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Prepublished online as a Blood First Edition Paper on September 12, 2002; DOI 10.1182/blood-2002-01-0239.
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Blood, 15 January 2003, Vol. 101, No. 2, pp. 739-746
PHAGOCYTES
A role for apoptosis in the control of neutrophil homeostasis in
the circulation: insights from CD18-deficient mice
Pamela Weinmann,
Karin Scharffetter-Kochanek,
S. Bradley Forlow,
Thorsten Peters, and
Barbara Walzog
From the Department of Physiology, Freie
Universität Berlin, Berlin, Germany; Department of
Dermatology and Allergology, Universität Ulm, Ulm,
Germany; Department of Biomedical Engineering, University
of Virginia School of Medicine, Charlottesville; Department of
Dermatology, Universität zu Köln, Köln,
Germany; and Department of Physiology,
Ludwig-Maximilians-Universität, München,
Germany.
The control of neutrophil turnover in the circulation is a key
event in homeostasis and inflammation. Using CD18- deficient (CD18 / ) mice that show a
19-fold increase of blood neutrophil counts when compared with
wild-type animals
(CD18+/+), we found
that apoptosis of peripheral neutrophils was significantly reduced from
27.4% in the wild-type to 4.8% in
CD18 / mice within 4 hours
after isolation as measured by analysis of DNA content. This was
confirmed by detecting CD16 expression, nuclear morphology, and
internucleosomal DNA degradation. In contrast, no difference in
apoptosis was observed in neutrophils derived from the bone marrow.
Neutrophilia and delayed neutrophil apoptosis were also present in
CD18 / /interleukin 6 (IL-6 / ) double knockout
mice. Moreover, plasma of
CD18 / mice was not able
to delay apoptosis of CD18+/+
neutrophils and plasma of
CD18+/+ mice did not augment
apoptosis of CD18 /
neutrophils. However,
CD18 / neutrophils
revealed an up-regulation of the antiapoptotic gene bcl-Xl and a down-regulation of the proapoptotic
gene bax- compared with
CD18+/+ neutrophils
suggesting that this delayed apoptosis. Accordingly, down-regulation of
Bax- using antisense technique delayed apoptosis and prolonged neutrophil survival. The replacement of the hematopoietic system of CD18+/+ mice by a
1:1 mixture of CD18+/+ and
CD18 / hematopoietic cells
abolished the delay of apoptosis in peripheral CD18 / neutrophils and
prevented neutrophilia. Altogether, this suggests that a delay of
neutrophil apoptosis in
CD18 / mice causes an
alteration of neutrophil homeostasis, which may induce the massive
increase of peripheral neutrophil counts. Thus, apoptosis seems to be
critically involved in the control of neutrophil turnover in the circulation.

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