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Prepublished online as a Blood First Edition Paper on July 12, 2002; DOI 10.1182/blood-2002-03-0778.
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Blood, 15 November 2002, Vol. 100, No. 10, pp. 3611-3617
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Urokinase receptor surface expression regulates monocyte
adhesion in acute myocardial infarction
Andreas E. May,
Roland Schmidt,
Sandip M. Kanse,
Triantafyllos Chavakis,
Ross W. Stephens,
Albert Schömig,
Klaus T. Preissner, and
Franz-Josef Neumann
From Medizinische Klinik des Klinikums Rechts der Isar
und Deutsches Herzzentrum, Technische Universität München,
Munich, Germany; Institut für Biochemie, Fachbereich
Humanmedizin, Justus-Liebig-Universität, Giessen,
Germany; and the Finsen Laboratory, Rigshospitalet,
Copenhagen, Denmark.
The urokinase receptor (urokinase plasminogen activator receptor;
uPAR) regulates monocyte adhesion by direct binding to vitronectin and by forming complexes with integrins. Therefore, possible
up-regulation of uPAR in acute myocardial infarction (AMI) may affect
monocyte adhesion. In 20 patients with AMI, uPAR surface expression
(measured by flow cytometry) was increased compared with that in
patients with chronic stable angina (mean ± SD
fluorescence, 179 ± 96 vs 80 ± 53; P = .002).
Expression of uPAR correlated with activation of
2-integrins lymphocyte function-associated antigen 1 (LFA-1) and macrophage antigen 1 (Mac-1), measured by using monoclonal antibodies (mAbs) 24 and CBRM1/5. Isolated mononuclear cells (MNCs) from patients with AMI showed enhanced adhesiveness to human umbilical vein endothelial cells (HUVECs), to fibrinogen (Mac-1 ligand), and to
vitronectin (uPAR ligand). Excessive adhesion of MNCs to HUVECs was
inhibited by mAbs anti-CD18 (84%), anti-CD11a (51%), and anti-CD11b
(57%), indicating a major contribution of LFA-1 and Mac-1. The mAb
anti-uPAR R3 blocked adhesion of cells from patients with AMI to
vitronectin (95%) but also 2-integrin-mediated adhesion to fibrinogen (79%) and HUVECs (66%). Incubation of
monocytic MonoMac6 cells with plasma from patients with AMI enhanced
uPAR messenger RNA expression and cell adhesion to HUVECs. Thus,
released soluble factors may contribute to enhanced monocyte adhesion
in AMI. Mouse pre-B lymphocytes (BAF3 cells) transfected with various amounts of uPAR complementary DNA showed a strong correlation of uPAR
expression with 2-integrin-dependent adhesion to
intercellular adhesion molecule 1, thus providing evidence for the
functional relevance of uPAR up-regulation in an isolated in
vitro system. In conclusion, we found that uPAR expression is elevated
on monocytes in AMI and contributes to enhanced cell adhesion. Thus,
uPAR may be a novel target for prevention of unwanted monocyte
recruitment as part of inflammatory cardiovascular processes.

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