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Blood, 15 January 2008, Vol. 111, No. 2, pp. 894-904.
Prepublished online as a Blood First Edition Paper on October 25, 2007; DOI 10.1182/blood-2007-04-085944.


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Submitted April 17, 2007
Accepted October 11, 2007

Extravasations and emigration of neutrophils to the inflammatory site depend on the interaction of immune-complex with Fc{gamma} receptors and can be effectively blocked by decoy Fc{gamma} receptors

Rangaiah Shashidharamurthy, Randolph A Hennigar, Sebastien Fuchs, Purani Palaniswami, Melanie Sherman, and Periasamy Selvaraj*

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, United States

* Corresponding author; email: pselvar{at}emory.edu.

Extravasation and emigration of neutrophils to the site of inflammation are essential early steps in the initiation of many antibody-mediated autoimmune diseases. The Fc domains of cell bound autoantibodies or immune-complexes (IC) are capable of triggering the neutrophil emigration via complement and Fc{gamma}Rs-mediated mechanisms. To define the clinical relevance and the relative contribution of these two pathways in IC-mediated neutrophil emigration, we have neutralized the Fc{gamma}R-binding activity of IC with a recombinant dimeric Fc receptor, CD16A-Ig, and investigated the early events of IC-induced inflammation in mice. Systemic administration of purified CD16A-Ig blocked IC-induced inflammation, mast cell degranulation, and extravasation of neutrophils in a reversed Arthus reaction. Although the binding of CD16A-Ig to IC did not alter the complement-activating properties of IC, no evidence for complement-dependent neutrophil emigration was observed. These results suggest that interaction of IC with cells expressing Fc{gamma}Rs at the inflammatory site results in the secretion of chemoattractants, which mediate complement-independent emigration of neutrophils in this cutaneous acute inflammation model. Furthermore, blocking the interaction of IC to Fc{gamma}Rs expressed on inflammatory cells by administering high avidity Fc fusion dimers of low affinity Fc{gamma}Rs is an effective way of preventing IC-induced acute inflammation in autoimmune diseases.


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