Assessment of Myeloperoxidase Activity by the Conversion of Hydroethidine to 2-Chloroethidium

Oxidants derived from myeloperoxidase (MPO) contribute to inflammatory diseases. In vivo MPO activity is commonly assessed by the accumulation of 3-chlorotyrosine (3-Cl-Tyr), although 3-Cl-Tyr is formed at low yield and is subject to metabolism. Here we show that MPO activity can be assessed using hydroethidine (HE), a probe commonly employed for the detection of superoxide. Using LC/MS/MS, ¹H NMR, and two-dimensional NOESY, we identified 2-chloroethidium (2-Cl-E⁺) as a specific product when HE was exposed to hypochlorous acid (HOCl), chloramines, MPO/H₂O₂/chloride, and activated human neutrophils. The rate constant for HOCl-mediated conversion of HE to 2-Cl-E⁺ was estimated to be 1.5 × 10⁵ m⁻¹s⁻¹. To investigate the utility of 2-Cl-E⁺ to assess MPO activity in vivo, HE was injected into wild-type and MPO-deficient (Mpo^−/−) mice with established peritonitis or localized arterial inflammation, and tissue levels of 2-Cl-E⁺ and 3-Cl-Tyr were then determined by LC/MS/MS. In wild-type mice, 2-Cl-E⁺ and 3-Cl-Tyr were detected readily in the peritonitis model, whereas in the arterial inflammation model 2-Cl-E⁺ was present at comparatively lower concentrations (17 versus 0.3 pmol/mg of protein), and 3-Cl-Tyr could not be detected. Similar to the situation with 3-Cl-Tyr, tissue levels of 2-Cl-E⁺ were decreased substantially in Mpo^−/− mice, indicative of the specificity of the assay. In the arterial inflammation model, 2-Cl-E⁺ was absent from non-inflamed arteries and blood, suggesting that HE oxidation occurred locally in the inflamed artery. Our data suggest that the conversion of exogenous HE to 2-Cl-E⁺ may be a useful selective and sensitive marker for MPO activity in addition to 3-Cl-Tyr.