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Blood, 1 September 2001, Vol. 98, No. 5, pp. 1448-1455
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Antineutrophil cytoplasm autoantibodies from patients
with systemic vasculitis activate neutrophils through distinct
signaling cascades: comparison with conventional Fc
receptor ligation
Anne Ben-Smith,
Stephen K. Dove,
Ashley Martin,
Michael J. O. Wakelam, and
Caroline O. S. Savage
From the Renal Immunobiology, MRC Centre for Immune
Regulation, the Department of Biochemistry, and the Institute for
Cancer Studies, The Medical School, University of Birmingham, United
Kingdom.
In systemic vasculitis, interactions between antineutrophil
cytoplasm autoantibodies (ANCAs) and neutrophils initiate endothelial and vascular injury. ANCAs directed against either myeloperoxidase (MPO) or proteinase 3 (PR3) can activate cytokine-primed neutrophils by
binding cell surface-expressed MPO or PR3, with the concurrent engagement of Fc receptors (Fc R). Because roles for phospholipase D (PLD) and phosphatidylinositol 3 kinase (PI3K) have been demonstrated in Fc R activation of neutrophils, this study investigated the hypothesis that ANCA stimulation of neutrophils involved a similar engagement of Fc R and activation of PLD and PI3K. Pretreatment of
tumor necrosis factor (TNF) -primed neutrophils with antibodies against Fc RII and Fc RIII inhibited MPO-ANCA and PR3-ANCA induced superoxide generation, confirming that Fc R ligation is involved in
ANCA-mediated neutrophil activation. However, although stimulation of
TNF- -primed neutrophils by conventional Fc R ligation, either using antibody-mediated cross-linking of Fc R or aggregated IgG, induced PLD activation, ANCA stimulation did not. Moreover, although ANCA-induced neutrophil activation results in significant PI3K activation as assessed by phosphatidylinositol 3,4,5-triphosphate generation conventional Fc R ligation, but not ANCA, activates the p85/p110 PI3K subtype. Inhibition of ANCA-induced superoxide generation with pertussis toxin suggests that ANCAs activate the p101/p110 PI3K isoform. In addition, the kinetics of activation of
protein kinase B differs between conventional Fc R ligation and ANCA
stimulation of neutrophils. These results demonstrate that though
ligation of Fc RIIa and Fc RIIIb may be necessary, it is likely
that ANCAs require other membrane cofactors for neutrophil activation.

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