith5μMDPI
(7.9μm2)(6.8–8.8)orCCCP(7.9μm2)(6.9–9.0)(Fig5C)after30minutes.Theseresultsindi-
catethatosmoticallyactiveionsaredrivenintothevacuolebytheoxidaseintheabsenceofthe
protonchannel.Thisswellingwasreducedsignificantly(p<0.001)by3μMvalinomycintoa
medianareaof9.9μm2(7.1–12.8).Theestimatedvolumesutilisingtheradiuscalculatedfrom
themediancross-sectionalareaandassumingsphericalvacuoleswere:latexparticles
(14.2μm3);WTvacuoles(16.7μm3)andHvcn1-/-(28.2μm3)withoutand(23.4μm3)with
valinomycin,respectively.
IfthechargecompensationinHvcn1-/-cells(~12fmols)werepurelyaccomplishedbythe
influxofcations,e.g.K+,toaconcentrationthatbalancedthecytosolicosmoticpressureof
~300mOsm,takenasclosetothatofextracellularfluid[36],itwouldproduceavacuolarvol-
umeof~40μm3(12fmols/300mM)greaterthanthatofthelatexparticlesalone,considerably
largerthanthatobserved.Thissuggeststhatnon-osmoticallyactivecations,suchasprotons,
passintothevacuole,orthatanionssuchasCl-,passout,oracombinationofthesetwoevents.
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Fig6.EffectsofpHonenzymaticactivity.TheeffectofvariationsinpHonperoxidaticandchlorinatingactivitiesofMPOandontheproteaseactivitiesof
cathepsinGandofelastaseareshown.Resultsshownarethemean+SDofatleastthreeseparateassaysandareexpressedasapercentageofthe
maximalobservedactivity.
doi:10.1371/journal.pone.0125906.g006
PhysiologicalpHinhumanneutrophilvacuolesisoptimalforactivityof
granuleenzymescathepsinGandneutrophilelastasebutincompatible
witheffectiveperoxidaticandchlorinatingfunctionofMPO
TheinfluenceofpHontheperoxidaticandchlorinatingactivitiesofMPOandontheprotease
activitiesofcathepsinGandelastaseareshowninFig6.Peroxidaseandchlorinatingactivities
ofMPOweremaximalatacidpH,withkcatforTMBoxidationandMCDchlorinations-1at
pH5.0being36and19,respectively.BothactivitiesfelloffsubstantiallywithelevatedpHuntil
virtuallynothingofeithercouldbedetectedatpH9or10.Bycontrast,activityofbothcathep-
sinGandelastasewaslowatpH5,andthatforcathepsinGpeakedatbetween7and9whereas
elastasewasmostactivebetween8and10.
TheSODactivityofMPOshowedasimilarrelationshiptopHasdiditsperoxidaseactivity
whereasthecatalaticactivitywaslowestatneutralpHandincreasedatpH5and6,and10at
whichkcat=3O generateds-1(S5Fig).
2
Discussion
Theoriginaldescription[22]ofanalkalinisationoftheneutrophilphagocyticvacuolebythe
NADPHoxidasetoapHof~7.5–8hasbeenreplicatedanumberoftimes[27,37,38].Inthose
studies,fluoresceinwasemployedaspHindicator.FluoresceinsaturatesatapHof~8and
above,wasnotgenerallyusedinaratiometricmanner.Inaddition,ithasbeenthoughtby
sometobecomebleachedbytheactionofMPOinthephagocyticvacuole[39,40].
SNARFismuchbettersuitedtothedeterminationofthevacuolarpH.Ithasadynamic
rangeofbetweenpH6and11withapproximatelinearitybetween7and10(Fig3D),isratio-
metric,andcanalsobeusedtosimultaneouslymeasurethepHinthevacuoleandcytoplasm.
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OutsideofpHinterval,SNARF-inferredpHmeasurementsarelessprecise.Wehaveshownin
severalwaysthatitsfluorescentpropertiesarenotalteredbytheconditionsinthephagocytic
vacuole.Theextentanddurationofalkalinisationweobservedinthehumanneutrophilswas
muchgreaterthanthatpreviouslydescribedbyus[22]andothers,inpartbecauseSNARFis
moresuitedtomeasurementsinthealkalinerange.Inaddition,weonlymeasuredthepHof
Candidainsidevacuoles,sothatthefluorescencesignalwasnotinfluencedbythatofthenon-
phagocytosedorganismsthatarebufferedbytheextracellularmedium.Synchronisingthe
changesinfluorescencetothetimeofparticleuptake,gaveamoreaccurateindicationofthe
changesinpHovertime.
BothstudiesthatwereunabletodetectanelevationofneutrophilvacuolarpHaboveneutral
[20,28]includedsodiumazideinallthesolutionstocounteractbleachingofthefluoresceinby
MPO[28].WefoundherethatazidesignificantlyreducedthevacuolarpH(Fig4Band4D)by
amechanismthatdidnotinvolvetheinhibitionofMPO;4ABH,whichisamorespecificMPO
inhibitor,hadnosucheffectataconcentrationofoverthreetimestheIC50[29]andtheaddi-
tionofazideproducedarapiddropinthepHofpreviouslyalkalinevacuoles(Fig4D).KCN,
whichinhibitsMPO[41],alsohadnoeffectonvacuolarpHatconcentrationsatwhichwe
demonstratedittobindtoMPOtosaturationinintactneutrophils.ElChemalyandcolleagues
[20]observedthreedifferentpopulationsofphagocyticvacuoleinHvcn1-/-neutrophils,athird
reachingapHofover8.3,surprisinglyhighwhenusingfluoresceinasindicator[27],and14%
wereacidic.TheycorrectlyconcludedthatthealkalinevacuolesindicatedthattheHVCN1
channeltransportedprotonsintothevacuole.Theysuggestedthattheoxidaserepelled
V-ATPasesfromassociationwiththevacuoles,andthattheacidicvacuoleswerecausedby
weakoxidaserepulsionoftheseV-ATPaseswhichthenpumpedprotonsintothevacuole.We
didnotobservethesameheterogeneitywithourcellswhichwerepurifiedfromperipheral
blood(Fig3E).Wealsoobservedaveryalkalineandamoreacidicpopulationofvacuoles
whenweperformedexperimentsonbonemarrow(datanotshown).Itispossiblethatsome
immatureneutrophilsinthebonemarrowhaveanabnormallylowrespiratoryburst.
TheaccuratemeasurementofvacuolarpHinnormalhumanneutrophilsisabsolutelycen-
traltounderstandingthemechanismsbywhichthesecellskillbacteriaandfungi.Astrong
bodyofopinionsupportstheconceptthatMPOis“afrontlinedefenderagainstphagocytosed
microorganisms”[21]andthatitkillsmicrobeswithinthiscompartmentthroughthegenera-
tionofHOCl.ThevirtualabsenceofperoxidaseandchlorinatingactivityofMPOatpHofbe-
tween8.5and9.5pertaininginthevacuole,andthedemonstrationthattheantimicrobial
activityofMPOisonlyobservedunderacidconditions[41],arguesstronglyagainstthispossi-
bility.However,asshownhere,thesepHprovideanoptimalmilieuforthemicrobicidalanddi-
gestivefunctionsofthemajorgranuleproteases,elastaseandcathepsinGwhichareactivated
bythiselevatedpHandtheinfluxofK+intothevacuole[23,42].Theseresultssupportthe
findingthatknock-outmicelackingcathepsinGandelastase,whilstretainingnormaloxidase
andMPOactivities,arerenderedundulysusceptibletoinfectionbyStaphylococcusaureus,
CandidaalbicansandAspergillusfumigatus[23,43,44].ItispossiblethatMPOhastwodiffer-
entfunctionsinvivo,dependinguponthelocalenvironment.ThepHof~9inthevacuolefa-
vourscatalaseactivityratherthatofaperoxidase,whereas,whentheneutrophilencountersan
organismthatitisunabletofullyengulf,suchasafungalmycelium,thesituationisdifferent
[45].TheconcentrationofMPOandH O willbemuchlower,thepH,whichislowininflam-
2 2
matoryfociat~6[46]isoptimalforperoxidaticactivity,andthesupplyofchlorideislimitless.
ThegrossdifferenceinthevacuolarpHbetweenHvcn1-/-neutrophilsandthosefromWT
miceandhumansmustindicatethatfewerprotonspassintothevacuoleintheHvcn1-/-cells,
providingfirmevidencethatunderphysiologicalconditionstheHVCN1channelcompensates
theoxidaseinducedchargebyconductingprotonsacrossthevacuolarmembrane.The
PLOSONE|DOI:10.1371/journal.pone.0125906 April17,2015 10/20
Description:PLOS ONE | DOI:10.1371/journal.pone.0125906 April 17, 2015. 1 / 20. OPEN ACCESS. Citation: Levine AP Joffe Memorial Fellowship (APL). The funders had no role in study .. mice by cardiac puncture, taken into heparin (5 U/ml) and immediately diluted with an equal volume of PBS with heparin (5