Seminario M C, Bochner B S
Department of Medicine, Johns Hopkins Asthma and Allergy Center, Johns Hopkins University, Baltimore, MD 21224-6801, USA.
Mem Inst Oswaldo Cruz. 1997;92 Suppl 2:157-64. doi: 10.1590/s0074-02761997000800021.
Eosinophils preferentially accumulate at sites of chronic allergic diseases such as bronchial asthma. The mechanisms by which selective eosinophil migration occurs are not fully understood. However, interactions of cell-surface adhesion molecules on the eosinophil with molecular counterligands on endothelial and epithelial cells, and on extracellular matrix proteins, are likely to be critical during the recruitment process. One possible mechanism for selective eosinophil recruitment involves the alpha-4-beta-1 (VLA-4) integrin which is not expressed on neutrophils. Correlations have been found between infiltration of eosinophils and endothelial expression of VCAM-1, the ligand for VLA-4, in the lungs of asthmatic individuals as well as in late phase reactions in the lungs, nose and skin. Epithelial and endothelial cells respond to the Th2-type cytokines IL-13 with selective de novo expression of VCAM-1, consistent with the possible role of VCAM-1/VLA-4 interactions in eosinophil influx during allergic inflammation. Both beta-1 and beta-2 integrins on eosinophils exist in a state of partial activation. For example, eosinophils can be maximally activated for adhesion to VCAM-1 or fibronectin after exposure to beta-1 integrin-activating antibodies or divalent cations, conditions that do not necessarily affect the total cell surface expression of beta-1 integrins. In contrast, cytokines like IL-5 prevent beta-1 integrin activation while promoting beta-2 integrin function. Furthermore, ligation of integrins can regulate the effector functions of the cell. For example, eosinophil adhesion via beta-1 and/or beta-2 integrins has been shown to alter a variety of functional responses including degranulation and apoptosis. Thus, integrins appear to be important in mediating eosinophil migration and activation in allergic inflammation. Strategies that interfere with these processes may prove to be useful for treatment of allergic diseases.
嗜酸性粒细胞优先聚集在慢性过敏性疾病部位,如支气管哮喘。选择性嗜酸性粒细胞迁移发生的机制尚未完全明确。然而,嗜酸性粒细胞表面的细胞黏附分子与内皮细胞、上皮细胞以及细胞外基质蛋白上的分子配体之间的相互作用,在募集过程中可能至关重要。选择性嗜酸性粒细胞募集的一种可能机制涉及α-4-β-1(VLA-4)整合素,中性粒细胞不表达该整合素。在哮喘患者的肺部以及肺部、鼻部和皮肤的迟发性反应中,已发现嗜酸性粒细胞浸润与VLA-4配体VCAM-1的内皮表达之间存在相关性。上皮细胞和内皮细胞对Th2型细胞因子IL-13产生反应,选择性地从头表达VCAM-1,这与VCAM-1/VLA-4相互作用在过敏性炎症期间嗜酸性粒细胞流入中的可能作用一致。嗜酸性粒细胞上的β-1和β-2整合素均处于部分激活状态。例如,嗜酸性粒细胞在暴露于β-1整合素激活抗体或二价阳离子后,可被最大程度激活以黏附于VCAM-1或纤连蛋白,这些条件不一定影响β-1整合素的总细胞表面表达。相反,IL-5等细胞因子可阻止β-1整合素激活,同时促进β-2整合素功能。此外,整合素的连接可调节细胞的效应功能。例如,已表明嗜酸性粒细胞通过β-1和/或β-2整合素黏附可改变多种功能反应,包括脱颗粒和凋亡。因此,整合素在介导过敏性炎症中嗜酸性粒细胞迁移和激活方面似乎很重要。干扰这些过程的策略可能被证明对治疗过敏性疾病有用。