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Blood, 1 January 2008, Vol. 111, No. 1, pp. 260-270. Prepublished online as a Blood First Edition Paper on October 9, 2007; DOI 10.1182/blood-2007-05-090613.
IMMUNOBIOLOGY PGE2-induced metalloproteinase-9 is essential for dendritic cell migration1 Department of Microbiology and Immunology, Temple University School of Medicine, Philadelphia, PA; and 2 Department of Biological Sciences, Rutgers University, Newark, NJ
Following antigen acquisition and maturation, dendritic cells (DCs) disengage from the extracellular matrix, cross basement membranes, and travel to draining lymph nodes to activate T cells. CCR7 expression is necessary but not sufficient for the directional migration of DCs. Prostaglandin E2 (PGE2), present in inflammatory sites, induces DC migration, presumably by enacting a migration-permissive gene expression program. Since regulation of DC migration is highly important for their use in vaccination and therapy, we examined the PGE2-induced changes in the expression of metalloproteinases (MMPs). Our results indicate that PGE2 significantly up-regulates MMP-9 expression, induces both secreted and membrane-bound MMP-9, and that in turn, DC-derived MMP-9 is essential for DC chemotaxis in response to the CCR7 ligand CCL19, Matrigel migration, and in vivo migration in both wild-type and MMP-9–deficient hosts. We conclude that DCs matured within inflammatory sites require both CCR7 and PGE2-induced MMP-9 for their directional migration to draining lymph nodes.
Dendritic cells (DCs), generated from bone marrow and distributed as immature cells in tissues, have the unique ability to recognize antigen, process, and present it to cognate naive T cells following migration to draining lymph nodes. Migration to the secondary lymphoid organs and subsequent antigen presentation requires DC maturation, a process associated with up-regulation of MHC and costimulatory molecules, and with a switch in chemokine receptor expression. CCR7 is induced upon DC maturation,1–3 and its role in DC migration has been revealed through the use of CCR7-deficient mice or of CCR7-deficient DCs in adoptive transfer experiments.4–6 However, expression of CCR7, although necessary, is not sufficient for DC migration.7,8 Factors present in inflammatory sites, such as lipid mediators, particularly prostaglandin E2 (PGE2),9 and most recently, the high mobility group box-1 (HMGB1) protein, have been shown to induce migration of maturing DCs.8,10–12 The role of PGE2 in DC migration is strongly supported by the fact that mice deficient in the PGE2 receptor EP4 or wild-type mice treated with an EP4 antagonist exhibit reduced DC migration to lymph nodes.13 The PGE2-induced DC migration is not mediated through CCR7 up-regulation, since DCs matured in the presence or absence of PGE2 express similar CCR7 levels.11,12,14 Although it has been proposed that PGE2 increases CCR7 sensitivity to CCL19/CCL21 signaling, the mechanisms by which PGE2 alters CCR7 function are not clear. Although PGE2 was proposed to increase CCR7 signaling through PI3K/PKB activation, PI3K inhibitors did not affect PGE2-induced DC migration.12,15 Recently, Legler et al11 reported that PGE2 does not promote DC migration if present only during the last 12 hours of DC maturation, suggesting the requirement of PGE2-induced de novo gene expression. At the present time, the nature of the PGE2-dependent genes involved in DC migration has not been elucidated.
Here we report on the potent induction of matrix metalloproteinase 9 (MMP-9) expression by PGE2 in both immature DCs and DCs matured with proinflammatory cytokines (TNF-
Mice Six- to eight-week-old B10.A mice, MMP-9–deficient mice, and corresponding wild-type controls (FBV/NJ) were purchased from Jackson Laboratories (Bar Harbor, ME) and maintained and bred (MMP-9–deficient mice) in the Temple University School of Medicine animal facility under pathogen-free conditions. Mice were handled and housed in accordance with the guidelines of the Temple University Animal Care and Use Committee. Reagents Lipopolysaccharide (LPS) (Escherichia coli O55:B5), prostaglandin E2 (PGE2), and ibuprofen were purchased from Sigma (St Louis, MO). Granulocyte-macrophage colony-stimulating factor (GM-CSF) was purchased from Peprotech (Rocky Hill, NJ). Butaprost, sulprostone, and misoprostol were purchased from Cayman (Ann Arbor, MI). H89, dibutiryl-cAMP, MMP-2 inhibitor I, and MMP-9 inhibitor I were purchased from Calbiochem (La Jolla, CA). The following antibodies were used for FACS analysis: fluorescein isothiocyanate (FITC)–conjugated anti-CD40, FITC-conjugated anti-CD80, FITC-conjugated anti-CD86, FITC-conjugated anti–I-Ek, FITC-conjugated anti-CD11b, and FITC-conjugated anti-CD44 were purchased from PharMingen (San Diego, CA). Phycoerythrin (PE)—anti–mouse CCR7 was purchased from eBioscience (San Diego, CA). Purified goat IgG anti–mouse MMP-9 and PE-conjugated donkey anti–goat IgG were purchased from Santa Cruz Biotechnology (Santa Cruz, CA). Generation and purification of DCs from bone marrow DCs were generated in vitro from bone marrow. Briefly, 2 x 106 bone marrow cells flushed out from femur and tibiae were cultured in 100-mm petri dishes containing 10 mL RPMI 1640 medium supplemented with 10% heat-inactivated fetal bovine serum (FBS) (Atlanta Biologicals, Norcross, GA), 2 mM L-glutamine, and 20 ng/mL recombinant GM-CSF. After 3 days, another 10 mL of complete medium containing GM-CSF was added to each dish. On day 8 the nonadherent cells were harvested and purified by immunomagnetic sorting with anti–CD11c-coated magnetic beads using the autoMACS system according to the manufacturer's instructions (Miltenyi Biotech, Bergish-Gladbach, Germany). The purity of the sorted cells was determined by FACS analysis (> 96% for CD11c+ cells). FACS analysis Cells were subjected to FACS analysis in a 3-color FACSCalibur (BD Biosciences, Mountain View, CA), following staining with anti–CD40 FITC, anti–CD80 FITC, anti–CD86 FITC, anti–I-Ek FITC, anti–CD11b FITC, anti–CD11c PE, or anti–CD44 FITC, and the appropriate isotype controls. Data were collected for 10 000 cells and analyzed using Cellquest software from BD Biosciences. For membrane-associated MMP-9 expression, the cells were stained with goat anti–mouse MMP-9 for 40 minutes followed by PE-conjugated donkey anti–goat IgG for 40 minutes. Chemotaxis assay
Purified DCs were treated for 48 hours with interferon- Mouse extracellular matrix and adhesion molecules PCR array The expression of mouse extracellular matrix (ECM) and adhesion molecules was detected by the SYBR green-based real-time reverse transcriptase–polymerase chain reaction (RT-PCR) technique. RNA was prepared from purified CD11c+ DCs treated with PGE2 (10–6 M) for 24 hours. cDNA was obtained from 1 µg of total RNA in the presence of 200 units of MMLV-RT, 1 µg of random primers, 40 units of RNAsin, 3 µg of bovine serum albumin (BSA), 0.5 mM dNTPs, and 1xMMLV reaction buffer (Promega, Madison, WI) in a total volume of 30 µL at 42°C for 1 hour. cDNA was then diluted to a total of 100 µL with ddH2O. The 98 µL cDNA were mixed with 1225 µL SYBR green-containing PCR master mixture (2 x) and 1127 µL ddH2O. Twenty-five microliters of this mixture was added to each well of a 96-well plate precoated with different primers (SuperArray Bioscience, Frederick, MD). The PCR array was performed using Stratagene Mx3005P (Stratagene, Cedar Creek, TX), and the cycling conditions were 95°C for 15 seconds, 60°C for 1 minute, for 40 cycles, followed by a melting point determination or dissociation curves. The expression level of each gene is indicated by the number of cycles needed for the cDNA amplification to reach a threshold. The amount of DNA is calculated from the number of cycles by using standard curves, and the results are normalized to the housekeeping gene β-actin. Real-time RT-PCR The expression of CCR7, CD11b, MMP-9 and MMP-2 was detected by the SYBR green-based real-time RT-PCR technique. RNA was prepared from purified CD11c+ DCs, treated with or without PGE2 for various time periods. cDNA was prepared as described. The 20 µL (total volume) of the PCR mixture consists of 4 µL diluted cDNA, 10 µL SYBR green-containing PCR master mixture (2 x), and 150 µM of each primer. The MMP-9 and MMP-2 primers for real-time RT-PCR were designed by using the Primer Express software from Applied Biosystems (Foster City, CA) and are as follows: MMP-9: sense 5'-AAAACCTCCAACCTCACGGA-3' and antisense 5'-GCGGTACAAGTATGCCTCTGC-3'; MMP-2: sense 5'-CGCTCAGATCCGTG GTGA-3' and antisense 5'-CGCCAAATAAACCGGTCCTT-3'; CCR7 sense: 5'-TTCCAGCTGCCCTACAATGG-3' and antisense 5'-GAAGTTGGCCACCGTCT GAG-3'. Real-time RT-PCR was performed using the Stratagene Mx3005P, and the cycling conditions used were 95°C for 15 seconds, 60°C for 1 minute, for 40 cycles, followed by a melting point determination or dissociation curves. The expression level of each gene is indicated by the cycle numbers needed for the cDNA to be amplified to reach a threshold. The amount of DNA is calculated from the cycle numbers by using standard curves, and the results are normalized to the housekeeping gene β-actin from the same sample. Matrix metalloproteinase protein assay Purified CD11c+ DCs (1 x 106 cells/mL) were seeded in 12-well plates and treated as described in "Results." The amounts of pro-MMP-9 or total MMP-2 released in the medium 48 hours later were measured by using the mouse Pro-MMP-9 or mouse Total-MMP-2 Quantikine Kit (R&D Systems, Minneapolis, MN) according to the manufacturer's instructions. The absorbance was determined using a Polarstar Optima Plate Reader at a wavelength of 450 nm. Gelatinase activity assay Supernatants were collected from DCs treated as described in "Results" and assayed for MMP-9 activity by using an MMP gelatinase activity assay (Chemicon, Temecula, CA). Briefly, supernatants are incubated with biotinylated gelatinase substrate, and 4 hours later the remaining biotinylated fragments are detected by using a biotin-binding 96-well plate and streptavidin-enzyme complex, followed by colorimetric substrate degradation. The analytical sensitivity of the MMP gelatinase assay is 5 ng MMP/mL. Matrigel migration assay
Matrigel migration was quantified in Transwell inserts (6.5 mm) fitted with polycarbonate filters (8-µm pore size). The upper sides of the wells were coated with Matrigel (BD Biosciences) diluted in phosphate buffered saline (PBS) (70 µg/filter). CD11c+ DCs cultured with IFN- In vivo migration assay
Bone marrow (BM-DCs) generated from different strains (B10.A, wt FBV/NJ, or MMP-9–/–) were treated with TNF- Statistical analysis Results are given as means plus or minus standard error (± SE). Comparisons between 2 groups were done using the Student t test, whereas comparisons between multiple groups were done by ANOVA. Statistical significance was determined as P values less than .05.
PGE2 promotes BM-DC migration in response to CCL19
Previous studies showed that human monocyte-derived DCs, matured through exposure to the proinflammatory cytokines TNF-
PGE2 up-regulates MMP-9 expression at mRNA and protein levels DC migration to inflammatory sites and to neighboring lymph nodes is a complex process that involves interactions with the ECM and crossing of basement membranes. MMPs play an essential role in these processes. To determine the effects of PGE2 on the expression of MMPs, we first performed an RT-PCR array. PGE2-treated DCs expressed higher levels of MMP-3, -7, -11, -13, and TIMP-1, MMP-10, and particularly MMP-9; in contrast, MMP-2 levels were decreased by PGE2. The PGE2 treatment did not change the expression of MMP-1, -8, -12, -14, or of TIMP-2 and -3 (Table 1). Both MMP-2 and -9 are involved in the degradation and remodeling of basement membranes and have been reported to play essential roles in DC migration.17 Since PGE2 induced the highest increase in MMP-9 (26-fold), we focused our investigation on PGE2-induced MMP-9 expression. The effect of PGE2 was confirmed by real-time RT-PCR. MMP-9 mRNA was significantly up-regulated 24 hours after PGE2 treatment and remained high at 48 hours (Figure 2A). At protein level, PGE2 induced pro–MMP-9 secretion in a dose-dependent manner (Figure 2B). We tested the activity of the secreted MMP-9 by using a gelatinase activity assay. Supernatants collected from DCs treated with PGE2 had high gelatinase activity, which was abolished by the MMP-9 selective inhibitor I and only slightly reduced by a selective MMP-2 inhibitor (Figure 2C).
This indicates that PGE2 induces high levels of MMP-9 activity, with MMP-2 playing only a minor role. In agreement with this conclusion, the RT-PCR array indicated a PGE2-induced decrease in MMP-2 levels. This was confirmed at protein level, with MMP-2 production being inhibited by PGE2 in a dose-dependent manner (Figure 2D). PGE2 induces both membrane-associated and soluble MMP-9 protein expression
MMP-9 is present both as CD44 or CD11b-associated membrane-bound and as secreted protein. To evaluate whether PGE2 induces membrane-associated MMP-9, CD11c+ DCs were stimulated with TNF-
To determine whether PGE2 induces MMP-9 secretion, we treated DCs with PGE2 for 48 hours and measured secreted pro–MMP-9 by ELISA. The TNF- + IFN- treatment doubled MMP-9 secretion (Figure 3C, inset). PGE2, however, had a tremendous effect, raising the levels of secreted MMP-9 12- to 13-fold (Figure 3C). MMP-9 up-regulation by PGE2 is mediated through EP2/EP4 receptors To determine which PGE2 receptors are involved in the up-regulation of MMP-9 by PGE2, DCs were stimulated with the following EP receptor agonists: butaprost (a selective agonist for EP2), sulprostone (EP1/EP3 agonist), or misoprostol (EP2/EP4/EP3 agonist). Similar to PGE2, butaprost and misoprostol greatly enhanced both membrane and soluble MMP-9 levels. In contrast, sulprostone did not affect either surface of secreted MMP-9 levels (Figure 4A). This suggests that the effect of PGE2 on MMP-9 expression and secretion is mediated through the EP2/EP4 receptors.
PGE2 up-regulation of MMP-9 expression is mediated through the cAMP PKA pathway
EP2/EP4 signaling stimulates adenylate cyclase, resulting in increases in intracellular cAMP. To further confirm the role of cAMP in the up-regulation of MMP-9 expression, we used the stable cAMP analog dbcAMP. DbcAMP induced MMP-9 expression and secretion (Figure 4B). cAMP activates both PKA-dependent and -independent signal pathways. To assess the role of PKA [protein kinase A] in PGE2-induced MMP-9 expression, CD11c+ DCs were pretreated with the PKA inhibitor H89 for 30 minutes, followed by treatment with PGE2. H89 completely abolished the PGE2-induced increase in membrane-associated and soluble MMP-9 protein (Figure 4C), without affecting cell viability. These results indicate that PGE2 induces MMP-9 production and release through the cAMP MMP-9 involvement in the PGE2-induced BM-DC migration through Matrigel
To examine the involvement of MMP-9 in DC migration, we used a Matrigel barrier as an in vitro model for basement membranes. We determined the capacity of DCs, treated with TNF-
DCs generated from MMP-9–deficient mice exhibit impaired Matrigel migration
To confirm the fact that PGE2 affects DC migration primarily through the induction of MMP-9, we compared the migration of wild-type and MMP-9–deficient DCs through Matrigel. DCs generated from wild-type and MMP-9–deficient mice were matured with TNF- PGE2-induced MMP-9 promotes DC migration in vivo
The migration of mature DCs to neighboring lymph nodes represents the initiating step in the activation of the adaptive T-cell response. To investigate the role of the PGE2-induced MMP-9 expression in the in vivo migration of DCs, we treated DCs with TNF-
To further evaluate the role of MMP-9 in DC migration in vivo, DCs generated from wild-type and MMP-9–deficient mice were matured with TNF- + IFN- in the presence of PGE2, fluorescently labeled with PKH26, and injected subcutaneously into the footpads of wild-type mice. The numbers of fluorescent DCs in the draining lymph nodes were determined at 24 hours and 72 hours. Wild-type DCs migrated in significantly higher numbers than MMP-9–deficient DCs (Figure 6B), indicating that MMP-9 production by the migrating DCs is essential for migration in vivo. To confirm the role of DC-derived MMP9, we inoculated fluorescently labeled DCs derived from wild-type and MMP-9–deficient DCs in MMP-9–deficient mice. Cells collected from the draining lymph nodes 48 and 72 hours later were labeled with Annexin V to identify apoptotic cells and analyzed for PKH26+AnnexinV– cells. Wild-type, but not MMP-9–deficient, DCs migrated in significant numbers to the draining lymph node (Figure 6C). We conclude that the determining factor in the in vivo migration to lymph nodes is the expression of MMP-9 by the migratory DCs, regardless of the capacity of neighboring tissues to express MMP-9. Endogenous PGE2 up-regulates MMP-9 expression To determine whether endogenous PGE2 plays a role in MMP-9 production, DCs were treated with LPS in the presence or absence of ibuprofen, a Cox 1/2 inhibitor, followed by real-time RT-PCR for MMP-9 and MMP-2 expression. LPS induces endogenous PGE2 release from DCs. Therefore, we expected LPS to induce MMP-9 and reduce constitutive MMP-2 expression. This was indeed the case (Figure 7). When LPS-induced PGE2 release was inhibited by the Cox1/2 inhibitor ibuprofen, MMP-9 was reduced to control levels, and MMP-2 expression increased to almost control level (Figure 7). These results indicate that, similar to exogenous PGE2, endogenous PGE2 released from activated DCs induces MMP-9 expression.
Although the role of PGE2 in the chemotactic response of mature DCs to the CCR7 ligands CCL19/21 is well established, the mechanisms involved in PGE2-induced DC migration are not understood. Scandella et al12 proposed that PGE2 is essential for the CCL19/21-induced calcium flux required for DC mobilization. However, a recent report indicates that PGE2 addition during the final stage does not promote a DC chemotactic response,11 suggesting that PGE2 induces the migratory phenotype by modifying the gene expression profile in maturing DCs. In agreement with this hypothesis, our results indicate that PGE2 plays an essential role in the up-regulation of MMP-9 gene expression in bone marrow–derived DCs and that, in turn, DC-derived MMP-9 is essential for Matrigel DC migration in response to CCL19 and for the in vivo migration in both wild-type and MMP-9–deficient hosts. MMPs are major participants in cell migration through the degradation of extracellular matrix and of basement membranes.17,19 MMP-2 and -9 are especially important in migration, since they cleave collagen IV, a major component of basement membranes. MMP-9 is secreted primarily by activated cells of the macrophage/monocyte lineage as an inactive proenzyme, which upon cleavage of the prodomain can function either as secreted or membrane-bound proteinase. The role of MMP-9 in DC migration both in response to proinflammatory chemokines such as CCL5 and lymph node–derived chemokines such as CCL19 has been demonstrated in vitro, in skin explant models, and in vivo following epicutaneous hapten stimulation and treatment with anti–MMP-9 Abs, as well as in MMP-9–deficient mice.18,20–25 Recently, DC transmigration through brain capillary endothelial cell monolayers also has been shown to depend on MMPs.26 In addition, DCs from multiple sclerosis (MS) patients have been shown to secrete high levels of MMP-2, -3, and -9 and to exhibit increased spontaneous migration over ECM-coated filters.27 These are important findings, since central nervous system (CNS) perivascular DCs migrating from the periphery play an essential role in the restimulation of encephalitogenic T cells in experimental autoimmune encephalomyelitis.28 Treatment of DCs with proinflammatory cytokines/chemokines, exposure to ECM-coated filters, and in vivo exposure to epicutaneous hapten stimulation results in MMP-9 expression and increased transmigration.22,27,29–31 Interestingly, DCs exposed to ECM-coated filters also secrete active MMP-3, a major MMP-9 activator.27 This suggests that, in certain conditions, activated DCs can secrete and activate pro–MMP-9 without the involvement of other cell types. PGE2 can play opposite roles in MMP-9 expression, depending on the cell type. PGE2 inhibits MMP-9 expression in the breast cancer cell line MCF-7, in peritoneal macrophages isolated from women with endometriosis, and in interleukin-1 (IL-1)–stimulated rabbit articular chondrocytes.32–34 In contrast, exogenous PGE2 promotes MMP-9 expression in macrophages stimulated with phorbol myristate acetate (PMA) or plated on ECM and in LPS-stimulated trophoblasts.35–38 In addition, endogenous PGE2 was shown to play an important role in MMP-9 expression in macrophages exposed to ECM or stimulated with LPS.35,39
In comparison to monocytes/macrophages, very little is known about the role of PGE2 in the regulation of MMPs in DCs. We report here for the first time that exogenous PGE2 induces MMP-9 expression in both immature bone marrow–derived DCs and in DCs matured in the presence of the proinflammatory cytokines TNF- The TIMP family of endogenous MMP inhibitors consists of 4 members, which regulate MMP activity and play a major role in balancing the degradation of matrix components in physiological and pathological conditions.17,40 Pro–MMP-9 can form stable complexes with, and be inactivated by, TIMP-1 and -3.41,42 We observed slight increases in TIMP-1 and -3 (Table 1). However, the increase in MMP-9 expression was much higher, suggesting that PGE2 tilts the balance in favor of active MMP-9. This was supported by the gelatinase activity assay, which in contrast to the classical zymography technique, measures only active secreted gelatinases. Both MMP-2 and MMP-9 degrade collagen IV and act as major players in cell migration. Although the gelatinase assay cannot distinguish between MMP-2 and MMP-9 activity, specific ELISA assays and inhibitors can be used to distinguish between them. To our surprise, PGE2 had opposite effects on the 2 gelatinases; that is, it strongly induced MMP-9 expression, whereas down-regulating MMP-2 expression. The PCR array data were confirmed at protein level in DCs from both wild-type and MMP-9–deficient mice. Also, the Matrigel migration of wild-type DCs was shown to depend primarily on MMP-9, with only a minor contribution from MMP-2. Secreted pro–MMP-9 can re-associate either in an active or inactive form on the cell surface. Both human and murine DCs express surface MMP-9 bound to CD44 and CD11b.18,21,22 Interestingly, we found that PGE2 induces an increase in both surface MMP-9 and CD11b expression. It is tempting to speculate that CD11b up-regulation is related to increased capture of secreted MMP-9 that would allow activated DCs to use MMP-9 activity in a targeted manner for directional migration.
PGE2 can signal through the EP1-4 receptors, leading to the activation of different signaling pathways. We have shown previously that BM-DCs express primarily EP2 and EP4 receptors,43,44 which mediate increases in intracellular cAMP and downstream activation of PKA and/or PI3K.45 The effect of PGE2 on MMP-9 induction is mediated through the EP2 and possibly EP4 receptor, since butaprost (EP2 agonist) and misoprostol (EP2/EP4/EP3 agonist), but not sulprostone (EP1/EP3 agonist), induced MMP-9. The effect of PGE2 is mimicked by dibutiryl cAMP and reversed by H89, a PKA inhibitor, indicating that PGE2 induces MMP-9 expression in DCs through the EP2/EP4
Kabashima et al reported that only EP4-deficient mice exhibit impaired migration of Langerhans cells (LCs) to draining lymph nodes.13 If both EP2 and EP4 receptors mediate the effect of PGE2 on DC MMP-9 expression, why do only EP4-deficient mice show reduced migration? One possible explanation is the difference between LC and bone marrow–derived DCs. Also, although both receptors induce cAMP and activate PKA, only EP4 mediates the cAMP-dependent activation of PI3K.46 It is possible that, in addition to MMP-9, other factors induced by PGE2 through the EP4
Similar to the in vitro Matrigel assay, DCs matured with TNF- The effect of PGE2 on MMP-9 expression and DC transmigration has physiological relevance. Several reports using Cox2 inhibitors or Cox2-deficient cells indicate a role for endogenous PGE2 in MMP-9 induction in monocytes/macrophages.35,37,49 Here we showed that ibuprofen, a Cox1/2 inhibitor, reversed the effect of LPS on MMP-9/MMP-2 expression, suggesting that LPS acted through endogenous PGE2. In addition, EP4-deficient and MMP-9–deficient mice exhibit impaired transmigration of DCs.13,18,25 These observations suggest a role for endogenous PGE2 in DC transmigration. PGE2 released within inflammatory sites promotes the directed migration of resident and/or incoming DCs matured in inflammatory or pathogenic conditions. This could occur through an early PGE2-induced rapid inactivation of β1 integrins, resulting in the dissolution of podosomes and less adherence to the extracellular matrix, followed by a change in DC gene expression profile, which includes a potent up-regulation of MMP-9. Both secreted and surface-bound MMP-9 would then allow CCR7-expressing DCs to migrate through the ECM, cross the basement membrane, and enter the lymphatic vessels leading to the lymph nodes.
Contribution: J.-H.Y. designed and performed experiments and analyzed data; T.K. performed experiments; D.G. designed experiments, analyzed data, and wrote the manuscript. Conflict-of-interest disclosure: The authors declare no competing financial interests. Correspondence: Doina Ganea, Temple University School of Medicine, Department of Microbiology and Immunology, 3400 N Broad St, Philadelphia, PA 19140; e-mail: doina.ganea{at}temple.edu.
This work was supported by the National Institutes of Health/National Institute of Allergy and Infectious Diseases grant RO1AI052306 (D.G.) and by Rutgers University Dissertation Fellowships (J.-H.Y., T.K.).
Submitted May 14, 2007; accepted October 3, 2007.
Prepublished online as Blood First Edition Paper, October 9, 2007
DOI: 10.1182/blood-2007-05-090613
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