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progenitors to bone marrow stroma. Production of T cells in the adult is 4-dependent,<br />

and precursors for both T and B cells require 4-integrins for normal development within<br />

the bone marrow. Antibodies against 47 or MAdCAM-1 block the binding of<br />

mesenteric lymph node lymphocytes to Peyer’s patch (PP) HEV in vitro, and the homing<br />

of lymphocytes to the gut and lamina propria in vivo. Hence 47 is critical for the<br />

homing of lymphocytes to the gut, and mucosal sites which are normally chronically<br />

inflamed. 4 integrins have an ability to compensate for the lack of LFA-1 in facilitating<br />

the migration of lymphocytes to peripheral lymph nodes in LFA-1-deficient mice.41<br />

also participates in lymphocyte recirculation through bone marrow.<br />

4 integrins, and their ligands are highly expressed on pathogenic leukocytes, and<br />

diseased tissues at sites of chronic inflammation, and hence are major targets for the<br />

treatment of many of the major chronic inflammatory disease. The 4-integrin ligands<br />

VCAM-1 and MAdCAM-1 are expressed on follicular dendritic cells, and may deliver<br />

signals via 4 integrins during antigen presentation, leading to costimulation of T cell<br />

proliferation. <br />

<br />

Ig CAMS<br />

LFA-1<br />

ICAM-3<br />

CD50<br />

Leukocytes activated resting activated HEV<br />

endothelium endothelium endothelium<br />

activated leuk resting lymph/mono macrophage<br />

ICAM-1 (CD54)<br />

Intercellular adhesion molecule-1(ICAM-1) is a single chain 80-114 kDa protein with<br />

five Ig-like domains, a single transmembrane region, and a short cytoplasmic domain. It<br />

can bind to LFA-1, Mac-1, fibrinogen, hyaluronan, and CD43. Resting leukocytes<br />

express little or no detectable ICAM-1, but expression is induced following activation.<br />

Resting endothelial cells have low levels of ICAM-1, and activation with inflammatory

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