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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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II. Neutrophil Functions<br />

333<br />

Selectins Chemoattractants Integrins<br />

LAD-2<br />

LAD-1<br />

1. Capture & Rolling<br />

2°<br />

2. Activation<br />

3. Firm adhesion<br />

4. Transmigration<br />

1°<br />

FIGURE 11-2 Multistep process <strong>of</strong> neutrophil effector functions. Neutrophils in flowing blood initially accumulate along the<br />

vascular endothelium by direct (1 ° ) or indirect (2 ° ) capture. The tethered neutrophils then roll and upon chemoattractant recognition<br />

become activated. This leads to firm adhesion and transendothelial cell migration. Upon entering the underlying tissues,<br />

neutrophils phagocytize bacterial pathogens, which induces their programmed cell death (apoptosis). Eventually, the apoptotic<br />

neutrophils are recognized and engulfed by macrophages to down-regulate the inflammatory response. Additionally, this figure<br />

depicts the site <strong>of</strong> classical leukocyte adhesion deficiency (LAD-1), a deficiency <strong>of</strong> CD18, and LAD-2, a defect in the selectinmediated<br />

adhesion.<br />

The selectins are type I integral membrane proteins composed<br />

<strong>of</strong> distinct tandem protein domains. At the aminoterminus<br />

is a C-type (Ca 2 -dependent) lectin domain.<br />

Following this is a single epidermal growth factor (EGF)-<br />

like domain, followed by a series <strong>of</strong> short-consensus-repeat<br />

(SCR) domains. Next are a transmembrane domain and<br />

a short cytoplasmic region. The genes for the selectins are<br />

arranged in tandem on chromosome 1 for both mouse and<br />

human, indicating that they arose by gene-duplication<br />

(Watson et al. , 1990 ). Selectin ligands are carbohydrate in<br />

nature, and the lectin domain <strong>of</strong> the selectins is responsible<br />

for ligand specificity and recognition ( Weis et al. , 1998 ) .<br />

E-selectin expression is induced on most cultured endothelium<br />

as well as most postcapillary endothelium in vivo<br />

by a number <strong>of</strong> inflammatory mediators (Bevilacqua et al. ,<br />

1989). Induction <strong>of</strong> E-selectin by cytokines occurs exclusively<br />

at the transcriptional level. E-selectin mRNA is first<br />

detectable approximately 2 h after initial exposure <strong>of</strong> endothelial<br />

cells to cytokine. In cultured endothelium, E-selectin<br />

expression peaks in 4 to 8h, and subsequently declines even<br />

in the continued presence <strong>of</strong> the cytokine. In vivo , however,<br />

E-selectin can be chronically expressed at sites <strong>of</strong> inflammation,<br />

especially in the skin ( Ley and Kansas, 2004 ).<br />

P-selectin is expressed on both activated platelets and<br />

activated endothelium. Unlike E-selectin, P-selectin is<br />

expressed in the Weibel-Palade bodies <strong>of</strong> endothelial cells<br />

as well as the α -granules <strong>of</strong> platelets ( Bonfanti et al. , 1989 ;<br />

McEver et al. , 1989 ). Exposure <strong>of</strong> either <strong>of</strong> these two cell<br />

types to various stimuli induces rapid (seconds to minutes)<br />

fusion <strong>of</strong> the P-selectin-containing granules with the outer<br />

membrane <strong>of</strong> the cell, exposing P-selectin at the cell surface.<br />

In the case <strong>of</strong> endothelial cells, histamine released<br />

from tissue mast cells in response to an inflammatory insult<br />

is one <strong>of</strong> the physiological inducers <strong>of</strong> rapid P-selectin<br />

expression. Interestingly, P-selectin-deficient mice have a<br />

defect in leukocyte rolling immediately following tissue<br />

exteriorization, as determined by intravital microscopy, and<br />

neutrophil recruitment into inflammatory lesions is delayed<br />

by about 2h ( Mayadas et al. , 1993 ). In addition to its rapid<br />

surface expression, P-selectin is also transcriptionally<br />

induced ( Weller et al. , 1992 ). Moreover, P-selectin can be<br />

chronically expressed at sites <strong>of</strong> long-standing inflammation,<br />

such as atherosclerotic vessels, rheumatoid arthritis,<br />

and psoriasis ( Grober et al. , 1993 ; Johnson-Tidey et al. ,<br />

1994 ; Terajima et al. , 1998 ).<br />

Neutrophils uniformly and constitutively express<br />

L-selectin. This selectin arguably plays the broadest and<br />

most significant role <strong>of</strong> the family members in neutrophil<br />

accumulation on the endothelium as it mediates both direct<br />

and indirect capture. In an assortment <strong>of</strong> inflammatory<br />

models, leukocyte accumulation along the microvasculature<br />

and recruitment into the tissue were greatly reduced ( 60%<br />

to 85%) upon blocking L-selectin function with antibodies<br />

or in L-selectin-deficient mice ( Davenpeck et al. , 1997 ;

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