Weber D A, Sumagin R, McCall I C, Leoni G, Neumann P A, Andargachew R, Brazil J C, Medina-Contreras O, Denning T L, Nusrat A, Parkos C A
Epithelial Pathobiology and Mucosal Inflammation Unit, Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia, USA.
1] Epithelial Pathobiology and Mucosal Inflammation Unit, Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia, USA [2] Department of Pediatrics, Emory University, Atlanta, Georgia, USA.
Mucosal Immunol. 2014 Sep;7(5):1221-32. doi: 10.1038/mi.2014.12. Epub 2014 Mar 12.
Neutrophil transepithelial migration (TEM) during acute inflammation is associated with mucosal injury. Using models of acute mucosal injury in vitro and in vivo, we describe a new mechanism by which neutrophils infiltrating the intestinal mucosa disrupt epithelial homeostasis. We report that junctional adhesion molecule-like protein (JAML) is cleaved from neutrophil surface by zinc metalloproteases during TEM. Neutrophil-derived soluble JAML binds to the epithelial tight junction protein coxsackie-adenovirus receptor (CAR) resulting in compromised barrier and inhibition of wound repair, through decreased epithelial proliferation. The deleterious effects of JAML on barrier and wound repair are reversed with an anti-JAML monoclonal antibody that inhibits JAML-CAR binding. JAML released from transmigrating neutrophils across inflamed epithelia may thus promote recruitment of leukocytes and aid in clearance of invading microorganisms. However, sustained release of JAML under pathologic conditions associated with persistence of large numbers of infiltrated neutrophils would compromise intestinal barrier and inhibit mucosal healing. Thus, targeting JAML-CAR interactions may improve mucosal healing responses under conditions of dysregulated neutrophil recruitment.
急性炎症期间中性粒细胞经上皮迁移(TEM)与黏膜损伤相关。利用体外和体内急性黏膜损伤模型,我们描述了一种新机制,即浸润肠黏膜的中性粒细胞破坏上皮稳态。我们报告称,在TEM过程中,锌金属蛋白酶从中性粒细胞表面切割连接黏附分子样蛋白(JAML)。中性粒细胞衍生的可溶性JAML与上皮紧密连接蛋白柯萨奇病毒 - 腺病毒受体(CAR)结合,通过减少上皮增殖导致屏障受损和伤口修复受抑制。用抑制JAML - CAR结合的抗JAML单克隆抗体可逆转JAML对屏障和伤口修复的有害影响。因此,从迁移穿过炎症上皮的中性粒细胞释放的JAML可能促进白细胞募集并有助于清除入侵微生物。然而,在与大量浸润中性粒细胞持续存在相关的病理条件下,JAML的持续释放会损害肠道屏障并抑制黏膜愈合。因此,在中性粒细胞募集失调的情况下,靶向JAML - CAR相互作用可能改善黏膜愈合反应。