Cefoperazone Prevents the Inactivation of α 1 -Antitrypsin by Activated Neutrophils
Author(s) -
Franco Dallegri,
Patrizia Dapino,
Nicoletta Arduino,
Maria Bertolotto,
Luciano Ottonello
Publication year - 1999
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.43.9.2307
Subject(s) - elastase , hypochlorous acid , cefoperazone , neutrophil elastase , inflammation , chemistry , microbiology and biotechnology , pancreatic elastase , alpha (finance) , antibiotics , biochemistry , immunology , enzyme , medicine , biology , antibiotic resistance , imipenem , construct validity , nursing , patient satisfaction
At sites of neutrophilic inflammation, tissue injury by neutrophil elastase is favored by phagocyte-induced hypochlorous acid-dependent inactivation of the natural elastase inhibitor α1 -antitrypsin. In the present study, cefoperazone prevented α1 -antitrypsin inactivation by neutrophils and reduced the recovery of hypochlorous acid from these cells. Moreover, the antibiotic reduced the free elastase activity in a neutrophil suspension supplemented with α1 -antitrypsin without affecting the cells’ ability to release elastase. These data suggest that the drug inactivates hypochlorous acid before its reaction with α1 -antitrypsin, thereby permitting the antiprotease-mediated blockade of released elastase. In conclusion, cefoperazone appears to have the potential for limiting elastase-antielastase imbalances, attenuating the related tissue injury at sites of inflammation.
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