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Visit our Expo - Redox and Inflammation signaling 2012

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Session X : Cell death in cancer Poster X, 68<br />

EXTRACELLULAR SURVIVIN UPREGULATES ADHESION MOLECULES ON<br />

THE SURFACE OF LEUKOCYTES CHANGING THEIR REACTIVITY PATTERN<br />

Simona Mera, Mattias Magnusson, Andrej Tarkowski, <strong>and</strong> Maria Bokarewa<br />

Department of Rheumatology <strong>and</strong> <strong>Inflammation</strong> Research, Sahlgrenska University<br />

Hospital, Göteborg, Sweden<br />

Background. Rheumatoid arthritis (RA) is an autoimmune disease with joints as a principal<br />

target of inflammation. We have recently shown that the extracellular presence of antiapoptotic<br />

protein survivin was associated with unfav<strong>our</strong>able, i.e. destructive c<strong>our</strong>se of RA.<br />

Here we addressed the effects of extracellular survivin on peripheral leukocytes.<br />

Methods. Human peripheral blood leukocytes were cultured with <strong>and</strong> without recombinant<br />

survivin <strong>and</strong> assessed for the surface binding of survivin <strong>and</strong> the expression of adhesion<br />

molecules. The intracellular expression of survivin in non-activated human leukocytes was<br />

determined. Finally, the expression of adhesion molecules on leukocytes as a function of<br />

circulating survivin was analysed in blood of 24 patients with RA <strong>and</strong> compared to healthy<br />

individuals.<br />

Results. We found that the anti-apoptotic protein survivin expresses immuno-modulatory<br />

properties when released extracellularly. It binds to a 47% of neutrophils inducing the<br />

activation of #2-integrins <strong>and</strong> their lig<strong>and</strong>, ICAM-1. Survivin also binds to lymphocytes<br />

inducing the expression of L-selectin. Survivin-induced expression of #2-integrins could be<br />

abolished by the inhibitors of NFkB (parthenolide), PI3-kinase (LY294002), but not by MAPkinase<br />

inhibitors (PD98059, SB203580). Clinical relevance of <strong>our</strong> findings is proved by the in<br />

vivo association of extracellular survivin with an increased expression of CD11c on blood<br />

monocytes <strong>and</strong> neutrophils in RA patients.<br />

Conclusion. The results of <strong>our</strong> study demonstrate that extracellular survivin affects the<br />

function of leukocytes having possible impact on inflammatory responses during arthritis.<br />

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