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Blood, Vol. 95 No. 2 (January 15), 2000:
pp. 368-374
Monoclonal antibodies to V 3 (7E3 and LM609) inhibit sickle
red blood cell-endothelium interactions induced by platelet-activating
factor
D. K. Kaul,
H. M. Tsai,
X. D. Liu,
M.
T. Nakada,
R. L. Nagel, and
B. S. Coller
From Albert Einstein College of Medicine and Montefiore Medical
Center, Bronx, NY; Centocor Inc, Malvern, PA; and Mount Sinai School of
Medicine, New York, NY.
Abnormal interaction of sickle red blood cells (SS RBC) with the
vascular endothelium has been implicated as a factor in the initiation
of vasoocclusion in sickle cell anemia. Both von Willebrand factor
(vWf) and thrombospondin (TSP) play important roles in mediating SS
RBC-endothelium interaction and can bind to the endothelium via
V 3 receptors. We have used monoclonal antibodies (MoAb) directed
against V 3 and IIb 3 (GPIIb/IIIa) integrins to dissect the
role of these integrins in SS RBC adhesion. The murine MoAb 7E3
inhibits both V 3 and IIb 3 (GPIIb/IIIa), whereas MoAb LM609 selectively inhibits V 3, and MoAb 10E5 binds only to
IIb 3. In this study, we have tested the capacity of these MoAbs
to block platelet-activating factor (PAF)-induced SS RBC adhesion in
the ex vivo mesocecum vasculature of the rat. Infusion of washed SS RBC
in preparations treated with PAF (200 pg/mL), with or without a control
antibody, resulted in extensive adhesion of these cells in venules,
accompanied by frequent postcapillary blockage and increased peripheral
resistance units (PRU). PAF also caused increased endothelial surface
and interendothelial expression of endothelial vWf. Importantly,
pretreatment ofthe vasculature with either MoAb 7E3
F(ab')2 or LM609, but not 10E5
F(ab')2, after PAF almost completely inhibited SS RBC
adhesion in postcapillary venules, the sites of maximal adhesion and
frequent blockage. The inhibition of adhesion with 7E3 or LM609 was
accompanied by smaller increases in PRU and shorter pressure-flow
recovery times. Thus, blockade of V 3 may constitute a potential
therapeutic approach to prevent SS RBC-endothelium interactions under
flow conditions.

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