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PHAGOCYTES
From the BHF Cardiovascular Medicine Unit, Imperial
College School of Medicine at the National Heart and Lung Institute,
Hammersmith Hospital, and the Electron Microscopy Unit, Royal Brompton
and Harefield NHS Trust, London, United Kingdom; and by the Amgen
Institute, Toronto, Ontario, Canada.
Studies with neutralizing antibodies have indicated roles for
platelet-endothelial cell adhesion molecule-1 (PECAM-1) in leukocyte migration through the endothelium and the perivascular basement membrane. Because some of these findings have been contentious, this
study aimed to explore the role of PECAM-1 in leukocyte migration by
analyzing leukocyte responses in interleukin 1 The process of leukocyte recruitment involves a
series of cooperative interactions between circulating leukocytes and
the endothelial cells over which they pass.1 Adhesive
interactions between glycoproteins expressed on the surface of
leukocytes flowing freely within blood vessels and their specific
counterreceptors on endothelial cells permit leukocytes to slow and
subsequently arrest their motion, despite the relatively high shear
forces found within the vascular lumen. This process can be subdivided into a number of distinct but overlapping steps, involving different classes of cell adhesion molecules acting cooperatively with
endothelial-cell-associated stimulating factors, such as platelet
activating factor and certain chemokines. Although our understanding of
the molecular events that regulate the first 2 stages, rolling and firm
adhesion, has increased greatly in recent years, details of the
mechanisms that allow firmly adherent leukocytes to pass through the
endothelium and its associated perivascular basement membrane have yet
to be fully determined.2 This process, termed leukocyte
transmigration, has already been shown to involve representatives from
different families of adhesion molecules3,4 including
members of the PECAM-1 is a 130-kd glycoprotein composed of 6 C2
immunoglobulin domains, a transmembrane portion, and a short
cytoplasmic tail. It is expressed by platelets, by most subsets of
leukocytes, and by endothelial cells, concentrated at interendothelial
junctions. PECAM-1 has been shown to support cell-cell adhesion by
homophilic interactions in a calcium-dependent manner, a process that
appears to be mediated by domains 1 and 2 of the
molecule.14,15 A number of putative heterotypic ligands
for PECAM-1 have also been identified, including the integrin
Early studies suggested that the role of PECAM-1 was predominantly as
an adhesive structure because it shared sequence homology with other
adhesion molecules, it was capable of mediating cell-cell adhesion, and
anti-PECAM-1 antibodies could disrupt the formation of confluent
endothelial monolayers in vitro.14,20 There is increasing
evidence, however, that in common with other cell adhesion molecules,
PECAM-1 has important signaling properties. Engagement of PECAM-1 can
result in up-regulation of There is now considerable in vitro and in vivo experimental evidence
supporting a role for PECAM-1 in leukocyte migration through the
endothelium.19,31-33 More recently, certain anti-PECAM-1 antibodies have also been shown to suppress leukocyte migration through
the perivascular basement membrane,34,35 a response that
appears to be mediated by molecular interactions different from the
mechanisms that mediate PECAM-1-dependent transendothelial cell
migration.19,34,36,37 Genetically modified mice lacking PECAM-1, although exhibiting nearly normal inflammatory responses, have
also suggested some abnormalities in the movement of leukocytes through
the perivascular basement membrane, though at present, the dynamics and
possible stimulus specificity of this observation is
unclear.38 The aim of the present study was to use a
combined experimental approach of intravital and electron microscopy to extend the findings of Duncan et al38 by directly
quantifying leukocyte responses within cytokine-activated cremasteric
venules of PECAM-1-deficient mice, focusing on responses elicited by
interleukin 1 Animals
Reagents
Polymerase chain reaction Polymerase chain reaction (PCR) was used to confirm the genotype of mice used in this study as follows: genomic material was prepared from tissue samples digested with proteinase K (10 µg/mL), and amplified by means of a reaction mixture containing appropriate murine PECAM-1 primers (1 µM), deoxynucleotide triphosphates (0.2 mM), magnesium chloride (2.5 mM), and Taq polymerase (20 U/mL) in NH4 buffer. Following amplification in a thermoblock (Biometra, Maidstone, United Kingdom), the products were separated by 1% agarose gel electrophoresis; 165-base pair (bp) fragment denoted the wild-type gene, and 1500-bp fragment denoted the recombinant, PECAM-1-deficient gene.Intravital microscopy Leukocyte-endothelial cell interactions were induced by intrascrotal (IS) administration of TNF or IL-1 , with control
mice receiving saline (IS). After the desired interval, most commonly 4 hours, the mice were anesthetized with ketamine (100 mg/kg
intraperitoneally [IP]) and xylazine (10 mg/kg IP) and maintained at
37°C on a custom-built heated microscope stage. The cremaster muscle
was exteriorized and prepared for intravital microscopy as previously
described.39 Briefly, following incision of the scrotum,
one testis was gently withdrawn to allow the cremaster muscle to be
incised and pinned out flat over the window in the microscope stage.
The cremaster muscle was kept warm and moist by continuous application
of warmed Tyrodes balanced salt solution.
Leukocyte-endothelial cell interactions were observed on an upright fixed-stage microscope (Axioskop FS) (Carl-Zeiss, Welwyn Garden City, United Kingdom) fitted with water-immersion objectives. Video recordings were made with a color video camera (Model C5810-01) (Hamamatsu Photonics, Enfield, United Kingdom) and videocassette recorder (Model AG-MD830E) (Panasonic, Bracknell, United Kingdom). In most series of experiments, the carotid artery and jugular vein were exposed and cannulated to allow for blood sampling, blood pressure measurement, and administration of further anesthetic (sodium pentobarbitone, 3 mg/kg per hour). Total leukocyte counts were performed on blood samples by means of Kimura stain.40 Differential cell analysis was determined in smears prepared in a cytocentrifuge (Cytospin-3) (Shandon, Runcorn, United Kingdom) and stained with May-Grünwald/Giemsa stains. Blood pressure was measured by means of an electronic pressure transducer (Harvard Apparatus, Edenbridge, United Kingdom). Postcapillary venules, 20 to 40 µm in diameter, were identified for study. Rolling leukocytes were defined as those moving more slowly than the associated blood flow, and rolling flux was quantified as the number of rolling cells moving past a fixed point on the venular wall per minute, averaged over 5 minutes. Firmly adherent cells were those remaining stationary for 30 seconds or longer within a given 100-µm segment of venule. Extravasated leukocytes were those in the perivenular tissue within 50 µm of the 100-µm vessel segment under observation. Several vessel segments (range, 3-5) from multiple vessels (range, 3-5) were studied for each animal. Additionally, in selected experiments, erythrocyte centerline velocity was determined by means of an Optical Doppler Velocimeter (Microcirculation Research Institute, College Station, TX), which allowed Newtonian shear rates to be calculated as previously described.41 Electron microscopy In selected experiments, following the dynamic quantification of leukocyte responses, the cremaster muscle was removed and fixed in a solution containing 2.5% glutaraldehyde (2.5%), sodium cacodylate (50 mM), hydrochloric acid (4 mM), and calcium chloride (0.18 mM). Samples were then postfixed in osmium VIII oxide (1%) and, following dehydration in methanol, were embedded in araldite resin prior to sectioning. Vessels were located within sections (1 µm) stained with toluidine blue. Ultrathin sections (0.1 µm) of the target area were mounted on copper mesh grids and stained with uranyl acetate and lead citrate. A transmission electron microscope (Hitatchi 7000) (Hitatchi, Hayes, United Kingdom) was used to assess the position of migrating leukocytes relative to the endothelium and the perivascular basement membrane, as we have previously described.35 For each vessel, the number of leukocytes in each of the following positions was noted: A, within lumen of venule; B, crossing endothelium; C, between endothelium and perivascular basement membrane; D, crossing basement membrane; E, outside venule, but within 50 µm of it. For each venule, the fraction of leukocytes that had crossed the endothelium but were still inside the basement membrane was calculated according to the following equation: C/(C + D + E). In each series of experiments, tissue samples from at least 4 animals were analyzed, and at least 3 vessels from each animal were studied in detail.Murine neutrophil adhesion assay Blood was collected from donor C57BL/6 animals by cardiac puncture and anticoagulated with EDTA (10 mM). Following dextran sedimentation, the neutrophil fraction was purified by centrifugation over a 2-layer percoll gradient (80% over 64%), a procedure that yielded a leukocyte preparation with greater than 90% neutrophils. The cells were then labeled with the fluorochrome Cell Tracker Orange (3 µM) (Pharmingen, San Diego, CA), and the adhesion assays were performed in triplicate in 96-well plates precoated with bovine serum albumin (BSA) (1 µg/mL). Murine neutrophils (105 per well) were coincubated for 30 minutes with murine TNF , murine IL-1 , or formyl-methionyl-leucine-phenylalanine
(fMLP) at the concentrations indicated in "Results."
Fluorescence readings were taken from each well by means of a
fluorescence plate reader (Cytofluor 2300) (Millipore, Watford, United
Kingdom) (excitation at 541 nm and emission at 565 nm) before and after
nonadherent neutrophils had been washed off. Neutrophil adhesion was
calculated as the ratio of the 2 readings, and the data are expressed
as the percentage of unstimulated adhesion.
Statistical analysis Data are presented as the mean ± SEM. Statistical significance was assessed by means of 1- or 2-way analysis of variance, or Mann-Whitney U test as appropriate; P < .05 was considered significant. Analysis was performed with Prism 3.0 for Windows (Graphpad Software, San Diego, CA).
IL-1 (3 to 100 ng) and TNF (100 to
1000 ng), were administered by intrascrotal injection, and 4 hours
later, leukocyte responses were quantified as observed by intravital
microscopy. Figure 1 shows the
dose-response relationship of cytokine-induced leukocyte firm adhesion
and transmigration. Neither IL-1 nor TNF produced significant
changes in leukocyte rolling flux (data not shown). Overall, IL-1
appeared to exhibit a greater level of potency in this model
(approximately 10-fold), with doses of 30 ng IL-1 and 300 ng TNF
inducing comparable effects on leukocyte firm adhesion and
transmigration. These doses were used in all subsequent
experiments.
Leukocyte transmigration in response to IL-1 (30 ng,
IS) or TNF (300 ng, IS). Prior to the in vivo studies, PCR analysis of tail biopsies was used to confirm the genotype of the
PECAM-1-deficient mice, as detailed in "Materials and methods"
(results not shown).
In vivo, both cytokines elicited significant and comparable increases
in leukocyte firm adhesion in wild-type and PECAM-1-deficient mice,
but leukocyte transmigration induced by IL-1
The reduction in IL-1 -activated cremasteric venules of the PECAM-1-deficient mice (4 hours after stimulation) was a result of a delay or a total inhibition of leukocyte migration. For this purpose, in addition to the
4-hour in vivo test period, leukocyte transmigration was quantified at
2 additional time points, namely 2 and 24 hours postadministration of
the cytokine. Figure 3 shows that in wild types, at the 2-hour time point, there was no significant difference in
leukocyte transmigration in animals injected with intrascrotal IL-1
compared with saline-injected mice. As previously observed, 4 hours
postinjection of the cytokine, there was a significant increase in
leukocyte transmigration, a response that was further increased at the
24-hour time point. Interestingly, although once again a reduction in
leukocyte transmigration was observed in the PECAM-1-deficient mice at
the 4-hour time point, this effect was absent in animals treated with
IL-1 for 24 hours, a time point at which the IL-1 -induced
leukocyte transmigration in PECAM-1-deficient mice was identical to
that observed in wild types.
To determine the site of delay of the emigrating leukocytes in
IL-1
TNF but not TNF
was suppressed in PECAM-1-deficient mice (Figure 2), we hypothesized that perhaps in the present murine model TNF was acting via
stimulation of neutrophils and thus bypassing a requirement for
endothelial cell PECAM-1. In this context, we have previously shown
that in contrast to responses elicited by IL-1 , leukocyte
transmigration through rat mesenteric venules induced by the
chemoattractant fMLP is PECAM-1-independent.19,35 Hence,
the ability of TNF , compared with IL-1 , to stimulate murine
neutrophils was assessed in an in vitro adhesion assay. As can be seen
in Figure 6, TNF induced a
dose-dependent increase in neutrophil adhesion, responses that were
comparable to that induced by the chemoattractant fMLP. In contrast,
IL-1 had no such effect.
The final stage in migration of leukocytes from the vascular lumen
to the extravascular tissue involves penetration of the vessel wall,
a response involving 2 distinct but sequential cellular events:
(1) migration of leukocytes across the endothelial cell lining and
(2) migration of leukocytes through the perivascular basement membrane.
Although a number of adhesion molecules have been implicated in
leukocyte transendothelial cell migration, very little is known about
the molecular events that mediate the passage of leukocytes through the
perivascular basement membrane.2-4,12 PECAM-1 appears to
be unique in that in vitro and in vivo evidence has indicated a role
for it in migration of leukocytes across both
barriers.31,34,35 As these studies have been carried out
largely with the use of anti-PECAM-1 antibodies, an experimental approach that has often been subject to criticism related to possible nonspecific effects of reagents,42 the aim of the present
study was to use mice that have been genetically engineered to lack PECAM-1 to further elucidate the role of this molecule in leukocyte transmigration in vivo. Duncan et al38 recently gave
details of the normal development of these mice and reported on their normal levels of leukocyte infiltration in several models of acute inflammation. Although there was some suggestion of a defect in leukocyte migration through the perivascular basement membrane, the
study did not address the temporal or stimulus specificity of this
observation. In light of this, the aim of the present study was to use
intravital and electron microscopy to extend the findings of Duncan et
al by investigating leukocyte migration through cremasteric venules of
PECAM-1-deficient mice at the cellular level. We hypothesized that
with this experimental approach, a more detailed analysis of leukocyte
behavior could be achieved, and hence more subtle defects in leukocyte
migration might be detected and quantified. Indeed, although our
findings provide conclusive evidence for the involvement of PECAM-1 in
neutrophil migration through the perivascular basement membrane, the
role of PECAM-1 appears to be as a regulatory molecule in that its requirement is transient and cytokine-specific, mediating neutrophil migration induced by IL-1 Intravital microscopy was used to compare and quantify dynamic
leukocyte responses in IL-1 The mechanism by which PECAM-1 regulates migration of neutrophils through the perivascular basement membrane remains to be clarified. Because PECAM-1 has not been reported to interact directly with molecules within this structure, it seems likely that this mechanism will depend on the signaling properties of the molecule, as we have previously discussed.35 For example, the following explanations are possible:
A surprising finding of our study was that although
IL-1 In summary, with the use of PECAM-1-deficient mice, the results of the present study clearly demonstrate a role for PECAM-1 as a regulatory molecule in leukocyte migration through vessel walls at sites of inflammation. However, our findings also highlight the fact that PECAM-1-independent leukocyte migration can occur in a temporal- and/or stimulus-specific manner.
Submitted August 21, 2000; accepted November 13, 2000.
Supported by grants from the Medical Research Council (United Kingdom), the Wellcome Trust, and the British Heart Foundation.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Sussan Nourshargh, BHF Cardiovascular Medicine Unit, Imperial College School of Medicine at the National Heart and Lung Institute, Hammersmith Hospital, Du Cane Rd, London W12 0NN, United Kingdom; e-mail: s.nourshargh{at}ic.ac.uk.
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