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Archives of Disease in Childhood - Fetal and Neonatal Edition 1998;78:F129-F132; doi:10.1136/fn.78.2.F129
Copyright © 1998 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child Fetal Neonatal Ed 1998;78:F129-F132 ( March )

Reduced expression of C5a receptors on neutrophils from cord blood

Mads Nybo,a Ole Sørensen,a R Leslie,b Palle Wanga

a Department of Clinical Biochemistry, Odense University Hospital, b Department of Medical Microbiology

Correspondence to: Dr M Nybo Department of Clinical Biochemistry Odense University Hospital DK-5000 Odense C Denmark.m.nybo{at}winsloew.ou.dk


Accepted 28 August 1997

AIM---To describe further functional deficiencies of neonatal neutrophils by measuring the expression of C5a receptors.
METHODS---C5a uptake was measured using flow cytometry with fluorescein isothiocynate labelled recombinant C5a. The response of neutrophils to stimulation with C5a and fMLP was tested by measuring migration and exocytosis of myeloperoxidase and lactoferrin.
RESULTS---C5a mean fluorescence on neutrophils from neonates was significantly lower (22.4 (SD 3.5)) than in adult controls (31.5 (3.1)). Neutrophils from neonates migrated poorly towards both C5a and fMLP compared with those from adult controls. Exocytosis of myeloperoxidase, but not lactoferrin from neonatal neutrophils stimulated with C5a, was significantly lower than in adult controls. fMLP stimulation, on the other hand, resulted in significantly higher exocytosis in neonates.
CONCLUSION---The lower expression of C5a receptors on neutrophils from neonates could be related to reduced C5a mediated exocytosis of myeloperoxidase.

Keywords: neutrophil; chemotaxis; exocytosis; C5a receptors


© 1998 by Archives of Disease in Childhood

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