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abnormalities in postsurgical leukocyte rolling in cremaster venules. Antibodies blocking<br />

L-selectin function reduced rolling in CD34 deficient mice suggesting that CD34 lacks<br />

major significance as a ligand for L-selectin.<br />

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Chemoattractants<br />

Extracellular matrix<br />

In a lot of the connective tissues, the extracellular matrix molecules are secreted by cells<br />

called fibroblasts. These molecules assemble into the extracellular matrix once they are<br />

secreted. The extracellular matrix is made up of two classes of macromolecules. The first<br />

class is called glycosaminoglycans, which are polysaccharide chains. Members of this<br />

class are usually found to be covalently linked to protein in the form of proteoglycans.<br />

The second class is made up by fibrous proteins. There are two functional types of<br />

fibrous proteins: the ones that are mainly structural, like collagen and elastin for example,<br />

and the ones that are mainly adhesive, like fibronectin and laminin for example. The<br />

members of the glycosaminoglycans form a highly hydrated, gel-like substance, in which<br />

the members of the fibrous proteins are embedded. Collagen fibers strengthen and help to<br />

organize the matrix, while elastin fibres give it resiliance. The adhesive proteins help<br />

cells to attach to the extracellular matrix. Fibronectin for example promotes the<br />

attachment of fibroblasts and other cells to the matrix in connective tissues via the<br />

extracellular parts of some members of the integrin family, while laminin promotes the<br />

attachment of epithelial cells to the basal lamina, again via the extracellular domains of<br />

some members of integrins.<br />

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Multistep process of leukocyte extravasation<br />

The stimulus for endothelial activation in vivo is probably local production of cytokines<br />

and other inflammatory mediators released on tissue injury.<br />

Capture<br />

The process known as capture or tethering represents the first contact of a leukocyte with<br />

the activated endothelium. Capture occurs after margination, which allows leukocytes to<br />

move in a position close to the endothelium, away from the central blood stream. During<br />

the inflammatory response, endothelial activation is required to initiate capture.<br />

P-selectin on endothelial cells, is the primary adhesion molecule for capture and the<br />

initiation of rolling. The main leukocyte ligand for P-selectin is PSGL-1. In addition,<br />

many in vivo studies suggest that L-selectin exhibits an important role in capture as well.<br />

Antibodies blocking L-selectin function inhibit rolling in many models in which rolling is<br />

P-selectin dependent.<br />

EFigure 10. Expression of ICAM-3 (CD50)<br />

E-cadherin.10)

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