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Blood, 15 July 2005, Vol. 106, No. 2, pp. 725-733.
Prepublished online as a Blood First Edition Paper on April 12, 2005; DOI 10.1182/blood-2004-11-4416.
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Submitted November 18, 2004
Accepted March 23, 2005
Junctional adhesion molecule -A deficiency increases hepatic ischemia-reperfusion injury despite reduction of neutrophil transendothelial migration
Andrej Khandoga*, Julia S Kessler, Herbert Meissner, Marc Hanschen, Monica Corada, Toshiyuki Motoike, Georg Enders, Elisabetta Dejana, and Fritz Krombach
Institute for Surgical Research, Ludwig-Maximilians-University of Munich, Munich, Germany
Institute of Pathology, Ludwig-Maximilians-University of Munich, Munich, Germany
Department of Vascular Biology, Italian Foundation for Cancer Research Institute of Molecular Oncology, Milan, Italy
The University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA
* Corresponding author; email: andrej.khandoga{at}med.uni-muenchen.de.
The endothelial receptors that control leukocyte transmigration in the postischemic liver are not identified. We investigated the role of junctional adhesion molecule-A (JAM-A), a receptor expressed in endothelial tight junctions, leukocytes and platelets, for leukocyte transmigration during hepatic ischemia-reperfusion (I/R) in vivo. We show that JAM-A is up-regulated in hepatic venular endothelium during reperfusion. I/R-induced neutrophil transmigration was attenuated in both JAM-A-/- and endothelial JAM-A-/- mice as well as in mice treated with an anti-JAM-A antibody, whereas transmigration of T cells was JAM-A-independent. Postischemic leukocyte rolling remained unaffected in JAM-A-/- and endothelial JAM-A-/- mice, whereas intravascular leukocyte adherence was increased. The extent of interactions of JAM-A-/- platelets with the postischemic endothelium was comparable with that of JAM-A+/+ platelets. The I/R-induced increase in the activity of ALT/AST and sinusoidal perfusion failure were not reduced in JAM-A-/- mice, while the number of TUNEL-positive hepatocytes was significantly higher. Thus, we show for the first time that JAM-A is up-regulated in hepatic venules and serves as an endothelial receptor of neutrophil transmigration, but it does not mediate leukocyte rolling, adhesion as well as platelet-endothelial cell interactions. JAM-A deficiency does not reduce I/R-induced microvascular and hepatocellular necrotic injury, but increases hepatocyte apoptosis, despite attenuation of neutrophil infiltration.

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