Escudero E, Nieto M, Martín A, Molina A, Lobb R R, Sanchez-Madrid F, Mampaso F
Department of Pathology, Hospital Ramon y Cajal, Universidad de Alcala, Madrid, Spain.
J Am Soc Nephrol. 1998 Oct;9(10):1881-91. doi: 10.1681/ASN.V9101881.
Four distinct epitopes (A, B1, B2, and C) have been functionally defined on the human alpha4 integrin. In this study, two cross-reactive antihuman alpha4 monoclonal antibodies (mAb) (HP2/1 and HP2/4 specific for epitopes B1 and B2, respectively) were used to functionally characterize the rat VLA-4 subunit and to define similar functional epitopes in this rodent species. It was found that B1 and B2 anti-alpha4 mAb completely block adhesion to fibronectin, but the inhibition of adhesion to vascular cell adhesion molecule-1 (VCAM-1) with HP2/1 mAb was lower than with HP2/4 mAb. It was also observed that epitope B2 HP2/4 mAb induced homotypic aggregation in rat lymphocytes, whereas epitope B1 HP2/1 mAb did not. Using the HgCl2 model of nephritis, this study shows the protective effect of both anti-alpha4 mAb against infiltration of the renal interstitium by leukocytes. Nevertheless, HP2/1 mAb, but not HP2/4 mAb, virtually abolished the anti-glomerular basement membrane antibody synthesis and glomerular deposits. These findings indicate the dual but independent role played by alpha4 integrins in both extravasation of leukocytes and in the production of antibodies. Finally, this study demonstrates that anti-rat VCAM-1 mAb showed a positive reactivity of the renal vascular endothelium and, most importantly, that administration of anti-VCAM-1 antibodies completely abrogated the interstitial cell infiltrates without affecting anti-glomerular basement membrane antibody production. These results confirm the important role played by VLA-4/VCAM-1 pathway in leukocyte infiltration, and further support the dual and independent role of alpha4 integrins in both renal infiltration and autoantibody synthesis in this model of renal disease.
已在人α4整合素上功能定义了四个不同的表位(A、B1、B2和C)。在本研究中,使用了两种交叉反应性抗人α4单克隆抗体(mAb)(HP2/1和HP2/4,分别对表位B1和B2具有特异性)来对大鼠VLA-4亚基进行功能表征,并在该啮齿动物物种中定义相似的功能表位。发现抗α4 mAb B1和B2完全阻断对纤连蛋白的黏附,但HP2/1 mAb对血管细胞黏附分子-1(VCAM-1)黏附的抑制作用低于HP2/4 mAb。还观察到表位B2的HP2/4 mAb诱导大鼠淋巴细胞发生同型聚集,而表位B1的HP2/1 mAb则不会。利用汞中毒性肾炎模型,本研究显示两种抗α4 mAb均对白血细胞浸润肾间质具有保护作用。然而,HP2/1 mAb实际上消除了抗肾小球基底膜抗体的合成和肾小球沉积物,而HP2/4 mAb则没有。这些发现表明α4整合素在白细胞渗出和抗体产生中发挥双重但独立的作用。最后,本研究证明抗大鼠VCAM-1 mAb对肾血管内皮显示出阳性反应性,并且最重要的是,给予抗VCAM-1抗体完全消除了间质细胞浸润,而不影响抗肾小球基底膜抗体的产生。这些结果证实了VLA-4/VCAM-1途径在白细胞浸润中所起的重要作用,并进一步支持了α4整合素在该肾病模型的肾浸润和自身抗体合成中的双重和独立作用。