levoleucovorin and Lesch-Nyhan-Syndrome

Treatment of circulating human neutrophils with recombinant human granulocyte colony-stimulating factor (rhG-CSF) for 30 min augmented superoxide generation and chemotaxis induced by N-formylmethionyl-leucyl-phenylalanine (fMLP) in a dose dependent manner. When neutrophils were treated with 1 microM of methotrexate (MTX) for 60 min after incubation with rhG-CSF (10 ng/ml), the effects of rhG-CSF on superoxide generation and chemotaxis were inhibited by approximately 49 and 29%, respectively. Although inhibitory effects of MTX were also seen in neutrophils not pretreated with rhG-CSF, the degree of inhibition was much less. The addition of either hypoxanthine or guanosine at a concentration of 100 microM to the culture medium significantly attenuated the effects of MTX. However, in neutrophils obtained from a patient with Lesch-Nyhan syndrome, which lacked hypoxanthine-guanine phosphoribosyl transferase activity neither hypoxanthine nor guanosine had any rescue effect. These results suggest that MTX inhibits superoxide generation and chemotaxis in rhG-CSF-activated neutrophils, at least in part, by disturbing purine nucleotide biosynthesis.

Topics: Cells, Cultured; Chemotaxis, Leukocyte; Folic Acid Antagonists; Granulocyte Colony-Stimulating Factor; Guanosine; Humans; Hypoxanthine; Hypoxanthines; Lesch-Nyhan Syndrome; Leucovorin; Methotrexate; N-Formylmethionine Leucyl-Phenylalanine; Neutrophils; Recombinant Proteins; Respiratory Burst; Superoxides