Mengelers H J, Maikoe T, Hooibrink B, Kuypers T W, Kreukniet J, Lammers J W, Koenderman L
Department of Pulmonary Diseases, University Hospital, Utrecht, The Netherlands.
Clin Exp Allergy. 1993 Mar;23(3):196-204. doi: 10.1111/j.1365-2222.1993.tb00882.x.
In allergic asthma eosinophils infiltrate into the lung after allergen challenge. The mechanism of this cellular infiltration is not fully understood. L-Selectin is involved in leucocyte-endothelial cell recognition and participates in homing of leucocytes into sites of inflammation. To find indications for a role of L-Selectin in the migration of eosinophils to the bronchoalveolar space we measured L-Selectin expression on eosinophils in peripheral blood and bronchoalveolar lavage fluid (BAL) 4 hr after the early allergic reaction after allergen challenge. Nine patients with allergic asthma participated in the study. An eosinophil specific high depolarization signal enabled us to measure L-Selectin expression on eosinophils in a FACS analysis without isolation of these cells. Eosinophils recovered from BAL showed a strong decrease of L-Selectin expression compared to blood eosinophils. This decrease in L-Selectin expression can be induced in vitro by activation of eosinophils with PMA or FMLP whereas priming of eosinophils during several hours with GM-CSF did not influence L-Selectin expression. Our results are a first indication that L-Selectin may play a role during homing of eosinophils in the lung in asthma after allergen challenge. Moreover, the low expression of L-Selectin on eosinophils in the lung is a further indication that these cells exhibit an activated phenotype.
在过敏性哮喘中,过敏原激发后嗜酸性粒细胞浸润到肺部。这种细胞浸润的机制尚未完全了解。L-选择素参与白细胞与内皮细胞的识别,并参与白细胞归巢至炎症部位。为了寻找L-选择素在嗜酸性粒细胞向支气管肺泡间隙迁移中作用的证据,我们在过敏原激发后的早期过敏反应4小时后,测量了外周血和支气管肺泡灌洗液(BAL)中嗜酸性粒细胞上L-选择素的表达。9名过敏性哮喘患者参与了该研究。嗜酸性粒细胞特异性高去极化信号使我们能够在不分离这些细胞的情况下,通过流式细胞术分析测量嗜酸性粒细胞上L-选择素的表达。与血液中的嗜酸性粒细胞相比,从BAL中回收的嗜酸性粒细胞显示L-选择素表达明显降低。用佛波酯(PMA)或N-甲酰甲硫氨酸-亮氨酸-苯丙氨酸(FMLP)激活嗜酸性粒细胞可在体外诱导L-选择素表达的这种降低,而用粒细胞-巨噬细胞集落刺激因子(GM-CSF)预处理嗜酸性粒细胞数小时并不影响L-选择素表达。我们的结果首次表明,L-选择素可能在过敏原激发后哮喘患者肺部嗜酸性粒细胞归巢过程中发挥作用。此外,肺部嗜酸性粒细胞上L-选择素的低表达进一步表明这些细胞呈现活化表型。