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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
From the Physiology Program, Department of
Environmental Health, Harvard School of Public Health, Boston; the
Microvascular Research Laboratory, Boston University, Boston; and the
Hematology Division, Brigham and Women's Hospital, Boston, MA.
This study examined changes in the biomechanical properties
of cultured pulmonary microvascular endothelial cells (ECs) and neutrophils induced by adhesion of neutrophils to these ECs. The biomechanical properties of cells were evaluated using magnetic twisting cytometry, which measures the angular rotation of
ferromagnetic beads bound to cells through antibody ligation on
application of a specified magnetic torque. Adhesion of neutrophils to
24-hour tumor necrosis factor- Neutrophil transmigration across the vascular
endothelium is a highly regulated process that requires the
up-regulation of neutrophil and endothelial cell (EC) adhesion
molecules.1 During neutrophil adhesion to ECs, binding of
the neutrophil or EC adhesion molecules to their ligands may induce
intracellular signaling pathways and downstream events, which may in
turn modulate neutrophil transmigration. Indeed, the ligation of
various adhesion molecules can initiate signal transduction pathways
and induce subsequent cellular changes. Cross-linking of neutrophil
CD11/CD18 induces intracellular Ca2+ increases, CD11/CD18
up-regulation, and F-actin polymerization.2 Ligation of EC
E-selectin, P-selectin, ICAM-1, and VCAM-1 by antibodies induces
transient increases in cytosolic Ca2+.3-5
Similarly, neutrophil adherence and emigration also induce increases in
intracellular Ca2+ levels in ECs.3,6 One of
the downstream targets of these signaling events in ECs after
neutrophil adherence is the actin cytoskeleton. Neutrophil adherence
induces stress fiber formation in ECs,3,7 and inhibition
of the F-actin changes and actin polymerization in ECs reduces
neutrophil transmigration as observed both in vivo and in
vitro.7-9 However, the mechanisms involved in mediating
the EC actin cytoskeletal changes on neutrophil adhesion are
not understood.
In the systemic circulation, neutrophil emigration occurs within
postcapillary venules and is initiated by selectin-mediated neutrophil
tethering and rolling, followed by neutrophil activation and
This study examined neutrophil adhesion-induced changes in the
biomechanical properties of both neutrophils and cytokine-activated human pulmonary microvascular ECs using magnetic twisting
cytometry.15,16 This technique measures the angular
rotation (strain) of ferromagnetic beads bound to cells through
specific ligands on application of a magnetic torque (stress), and the
apparent stiffness of the cells is defined as the ratio of stress to
strain. This study also evaluated the mechanisms through which adhesion
of neutrophils to ECs induced changes in the biomechanical properties
of ECs, particularly the roles of intracellular signaling pathways in mediating the changes in the biomechanical properties of ECs. Finally,
whether this increase in EC stiffening required remodeling of the actin
cytoskeleton, the actin-myosin contraction, or both was also
determined. The results show that cytoskeleton-dependent stiffening of
neutrophils and ECs occurred during neutrophil-EC adhesion. The EC
stiffening response involved a phosphoinositide-dependent and
intracellular Ca2+-independent mechanism and required the
remodeling of the actin cytoskeleton, but it appeared not to involve
myosin light-chain-mediated EC contraction. These changes in the
biomechanical properties of neutrophils and pulmonary microvascular ECs
during adhesion may modulate neutrophil emigration across the
endothelium during inflammatory responses.
Materials
Methods
Human neutrophil isolation.
Blood was obtained from healthy human subjects by venipuncture after
informed consent was obtained. Human neutrophils were isolated using
histopaque density gradients (Sigma) according to manufacturer's
protocols. The purity of isolated neutrophils was greater than
95%.
Cultivation of human pulmonary microvascular endothelial
cells.
Human pulmonary microvascular ECs were obtained from Clonetics
(Walkersville, MD) and plated onto fibronectin-coated culture dishes
according to manufacturer's protocols. They were used between passages
6 and 10. These cells can be induced to up-regulate ICAM-1 expression
on TNF- Biomechanical properties of neutrophils and endothelial
cells evaluated using magnetic twisting cytometry.
The biomechanical properties of neutrophils and ECs were measured using
magnetic twisting cytometry. This technique measures the angular
rotation of ferromagnetic beads bound to cells on application of a
magnetic torque (stress). Ferromagnetic beads (4.5 µm in diameter)
coated with goat antimouse immunoglobulin G Fc were obtained from
Spherotech (Libertyville, IL). These beads were incubated in
phosphate-buffered saline (PBS) with mouse antibodies against either
human CD45 for studies of neutrophils or human or buffer in culture medium for 24 hours at 37°C. After TNF- was washed off, ECs were incubated with
anti- 1-integrin antibody-coated beads at 37°C for 30 minutes. Unbound beads were gently washed off, and the well was placed
in the magnetic twisting cytometer. Biomechanical properties of ECs
were evaluated as described above. The apparent stiffness of ECs was
measured before and after 2 to 15 minutes of neutrophil adherence. To
determine the mechanisms by which ECs stiffened in response to adherent
neutrophils, they were pretreated with the agents, as described in
"Results."
Role of phosphoinositides in mediating endothelial cell stiffening response. A cell-permeant phosphoinositide-binding peptide corresponding to part of the phosphoinositide binding domain of gelsolin was provided by Rolands Vegners (Latvian Organic Synthesis Institute). This peptide of sequence QRLFQVKGRR is conjugated at the N-terminal residue with rhodamine B, which renders it permeable to the plasma membrane of many cell types.18 The nonconjugated peptide of the same sequence was used as the control. F-actin visualization and quantification.
F-actin distribution in neutrophils or ECs was visualized using
rhodamine-phalloidin stain. ECs were grown to confluence on glass
coverslips and were treated with 20 ng/mL TNF- Neutrophil adhesion assay.
Isolated neutrophils were labeled with 51Cr as
previously described.19 Confluent ECs plated onto 96-well
plates were treated with 20 ng/mL TNF- Localization of neutrophils on endothelial cell monolayer.
To examine the position of neutrophils adherent to 24-hour
TNF- Quantification of paracellular gap formation on neutrophil
adherence.
ECs were grown to confluence on glass coverslips and treated with 20 ng/mL TNF- Phosphorylation of myosin light chain examined by
2-dimensional gel electrophoresis.
To characterize the phosphorylation pattern of the EC regulatory myosin
light chain on neutrophil adherence, 2-D gel electrophoresis of the
whole-cell lysates was performed using the 2-D system from Genomic
Solutions (Ann Arbor, MI) according to manufacturer's protocols. In
brief, ECs treated with TNF- Statistical analysis. Data were analyzed using the Student t test. P < .05 using a 2-tailed test was considered significant. Data were expressed as the mean value ± SEM.
Changes in the biomechanical properties of neutrophils and their
cytoskeleton on adherence to TNF- for 24 hours
resulted in an increase in the apparent stiffness of neutrophils compared with neutrophils adherent to untreated ECs (Figure
1A). When neutrophils were added to
untreated ECs for 6, 15, and 30 minutes, the stiffness of neutrophils
measured 10.0 ± 1.4 dyne/cm2, 16.9 ± 1.2
dyne/cm2, and 17.1 ± 0.6 dyne/cm2,
respectively. Pretreatment of ECs with TNF- for 24 hours increased the stiffness of neutrophils to 22.8 ± 0.9 dyne/cm2,
37.9 ± 2.5 dyne/cm2, and 36.2 ± 3.0
dyne/cm2. The effect of TNF- was time-dependent; it
became apparent by 2 hours and reached a plateau by 8 hours (data
not shown).
This increase in neutrophil stiffness was accompanied with F-actin
redistribution (Figure 1B-D). In nonadherent neutrophils (Figure 1B)
and neutrophils adherent to untreated ECs (Figure 1C), F-actin was
present mainly in the central region of the neutrophils. Occasional
patches of F-actin were also observed along the cell periphery. In
neutrophils adherent to TNF- Although neutrophils adherent to 24-hour TNF-
Changes in the biomechanical properties of 24-hour TNF- for 24 hours and were then washed. Neutrophil adherence for 2 minutes induced an increase in the apparent stiffness of TNF- -treated ECs when measured using ferromagnetic beads bound to
1 integrin on ECs (Figure
3A). This change in EC stiffness required
TNF- treatment because neutrophil adherence to untreated ECs did not
increase EC stiffness (Figure 3B). This EC stiffening response also
depended on the presence of neutrophils because neutrophil supernatants
did not increase EC stiffness (Figure 3A). In addition, supernatants
from neutrophil-EC incubation did not induce the EC stiffening response
(data not shown). Taken together, these data demonstrated that the
neutrophil adherence-induced EC stiffening response was not caused by
neutrophil-derived mediators during adhesion.
Assays of neutrophil adhesion for up to 15 minutes indicated that
neutrophil adherence to 24-hour TNF-
Neutrophil adherence-induced endothelial cell stiffening response requires changes in the actin cytoskeleton To examine whether this observed increase in stiffness was associated with changes in EC cytoskeleton, ECs were pretreated with cytochalasin D or jasplakinolide. Cytochalasin D decreases the addition rate of G-actin to the barbed ends of F-actin and may have other effects on F-actin dynamics after prolonged exposure.25 Therefore, under conditions in which actin is cycling between soluble and polymeric states, cytochalasin D induces net F-actin depolymerization. Jasplakinolide binds to the same sites on F-actin as phalloidin, and it stabilizes F-actin by preventing F-actin depolymerization.26 Pretreatment with 1 µg/mL cytochalasin D for 30 minutes resulted in a 48% decrease in the baseline stiffness of 24-hour TNF- -treated ECs and completely
prevented the stiffening response induced by adherent neutrophils
compared with the vehicle-pretreated control cells (Figure
5A). In contrast, pretreatment with 5 µM jasplakinolide for 30 minutes did not alter the baseline stiffness of 24-hour TNF- -treated ECs. However, it did significantly
attenuate the EC stiffening response induced by neutrophil adherence
(Figure 5B). These results suggest that the EC stiffening response
induced by neutrophil adherence depended on changes in the F-actin
cytoskeletal network in ECs.
The changes in the EC F-actin cytoskeleton induced by neutrophil
adherence were also demonstrated by F-actin staining (Figure 6). Neutrophil adherence to untreated ECs
had little effect on the F-actin distribution in ECs (Figure 6A-B).
Treatment of ECs with 20 ng/mL TNF-
Endothelial cell stiffening response involves a phosphoinositide-dependent mechanism The role of phosphoinositides in EC stiffening response was evaluated using a rhodamine-conjugated, phosphoinositide-binding peptide that is cell permeant. As shown in Figure 8, pretreatment of ECs with 10 µM phosphoinositide-binding peptide for 30 minutes significantly attenuated EC stiffening response, whereas pretreatment with the nonconjugated phosphoinositide-binding peptide that was not cell-permeant had no effect. These results suggest that EC stiffening response induced by adherent neutrophils involves a phosphoinositide-dependent mechanism.
Endothelial cell stiffening response induced by adherent neutrophils appears not to be dependent on myosin light-chain-mediated endothelial cell contraction To examine whether myosin light-chain phosphorylation mediates the EC stiffening response induced by adherent neutrophils, ECs were pretreated with 50 µM BAPTA, an intracellular Ca2+ chelator. As shown in Figure 9A, pretreatment with BAPTA did not inhibit EC stiffening response. Moreover, pretreatment for 30 minutes with 1 µM forskolin along with 0.5 mM IBMX, which increases intracellular cyclic adenosine monophosphate (cAMP) levels and attenuates myosin light-chain phosphorylation in ECs,27,28 did not inhibit the EC stiffening response (Figure 9B). Similar results were obtained when ECs were pretreated with 0.1 mM dibutyl-cAMP, a cell-permeant cAMP analogue, for 30 minutes (data not shown). In addition, pretreatment with ML-7, a myosin light-chain kinase (MLCK) inhibitor, did not inhibit the EC stiffening response induced by adherent neutrophils (Figure 9C), whereas ML-7 completely inhibited the EC stiffening response induced by 1 µM endothelin-1 (stiffness of ECs treated with endothelin-1 for 0 and 10 minutes: 21.5 ± 1.5 dyne/cm2 and 29.2 ± 2.2 dyne/cm2, respectively; P < .05; n = 4; pretreatment with ML-7 followed by endothelin for 0 or 10 minutes: 20.8 ± 0.9 dyne/cm2 and 20.8 ± 0.6 dyne/cm2, respectively; P > .05; n = 4). Taken together, these data suggest that activation of the calcium-calmodulin-dependent MLCK is not required for neutrophil adherence-induced EC stiffening to occur.
To determine whether myosin light-chain phosphorylation occurred
in pulmonary microvascular ECs on neutrophil adherence, 2-D gel
electrophoresis was performed to resolve the phosphorylation pattern of
the regulatory myosin light-chain isoforms as previously described.23,24 As shown in Figure
10, the level of myosin light-chain phosphorylation in untreated ECs was 0.62 mol PO4/mol
myosin light chain. As a positive control, the phosphorylation pattern
of myosin light chain on thrombin stimulation was examined. Thrombin (1 U/mL) for 15 and 30 minutes increased myosin light-chain
phosphorylation to 1.35 and 1.36 mol PO4/mol myosin light
chain, respectively (Figure 10A-B,G). Treatment with TNF-
This study demonstrated that neutrophils adherent to
TNF- Our studies indicate that neutrophils adherent to cytokine-activated
ECs are stiffer than neutrophils bound to untreated ECs. This measured
increase in neutrophil stiffness is likely due to adhesion-induced
cytoskeletal rearrangement. Changes in neutrophil shape may also
contribute because neutrophils bound to untreated ECs were more
spherical and less spread than neutrophils adherent to TNF- It is interesting that treatment with fMLP induces a further increase
in neutrophil stiffness of 16 dyne/cm2, whether they are
bound to untreated ECs or to TNF- Neutrophil-endothelial adherence also resulted in an increase in EC
stiffness. This increase may result from F-actin remodeling, such as
F-actin polymerization and enhanced F-actin cross-linking, or from
actin-myosin-mediated EC contraction. Our data clearly show that the
EC stiffening response induced by adherent neutrophils requires F-actin
cytoskeletal remodeling. The stiffening response on neutrophil
adherence is accompanied by F-actin reorganization and by increases in
total F-actin staining in ECs. Although treatment of ECs with TNF- Our previous studies demonstrated that neutrophil
adherence-induced EC stiffening response requires CD18 and depends on
ICAM-1-mediated signaling pathways in ECs.29 How these
signaling pathways are initiated in ECs on ligation of ICAM-1 during
neutrophil adherence and how these signaling events lead to
cytoskeletal remodeling are still unclear. In this study, we
demonstrated that this stiffening response does not require
intracellular Ca2+ but does involve a
phosphoinositide-dependent mechanism because it is inhibited by the
cell-permeant phosphoinositide-binding peptide. The pathways leading to
phosphoinositide production remain to be determined. Clues may be found
in the studies of Cui et al,37 who demonstrate that
chemokine-induced neutrophil adherence to ECs and subsequent emigration
activates phospholipase D in ECs. Phospholipase D activation results in
phosphatidic acid generation, which in turn stimulates
phosphatidylinositol 4-P 5-kinase (PI 4-P 5-kinase) and results in
phosphoinositide 4,5 diphosphate (PIP2)
production.38 In addition, the activation of Rho is
involved in mediating F-actin changes induced by ICAM-1 cross-linking
and by monocyte adhesion,39,40 and the activation of Rho
can lead to PIP2 production, possibly through the
activation of PI 4-P 5-kinase.41 We hypothesize that
phosphoinositides generated during adherence or downstream signaling
pathways may act on actin-binding proteins, which in turn modulate
F-actin remodeling. Phosphoinositides regulate several actin-binding
proteins, resulting in the cumulative effect of inhibiting actin
depolymerizing proteins such as gelsolin and profilin and stabilizing
filament cross-linking and membrane-linking proteins such as
The data also show that the EC stiffening response appears not to be
mediated by Ca2+-calmodulin-dependent MLCK. The stiffening
response was not inhibited by an intracellular Ca2+
chelator or by MLCK inhibitor ML-7. Moreover, forskolin and
dibutyl-cAMP, which are known to attenuate myosin light-chain
phosphorylation, also did not inhibit the stiffening response. Because
myosin light-chain phosphorylation can occur through Rho-dependent
inactivation of myosin phosphatase44,45 and because the
activation of Rho is involved in mediating F-actin changes induced by
ICAM-1 cross-linking in brain ECs and human umbilical vein endothelial
cells (HUVECs),39,40 the phosphorylation pattern of the
regulatory light chain of myosin light chain was examined. Although
TNF- Other investigators have shown a role for Ca2+
signaling and activation of MLCK in mediating F-actin polymerization,
EC contraction, and isometric tension generation in response to
chemoattractant-stimulated neutrophils on unstimulated
ECs.6,7,23,46 These investigators hypothesized that EC
contraction in response to activated neutrophils may facilitate
neutrophil transmigration across the EC junctions because agents that
inhibit MLCK also reduce neutrophil transmigration across HUVEC
monolayers.6,7,23 This apparent discrepancy may be
attributed to 3 differences between our studies. First, we examined the
changes associated with neutrophil adherence and migration to EC
borders only, not with transendothelial cell migration in response to
chemoattractant-stimulated neutrophils as described in the previous
studies. Most of the adherent neutrophils in our studies were found at
the EC borders by 15 minutes, but few migrated beneath the EC
monolayer. It is possible that the activation of EC MLCK is associated
with the process of transendothelial cell migration but not with
adherence or migration toward the EC borders. Second, the studies used
24-hour TNF- The physiological significance of the EC stiffening response induced by adherent neutrophils is not yet clear. We speculate that the EC stiffening response is important in 2 ways. First, changes in EC cytoskeleton may modulate signaling events in ECs in response to neutrophil adherence. Cell activation is often associated with changes in the actin cytoskeletal organization (for example, Berton et al,32,33 Zhou and Brown34), and the activation of certain signaling molecules is modulated by the actin cytoskeleton and actin-binding proteins (for example, Sun et al51,52). Neutrophil adherence-induced EC stiffening response occurs within 2 minutes, and these early changes in EC actin cytoskeleton may mediate downstream signal transduction pathways in ECs. Second, EC stiffening response may modulate neutrophil migration on the EC surfaces to the EC borders. The increase in the percentage of neutrophils found at the EC borders between 1 and 5 minutes after adding neutrophils to EC cultures suggests that neutrophils crawl along the EC surfaces to reach the EC borders, where most neutrophil transmigration occurs during inflammation. Because changes in substrate rigidity alone are sufficient to alter cell adherence and locomotion, as demonstrated in a study by Pelham and Wang53 using cultured fibroblasts, we postulate that this increase in EC stiffness may enhance neutrophil migration to the EC borders and thus modulate neutrophil transmigration across the endothelium. Third, changes in the EC cytoskeleton may be involved in the association of ICAM-1 or other adhesion molecules with the EC actin cytoskeleton and, thus, in the formation of more stable adhesion with neutrophils because ICAM-1 clustering and association with the actin cytoskeleton are required for monocyte adhesion to TNF-activated ECs and monocyte spreading.39 In summary, this study shows that cytoskeleton-dependent stiffening of neutrophils and ECs occurs during neutrophil-EC adhesion. The EC stiffening response involves a phosphoinositide-mediated remodeling of the cytoskeleton but appears not to involve myosin light-chain-mediated EC contraction. These changes in the biomechanical properties of neutrophils and ECs during adhesion may modulate neutrophil emigration across endothelium during inflammatory responses.
We thank Dr Jeffrey J. Fredberg for his expertise in magnetic twisting cytometry and for invaluable discussions.
Submitted April 11, 2000; accepted September 28, 2000.
Supported by National Institutes of Health grants HL 48160 and HL 33009, a Clinical Scientist Award in Translational Research from the Burroughs Wellcome Fund (C.M.D.), National Institutes of Health grant HL 56618 (D.S.), and National Heart, Lung, and Blood Institute NRSA fellowship IF32 HL 10177-01.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Claire M. Doerschuk, Rainbow Babies and Children's Hospital, Rm 787, 11100 Euclid Ave, Cleveland, OH 44106; e-mail: cmd22{at}po.cwru.edu.
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© 2001 by The American Society of Hematology.
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M. Nakhaei-Nejad, A. M. Hussain, Q.-X. Zhang, and A. G. Murray Endothelial PI 3-kinase activity regulates lymphocyte diapedesis Am J Physiol Heart Circ Physiol, December 1, 2007; 293(6): H3608 - H3616. [Abstract] [Full Text] [PDF] |
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S. A. Gordon, D. Lominadze, J. T. Saari, A. B. Lentsch, and D. A. Schuschke Impaired Deformability of Copper-Deficient Neutrophils Experimental Biology and Medicine, September 1, 2005; 230(8): 543 - 548. [Abstract] [Full Text] [PDF] |
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S. Tasaka, H. Koh, W. Yamada, M. Shimizu, Y. Ogawa, N. Hasegawa, K. Yamaguchi, Y. Ishii, S. E. Richer, C. M. Doerschuk, et al. Attenuation of Endotoxin-Induced Acute Lung Injury by the Rho-Associated Kinase Inhibitor, Y-27632 Am. J. Respir. Cell Mol. Biol., June 1, 2005; 32(6): 504 - 510. [Abstract] [Full Text] [PDF] |
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Q. Wang, M. Yerukhimovich, W. A. Gaarde, I. J. Popoff, and C. M. Doerschuk MKK3 and -6-dependent activation of p38{alpha} MAP kinase is required for cytoskeletal changes in pulmonary microvascular endothelial cells induced by ICAM-1 ligation Am J Physiol Lung Cell Mol Physiol, February 1, 2005; 288(2): L359 - L369. [Abstract] [Full Text] [PDF] |
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J. D. van Buul and P. L. Hordijk Signaling in Leukocyte Transendothelial Migration Arterioscler Thromb Vasc Biol, May 1, 2004; 24(5): 824 - 833. [Abstract] [Full Text] |
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Q. Wang, G. R. Pfeiffer II, and W. A. Gaarde Activation of SRC Tyrosine Kinases in Response to ICAM-1 Ligation in Pulmonary Microvascular Endothelial Cells J. Biol. Chem., November 28, 2003; 278(48): 47731 - 47743. [Abstract] [Full Text] [PDF] |
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A. R. Burns, C. W. Smith, and D. C. Walker Unique Structural Features That Influence Neutrophil Emigration Into the Lung Physiol Rev, April 1, 2003; 83(2): 309 - 336. [Abstract] [Full Text] [PDF] |
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N. Kataoka, K. Iwaki, K. Hashimoto, S. Mochizuki, Y. Ogasawara, M. Sato, K. Tsujioka, and F. Kajiya Measurements of endothelial cell-to-cell and cell-to-substrate gaps and micromechanical properties of endothelial cells during monocyte adhesion PNAS, November 26, 2002; 99(24): 15638 - 15643. [Abstract] [Full Text] [PDF] |
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Q. Wang, G. R. Pfeiffer II, T. Stevens, and C. M. Doerschuk Lung Microvascular and Arterial Endothelial Cells Differ in Their Responses to Intercellular Adhesion Molecule-1 Ligation Am. J. Respir. Crit. Care Med., September 15, 2002; 166(6): 872 - 877. [Abstract] [Full Text] |
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G. Andonegui, S. M. Goyert, and P. Kubes Lipopolysaccharide-Induced Leukocyte-Endothelial Cell Interactions: A Role for CD14 Versus Toll-Like Receptor 4 Within Microvessels J. Immunol., August 15, 2002; 169(4): 2111 - 2119. [Abstract] [Full Text] [PDF] |
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S. Y. Yuan, M. H. Wu, E. E. Ustinova, M. Guo, J. H. Tinsley, P. de Lanerolle, and W. Xu Myosin Light Chain Phosphorylation in Neutrophil-Stimulated Coronary Microvascular Leakage Circ. Res., June 14, 2002; 90(11): 1214 - 1221. [Abstract] [Full Text] [PDF] |
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J. E. Da Silva-Santos, M. C. Santos-Silva, F. d. Q. Cunha, and J. Assreuy The Role of ATP-Sensitive Potassium Channels in Neutrophil Migration and Plasma Exudation J. Pharmacol. Exp. Ther., March 1, 2002; 300(3): 946 - 951. [Abstract] [Full Text] [PDF] |
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R. R. Dalton, J. S. Krauss, D. G. Falls III, and G. K. Fuller Granulocytic Fragments in Sepsis Ann. Clin. Lab. Sci., October 1, 2001; 31(4): 365 - 368. [Abstract] [Full Text] [PDF] |
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Q. Wang and C. M. Doerschuk The p38 Mitogen-Activated Protein Kinase Mediates Cytoskeletal Remodeling in Pulmonary Microvascular Endothelial Cells Upon Intracellular Adhesion Molecule-1 Ligation J. Immunol., June 1, 2001; 166(11): 6877 - 6884. [Abstract] [Full Text] [PDF] |
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