Pitchford Simon C, Momi Stefania, Giannini Silvia, Casali Lucio, Spina Domenico, Page Clive P, Gresele Paolo
Department of Internal Medicine, Division of Internal and Cardiovascular Medicine, University of Perugia, Via E dal Pozzo, 06126 Italy.
Blood. 2005 Mar 1;105(5):2074-81. doi: 10.1182/blood-2004-06-2282. Epub 2004 Nov 4.
Platelets are necessary for lung leukocyte recruitment in a murine model of allergic inflammation, and platelet-leukocyte aggregates are formed in circulating blood of patients with asthma after allergen exposure. However, it is unknown how platelets induce pulmonary leukocyte recruitment in asthma. Here, we have investigated the importance of platelet adhesion molecule expression on pulmonary eosinophil and lymphocyte recruitment and on leukocyte CD11b and very late antigen (VLA)-4 expression in mice. Pulmonary leukocyte recruitment in platelet-depleted mice (sensitized and exposed to ovalbumin) transfused with fixed, unstimulated platelets (FUSPs) was abolished, whereas transfusion with platelets stimulated and fixed (FSPs), expressing P-selectin and P-selectin glycoprotein ligand-1 (PSGL-1), restored eosinophil and lymphocyte recruitment. Transfusion with platelets from P-selectin-deficient mice, or with FSPs stimulated in the presence of a blocking anti-P-selectin antibody, were unable to restore pulmonary leukocyte recruitment. Flow cytometric analysis revealed increased expression of CD11b and VLA-4 on leukocytes attached to platelets after allergen exposure, and CD11b expression on leukocytes was suppressed in thrombocytopenic mice but was restored with the transfusion of FSPs, but not FUSPs, a phenomenon concurrent with the formation of platelet-leukocyte complexes. P-selectin expression on the surfaces of platelets is a major requirement for pulmonary eosinophil and lymphocyte recruitment, allowing circulating platelets to bind to and stimulate leukocytes for endothelial attachment.
在过敏性炎症的小鼠模型中,血小板对于肺部白细胞募集是必需的,并且在变应原暴露后哮喘患者的循环血液中会形成血小板 - 白细胞聚集体。然而,尚不清楚血小板如何在哮喘中诱导肺部白细胞募集。在此,我们研究了血小板黏附分子表达对小鼠肺部嗜酸性粒细胞和淋巴细胞募集以及对白细胞CD11b和极迟抗原(VLA)-4表达的重要性。给血小板减少的小鼠(致敏并暴露于卵清蛋白)输注固定的、未刺激的血小板(FUSPs)后,肺部白细胞募集被消除,而输注表达P-选择素和P-选择素糖蛋白配体-1(PSGL-1)的刺激并固定的血小板(FSPs)可恢复嗜酸性粒细胞和淋巴细胞募集。输注来自P-选择素缺陷小鼠的血小板,或在存在阻断性抗P-选择素抗体的情况下刺激的FSPs,均无法恢复肺部白细胞募集。流式细胞术分析显示,变应原暴露后附着于血小板的白细胞上CD11b和VLA-4表达增加,并且在血小板减少的小鼠中白细胞上的CD11b表达受到抑制,但通过输注FSPs而非FUSPs可恢复,这一现象与血小板 - 白细胞复合物的形成同时发生。血小板表面的P-选择素表达是肺部嗜酸性粒细胞和淋巴细胞募集的主要条件,使循环血小板能够结合并刺激白细胞以实现内皮附着。