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Blood, 1 May 2007, Vol. 109, No. 9, pp. 3881-3889.
Prepublished online as a Blood First Edition Paper on January 23, 2007; DOI 10.1182/blood-2006-08-044669.


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Submitted August 31, 2006
Accepted December 1, 2006

Anti-endothelial cell antibodies mediate enhanced leukocyte adhesion to cytokine-activated endothelial cells through a novel mechanism requiring cooperation between Fc{gamma}RIIa and CXCR1/2

Oliver J Florey, Michael Johns, Olubukola O Esho, Justin C Mason, and Dorian O Haskard*

BHF Cardiovascular Medicine, National Heart and Lung Institute, Imperial College London, Hammersmith Hospital, London, United Kingdom

* Corresponding author; email: d.haskard{at}imperial.ac.uk.

Anti-endothelial cell antibodies (AECA) are commonly detectable in diseases associated with vascular injury, including systemic lupus erythematosus (SLE), systemic sclerosis, Takayasu’s arteritis, Wegener’s granulomatosis, Behçet’s syndrome and transplant arteriosclerosis. Here, we explore the hypothesis that these antibodies might augment polymorphonuclear leukocyte (PMN) adhesion to endothelium in inflammation. Initially, we established that a mouse IgG mAb bound to EC significantly increased PMN adhesion to cytokine-stimulated endothelium in an Fc{gamma}RIIa-dependent manner. Neutralizing antibodies, and adenoviral transduction of resting EC, demonstrated that the combination of E-selectin, CXCR1/2 and {beta}2 integrins is both necessary and sufficient for this process. We observed an identical mechanism using AECA IgG isolated directly from patients with SLE. Assembled immune-complexes also enhanced PMN adhesion to endothelium, but, in contrast to adhesion due to AECA, this process did not require CXCR1/2, was not inhibited by pertussis toxin and was Fc{gamma}RIIIb rather than Fc{gamma}RIIa dependent. These data are the first to demonstrate separate non-redundant Fc{gamma}RIIa and Fc{gamma}RIIIb-mediated mechanisms by which EC-bound monomeric IgG and assembled immune-complexes amplify leukocyte adhesion under dynamic conditions. Furthermore, the observation that Fc{gamma}RIIa and CXCR1/2 co-operate to enhance PMN recruitment in the presence of AECA suggests a mechanism whereby AECA may augment tissue injury during inflammatory responses.


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