Post-Translational Modifications: Phosphorylation at Thr113, S-glutathionylation, and oxidation .
Metal Binding: Binds calcium and zinc, enabling tetramer formation .
Neutrophil Function:
Cytokine Modulation:
Binds fatty acids (e.g., arachidonic acid) and exhibits direct antimicrobial effects .
Recruits neutrophils and macrophages to infection sites via cytoskeleton rearrangement .
Sepsis: Elevated S100A9 levels correlate with septic shock severity .
Viral Infections: Exacerbates inflammation during influenza A via DDX21–TRIF signaling .
Rheumatoid Arthritis: Elevated in synovial fluid, promoting cartilage destruction .
Multiple Sclerosis: S100A9 deletion in mice worsens experimental autoimmune encephalomyelitis (EAE), suggesting regulatory roles .
Atherosclerosis:
Anti-Inflammatory Strategies:
Challenges:
Human S100A9 is a small calcium-binding protein highly expressed in neutrophil and monocyte cytosol . It belongs to the S100 protein family and is often found as a heterodimer with S100A8 (called S100A8/A9 or calprotectin). S100A9 consists of 114 amino acids (Met1-Pro114) and functions in a calcium and zinc-dependent manner. It plays crucial roles in inflammatory processes and immune regulation by interacting with various receptors, notably RAGE (receptor for advanced glycation end products) and TLR4/MD2 (Toll-like receptor 4/MD2 complex) .
S100A9 shows cell type-specific expression patterns, with highest levels in myeloid cells. It is particularly abundant in neutrophils and monocytes, and can be detected in peripheral blood mononuclear cells (PBMCs), spleen tissue, tonsil tissue, and cartilage tissue . In pathological conditions, S100A9 expression can be significantly upregulated. Research demonstrates that S100A9 is specifically expressed in CD14+ HLA-DR−/low myeloid-derived suppressor cells (MDSCs) . Its expression can be regulated by inflammatory cytokines and bacterial components, with expression patterns differing between acute and chronic inflammatory conditions.
Multiple methodological approaches can be employed to detect human S100A9:
Western blot analysis using specific antibodies - effective for detecting S100A9 in PBMCs, spleen, tonsil, and cartilage tissue lysates
Flow cytometry - particularly useful for identifying CD14+S100A9+ cell populations in whole blood samples
Immunohistochemistry - for tissue localization studies
ELISA - for quantitative measurement in serum, plasma, or other biological fluids
Mass spectrometry - for precise identification and characterization
RNA sequencing - particularly single-cell RNA-seq for cell-specific expression profiling
For optimal results, researchers should validate antibody specificity, as S100A9 shares structural similarities with other S100 family members.
S100A9 appears to be a focal molecule in autoimmune disease pathogenesis through its interactions with proinflammatory mediators . Its significance is supported by several lines of evidence:
S100A9 functions as an endogenous ligand for both RAGE and TLR4/MD2 receptors in a zinc and calcium-dependent manner, promoting inflammatory signaling cascades
These interactions trigger downstream pathways that contribute to chronic inflammation characteristic of autoimmune conditions
Quinoline-3-carboxamides (Q compounds), which specifically bind to S100A9, show therapeutic efficacy in experimental autoimmune disease models, directly implicating S100A9 in disease pathology
Q compound binding inhibits S100A9's interactions with RAGE and TLR4/MD2, dampening inflammatory responses
Antibodies against the quinoline-3-carboxamide–binding domain of S100A9 can inhibit TNFα release in S100A9-dependent models, further confirming its role
These findings establish S100A9 as a potential therapeutic target for treating human autoimmune diseases including multiple sclerosis, rheumatoid arthritis, and systemic lupus erythematosus.
S100A9 exerts multiple proinflammatory activities on neutrophils and monocytes:
Chemotaxis: S100A9 stimulates neutrophil migration, contributing to their recruitment to inflammatory sites
Adhesion: S100A9 promotes neutrophil adhesion to fibrinogen by activating the β2 integrin Mac-1 (CD11b/CD18)
Monocyte recruitment: Both S100A9 and the S100A8/A9 heterodimer enhance monocyte adhesion to endothelial cells via Mac-1/ICAM-1 interactions
Transmigration: S100A8/A9 facilitates monocyte migration through the endothelium
Importantly, the relationship between S100A9 and its heterodimeric partner S100A8 presents some complexities. While one study suggested S100A8 negatively regulates S100A9's activity by forming heterocomplexes , other research indicates that S100A8/A9 maintains proinflammatory activity toward monocytes . This apparent contradiction suggests context-dependent functions that may vary by cell type or inflammatory setting.
S100A9 has emerged as a valuable marker for monocytic human MDSCs, which are important immunosuppressive cells. Research has established that:
S100A9 is specifically expressed in CD14+ HLA-DR−/low MDSCs, along with S100A8 and S100A12
S100A9 staining combined with CD14 detection can identify MDSCs in whole blood from cancer patients
CD14+S100A9high cell populations are increased in peripheral blood from colon cancer patients compared to healthy controls
These CD14+S100A9high cells demonstrate functional MDSC characteristics, including induction of nitric oxide synthase expression upon LPS/IFN-γ stimulation
This identification of S100A9 as an MDSC marker provides researchers with a valuable tool for analyzing and characterizing human MDSCs in different pathological contexts, particularly in cancer where these cells contribute to immune evasion.
Analyzing S100A9 within cell type-specific gene networks requires sophisticated bioinformatic approaches:
Resources like HCNetlas (human cell network atlas) can be utilized to examine S100A9 interactions within cell type-specific gene networks (CGNs) across various healthy tissue cells
Single-cell RNA-sequencing data from the Human Cell Atlas project can identify cell types with high S100A9 expression
Network centrality analyses can reveal S100A9's position and influence within specific cell type networks, beyond simple expression levels
Researchers can create CGNs for both healthy and diseased tissue samples to identify altered S100A9 interactions in pathological states
Interactome-based approaches like scHumanNet can refine S100A9 connections based on cell-to-cell variation in gene expression
This network-centric approach allows researchers to map S100A9's functional landscapes within specific cell types and understand how its network topology changes in disease contexts.
Several sophisticated methodologies can characterize S100A9's binding interactions:
Surface Plasmon Resonance (SPR): Can determine binding kinetics between S100A9 and receptors like RAGE or TLR4/MD2, as demonstrated in previous studies . This technique revealed that S100A9's interactions are strictly dependent on both zinc and calcium ions
Photoaffinity Cross-Linking: Using radioactively labeled compounds (like quinoline-3-carboxamides) to identify binding partners of S100A9
Competitive Binding Assays: To examine whether compounds like quinoline-3-carboxamides can displace S100A9 binding to its receptors
Structural Analysis: X-ray crystallography or cryo-EM to determine the three-dimensional structure of S100A9-receptor complexes
Mutagenesis Studies: Identifying critical amino acid residues involved in receptor interactions
Such analyses have revealed that S100A9 shows approximately 6-fold higher binding to RAGE compared to the S100A8/A9 heterodimer, while S100A8 binding to RAGE is negligible . These findings highlight the importance of studying the isolated proteins as well as their heterocomplexes.
Transcriptomic approaches offer powerful insights into S100A9's role in autoimmune conditions:
Blood Transcriptome Analysis: Blood transcriptomics has proven valuable for understanding autoimmune disease pathogenesis, particularly in conditions like Systemic Lupus Erythematosus (SLE) and Systemic onset Juvenile Idiopathic Arthritis (SoJIA)
Interferon Signature Correlation: In pediatric SLE patients, an interferon (IFN) signature is observed in peripheral blood mononuclear cells, with potential correlation to S100A9 expression patterns
Comparative Analysis: Differences in gene expression signatures between pediatric and adult autoimmune patients can be examined, as pediatric SLE patients show higher prevalence of IFN signatures (~100%) compared to adult patients (~50%)
Single-Cell Technologies: Allow examination of S100A9 expression and regulatory networks at the individual cell level
Longitudinal Studies: Can track changes in S100A9 expression during disease flares and remission periods
These transcriptomic approaches help identify pathogenic pathways involving S100A9, potential therapeutic targets, and biomarkers for diagnosis and monitoring disease activity and treatment response.
Quinoline-3-carboxamides (Q compounds) represent a promising therapeutic approach targeting S100A9:
Binding Mechanism: Q compounds specifically bind to S100A9 in a zinc and calcium-dependent manner
Inhibitory Function: They inhibit S100A9's interactions with both RAGE and TLR4/MD2 receptors in a dose-dependent manner
Structure-Activity Relationship: A clear correlation exists between Q compounds' binding affinity to S100A9 and their potency in inhibiting receptor interactions
In Vivo Efficacy: Q compounds can inhibit acute experimental autoimmune encephalomyelitis in mice, with potency correlating with their S100A9 binding strength
TNFα Inhibition: Q compounds inhibit TNFα release in S100A9-dependent models, similar to the effect observed with antibodies against the Q compound-binding domain of S100A9
One Q compound, ABR-215757, is in clinical development for SLE treatment , demonstrating the translational potential of this approach. The discovery that S100A9 is the molecular target of these compounds after 25 years of research has significant implications for treating human autoimmune diseases.
Researchers face several technical and biological challenges when investigating S100A9:
Ion Dependency: S100A9's interactions with its receptors are strictly dependent on both zinc and calcium ions , requiring careful experimental conditions to maintain physiological concentrations of these ions
Heterodimer Formation: S100A9 naturally forms heterocomplexes with S100A8, complicating the study of the individual proteins' functions
Contextual Activity: S100A9's activity may vary depending on whether it exists as a monomer or as part of the S100A8/A9 complex, with contradictory findings reported in the literature
Antibody Specificity: Ensuring antibody specificity when detecting S100A9 versus other S100 family members requires careful validation
Cell Type Heterogeneity: S100A9 functions differently across cell types, necessitating cell type-specific analyses
Disease State Variability: S100A9 expression and function can vary significantly between healthy and diseased states, and across different pathological conditions
Addressing these challenges requires rigorous experimental design with appropriate controls and validation across multiple methodological approaches.
S100A9 shows potential as a biomarker in several contexts:
Diagnostic Applications: S100A9 levels in blood or specific cell populations might distinguish autoimmune disease patients from healthy individuals
Disease Activity Monitoring: Changes in S100A9 expression could track disease progression, remission, and flares in conditions like SLE
Treatment Response Prediction: S100A9 levels before and after therapy might predict or indicate treatment efficacy
Multiparameter Analysis: Combining S100A9 measurements with other biomarkers could create more robust diagnostic panels
Cell-Specific Profiling: Analyzing S100A9 in specific cell populations (like CD14+ cells) could provide more precise diagnostic information
Development of such applications would require:
Standardized detection methods with established reference ranges
Large-scale clinical validation studies across diverse patient populations
Correlation with established clinical parameters and disease scores
Longitudinal studies to determine predictive value
Comparison with existing biomarkers to demonstrate added value
Several crucial knowledge gaps remain to be addressed:
Receptor Specificity: Further characterization of the differential effects of S100A9 signaling through RAGE versus TLR4/MD2 in different cell types
Heterodimer Dynamics: Resolving contradictory findings regarding how S100A8 modulates S100A9 activity when forming heterocomplexes
Genetic Associations: Investigating whether genetic variants in S100A9 or its regulatory regions correlate with autoimmune disease susceptibility or severity
Epigenetic Regulation: Exploring how epigenetic mechanisms control S100A9 expression in different inflammatory contexts
Microenvironmental Influences: Understanding how tissue microenvironments modify S100A9 function in local inflammatory responses
Cross-talk with Other Pathways: Elucidating interactions between S100A9 signaling and other inflammatory cascades
Age-Related Differences: Further investigation into why the interferon signature (potentially related to S100A9 function) appears more prevalent in pediatric than adult SLE patients
Addressing these questions will provide deeper insights into S100A9's contributions to disease pathogenesis and identify new therapeutic opportunities.
Emerging technologies offer new avenues for S100A9 research:
Spatial Transcriptomics: Can map S100A9 expression within tissue architecture to understand its localization in inflammatory lesions
CRISPR-Based Approaches: Precise genetic manipulation to study S100A9 function in human cell lines and organoid models
AI-Driven Network Analysis: Application of machine learning to identify novel S100A9 interactions and signaling patterns within cell type-specific networks
Proteomics: Mass spectrometry-based approaches to identify post-translational modifications of S100A9 and their functional significance
Single-Cell Multi-Omics: Integrating transcriptomic and proteomic data at the single-cell level to comprehensively map S100A9's regulatory networks
Intravital Imaging: Real-time visualization of S100A9-expressing cells in animal models of inflammation and autoimmunity
These technological advances promise to resolve current controversies and reveal new aspects of S100A9 biology relevant to human disease mechanisms.
S100 calcium-binding protein A9 (S100A9), also known as myeloid-related protein 14 (MRP14) or calgranulin B, is a member of the S100 family of proteins. These proteins are characterized by their two EF-hand calcium-binding motifs and are involved in the regulation of a variety of cellular processes, including cell cycle progression and differentiation . S100A9 is primarily expressed in myeloid cells and is known to form a heterodimer with S100A8, another member of the S100 family, to create the complex known as calprotectin .
The preparation of human recombinant S100A9 involves several steps to ensure the protein’s purity and functionality. Typically, the gene encoding S100A9 is cloned into an expression vector, which is then introduced into a suitable host cell, such as E. coli. The host cells are cultured under conditions that promote the expression of the recombinant protein. After expression, the protein is purified using techniques such as affinity chromatography, which exploits the protein’s affinity for specific ligands, and size-exclusion chromatography, which separates proteins based on their size .
S100A9 is known to interact with various receptors and molecules within the cell. One of its primary interactions is with Toll-like receptor 4 (TLR4), which plays a crucial role in the immune response. The binding of S100A9 to TLR4 can activate signaling pathways that lead to the production of pro-inflammatory cytokines . Additionally, S100A9 can bind to the receptor for advanced glycation end products (RAGE), which is involved in various pathological processes, including inflammation and cancer .
S100A9 also plays a role in the regulation of the enzyme NADPH oxidase, which is involved in the production of reactive oxygen species (ROS). This regulation is crucial for the immune response, as ROS are used by immune cells to kill pathogens . Furthermore, S100A9 has been shown to inhibit the differentiation of dendritic cells and macrophages, leading to the accumulation of myeloid-derived suppressor cells (MDSCs), which are involved in the suppression of the immune response in cancer .
Altered expression of S100A9 has been associated with various diseases, including cystic fibrosis, where its expression is increased . In the context of cancer, S100A9 has been implicated in the abnormal differentiation of myeloid cells within the tumor microenvironment, contributing to an immunosuppressive environment that allows the tumor to evade the immune system . Additionally, S100A9 is a useful biomarker for inflammatory diseases and has potential as a therapeutic target for conditions involving excessive inflammation .