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Blood, 10 September 2009, Vol. 114, No. 11, pp. 2344-2353. Prepublished online as a Blood First Edition Paper on July 17, 2009; DOI 10.1182/blood-2009-04-218636.
VASCULAR BIOLOGY Loss of Kindlin-3 in LAD-III eliminates LFA-1 but not VLA-4 adhesiveness developed under shear flow conditions1 Department of Immunology, Weizmann Institute of Science, Rehovot, Israel; 2 Division of Pediatric Hemato-Oncology, Hadassah Medical Center, Jerusalem, Israel; 3 Department of Pediatric Immunology, Uludag University School of Medicine, Bursa, Turkey; 4 Inserm Unité Mixte de Recherche 576, Nice, France; 5 Université Nice-Sophia, Antipolis, France; 6 Centre Hospitalier Universitaire de Nice, Laboratoire d'Immunologie, Hôpital de l'Archet, Nice, France; 7 Department of Biologic Services, Weizmann Institute of Science, Rehovot, Israel; 8 Department of Pediatrics, Meyer Children's Hospital, Rambam Medical Center and B. Rappaport School of Medicine, Technion, Haifa, Israel; and 9 Department of Molecular Medicine, Max Planck Institute of Biochemistry, Martinsried, Germany
Leukocyte adhesion deficiency (LAD)–III is associated with homozygous stop codon mutations in Kindlin-3, the hematopoietic member of the Kindlin family of integrin coactivators. In addition, a subgroup of LAD-III patients has a homozygous splice junction mutation in and reduced expression of the Rap-1 guanine nucleotide exchange factor, CalDAG-GEFI (CDGI). In this study, we compared the adhesive properties of the leukocyte function-associated antigen-1 (LFA-1) and very late activation antigen-4 (VLA-4) integrins in both primary and activated leukocytes derived from these 2 LAD-III subgroups. Primary lymphocytes lacking both Kindlin-3 and CDGI lost all firm T-cell receptor–stimulated LFA-1 adhesiveness, in contrast to LAD-III lymphocytes deficient in Kindlin-3 alone. Effector T cells expanded from all tested LAD-III variants expressed normal CDGI, but lacked Kindlin-3. These Kindlin-3–null effector T cells exhibited total loss of inside-out LFA-1 activation by chemokine signals as well as abrogated intrinsic LFA-1 adhesiveness. Surprisingly, VLA-4 in Kindlin-3–null resting or effector lymphocytes retained intrinsic rolling adhesions to vascular cell adhesion molecule-1 and exhibited only partial defects in chemokine-stimulated adhesiveness to vascular cell adhesion molecule-1. Deletion of the putative β1 Kindlin-3 binding site also retained VLA-4 adhesiveness. Thus, our study provides the first evidence that Kindlin-3 is more critical to LFA-1 than to VLA-4–adhesive functions in human lymphocytes.
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