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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 Fcgamma 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 Fcgamma receptors (Fcgamma R). Because roles for phospholipase D (PLD) and phosphatidylinositol 3 kinase (PI3K) have been demonstrated in Fcgamma R activation of neutrophils, this study investigated the hypothesis that ANCA stimulation of neutrophils involved a similar engagement of Fcgamma R and activation of PLD and PI3K. Pretreatment of tumor necrosis factor (TNF) alpha -primed neutrophils with antibodies against Fcgamma RII and Fcgamma RIII inhibited MPO-ANCA and PR3-ANCA induced superoxide generation, confirming that Fcgamma R ligation is involved in ANCA-mediated neutrophil activation. However, although stimulation of TNF-alpha -primed neutrophils by conventional Fcgamma R ligation, either using antibody-mediated cross-linking of Fcgamma 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 Fcgamma 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/p110gamma PI3K isoform. In addition, the kinetics of activation of protein kinase B differs between conventional Fcgamma R ligation and ANCA stimulation of neutrophils. These results demonstrate that though ligation of Fcgamma RIIa and Fcgamma RIIIb may be necessary, it is likely that ANCAs require other membrane cofactors for neutrophil activation.

© 2001 by The American Society of Hematology.
 

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