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Webb-Waring Institute for Biomedical Research and Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado 80262
Received 2 April 1996; accepted in final form 20 September 1996.
Terada, Lance S., Brooks M. Hybertson, Kevin G. Connelly,
David Weill, Dale Piermattei, and John E. Repine. XO increases neutrophil adherence to endothelial cells by a dual ICAM-1 and P-selectin-mediated mechanism. J. Appl.
Physiol. 82(3): 866-873, 1997.
Circulating
xanthine oxidase (XO) can modify adhesive interactions between
neutrophils and the vascular endothelium, although the mechanisms
underlying this effect are not clear. We found that treatment with XO
of bovine pulmonary artery endothelial cells (EC), but not neutrophils
or plasma, increased adherence, suggesting that XO had its primary
effect on EC. The mechanism by which XO increased neutrophil adherence
to EC involved binding of XO to EC and production of
H2O2.
XO also increased platelet-activating factor production by EC by a
H2O2-dependent
mechanism. Similarly, the platelet-activating factor-receptor
antagonist WEB-2086 completely blocked XO-mediated neutrophil EC
adherence. In addition, neutrophil adherence was dependent on the
2-integrin Mac-1 (CD11b/CD18) but not on leukocyte functional antigen-1 (CD11a/CD18). Treatment of EC
with XO for 30 min did not alter intercellular adhesion molecule-1
surface expression but increased expression of P-selectin and release
of von Willibrand factor. Antibodies against P-selectin (CD62) did not
affect XO-mediated neutrophil adherence under static conditions but
decreased both rolling and firm adhesive interactions under conditions
of shear. We conclude that extracellular XO associates with the
endothelium and promotes neutrophil-endothelial cell interactions
through dual intercellular adhesion molecule-1 and P-selectin ligation,
by a mechanism that involves platelet-activating factor and
H2O2
as intermediates.
xanthine oxidase; platelet activating factor; CD18; CD11b; Mac-1; CD11a; leukocyte functional antigen-1; heparin; hydrogen peroxide; multiorgan failure; acute respiratory distress syndrome
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