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Prepublished online as a Blood First Edition Paper on December 12, 2002; DOI 10.1182/blood-2002-07-2329.

Submitted August 1, 2002
Accepted November 12, 2002
Recombinant P-Selectin Glycoprotein Ligand-1 directly inhibits leukocyte rolling by all three selectins in vivo: Complete inhibition of rolling is not required for anti-inflammatory effect
Anne E Hicks, Sarah L Nolan, Victoria C Ridger, Paul G Hellewell, and Keith E Norman*
Cardiovascular Research Group, University of Sheffield, Sheffield, South Yorkshire, United Kingdom
* Corresponding author; email: k.norman{at}shef.ac.uk.
Selectin-dependent leukocyte rolling is one of the earliest steps of an acute inflammatory response and, as such, contributes to many inflammatory diseases. Although inhibiting leukocyte rolling with selectin antagonists is a strategy that promises far-reaching clinical benefit, the perceived value of this strategy has been limited by studies using inactive, weak or poorly characterised antagonists. rPSGL-Ig is a recombinant form of the best characterised selectin ligand (PSGL-1) fused to IgG, and is one of the best prospects in the search for effective selectin antagonists. We have used intravital microscopy to investigate the ability of rPSGL-Ig to influence leukocyte rolling in living blood vessels and find that it can reduce rolling dependent on each of the selectins in vivo. Interestingly, doses of rPSGL-Ig required to reverse pre-existing leukocyte rolling are 30-fold higher than those required to limit inflammation suggesting additional properties of this molecule. In support of this, we find that rPSGL-Ig can bind the murine chemokine, KC, and inhibit neutrophil migration towards this chemoattractant in vitro.

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