Immune cells can be divided into
myeloid cells and
lymphoid cells. Myeloid cells, including
macrophages and
neutrophils, are especially implicated in the respiratory burst. They are
phagocytic, and the respiratory burst is vital for the subsequent degradation of
internalised bacteria or other
pathogens. This is an important aspect of the
innate immunity. Respiratory burst requires a 10 to 20 fold increase in oxygen consumption through
NADPH oxidase (
NOX2 in humans) activity. NADPH is the key
substrate of NOX2, and bears
reducing power.
Glycogen breakdown is vital to produce NADPH. This occurs via the
pentose phosphate pathway. The NOX2 enzyme is bound in the
phagolysosome membrane. Post bacterial phagocytosis, it is activated, producing superoxide via its
redox centre, which transfers electrons from cytosolic NADPH to O2 in the phagosome. 2O2 + NADPH —> 2O2•– + NADP+ + H+ The superoxide can then
spontaneously or enzymatically react with other molecules to give rise to other ROS. The phagocytic membrane reseals to limit exposure of the extracellular environment to the generated reactive
free radicals.
Pathways for reactive species generation There are three main pathways for the generation of reactive oxygen species or
reactive nitrogen species (RNS) in
effector cells: •
Superoxide dismutase (or alternatively,
myeloperoxidase) generates hydrogen peroxide from superoxide.
Hydroxyl radicals are then generated via the
Haber–Weiss reaction or the
Fenton reaction, of which are both catalyzed by Fe2+. O2•–+ H2O2 —> •OH + OH– + O2 • In the presence of
halide ions, prominently chloride ions, myeloperoxidase uses hydrogen peroxide to produce
hypochlorous acid. H2O2 + Cl− —> ClO− + H2O •
Nitric oxide synthase (the inducible isoform, iNOS, in immunity)
catalyses the production of
nitric oxide from
L-arginine. 2L-arginine + 3NADPH + 3 H+ + 4O2 —> 2
citrulline + 2NO• + 4H2O + 3NADP+ Nitric oxide may react with superoxide anions to produce
peroxynitrite anion. O2•− + NO• → ONO2−
Defense against pathogens The exposure to these reactive species in the respiratory burst results in pathology. This is due to
oxidative damage to the engulfed bacteria. Notably, peroxynitrite is a very strong
oxidising agent that can lead to
lipid peroxidation, protein oxidation, protein
nitration, which are responsible for its bactericidal effects. It may react directly with proteins that contain transition metal centers, such as
FeS, releasing Fe2+ for the Fenton reaction. Peroxynitrite may also react with various amino acids in the peptide chain, thereby altering protein structure and subsequently, protein function. It most commonly oxidises
cysteine, and may indirectly induce
tyrosine nitration through other generated RNS. Altered protein function includes changes in enzyme catalytic activity, cytoskeletal organisation and cell signal transduction. Hypochlorous acid reacts with a range of biomolecules, including DNA, lipids and proteins. HClO may oxidise cysteines and
methionines via their
sulfhydryl groups and sulfur groups respectively. The former leads to the formation of
disulfide bonds, inducing protein crosslinking. Both oxidations result in protein aggregation, and ultimately, cell death. Sulfhydryl groups can be oxidised up to three times by three HClO molecules, forming sulfenic acids, sulfinic acids and
R–SO3H, which are increasingly irreversible and bactericidal. Meanwhile, methionine oxidation is reversible. HOCl can also react with primary or secondary
amines, producing chloroamines which are toxic to bacteria. Protein cross linking and aggregation may also occur, as well as disruption of FeS groups. Integral to hypochlorous acid formation is myeloperoxidase. Myeloperoxidase is most abundant in neutrophils, wherein phagocytosis is accompanied by
degranulation. This is the fusion of granules with the phagolysosome, releasing their contents, including myeloperoxidase. As many microbicidal products are formed during respiratory burst, the importance of individual molecules in killing invading pathogens is not wholly understood. Due to the high toxicity of generated antimicrobial products including ROS, neutrophils have a short life span to limit host tissue damage during
inflammation.
Disease Chronic Granulomatous Disease is an inherited disease of human
neutrophils, wherein NOX2 is defective. Phagocytosis may still occur, but without proper functioning NOX2, there is no superoxide production, and therefore no respiratory burst. The bacterial
infection is not cleared. == Cellular signalling ==