Read R A, Moore E E, Moore F A, Carl V
Department of Surgery, Denver General Hospital, CO 80204-4507.
J Trauma. 1994 Jul;37(1):13-7. doi: 10.1097/00005373-199407000-00004.
Previous work has implicated both neutrophil-endothelial cell (PMN-EC) adhesion and PMN priming (enhanced superoxide production following activation) in the development of postinjury adult respiratory distress syndrome (ARDS) and multiple organ failure (MOF). CD11B, a member of the integrin family of PMN surface receptors, has been alleged to have a prominent role in these inflammatory PMN-EC processes. The purpose of the present study was to test the hypothesis that CD11B-mediated PMN-EC adhesion is necessary for endotoxin (LPS)-induced PMN priming. Human neutrophils, isolated by Percoll gradient centrifugation, were exposed to LPS (100 ng/mL). At fixed times over 120 minutes (a) superoxide following fMLP activation (i.e., priming), (b) PMN-EC adhesion, and (c) expression of CD11B were assayed. Superoxide production was measured by cytochrome c reduction, PMN-EC adhesion with indium-labelled PMN adherence to human umbilical vein endothelial cell (HUVEC) monolayer cultures, and CD11B expression with fluorescent labelled anti-CD11B (60.1) antibodies. The PMN-EC adhesion was biphasic, with an early maximum at 15 minutes followed by a nadir at 60 minutes and secondary rise through 120 minutes of LPS exposure. CD11B expression changed dramatically in temporal association with early PMN-EC adhesion, but the secondary increase in adhesion was associated with only a mild rise in CD11B expression. PMN priming increased after a latency of 15 minutes to a maximum of 800 nmol/10(6) cells/min after 60 minutes of LPS exposure.(ABSTRACT TRUNCATED AT 250 WORDS)
先前的研究表明,中性粒细胞与内皮细胞(PMN-EC)的黏附以及中性粒细胞的预激活(激活后超氧化物生成增强)在成年创伤后呼吸窘迫综合征(ARDS)和多器官功能衰竭(MOF)的发展过程中均有涉及。CD11B是中性粒细胞表面受体整合素家族的一员,据称在这些炎症性PMN-EC过程中发挥着重要作用。本研究的目的是验证以下假设:CD11B介导的PMN-EC黏附对于内毒素(LPS)诱导的中性粒细胞预激活是必要的。通过Percoll梯度离心分离出的人中性粒细胞,暴露于LPS(100 ng/mL)。在120分钟内的固定时间点,检测(a)fMLP激活后的超氧化物(即预激活)、(b)PMN-EC黏附以及(c)CD11B的表达。通过细胞色素c还原法测量超氧化物生成,用铟标记的中性粒细胞与人脐静脉内皮细胞(HUVEC)单层培养物的黏附来检测PMN-EC黏附,并用荧光标记的抗CD11B(60.1)抗体检测CD11B表达。PMN-EC黏附呈双相性,在15分钟时出现早期峰值,随后在60分钟时降至最低点,在LPS暴露120分钟时再次升高。CD11B表达与早期PMN-EC黏附在时间上显著相关,但黏附的二次增加仅与CD11B表达的轻度升高相关。在LPS暴露60分钟后,中性粒细胞预激活在延迟15分钟后增加,在60分钟时达到最大800 nmol/10(6)细胞/分钟。(摘要截断于250字)