Hyman Matthew C, Petrovic-Djergovic Danica, Visovatti Scott H, Liao Hui, Yanamadala Sunitha, Bouïs Diane, Su Enming J, Lawrence Daniel A, Broekman M Johan, Marcus Aaron J, Pinsky David J
Department of Molecular and Integrative Physiology, University of Michigan Medical Center, Ann Arbor, USA.
J Clin Invest. 2009 May;119(5):1136-49. doi: 10.1172/JCI36433. Epub 2009 Apr 20.
Leukocyte and platelet accumulation at sites of cerebral ischemia exacerbate cerebral damage. The ectoenzyme CD39 on the plasmalemma of endothelial cells metabolizes ADP to suppress platelet accumulation in the ischemic brain. However, the role of leukocyte surface CD39 in regulating monocyte and neutrophil trafficking in this setting is not known. Here we have demonstrated in mice what we believe to be a novel mechanism by which CD39 on monocytes and neutrophils regulates their own sequestration into ischemic cerebral tissue, by catabolizing nucleotides released by injured cells, thereby inhibiting their chemotaxis, adhesion, and transmigration. Bone marrow reconstitution and provision of an apyrase, an enzyme that hydrolyzes nucleoside tri- and diphosphates, each normalized ischemic leukosequestration and cerebral infarction in CD39-deficient mice. Leukocytes purified from Cd39-/- mice had a markedly diminished capacity to phosphohydrolyze adenine nucleotides and regulate platelet reactivity, suggesting that leukocyte ectoapyrases modulate the ambient vascular nucleotide milieu. Dissipation of ATP by CD39 reduced P2X7 receptor stimulation and thereby suppressed baseline leukocyte alphaMbeta2-integrin expression. As alphaMbeta2-integrin blockade reversed the postischemic, inflammatory phenotype of Cd39-/- mice, these data suggest that phosphohydrolytic activity on the leukocyte surface suppresses cell-cell interactions that would otherwise promote thrombosis or inflammation. These studies indicate that CD39 on both endothelial cells and leukocytes reduces inflammatory cell trafficking and platelet reactivity, with a consequent reduction in tissue injury following cerebral ischemic challenge.
脑缺血部位的白细胞和血小板聚集会加剧脑损伤。内皮细胞质膜上的胞外酶CD39可代谢ADP,以抑制缺血脑中的血小板聚集。然而,白细胞表面CD39在调节单核细胞和中性粒细胞在这种情况下的转运中的作用尚不清楚。在此,我们在小鼠中证明了一种我们认为是新的机制,即单核细胞和中性粒细胞上的CD39通过分解受损细胞释放的核苷酸来调节它们自身在缺血性脑组织中的滞留,从而抑制它们的趋化性、黏附性和迁移。骨髓重建以及提供一种可水解核苷三磷酸和二磷酸的酶——腺苷三磷酸双磷酸酶,均可使CD39缺陷小鼠的缺血性白细胞滞留和脑梗死恢复正常。从Cd39-/-小鼠中纯化的白细胞磷酸水解腺嘌呤核苷酸和调节血小板反应性的能力明显降低,这表明白细胞外腺苷三磷酸双磷酸酶可调节周围血管核苷酸环境。CD39介导的ATP耗散降低了P2X7受体刺激,从而抑制了基线白细胞αMβ2整合素的表达。由于αMβ2整合素阻断可逆转Cd39-/-小鼠缺血后的炎症表型,这些数据表明白细胞表面的磷酸水解活性可抑制细胞间相互作用,否则这些相互作用会促进血栓形成或炎症。这些研究表明,内皮细胞和白细胞上的CD39均可减少炎症细胞转运和血小板反应性,从而减少脑缺血攻击后的组织损伤。