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The objective of the present study is to determine the effect of (bi)sulfite (hydrated sulfur dioxide) on human neutrophils and the ability of these immune cells to produce reactive free radicals due to (bi)sulfite oxidation. Myeloperoxidase (MPO) is an abundant heme protein in neutrophils that catalyzes the formation of cytotoxic oxidants implicated in asthma and inflammatory disorders. In the present study sulfite (•SO3−) and sulfate (SO4•−) anion radicals are characterized with the ESR spin-trapping technique using 5,5-dimethyl-1-pyrroline N-oxide (DMPO) in the reaction of (bi)sulfite oxidation by human MPO and human neutrophils via sulfite radical chain reaction chemistry. After treatment with (bi)sulfite, PMA-stimulated neutrophils produced DMPO-sulfite anion radical, -superoxide, and -hydroxyl radical adducts. The latter adduct probably resulted, in part, from the conversion of DMPO-sulfate to DMPO-hydroxyl radical adduct via a nucleophilic substitution reaction of the radical adduct. This anion radical (SO4•−) is highly reactive and, presumably, can oxidize target proteins to protein radicals, thereby initiating protein oxidation. Therefore, we propose that the potential toxicity of (bi)sulfite during pulmonary inflammation or lung-associated diseases such as asthma may be related to free radical formation.
Sulfur dioxide, formed during the combustion of fossil fuels, is a major air pollutant . It can be hydrated to (bi)sulfite in the lung upon contact with fluids lining the air passages (Scheme 1). Its two ionized forms in aqueous solution at physiological pH, (bi)sulfite (HSO3−) and sulfite (SO32−) , are widely used in the food industry – predominantly as anti-browning agents, antioxidants and preservatives  - and as pharmaceutical ingredients . It has also been reported that oral, topical or parenteral exposure to sulfites induces a wide range of adverse reactions in sensitive individuals and bronchoconstriction in asthmatic patients [4-6]. Until recently, there were only limited restrictions on the use of approved sulfiting agents in foods. These included a prohibition against their use in meats and a limitation of their concentrations in wines and raw shrimp to 350 ppm (5.5 mM) and 100 ppm (1.6 mM) SO2 equivalents, respectively .
Sulfite is detoxified to sulfate by sulfite oxidase  (Scheme 1), present at high levels in the liver and kidney and in lower concentrations in most other tissues of the body (e.g., the lung). The enzymatic oxidation of sulfite by sulfite oxidase proceeds via a two-electron oxidation, but recent studies hypothesized that the cytotoxicity of (bi)sulfite is mediated by free radicals . In fact, free radicals have been demonstrated to be produced by enzymatic initiation of the oxidation of (bi)sulfite (Scheme 1) by prostaglandin H synthase , horseradish peroxidase [10, 11] and human eosinophil peroxidase , with •SO3− anion radical formed as follows:
Sulfite anion radical reacts very rapidly with oxygen and gives rise to the formation of the oxygen-centered peroxymonosulfate (−O3SOO•) and sulfate (SO4•−) anion radicals through chain propagation steps:
Furthermore, SO4•− can react with another molecule of (bi)sulfite via Eqn. (6) but, being a very strong oxidant , it will oxidize almost any biomolecule. Moreover, our recently published results demonstrated that one of the mammalian peroxidases, eosinophil peroxidase (EPO), uses (bi)sulfite as a one-electron donor substrate to generate reactive intermediates that oxidize the most abundant protein present in plasma, human serum albumin (HSA), to protein radicals via Eqns (1)-(6) .
Neutrophils have been implicated in the pathology of many diseases. Chronic inflammation and influx of these cells into the airways in asthma results in increased generation of reactive oxygen species (ROS) in asthmatic patients [15, 16], and it is likely that ROS play a significant role in the pathophysiology of asthma [17, 18]. The oxidative or respiratory burst in neutrophils is triggered upon phagocytosis or when the pathway is activated by an appropriate synthetic stimulus in vitro. Superoxide (O2•−) is formed, initially, by the reduction of molecular oxygen by a single electron that originates from NADPH. Although O2•− may contribute to microbial killing, other more potent ROS are generated rapidly from this precursor. Hydrogen peroxide (H2O2) is formed by spontaneous dismutation of superoxide and/or catalytic action of superoxide dismutase (SOD).
Myeloperoxidase (MPO) is an abundant heme protein secreted from activated neutrophils that catalyzes the formation of cytotoxic oxidants implicated in asthma and allergic inflammatory disorders . The concentration of MPO can be greater than 5% of the dry weight of these cells. In exacerbated asthma, a strong inflammation is developed and inflammatory cells become activated. Due to this activation, the respiratory burst occurs in neutrophils, eosinophils, monocytes and macrophages. ROS produced by inflammatory cells have been implicated in the pathogenesis of lung diseases such as asthma, cystic fibrosis, adult respiratory distress syndrome, and idiopathic pulmonary fibrosis .
We now demonstrate that MPO uses sulfite as a substrate to generate highly reactive sulfite-derived oxygen species in phorbol 12-myristate 13-acetate (PMA)-activated human neutrophils. In this report, these radicals are characterized with the electron spin resonance (ESR) technique using 5,5-dimethyl-1-pyrroline N-oxide (DMPO) as a spin trap. For the first time, we have demonstrated that sulfite anion radical is formed intracellularly in human neutrophils.
PMA, sodium sulfite, sodium chloride, sodium bromide, sodium thiocyanate, sodium formate, sodium azide, diethylenetriaminepentaacetic acid (DTPA), Gd-DTPA complex, 4-aminobenzoic acid hydrazide (ABAH), ascorbic acid, dimethyl sulfoxide (DMSO), homovanillic acid (HVA), and hydrogen peroxide (obtained as a 30% solution) were from Sigma (St. Louis, MO). The hydrogen peroxide concentration was determined from its absorbance at 240 nm (ε = 39.4 M−1cm−1). Human MPO was purified from white blood cells (Lee Biosolutions, Inc., St. Louis, MO). The enzyme purity (≥ 95%) was assured by electrophoresis and the specific activity was 1130 units/mg protein (information provided by the company). The concentration of the enzyme was calculated from the extinction coefficient of 91 mM−1cm−1 at 430 nm . Bovine kidney superoxide dismutase (SOD) was purchased from Calzyme Laboratories, Inc. (San Luis Obispo, CA). Catalase was purchased from Roche and the activity of the enzyme was 65,000 units/mL. DMPO was obtained from Dojindo Laboratories (Kumamoto, Japan) and used without further purification. The La-DTPA complex was prepared by mixing lanthanum chloride heptahydrate (Sigma) and DTPA solution in the ratio 1:2.
A rapid scanning diode array stopped-flow apparatus (model SF-61DX2, HiTech Scientific Ltd., UK) was used for MPO-compound I kinetic experiments. Data acquisition and analyses were performed using the Kinetic Studio software package (HiTech Scientific). Reactions were performed in 100 mM phosphate buffer (Chelex-treated with 25 μM DTPA) at pH 7.4. Sequential double-mixing experiments were performed to monitor the rate of reduction of MPO-compound I by (bi)sulfite. MPO (5 μM) was premixed with 50 μM H2O2 (conditions that allow the formation of MPO-compound I ) and the latter species was reacted after a 50 ms delay with 10-, 50-, 100-, 500-, and 1000-fold excess of (bi)sulfite. The slow formation of MPO-compound II, known to occur upon oxidation of H2O2 or endogenous electron donors [22, 23], was a minor side reaction and was not analyzed. Pseudo-first-order conditions were achieved by keeping the (bi)sulfite concentration in at least a tenfold excess over the enzyme.
Kinetic experiments were carried out with a Cary 100 spectrophotometer (Varian, Inc., Palo Alto, CA) using a 500 μl quartz cuvette for MPO-compound II kinetics. For reduction of MPO-compound II, 400 nM myeloperoxidase was premixed with 300 nM homovanillic acid (HVA) and 50 μM hydrogen peroxide. Forty seconds after mixing, MPO-compound II was allowed to react with (bi)sulfite. Pseudo-first-order conditions were achieved by keeping the (bi)sulfite concentration in at least a fivefold excess over the enzyme. In the experiments with taurine, 1 mL samples containing 0.1 μM MPO, 100 μM H2O2, 100 mM NaCl and 50 mM taurine were incubated for 1 h at 37°C in the presence of (bi)sulfite. At the end of the incubation, 25 μg of catalase were added to the mixture before essaying for taurine chloramine formation by adding 20 mM KI. 1 mol taurine chloramine was able to oxidize 2 mol of I− to I2. Samples were performed in triplicates, and UV-spectra of solutions diluted two times were recorded over a range of 200-500 nm. The I2 concentration was determined as I3− at 355 nm (ε = 2.29 × 104 M−1cm−1).
Human neutrophils from healthy donors were isolated as previously described  with minor changes. Briefly, venous blood was collected in sodium citrate solution (3.8%), centrifuged (SORVALL centrifuge, g-force 174, 20 min), and platelet-rich plasma was discarded. The remaining part of the blood was mixed with a solution of 6% dextran in saline (5:1, v/v); then the blood/dextran solution was diluted to a 50 ml volume with 0.9% saline in a 50 cc conical tube and fixed vertically for 30 min. After 30 minutes, supernatant containing all white blood cells and granulocytes was collected and centrifuged at 25°C (g-force 111, 6 min). The cell pellet was resuspended in platelet poor plasma (ppp), and the cell suspension was layered over 2 percoll/ppp density gradients in a 15 ml polystyrene tube and centrifuged at 25°C (g-force 121, 15 min), producing two distinct cell monolayers - one of monocytes and macrophages and a second of granulocytes. The second fraction was retrieved and centrifuged as previously mentioned. The granulocyte pellet was resuspended in MAC buffer (phosphate-balanced saline without CaCl2 or MgCl2 containing 2 mM EDTA and 0.5% bovine serum albumin) and counted. The population of neutrophils was extracted from the granulocytes by negative selection using an eosinophil isolation kit (Miltenyi Biotec, Germany). The cells were counted using the Vision Cellometer. Dual fluorescence allows for staining of both live and dead cells using acridine orange and propidium iodine for counting and viability. Total counted cells are indicated by green circles in the bright field image and dead cells stained with propidium iodine. The purity of neutrophils was >95% . Informed consent was obtained from all donors. The protocol was approved by the National Institute of Environmental Health Sciences Institutional Review Board.
ESR spectra were recorded using a Bruker E500 ESR spectrometer equipped with an ER4122SHQ microwave cavity and operating at 9.78 GHz and a modulation frequency of 100 kHz. The ESR spin-trapping experiments were performed by placing the samples in a 10-mm flat cell (250 μl, final volume) immediately after peroxide addition, and the spectra were recorded within 1 min after starting the reaction. The instrumental settings were as follows: field sweep, 80 G; microwave frequency, 9.78 GHz; microwave power, 20 mW, modulation amplitude, 0.5 G; conversion time, 164 ms; time constant, 164 ms; receiver gain, 5 × 104; and number of scans, 1. Computer simulations were performed using WinSim software . The experiments in each figure were from a single donor, but repeated several times from different healthy patients to check the reproducibility. The variation of the ESR amplitude was not more than 10%. Each experiment was repeated at least three times with cells from different patients.
The mechanism of peroxidase oxidation of (bi)sulfite by MPO/H2O2 proceeds in two sequential, one-electron reduction steps of MPO-compounds I and II by (bi)sulfite with the formation of sulfite anion radical (•SO3−), very similar to the enzymatic oxidation of (bi)sulfite by eosinophil peroxidase and horseradish peroxidase [12, 27].
To determine the rate of reduction of the MPO-compound I intermediate, stopped-flow experiments were performed. We premixed 50 μM H2O2 with MPO (5 μM) in an aging loop for 50 ms to allow formation of MPO-compound I (Soret peak at 430 nm) . After this aging time, the intermediate was mixed with various concentrations of (bi)sulfite, the final concentrations of which were at least 10-fold in excess of the enzyme to ensure pseudo-first order kinetics. The reaction was monitored at 430 nm and, under these conditions, we were able to follow monoexponential the reduction of MPO-compound I by (bi)sulfite (Figure 1A, the inset). The pseudo-first-order rate constants (kobs) were obtained from the fit of time traces for each (bi)sulfite concentration. The second-order rate constant for the reduction of MPO-compound I by (bi)sulfite was obtained from the slope of plotted kobs versus sulfite concentrations (Fig. 1A). The calculated value of 1.04 ± 0.04 × 103 M−1 s−1 at pH 7.4 is over 10-fold faster than that reported for HRP-compound I and sulfite (7.6 ± 0.8 × 10 M−1 s−1) .
To follow the rate of reduction of the MPO-compound II intermediate, we premixed MPO (400 nM), homovanillic acid (300 nM), and hydrogen peroxide (50 μM) to generate MPO-compound II (Soret peak at 456 nm) (Fig. 1B, spectrum b). Homovanillic acid (HVA) has been shown to be a good substrate for compound I, but reacts slowly with compound II (k = 230 ± 1.9 M−1s−1 ). Under these conditions we were able to detect and accumulate MPO-compound II, found to be stable for at least 40 s. Fifteen seconds after generation of MPO-compound II, (bi)sulfite was added in excess to the enzyme in order to maintain pseudo first-order conditions. Then we followed the spectral changes at 456 nm, showing the transition of the intermediate back to the resting enzyme with a Soret peak at 430 nm (spectra a and d). The loss of the absorbance at 456 nm for each sulfite concentration displayed monoexponential character. The protein did not recover completely to its resting absorbance after cycling, probably due to porphyrin bleaching and irreversible inactivation, which has been observed with some other peroxidases after hydrogen peroxide treatment .
The pseudo-first-order rate constants (kobs) were obtained from the fit of time traces for each sulfite concentration (Fig. 1C, the inset). The second-order rate constant for the reduction of MPO-compound II by (bi)sulfite was obtained from the slope of plotted kobs versus sulfite concentrations (Fig. 1C). The calculated value of 3.1 ± 0.3 × 102 M−1s−1 at pH 7.4 is very similar to the reported rates for EPO (2.1 ± 0.6 × 102 M−1s−1 ) and HRP (1.8 ± 0.06 × 102 M−1s−1 ). Although the calculated rates show that sulfite is a relatively poor myeloperoxidase substrate, it has been demonstrated that the sulfite radical chain chemistry via Eqns (4)-(6) can be initiated by only 1.4 × 10−13 M •SO3− .
To detect the resulting •SO3−anion radical from the myeloperoxidase-initiated enzymatic oxidation of (bi)sulfite by ESR using spin trapping, we incubated MPO (1 μM) with sulfite (1 mM), which is much less than the amount used as a preservative in wines (up to 5-6 mM, ), plus H2O2 (100 μM) in the presence of DMPO (100 mM). The resulting ESR spectrum of the DMPO/•SO3− radical adduct is shown in Fig. 2A (spectrum a), with hyperfine coupling constants of aN = 14.7 G and aHβ = 16.0 G, consistent with previously published reports [10, 12, 32]. In the control experiments, when (bi)sulfite, MPO, H2O2, or DMPO was omitted, no radical formation was detected (data not shown). In order to trap secondary radicals formed from the sulfite chain chemistry reactions, the concentration of the spin trap was decreased in order to enhance the reaction of the primary •SO3− radical with oxygen via Eqn (4). Using DMPO concentrations of 50 and 20 mM, a secondary radical could be trapped (Fig. 2A, spectra b and c). When the DMPO concentration was reduced to 6 mM, spectrum d in Fig. 2A was detected; its computer-simulated composite is presented in Fig. 2B (spectrum b). The simulation consists of a superposition of 43% DMPO/•OSO3− (aN = 13.7 G, aHβ = 10.1 G, aHγ1 = 1.42 G, and aHγ2 = 0.75 G) [32-34], 33% DMPO/•OH (aN = 14.9 G and aHβ = 14.9 G), and 24% DMPO/•SO3−, presented in Fig. 2B as spectra c, d, and e, respectively. The SO4•− radical is oxygen-centered as indicated by DMPO/•OSO3−.
Figure 2C shows the time course of the ESR spectrum representing the mixture of SO4•−, •OH, and •SO3− radical adducts in the presence of low spin trap concentrations. The ESR signals of sulfite- and sulfate-anion radicals diminished with time (spectra b and c). Ten minutes after mixing the components, only the DMPO/•OH radical adduct was detected (Fig. 2C, spectrum d) with an enhanced intensity, consistent with DMPO/•OH forming from DMPO/•OSO3−. DMPO/•OH radical adduct formation concomitant with DMPO/•OSO3− decay was also found when the sulfate anion radical was formed by the photolysis of peroxydisulfate [33, 34]. The addition of DMSO (100 mM) as a hydroxyl radical scavenger prior to the initiation with H2O2 completely eliminated the sulfate radical, but no scavenger-derived radical was trapped (Fig. 2C, spectrum e). The addition of sodium formate (100 mM) resulted in the disappearance of the DMPO/ SO4•− adduct and the appearance of a strong DMPO/•CO2− radical adduct signal (aN = 15.8 G and aHβ = 18.7 G) (lines marked with asterisks, (Fig. 2C, spectrum f) via the reaction SO4•− + HCOO− → HSO4− + •CO2− (k = 1.7 × 108 M−1s−1 ).
To demonstrate that sulfite oxidation is not limited to a pure enzymatic system, we investigated the formation of sulfite-derived radicals in PMA-activated human neutrophils. The cells (1 × 107 cells/ml) were premixed with Na2SO3 (1 mM) in the presence of DMPO (100 mM), stimulated with PMA (500 ng/ml), and incubated at 37°C for 3 min to initiate superoxide generation during NADPH oxidase activation of the cells. The ESR spectrum of the activated neutrophils was a composite of three radical adducts, simulated and attributed to: DMPO/superoxide, DMPO/•OOH (aN = 14.1 G, aHβ = 11.2 G, and aHγ = 1.24 G) ; DMPO/hydroxyl, DMPO/•OH; and DMPO/sulfur trioxide anion radical, DMPO/•SO3−, respectively (Fig. 3, spectrum a). In the absence of (bi)sulfite, a representative ESR spectrum of PMA-stimulated neutrophils shows DMPO/•OOH (~80%) and DMPO/•OH (~20%) (Fig. 3, spectrum b). The short-lived DMPO/•OSO3− signal was not detected. A very weak signal of DMPO/•SO3− was obtained without PMA stimulation possibly due to the autoxidation of (bi)sulfite by traces of transition metals or a low level of NADPH oxidase activation without added PMA (Fig. 3, spectrum c). Control experiments omitting both (bi)sulfite and PMA or omitting neutrophils resulted in no radical adduct formation (Fig. 3, spectra d and e).
To determine the effect of bromide, chloride and thiocyanate as physiological myeloperoxidase substrates on production of sulfite-derived radicals, we recorded ESR spectra using the neutrophil-PMA-(bi)sulfite system (iodide was excluded due to its low plasma concentration, <1 μM). Neutrophil samples (1 × 107 cells/ml) containing 100 mM DMPO to trap the primary •SO3− radical, 1 mM Na2SO3, and halides or thiocyanate at plasma levels (Cl−, 100 mM; Br−, 100 μM; SCN−, 100 μM) were activated with PMA (500 ng/ml) and incubated at 37°C for 3 min. As shown in Figure 4, the ESR signal was a composite of the three radical adducts: DMPO/•SO3−, DMPO/•OOH, and DMPO/•OH (spectrum a). It was slightly inhibited in the presence of chloride (spectrum b), but significantly reduced by the addition of bromide and thiocyanate (spectra c and d). The addition of all three substrates failed to completely inhibit the radical formation (spectrum e), implying that (bi)sulfite oxidation can occur in human neutrophils even in the presence of strong competitors and preferred substrates. However, when the neutrophils were placed in human plasma instead of phosphate buffer and treated with sulfite and PMA in the presence of DMPO, there was no ESR detection of any radicals (data not shown).
EPR experiments with cells showed a low inhibition of the •SO3− radical formation in presence of Cl−, which suggests that (bi)sulfite is a strong competitor of chloride as a substrate of MPO. So, we also studied the effect of sulfite on MPO-mediated chloride oxidation in the cell-free system by using the taurine chloramine assay. It is known that under ideal conditions, ~100% of the H2O2 is converted to HOCl when added to myeloperoxidase and Cl−. Then HOCl can be trapped as chloramine in the presence of an excess of taurine (H2N-CH2CH2SO3H). To distinguish the competition between chlorination and peroxidation, we determined taurine chloramine (ClHN-CH2CH2SO3H) generation in a system containing 0.1 μM myeloperoxidase, 50 mM taurine, and 100 mM NaCl and then added 100 μM H2O2 in the presence or absence of sulfite. The control samples without MPO, Cl−, or H2O2 inhibited the formation of taurine chloramine. The presence of taurine chloramine (78.4 ± 5.2 μM) was confirmed in the complete MPO-Cl−-H2O2 system as measured by the KI method in the absence of sulfite. However, the addition of sulfite had an inhibitory effect on the taurine chloramine formation. Indeed, the concentration of taurine chloramine was shown to be decreased by 20 % (62.7 ± 4 μM) when 1 mM sulfite was added to the sample (data not shown). A complete inhibition was observed in the presence of 3 mM sulfite since only 1 ± 0.2 μM taurine chloramine could be measured. Therefore, these results confirmed the competition between chloride and sulfite for MPO-compound I. Organic one-electron donors to MPO-compound I are already known to inhibit HOCl formation [36, 37].
To characterize the effect of inhibitors on the generation of the primary •SO3− anion radical, we premixed neutrophils (1 × 107 cells/ml) with azide (500 μM) or 4-aminobenzoic acid hydrazide (ABAH) (500 μM) as MPO inhibitors and then added sulfite (1 mM) and PMA (500 ng/ml). The effect of each inhibitor or antioxidant was compared with a control cell sample containing no compromising agents (Fig. 5, spectrum a). With each MPO inhibitor, the signals were almost completely suppressed (Fig. 5, spectra b and c), confirming the importance of the enzyme as an initiator of (bi)sulfite oxidation. The presence of catalase (150 μg/ml), which cannot penetrate the cell membrane, caused incomplete inhibition of the ESR intensity of the DMPO radical adducts (Fig. 5, spectrum d). When SOD (50 μM) was added to the cells prior to PMA activation, neither DMPO/•OOH nor DMPO/•OH radical adduct was detected, but there was an enhanced formation of DMPO/•SO3− (Fig. 5, spectrum e). DMPO/•SO3− radical adduct formation has been found previously, showing that SOD by itself can oxidize (bi)sulfite via one-electron reduction of SOD-Cu(II) to SOD-Cu(I), leading to the formation of •SO3− . Superoxide dismutase, like catalase, cannot penetrate cell membranes, so DMPO/•OOH and DMPO/•OH must be formed extracellularly with DMPO/•OH, presumably derived from DMPO/•OOH .
We attempted to distinguish between the intra- and extracellular fraction of sulfite- and oxygen-derived radicals. For this purpose we studied the effect of the ESR line-broadening agent Gd-DTPA, which does not enter the cells. This metal chelate does not cross the plasma membrane and should only broaden the extracellular signal [39-42]. La-DTPA, which is diamagnetic but chemically very similar to Gd-DTPA, should not have any effect on the ESR intensity and was used as a control. Figure 6 shows the effect of 20 mM Gd-DTPA (Fig. 6, spectrum b) added to neutrophils prior to their activation: the magnitude of the residual signal was approximately 25% for the cell population of 1 × 107 cells/ml compared to the signal without the metal chelate. This result suggests that this concentration of Gd-DTPA broadens a significant fraction of the ESR signal to the point of undetectability [40, 41], leaving a detectable unbroadened signal corresponding to the intracellular fraction of the primary •SO3− radical. The control experiment with La-DTPA had no effect on the ESR intensity (Fig. 6, spectrum d). Consistent with the SOD experiment, the DMPO/•OOH and DMPO/•OH signals were entirely broadened, confirming that these species are extracellular.
The mean serum sulfite concentration in healthy individuals reported by Ji et al. is ~5 μM . However, in their study, after oral metabisulfite loading with vegetable juice, there was a rapid rise of sulfite concentration in plasma (112 μM) within 30 min. The toxic potential of (bi)sulfite is most clearly indicated by the fatal loss of sulfite oxidase activity . It is noteworthy that in cases of sulfite oxidase deficiency, the concentration of sulfite in plasma is abnormal (10 μM to ~2 mM) . It has also been shown that the presence of sulfite oxidase is substantially reduced compared to that in normal and sulfite-sensitive asthmatic subjects .
Our ESR data demonstrated that in the presence of DMPO during sulfite oxidation, DMPO/•SO3−, DMPO/•OH, and DMPO/•OOH were produced in the PMA-stimulated neutrophils. Previous work on the oxidation of (bi)sulfite in polymorphonuclear (PMN) leukocytes [47, 48] was correlated with the activity of sulfite oxidase, but the formation of sulfite anion radical was attributed to the known reaction of sulfite with superoxide  generated from the cell activation. In another study, it was established that sulfite by itself activates the neutrophil NADPH oxidase to produce superoxide via the protein kinase C and Ca2+/calmodulin pathways [50, 51]; there, superoxide anion production of neutrophils was determined using superoxide dismutase-inhibitable, lucigenin-dependent chemiluminescence. However, there is no doubt whatsoever that lucigenin has the potential to generate superoxide radicals [52, 53]. Moreover, we did not detect any DMPO/•OOH production from sulfite-treated neutrophils without PMA activation (Fig. 3, spectrum c).
In this study, we have shown that (bi)sulfite oxidation catalyzed by myeloperoxidase resulted in the formation of highly reactive sulfite-derived radicals. To our knowledge, this is the first report of sulfite oxidation by a mammalian peroxidase-H2O2 system resulting in detection of the highly reactive SO4•− radical. Our ESR experiments in the presence of 6 mM DMPO showed the formation of •SO3−, SO4•− and •OH radical adducts, the latter building up with time (Fig. 2C). This is in agreement with previously published reports of spin trapping of SO4•− with DMPO, where nucleophilic substitution of the incipient leaving group in the initial radical adducts occurred via the reaction: DMPO/SO4•− + H2O → HSO4− + DMPO/•OH [32, 34]. We were unable to detect the DMPO/•OOSO3− radical adduct, probably because of the decomposition of DMPO/•OOSO3− to DMPO/•OH and −O3SOOH . The standard redox potential of SO4•− has been determined to be between 2.4 and 3.1 V (vs. NHE) [54, 55], which makes it as strong an oxidant as hydroxyl radical (E0 = 2.31 V) . Although the enzyme-catalyzed oxidation of sulfites by other peroxidases has been shown to occur in lung microsomes , polymorphonuclear leukocytes , and lymphocytes from intestinal Peyer’s patches and mesenteric lymph nodes , there have been no previous reports in the literature of the myeloperoxidase metabolism of (bi)sulfite in neutrophils (Scheme 2).
Our evidence that myeloperoxidase initiates the sulfite oxidation in PMA-stimulated neutrophils is consistent with the effects of MPO substrates and inhibitors. The preferred substrates for myeloperoxidase are reported to be thiocyanate (SCN−), followed by iodide (I−), bromide (Br−), and chloride (Cl−) based on the rates of two-electron reduction of MPO-compound I with the formation of the corresponding hypohalous acid . We added plasma concentrations of thiocyanate, bromide, and chloride separately and all together to the cell samples prior to PMA activation (Fig. 4). ESR data showed that the addition of the substrates significantly inhibited the formation of DMPO/•SO3− radical adduct, and this evidence supports the importance of MPO for initiation of the radical chemistry. However, incubation with a mixture of all three substrates in the presence of sulfite did not completely inhibit the enzymaticallycatalyzed oxidation of (bi)sulfite, supporting the possible physiological significance of this reaction. The lack of an ESR signal in plasma is probably due to ceruloplasmin, an acute phase protein present in plasma at 2-4 μM, which was shown to exhibit an inhibitory effect on the peroxidase acitivity of MPO . In addition to ceruloplasmin, another possible reason for the absence of radical detection is the presence of unknown antioxidants, but sulfite anion radical may be present at concentrations below the detection limit of ESR. However, plasma levels of halides and (pseudo)halides can vary. For example, plasma levels for thiocyanate are from 20 to 120 μM; for Br−, from 20 to 100 μM; for I−, <1 μM; and for Cl−, 100 mM. When we added 100 μM thiocyanate or 100 μM bromide to our sulfite-mediated ESR experiments, we detected significant inhibition of radical formation, while iodide or chloride did not have such an effect. However, the concentration of the physiological substrates may be much lower in cells or tissues, in which case we can assume that the (bi)sulfite oxidation is likely to occur in vivo, particularly at sites where neutrophilic infiltration is enhanced and thiocyanate and bromide are limited. Also, the concentrations of thiocyanate and bromide are probably much lower in tissues (for example lungs) or in the intracellular space than used in the present work. For example, in the liver, the intracellular Cl− concentration was determined to be only 4.5 mM .
Additionally, the myeloperoxidase inhibitors azide and ABAH confirmed the strong dependence of the sulfite radical formation on myeloperoxidase (Fig. 5). Azide has been shown to be a general inhibitor for various peroxidases while 4-aminobenzoic acid hydrazide (ABAH) is a specific MPO inhibitor. The protein oxidizes the inhibitors to azidyl  or ABAH radicals . The inactivation of MPO by azidyl radical is probably caused by covalent modification of the heme prosthetic group  while ABAH radical reduces the enzyme to its ferrous intermediate . In addition to reacting with peroxidases, (bi)sulfite reacts with superoxide dismutase, as we recently reported . For this reason, DMPO/•SO3− formation was enhanced in the presence of SOD due to the reaction: SOD-Cu(II) + SO32− → SOD-Cu(I) + •SO3−. A similar SOD effect was observed in previous work, but the authors interpreted the results as an indication that SOD-driven H2O2 participated in further enzyme-catalyzed sulfite oxidation .
In our ESR studies reported here, we also tried to answer the question of whether the radicals detected due to MPO-catalyzed oxidation of sulfite are formed inside or outside the cells. It has been established that cell membranes are impermeable to charged metal chelates such as Gd-DTPA and chromium(III) oxalate [K3Cr(C2O4)3 × 3H2O] [40-42, 63]. In Fig. 6, the extracellular fraction of •SO3− was broadened by 20 mM Gd-DTPA, and the remaining signal was due to the radical species present inside the cells. La-DTPA was used as a control due to its chemical similarity to Gd-DTPA, but since it is not paramagnetic, it did not broaden the DMPO/•SO3− signal. Based on the ESR intensity, we could conclude that the sulfite anion radicals generated by activated neutrophils are mainly formed outside the cells (~75%) after degranulation and MPO release, but PMA is known to cause very little degranulation [64-68]. A second possibility is that the radical formation occurred inside the cells, but the radical adducts escaped through the cell membrane. In any case, because the intracellular volume is a very, very small fraction of the total sample volume, the intracellular concentration of DMPO/•SO3− must be an order of magnitude greater than the extracellular concentration.
Our proposed mechanism of myeloperoxidase-initiated sulfite oxidation by PMA-stimulated neutrophils is shown in Scheme 2. When inflammogenic signaling is induced by PMA in human neutrophils, O2•− is produced mainly by NADPH oxidase, which disproportionates to H2O2. When MPO reacts with H2O2, it forms compound I, which contains two more oxidizing equivalents than the resting enzyme. We suggest that MPO-compound I can oxidize (bi)sulfite to sulfite anion radical (•SO3−) through the typical peroxidase cycle by a one-electron process with the formation of MPO-compound II detected in a pure enzymatic system (the same pathway as HRP). This intermediate can also oxidize another molecule of (bi)sulfite and produce another •SO3−. Once the •SO3− radical is formed, it reacts rapidly with oxygen with the formation of −O3SOO•, which undergoes self-reaction or reacts with another molecule of (bi)sulfite or other compounds to form SO4•−. The ultimately formed sulfate anion radical (SO4•−) is a very strong oxidant, and this reactive intermediate can oxidize macromolecules such as proteins, thereby propagating protein radical formation. Our neutrophil-(bi)sulfite-PMA system provides an enzymatic pathway for production of −O3SOO• and SO4•−, which may further oxidize protein and DNA macromolecules. Therefore, we propose a mechanism of MPO-dependent oxidative damage and tissue injury in (bi)sulfite (hydrated sulfur dioxide)-exacerbated inflammatory disorders (Scheme 2). Our results portend the opening of a new and exciting venue of research which we intend to explore in greater detail.
We would like to acknowledge Mary J. Mason, Dr. Ann Motten, and Jean Corbett for their editing of the manuscript. Also, we thank Ms. Brenda Yingling and Ms. Jamie D. Marshburn for their technical assistance. This work has been supported by the Intramural Research Program of the NIH, NIEHS.
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