The role of granulocyte-macrophage and granulocyte colony-stimulating factors in neutrophil transendothelial migration: comparison with interleukin-8.

Granulocyte-macrophage and granulocyte colony-stimulating factors (GM-CSF and G-CSF) have proinflammatory effects on mature neutrophils. Both factors have been reported to cause neutrophil chemotaxis and are produced by cells stimulated by inflammatory mediators, including endothelial cells. We therefore tested the hypothesis that these factors might mediate neutrophil transendothelial migration, either by forming a gradient across the endothelial monolayer or through the production of CSFs by activated endothelium. Studies of neutrophil migration across filters without endothelium showed that migration was promoted in the presence of a gradient of either CSF, but was equally promoted against the gradient; that is, the CSFs are chemokinetic but not chemotactic. The CSFs promoted migration of neutrophils across endothelial monolayers cultured on filters, but the magnitude of this effect was very small compared with that of a prototypic neutrophil chemoattractant, interleukin-8 (IL-8) (migration index [stimulated/unstimulated] 1.8-fold for GM-CSF, 10.8-fold for IL-8). Activation of endothelial monolayers by preincubation with tumor necrosis factor-alpha (TNF-alpha) increased neutrophil transmigration significantly; neutralizing antibodies to IL-8 inhibited this increase by 44%, whereas neutralizing anti-GM-CSF antibodies did not inhibit it. These data suggest little role for the CSFs in neutrophil diapedesis at inflammatory sites in vivo. Exposure of neutrophils to GM-CSF decreased their migration through TNF-activated monolayers, whereas G-CSF did not. This may have implications for the therapeutic administration of these factors.