---
_id: '1142'
abstract:
- lang: eng
  text: Hemolysis drives susceptibility to bacterial infections and predicts poor
    outcome from sepsis. These detrimental effects are commonly considered to be a
    consequence of heme-iron serving as a nutrient for bacteria. We employed a Gram-negative
    sepsis model and found that elevated heme levels impaired the control of bacterial
    proliferation independently of heme-iron acquisition by pathogens. Heme strongly
    inhibited phagocytosis and the migration of human and mouse phagocytes by disrupting
    actin cytoskeletal dynamics via activation of the GTP-binding Rho family protein
    Cdc42 by the guanine nucleotide exchange factor DOCK8. A chemical screening approach
    revealed that quinine effectively prevented heme effects on the cytoskeleton,
    restored phagocytosis and improved survival in sepsis. These mechanistic insights
    provide potential therapeutic targets for patients with sepsis or hemolytic disorders.
acknowledgement: 'Y. Fukui (Medical Institute of Bioregulation, Kyushu University)
  and J. Stein (Theodor Kocher Institute, University of Bern) are acknowledged for
  providing the DOCK8 deficient bone marrow. and H. Häcker (St. Judes Children''s
  Research Hospital) for providing the ERHBD-HoxB8-encoding retroviral construct.
  pSpCas9(BB)-2a-Puro (PX459) was a gift from F. Zhang (Massachusetts Institute of
  Technology) (Addgene plasmid # 48139) and pGRG36 was a gift from N. Craig (Johns
  Hopkins University School of Medicine) (Addgene plasmid # 16666). LifeAct-GFP-encoding
  retrovirus was kindly provided by A. Leithner (Institute of Science and Technology
  Austria). pSIM8 and TKC E. coli were gifts from D.L. Court (Center for Cancer Research,
  National Cancer Institute). We acknowledge M. Gröger and S. Rauscher for excellent
  technical support (Core imaging facility, Medical University of Vienna). We thank
  D.P. Barlow and L.R. Cheever for critical reading of the manuscript. This work was
  supported by the Austrian Academy of Sciences, the Science Fund of the Austrian
  National Bank (14107) and the Austrian Science Fund FWF (I1620-B22) in the Infect-ERA
  framework (to S.Knapp).'
author:
- first_name: Rui
  full_name: Martins, Rui
  last_name: Martins
- first_name: Julia
  full_name: Maier, Julia
  last_name: Maier
- first_name: Anna
  full_name: Gorki, Anna
  last_name: Gorki
- first_name: Kilian
  full_name: Huber, Kilian
  last_name: Huber
- first_name: Omar
  full_name: Sharif, Omar
  last_name: Sharif
- first_name: Philipp
  full_name: Starkl, Philipp
  last_name: Starkl
- first_name: Simona
  full_name: Saluzzo, Simona
  last_name: Saluzzo
- first_name: Federica
  full_name: Quattrone, Federica
  last_name: Quattrone
- first_name: Riem
  full_name: Gawish, Riem
  last_name: Gawish
- first_name: Karin
  full_name: Lakovits, Karin
  last_name: Lakovits
- first_name: Michael
  full_name: Aichinger, Michael
  last_name: Aichinger
- first_name: Branka
  full_name: Radic Sarikas, Branka
  last_name: Radic Sarikas
- first_name: Charles
  full_name: Lardeau, Charles
  last_name: Lardeau
- first_name: Anastasiya
  full_name: Hladik, Anastasiya
  last_name: Hladik
- first_name: Ana
  full_name: Korosec, Ana
  last_name: Korosec
- first_name: Markus
  full_name: Brown, Markus
  id: 3DAB9AFC-F248-11E8-B48F-1D18A9856A87
  last_name: Brown
- first_name: Kari
  full_name: Vaahtomeri, Kari
  id: 368EE576-F248-11E8-B48F-1D18A9856A87
  last_name: Vaahtomeri
  orcid: 0000-0001-7829-3518
- first_name: Michelle
  full_name: Duggan, Michelle
  id: 2EDEA62C-F248-11E8-B48F-1D18A9856A87
  last_name: Duggan
- first_name: Dontscho
  full_name: Kerjaschki, Dontscho
  last_name: Kerjaschki
- first_name: Harald
  full_name: Esterbauer, Harald
  last_name: Esterbauer
- first_name: Jacques
  full_name: Colinge, Jacques
  last_name: Colinge
- first_name: Stephanie
  full_name: Eisenbarth, Stephanie
  last_name: Eisenbarth
- first_name: Thomas
  full_name: Decker, Thomas
  last_name: Decker
- first_name: Keiryn
  full_name: Bennett, Keiryn
  last_name: Bennett
- first_name: Stefan
  full_name: Kubicek, Stefan
  last_name: Kubicek
- first_name: Michael K
  full_name: Sixt, Michael K
  id: 41E9FBEA-F248-11E8-B48F-1D18A9856A87
  last_name: Sixt
  orcid: 0000-0002-6620-9179
- first_name: Giulio
  full_name: Superti Furga, Giulio
  last_name: Superti Furga
- first_name: Sylvia
  full_name: Knapp, Sylvia
  last_name: Knapp
citation:
  ama: Martins R, Maier J, Gorki A, et al. Heme drives hemolysis-induced susceptibility
    to infection via disruption of phagocyte functions. <i>Nature Immunology</i>.
    2016;17(12):1361-1372. doi:<a href="https://doi.org/10.1038/ni.3590">10.1038/ni.3590</a>
  apa: Martins, R., Maier, J., Gorki, A., Huber, K., Sharif, O., Starkl, P., … Knapp,
    S. (2016). Heme drives hemolysis-induced susceptibility to infection via disruption
    of phagocyte functions. <i>Nature Immunology</i>. Nature Publishing Group. <a
    href="https://doi.org/10.1038/ni.3590">https://doi.org/10.1038/ni.3590</a>
  chicago: Martins, Rui, Julia Maier, Anna Gorki, Kilian Huber, Omar Sharif, Philipp
    Starkl, Simona Saluzzo, et al. “Heme Drives Hemolysis-Induced Susceptibility to
    Infection via Disruption of Phagocyte Functions.” <i>Nature Immunology</i>. Nature
    Publishing Group, 2016. <a href="https://doi.org/10.1038/ni.3590">https://doi.org/10.1038/ni.3590</a>.
  ieee: R. Martins <i>et al.</i>, “Heme drives hemolysis-induced susceptibility to
    infection via disruption of phagocyte functions,” <i>Nature Immunology</i>, vol.
    17, no. 12. Nature Publishing Group, pp. 1361–1372, 2016.
  ista: Martins R, Maier J, Gorki A, Huber K, Sharif O, Starkl P, Saluzzo S, Quattrone
    F, Gawish R, Lakovits K, Aichinger M, Radic Sarikas B, Lardeau C, Hladik A, Korosec
    A, Brown M, Vaahtomeri K, Duggan M, Kerjaschki D, Esterbauer H, Colinge J, Eisenbarth
    S, Decker T, Bennett K, Kubicek S, Sixt MK, Superti Furga G, Knapp S. 2016. Heme
    drives hemolysis-induced susceptibility to infection via disruption of phagocyte
    functions. Nature Immunology. 17(12), 1361–1372.
  mla: Martins, Rui, et al. “Heme Drives Hemolysis-Induced Susceptibility to Infection
    via Disruption of Phagocyte Functions.” <i>Nature Immunology</i>, vol. 17, no.
    12, Nature Publishing Group, 2016, pp. 1361–72, doi:<a href="https://doi.org/10.1038/ni.3590">10.1038/ni.3590</a>.
  short: R. Martins, J. Maier, A. Gorki, K. Huber, O. Sharif, P. Starkl, S. Saluzzo,
    F. Quattrone, R. Gawish, K. Lakovits, M. Aichinger, B. Radic Sarikas, C. Lardeau,
    A. Hladik, A. Korosec, M. Brown, K. Vaahtomeri, M. Duggan, D. Kerjaschki, H. Esterbauer,
    J. Colinge, S. Eisenbarth, T. Decker, K. Bennett, S. Kubicek, M.K. Sixt, G. Superti
    Furga, S. Knapp, Nature Immunology 17 (2016) 1361–1372.
date_created: 2018-12-11T11:50:22Z
date_published: 2016-12-01T00:00:00Z
date_updated: 2021-01-12T06:48:36Z
day: '01'
department:
- _id: MiSi
- _id: PeJo
doi: 10.1038/ni.3590
intvolume: '        17'
issue: '12'
language:
- iso: eng
main_file_link:
- open_access: '1'
  url: https://ora.ox.ac.uk/objects/uuid:f53a464e-1e5b-4f08-a7d8-b6749b852b9d
month: '12'
oa: 1
oa_version: Submitted Version
page: 1361 - 1372
publication: Nature Immunology
publication_status: published
publisher: Nature Publishing Group
publist_id: '6216'
quality_controlled: '1'
scopus_import: 1
status: public
title: Heme drives hemolysis-induced susceptibility to infection via disruption of
  phagocyte functions
type: journal_article
user_id: 3E5EF7F0-F248-11E8-B48F-1D18A9856A87
volume: 17
year: '2016'
...
