Vol. 284, Issue 5, C1223-C1234, May 2003
Exogenous eosinophil activation converts PSGL-1-dependent
binding to CD18-dependent stable adhesion to platelets in shear
flow
Owen J. T.
McCarty1,
Niven
Tien1,
Bruce S.
Bochner2, and
Konstantinos
Konstantopoulos1
1 Department of Chemical and Biomolecular
Engineering, Johns Hopkins University, Baltimore 21218; and
2 Division of Clinical Immunology, Department of
Medicine, Johns Hopkins University School of Medicine, Baltimore,
Maryland 21224
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ABSTRACT |
This
study examined the binding kinetics and molecular requirements of
eosinophil adhesion to surface-anchored platelets in shear flow.
P-selectin glycoprotein ligand-1 (PSGL-1) binding to platelet
P-selectin initiates tethering and rolling of eosinophils to platelets
under flow. These primary interacting cells assist in the capture of
free-flowing eosinophils through homotypic tethering (secondary
interactions) mediated via L-selectin-PSGL-1 interactions. Differences
between eosinophils and neutrophils in PSGL-1 and L-selectin expression
levels predict the pattern and relative extent of their adhesive
interactions with immobilized platelets under shear, as well as the
relative magnitude of their average rolling velocities. The majority of
tethered eosinophils become rapidly stationary on the platelet layer, a
process that is predominantly mediated via eosinophil PSGL-1 binding to
platelet P-selectin and has an absolute requirement for intact
cytoskeleton. Only a small fraction of these stationary eosinophils
develop shear-resistant attachments mediated by CD18 integrins.
However, stimulation of eosinophils with eotaxin-2 converts
PSGL-1-P-selectin-dependent stationary adhesion to CD18-mediated
shear-resistant stable attachment. These studies provide insights for
designing strategies based on blocking of eosinophil-platelet
interactions to combat thrombotic disorders in hypereosinophilic patients.
eosinophil; platelet; shear stress; P-selectin; CD18-integrins
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INTRODUCTION |
LEUKOCYTE ADHESION to
activated platelets represents a key event in the sequence of thrombus
formation, as demonstrated in vitro (19) and observed in
vivo after arterial injury (30) and during propagation of
venous thrombosis (42). Several lines of evidence also
suggest that enhanced leukocyte-platelet adhesion occurs in the
circulation of patients with acute myocardial infarction (35) or stroke (23) or after coronary
angioplasty (31). These heterotypic adhesive interactions
are thought to promote thrombosis and vascular occlusion, thereby
impairing blood flow and exacerbating ischemia
(13).
To date, most work has focused on delineating the molecular mechanisms
by which neutrophils interact with activated platelets, because
neutrophils represent the largest leukocyte subpopulation in blood
(10, 14, 25, 26, 36, 39, 50). As a result, very little is
known about the molecular constituents mediating attachment of other
leukocyte subpopulations to platelets. For instance, eosinophils,
although they normally comprise <4% of circulating leukocytes in
blood, are dramatically increased in certain disease states and can
account for
20% of the total leukocyte population. Several reports
have noted the occurrence of thrombotic disorders in hypereosinophilic
patients that, in certain cases, was accompanied by occlusion of
arteries and small blood vessels (33, 38). In particular,
58% of patients with idiopathic hypereosinophilic syndrome (HES),
characterized by persistent eosinophilia and organ damage, develop
cardiovascular disease, often with associated mural thrombi
(51). In addition, neurological complications caused by
thromboemboli either of cardiac origin or locally produced within
cerebral vessels are frequently detected in HES (51). The
pathogenesis of eosinophil-mediated organ (e.g., cardiac) damage is
currently unknown but is thought to involve both the presence of
increased number of eosinophils and other as yet ill-defined stimuli
for recruitment and/or activation of these leukocytes. It has been
suggested that eosinophils may undergo a respiratory burst to generate
oxidative products that, alone or in concert with eosinophil
peroxidase, may cause oxidant-mediated damage (51).
Earlier work demonstrated that activated platelets induce superoxide
anion release by monocytes and neutrophils (34). It is
therefore likely that enhanced eosinophil-platelet adhesive interactions in the microcirculation of eosinophilic patients result in
eosinophil activation and release of oxidants that may precipitate
and/or exacerbate thrombotic disorders in these patients. Consequently, elucidation of the detailed molecular basis underlying eosinophil attachment to platelets may provide insights for the rational development of novel therapeutic agents, based on the blockade of these adhesive interactions, to effectively combat thrombotic disorders in eosinophilic patients.
Prior work has shown that thrombin-activated platelets interact with
isolated eosinophils in a Ca2+-dependent manner under
stationary conditions (9). Antibody blocking experiments
have revealed a role for platelet CD62P (P-selectin) in this process.
However, the molecular determinants (other than P-selectin) and the
detailed sequence of events involved in this heterotypic interaction
remain unknown. In contrast, a multistep, sequential process of
adhesive interactions has been elucidated for neutrophil recruitment to
immobilized platelet layers. In particular, platelet P-selectin
interacts with CD162 (P-selectin glycoprotein ligand-1; PSGL-1) to
mediate the initial tethering and rolling of neutrophils under dynamic
flow conditions (10, 36, 39). As neutrophils roll along
immobilized platelets, they are exposed to activating signals,
including agents presented on the platelet surface such as
platelet-activating factor (PAF) (36, 50), that upregulate
the binding affinity of integrins. Activation-dependent attachment of
the integrin receptor CD11b/CD18 (Mac-1) on neutrophils (10, 26,
50) to platelet-associated fibrinogen presented by CD41/CD61
(
IIb
3) (26, 50) has been suggested to convert transient rolling interactions into stable neutrophil adhesion. The transition from selectin-mediated rolling to
CD11b-dependent arrest may be facilitated by the engagement of the
neutrophil CD18 integrin receptor CD11a, which binds to platelet CD102
(ICAM-2) (50). Once firmly adherent on activated platelets, neutrophils are able to migrate across the platelet layer,
primarily via the CD18 integrin receptor CD11b and to a lesser extent
via CD11a (10). However, several issues still remain
controversial. For instance, some studies have failed to confirm the
involvement of platelet-
IIb
3 in this
adhesion process (36, 39). Moreover, although some reports
have suggested that nearly all rolling neutrophils become firmly
adherent via CD18 integrin involvement within seconds of the initial
platelet P-selectin-mediated binding (10, 50), others have
noted that only ~50% of rolling cells stably adhere to
thrombin-treated platelet layers under flow (36, 43). In
the absence of stimulation of immobilized platelets with either
thrombin or ADP, previous work has indicated that the transition from
rolling to stable attachment requires exogenous neutrophil activation
(43).
This study was undertaken to elucidate the precise molecular
constituents mediating adhesion of free-flowing eosinophils to immobilized, thrombin-treated washed platelet layers under controlled kinematic conditions. In particular, we examined whether the general neutrophil paradigm of rolling followed by stable adhesion is applicable for eosinophil adhesion to immobilized platelets in shear
flow and whether eosinophil activation by exogenous stimuli, such as
the CCR3-active chemokine eotaxin-2, is prerequisite for CD18
integrin-mediated stable attachment. In light of the well-established differences between eosinophils and neutrophils in the expression levels of PSGL-1 (i.e., about twice as much on the eosinophil surface),
and CD62L (L-selectin) (8, 22, 44) responsible for
homotypic leukocyte interactions in shear flow (6, 24), we
wanted to compare the pattern and extent of eosinophil binding to
immobilized platelets with those of neutrophils.
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MATERIALS AND METHODS |
Reagents.
The IgG murine monoclonal antibodies (MAbs) 7E4 (blocking anti-CD18),
HP2/1 (blocking anti-CD49d), and D1G10VL2 (blocking anti-fibrinogen;
Ref. 5) were purchased from Immunotech (Westbrook, ME).
The blocking anti-CD29 MAb 4B4 was from Coulter (Miami, FL). The
blocking MAbs KPL-1 [anti-CD162 (anti-PSGL-1)], HI111 (anti-CD11a), ICRF44(44) (anti-CD11b), and HIP1 [anti-CD42b
(anti-GPIb)] were obtained from BD-Pharmagen (San Diego, CA). A
blocking anti-CD62P/E (anti-P-/E-selectin) MAb (EP5C7), which does not
affect CD62L function (47), was generously provided by Dr.
Nicholas F. Landolfi (Protein Design Labs, Fremont, CA). The
function-blocking anti-CD62L (anti-L-selectin) MAb LAM1-116 and
anti-CD11d (anti-
d) MAb 240I were generously provided by
Dr. Thomas F. Tedder (Duke University Medical Center, Durham, NC) and
Dr. Pat Hoffman (ICOS, Bothell, WA), respectively. The nonpeptide
small-molecule platelet-
IIb
3 antagonist
XV454 (1) was a kind gift of Dr. Shaker A. Mousa (DuPont Pharmaceuticals, Wilmington, DE). The Fab
anti-
IIb
3 MAb c7E3 was from Centocor
(Malvern, PA). Human eotaxin-2 was kindly provided by Dr. John White
(GlaxoSmithKline, King of Prussia, PA). Formalin was purchased from
Richard Allan Scientific (Kalamazoo, MI), whereas latrunculin A was
obtained from Calbiochem (San Diego, CA). Citrate-phosphate-dextrose
(CPD) solution, 3-aminopropyltriethoxysilane (APES), thrombin,
prostaglandin (PGE1), cytochalasin B, chymotrypsin, glycyrrhizin, BSA, and isotype-matched IgG MAbs were from Sigma (St.
Louis, MO). A red blood cell agglutination reagent (Red-out) and
polymorphonuclear neutrophil (PMN) isolation media were purchased from
Robbins Scientific (Sunnyvale, CA).
Isolation of human granulocytes.
Protocols involving human subjects were performed in accordance with
the "Guiding Principles for Research Involving Animals and Human
Beings" of the American Physiological Society. Human eosinophils were isolated from EDTA-anticoagulated venous blood of
donors with mild allergic rhinitis or asthma by 1.090 g/ml Percoll
density-gradient centrifugation at room temperature (RT) and removal of
CD16-positive cells (neutrophils) with immunomagnetic beads
(46). Eosinophil purity (based on the examination of
Diff-Quik-stained cytocentrifugation preparation) was >96%, and
viability (by erythrosin B dye exclusion) was nearly 100%. Eosinophils
(5 × 106 per ml) were kept in assay buffer (RPMI 1640 medium containing 1 mM sodium pyruvate, 10 mM HEPES, 4.5 g/l glucose,
and 0.1% BSA) at 4°C for no longer than 4 h before use in
adhesion assays. In selected experiments, human neutrophils were
isolated from CPD-anticoagulated venous blood of healthy volunteers by
centrifugation through PMN isolation medium (16) and held
(107 neutrophils/ml) at 4°C for up to 4 h before
being used in flow-based adhesion assays. Before flow experiments,
eosinophils (or neutrophils) were allowed to equilibrate at 37°C for
2 min and then were diluted to a cell concentration of 0.5 × 106/ml in assay buffer at 37°C and perfused over
platelet-coated surfaces at prescribed wall shear stresses.
Immobilization of platelet layers on glass slides.
Platelet-rich plasma (PRP) was prepared by centrifugation (160 g for 15 min) of sodium citrate (0.38%
wt/vol)-anticoagulated human blood of healthy volunteers
(28). PRP specimens were subjected to a further
centrifugation (1,100 g for 15 min) in the presence of 2 µM PGE1, and the platelet pellet was resuspended in
HEPES-Tyrode buffer (in mM: 129 NaCl, 9.9 NaHCO3, 2.8 KCl,
0.8 K2PO4, 0.8 MgCl2 · 6H2O, 1 CaCl2, 10 HEPES, 5.6 dextrose) containing 5 mM EGTA and 2 µM PGE1 (14). Thereafter, platelets
were washed once via centrifugation (1,100 g for 10 min),
resuspended at 2 × 108/ml in HEPES-Tyrode buffer
(14), and kept at RT for no longer than 4 h before
use in flow assays. Before the perfusion experiments, purified
platelets were allowed to bind to 4% APES-treated coverslips (24 × 50 mm; Corning) for 30 min at 37°C in a humid environment (28). Under these conditions, a confluent layer of
platelets was formed, as evaluated by light microscopy for each
experiment (Fig. 1). The density and
confluence of platelet layers were not affected during the flow
experiment.

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Fig. 1.
Immobilized platelets support eosinophil interactions
under dynamic conditions. Phase-contrast photomicrographs (×10) of
eosinophils attached to a confluent layer of thrombin-treated platelets
after the perfusion of cells for 3 min at a shear level of 2 dyn/cm2.
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Hydrodynamic flow assays.
Leukocyte adhesion to immobilized platelets was quantitated under
dynamic flow conditions with a parallel-plate flow chamber (1, 7,
28, 32). A platelet-coated coverslip was assembled with a flow
chamber and mounted on the stage of an inverted microscope (Nikon
TE300) equipped with a 10× phase objective (Nikon, Melville, NY), a
0.55× projection lens (Nikon), and a CCD100 camera (Dage-MTI, Michigan
City, IN) connected to a VCR and a TV monitor. Surface-adherent platelets were then incubated with 1 U/ml thrombin (unless otherwise stated) in the presence of 0.1% BSA for 10 min at 37°C. After the
platelet layer was washed with D-PBS-0.1% BSA for ~2 min, leukocytes
were perfused through the chamber for 3 min at appropriate flow rates
to obtain wall shear stresses of 0.5-3 dyn/cm2,
thereby mimicking the fluid mechanical environment of the
microcirculation and postcapillary venules. Leukocyte binding to
surface-anchored platelets was visualized in real-time by
phase-contrast videomicroscopy. A single field of view (0.55 mm2) was monitored during the 3 min of the attachment
assay, and at the end five fields of view (each 0.55 mm2)
were monitored for 10 s each. During all experiments, the entire flow system was maintained at 37°C in a warm air box surrounding the microscope.
Data analysis of attachment assays in flow.
Five parameters were quantified in the analysis: 1) the
number of primary interacting cells per square millimeter during the entire 3-min perfusion experiment, 2) the number of
secondary interacting cells per square millimeter during that period,
3) the number of stationary interacting cells per square
millimeter after 3 min of shear flow; 4) the percentage of
total (primary + secondary) interacting cells that were rolling
after 3 min of shear flow, and 5) the average rolling
velocity (µm/s) of interacting leukocytes (1, 28). Cells
that tethered directly to the platelet layer in the absence of any
interaction with previously bound leukocytes were defined as primary
interacting cells (3). Primary interacting leukocytes that
tethered upstream of and continued to translate into the field of view
were distinguished from those that initially tethered directly to the
platelets within the field of view. Cells that attached to the
substrate after first forming homotypic tethers with leukocytes already
bound to the platelet surface were defined as secondary interacting
cells (3). The number of primary and secondary interacting
cells was determined manually by reviewing the videotapes. Stationary
interacting cells were considered as those that moved <1 cell radius
within 10 s at the end of the 3-min attachment assay. To quantify
their number, images were digitized from the videotape recorder with a
Scion frame grabber and a personal computer and processed with OPTIMAS 6.5 software package (Argis-Schoen Vision Systems, Alexandria, VA; Ref.
28). Rolling velocities were computed as the distance traveled by the centroid of the translating cell divided by the time
interval (1, 28) with OPTIMAS 6.5 software. Only cells that rolled without stopping during the entire acquisition period were
included in the analysis.
Data analysis of controlled detachment assays in flow.
To assess the strength of attachment, in selected experiments
leukocytes were allowed to tether to the platelet surface at a wall
shear stress of 2 dyn/cm2 for 3 min, followed by the
perfusion of buffer or actin polymerization buffers for 1 min, after
which the flow rate was doubled every 30 s to achieve shear stress
levels of 4, 8, 16, and 32 dyn/cm2. The number of
leukocytes remaining stationary at the conclusion of 3 min of perfusion
(2 dyn/cm2) was recorded, which served as the normalization
basis with which to generate the percentage of cells that remained
stationary throughout the experiment. The percentage of eosinophils
remaining stationary was reevaluated after the perfusion of either flow
buffer or actin polymerization inhibitors for an additional 1 min at 2 dyn/cm2, as well as being quantified after 20 s at
each shear stress level tested. Rolling velocities were calculated as
described in the attachment assays (1, 28).
Cell treatment with MAbs, enzymes, and eotaxin-2.
For some inhibition studies, leukocytes were pretreated for 30 min at
4°C with saturating concentrations of function-blocking MAbs that
were kept present during the perfusion assays. For other studies,
surface-adherent platelets were preincubated with MAbs (50 µg/ml,
unless otherwise stated), the small-molecule
IIb
3 antagonist XV454 (150 nM), or the
RGD-containing peptide GRGDSP (4 mg/ml) for 10 min at 37°C during the
thrombin-BSA incubation. Saturating concentrations of EP5C7 MAb, XV454,
and GRGDSP were also maintained in the flow buffer during the flow
assays. The extent of leukocyte binding to platelet layers, as well as
the strength of these adhesive interactions as determined in controlled detachment assays, were unaltered by the presence or absence of the
appropriate isotype-matched control MAbs (data not shown).
In some experiments, leukocytes (5 × 106/ml) were
incubated with 0.1 U/ml Vibrio cholerae neuraminidase (Roche
Molecular Biochemicals, Indianapolis, IN) for 30 min at RT to remove
terminal cell surface sialic acid residues (28). In
others, leukocytes were treated for 20 min at RT with the proteolytic
enzyme chymotrypsin (1 U/106 cells), which has been shown
to cleave L-selectin and PSGL-1 from the cell surface (3,
16). After enzyme treatment, leukocytes were washed once,
resuspended in flow buffer, and infused into the flow chamber for
adhesion assays. In selected experiments, eosinophils were perfused
over immobilized platelets in the presence of the sialyl
Lewisx (sLex) mimic glycyrrhizin (10 mM)
(37). In others, the actin polymerization inhibitors
cytochalasin B (10 µg/ml) or latrunculin A (1 µM) were added to the
flow buffer, which was superfused over leukocytes that had been allowed
to tether to the platelet surface for 3 min at a stress level of 2 dyn/cm2. Control experiments verified that superfusion of
0.1% ethanol alone, a concentration level used as a diluent for
cytochalasin B, did not alter the pattern and extent of leukocyte
binding to platelets. In some experiments, the platelet layer was
exposed to 1% formalin for 15 min, followed by a washing step before
use in adhesion assays. To assess the role of exogenous eosinophil activation in eosinophil binding to platelet layers under flow, eotaxin-2 (3 nM) was added to the flow buffer 1 s before the
initiation of the perfusion assay (46).
Statistics.
Data are expressed as means ± SE. Statistical significance of
differences between means was determined by one-way ANOVA. If means
were shown to be significantly different, multiple comparisons by pairs
were performed by the Tukey test. Probability values of
P < 0.05 were selected to be statistically significant.
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RESULTS |
Surface-anchored platelets support eosinophil adhesion under flow.
To study the pattern and extent of eosinophil adhesive interactions
with platelets in shear flow, eosinophils were perfused through a
parallel-plate flow chamber, whose lower plate was coated with
platelets, at prescribed wall shear stresses ranging from 0.5 to 3 dyn/cm2. Our data indicate that immobilized platelets
formed a highly efficient surface for eosinophil capture (Fig. 1). The
majority of eosinophils that tethered from the fluid stream were
observed to roll ~1-3 cell diameters before becoming stationary.
Treatment of platelet layers with thrombin increased the number of
stationary eosinophils and concomitantly decreased the percentage of
rolling cells (240 ± 9 vs. 148 ± 10 stationary
cells/mm2; 9.5 ± 2.4 vs. 37.0 ± 0.5% of
tethered cells rolling in the presence and absence of thrombin,
respectively, after 3 min of perfusion at 2 dyn/cm2).
Therefore, to investigate the mechanisms by which platelets recruit and
efficiently stabilize free-flowing eosinophils, platelets were
pretreated with thrombin in all experiments reported hereafter. A
progressive decrease in the number of stationary eosinophils was
detected between 0.5 and 3.0 dyn/cm2 (Fig.
2A). Concomitantly, an
increasing proportion of tethered eosinophils were observed to
translocate slowly along the platelet layer. The percentage of rolling
eosinophils increased from <4% at a wall shear stress of 0.5 dyn/cm2 to ~35% at 3 dyn/cm2 (Table
1).

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Fig. 2.
Effect of wall shear stress on leukocyte interactions
with surface-anchored platelets. Platelet layers were incubated with
thrombin (1 U/ml) for 10 min. Eosinophils (5 × 105/ml) were then perfused over the platelet layer for 3 min at the indicated wall shear stress levels. Data represent the
number of stationary interacting cells (A) and primary
interacting cells that tethered directly to platelet layer within the
field of view and secondary interacting cells (B). Values
are means ± SE of 3-6 experiments.
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Hydrodynamic shear also regulates the pattern of recruitment of
free-flowing eosinophils to the platelet surface. In particular, in the
low-shear regime (0.5 dyn/cm2), eosinophils primarily
tethered directly to the platelet layer in the absence of any
interaction with previously captured eosinophils and were therefore
termed primary interacting cells (Fig. 2B). In contrast, at
high shear (3 dyn/cm2), the majority of interacting
eosinophils were observed to result from the formation of homotypic
tethers with eosinophils already bound to the platelet surface and were
termed secondary interacting cells (Fig. 2B). These
eosinophil-eosinophil interactions led to the formation of strings of
bound cells (Fig. 1), as previously reported with neutrophils and
monocytes (3, 27, 48), and accounted for up to 65% of
total eosinophil accumulation on platelet layers at higher shear stresses.
At a wall shear stress level of 2 dyn/cm2, the relative
percentage of tethered eosinophils rolling along the platelet layer was
lower than that of rolling neutrophils (9.5 ± 2.4 vs. 20.3 ± 3.7% of interacting cells rolling in the case of eosinophils and
neutrophils, respectively; n = 4-8; means ± SE). Furthermore, as shown in Fig. 3, the
number of primary interacting eosinophils was consistently larger than
that of neutrophils at 2 dyn/cm2. Concomitantly, a
decreased number of secondary interacting eosinophils was detected
compared with that of neutrophils. It is noteworthy that homotypic
leukocyte interactions account for ~70% of the total neutrophil
accumulation on platelet layers compared with ~50% for eosinophils
at 2 dyn/cm2. Together, these data indicate that the
pattern of leukocyte recruitment to the platelet surface is
qualitatively, yet not quantitatively, similar between eosinophils and
neutrophils.

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Fig. 3.
Comparison of eosinophil and neutrophil adhesion to
surface-anchored platelets under flow. Platelet layers were incubated
with thrombin (1 U/ml) for 10 min. Eosinophils (5 × 105/ml) or neutrophils (5 × 105/ml) were
then perfused over the platelet layer for 3 min at a wall shear stress
of 2 dyn/cm2. Data represent the number of stationary
interacting cells, primary interacting cells that tethered directly to
platelet layer within the field of view, and secondary interacting
cells. *P < 0.05 with respect to eosinophils. Values
are means ± SE of 5-24 experiments.
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Relative contribution of selectins and selectin ligands to
eosinophil binding to surface-adherent platelets under flow.
Ensuing experiments focused on the elucidation of the molecular
pathways involved in the adhesive interactions between eosinophils and
immobilized, thrombin-treated platelets at a wall shear stress of 2 dyn/cm2. Treatment of eosinophils with neuraminidase, an
enzyme that cleaves sialic acid residues from the cell surface
(16), dramatically reduced the number of stationary
eosinophils on the platelet layer as well as secondary homotypic
eosinophil interactions (Fig.
4A). Similar results were
obtained when eosinophils were incubated with chymotrypsin, a protease
that cleaves both L-selectin and the highly sialylated PSGL-1 (Fig.
4A; Ref. 16). Nevertheless, eosinophils treated
with either neuraminidase (0.1 U/ml) or chymotrypsin (1 U/106 cells) alone were observed to tether directly and
roll on the platelet surface (Fig. 4A), albeit significantly
faster than untreated cells (Table 2). It
is noteworthy that, whereas 275 ± 26 primary interacting
neuraminidase-treated eosinophils/mm2 were observed to
tether in the field of view (Fig. 4A), another 357 ± 46 cells/mm2 were observed to roll into the field of view
after having previously tethered upstream. Similarly, another 58 ± 15 chymotrypsin-treated eosinophils/mm2 rolled into the
field of view from upstream. In contrast, in matched control samples
all eosinophils tethered directly to platelets within the field of
view, and no eosinophils were observed to enter the field of
observation by rolling from upstream. Flow cytometric analysis of the
eosinophil cell surface revealed that treatment with neuraminidase
reduced the sLex expression level by 94%, whereas
treatment with chymotrypsin cleaved L-selectin and reduced the PSGL-1
expression level by 35% (data not shown). It is noteworthy that the
combination of these enzymes completely blocked eosinophil interactions
with immobilized platelets under dynamic flow conditions (Fig.
4A). The inability of neuraminidase or chymotrypsin alone to
effectively abrogate the primary heterotypic adhesive interactions may
be due to the presence of residual sLex and PSGL-1
expression levels on the cell surface after enzyme treatment. However,
the sLex mimic glycyrrhizin (18, 37), which
has been shown to block selectin binding to sLex both in
vitro and in vivo, essentially abolished eosinophil attachment to
platelets at 2 dyn/cm2 (Fig. 4A). Together,
these data are suggestive of the potential involvement of sialylated
PSGL-1 and L-selectin in eosinophil accumulation on platelet layers in
shear flow.

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Fig. 4.
Eosinophil binding to immobilized platelets under
conditions of flow (2 dyn/cm2): effects of enzymes and
monoclonal antibodies (MAbs). Platelet layers were incubated with
thrombin (1 U/ml) for 10 min. A: eosinophils treated with
neuraminidase [0.1 U/ml for 30 min at room temperature (RT)] and/or
chymotrypsin (1 U/ml for 20 min at RT) before infusion to the flow
chamber. In selected experiments, eosinophils were perfused over
immobilized platelets in the presence of sialyl Lewisx
mimic glycyrrhizin (10 mM). B: eosinophils pretreated with
KPL-1 (blocking-anti-PSGL-1; 30 µg/ml) or LAM1-116
(blocking-anti-L-selectin MAb; 15 µg/ml) for 30 min at 4°C before
infusion to the flow chamber. In other experiments, immobilized
platelets were treated with EP5C7 (blocking-anti-P-selectin MAb; 50 µg/ml) during the 10-min thrombin incubation, which was kept in the
flow buffer in addition. Antibodies were also maintained in the flow
buffer during the perfusion experiment. Data represent the number of
stationary interacting cells, primary interacting cells that tethered
directly to platelet layer within the field of view, and secondary
interacting cells. Values are means ± SE of 3-24
experiments. *P < 0.05 with respect to no-treatment
control.
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Table 2.
Effects of enzymes and function-blocking antibodies on the pattern of
eosinophil interactions with surface-bound platelets
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To verify the potential role of PSGL-1 in this process, eosinophils
were pretreated with a function-blocking anti-PSGL-1 MAb, KPL-1, before
being perfused over immobilized platelets. This intervention abrogated
both stationary interacting cells and secondary homotypic eosinophil
interactions (Fig. 4B). Similar to either neuraminidase or
chymotrypsin treatment, eosinophils that did tether to the platelet
surface via primary interactions rolled at markedly higher velocities
than nontreated cells (Table 2).
Prior work has shown that PSGL-1 is a ligand for both platelet
P-selectin and leukocyte L-selectin (29). Pretreatment of platelets as well as the presence in the flow buffer of a
function-blocking P-selectin MAb, EP5C7, significantly reduced the
number of interacting cells relative to control (Fig. 4B)
and increased both the percentage of tethered eosinophils rolling on
the platelet surface and their average rolling velocity (Table 2). It
is noteworthy that whereas 52 ± 13 primary interacting
eosinophils/mm2 were observed to tether to EP5C7-treated
platelets in the field of view (Fig. 4B), another 234 ± 47 primary interacting cells/mm2 were detected to roll
into the field of view after having previously tethered upstream.
Incubation of eosinophils with a function-blocking anti-L-selectin MAb,
LAM1-116, nearly eliminated secondary homotypic eosinophil
interactions, which resulted in
30% decrease in the relative number
of stationary interacting eosinophils with respect to nontreated
controls (Fig. 4B). However, this molecular intervention had
no effect on either the percentage of rolling eosinophils or their
corresponding average rolling velocities compared with nontreated
eosinophils (Table 2). Cumulatively, these data indicate that
eosinophil PSGL-1 binding to platelet P-selectin mediates primary
interactions whereas homotypic eosinophil PSGL-1-L-selectin binding is
required for secondary interactions.
Role of CD18 integrins in eosinophil adhesion to immobilized
platelets in absence and presence of exogenous stimulation by
eotaxin-2.
Several lines of evidence suggest that initial tethering and rolling of
neutrophils on activated platelet layers is mediated by platelet
P-selectin and that subsequent involvement of neutrophil CD18 integrins
converts these transient adhesive interactions into firm adhesion
(10, 26, 50). We therefore wished to examine whether CD18
integrins mediate stationary adhesion of eosinophils to immobilized
platelets under dynamic flow conditions. Our data indicate that the
treatment of eosinophils with the function-blocking anti-CD18 integrin
MAb 7E4 failed to reduce the number of stationary interacting
eosinophils at a wall shear stress of 2 dyn/cm2 (Fig.
5A). Moreover, treatment of
eosinophils with function-blocking MAbs specific for eosinophil CD29
(
1 integrins), CD49d (
4 integrins), or CD11d
(
d integrins) had no effect on the extent of stationary adhesion (data not shown).

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Fig. 5.
Effects of eotaxin-2-induced eosinophil activation on
interactions with immobilized platelets. A: eosinophil
adhesion to immobilized platelets under conditions of flow (2 dyn/cm2): effects of antibodies and chemokines. Platelet
layers were incubated with thrombin (1 U/ml) for 10 min. Eosinophils
(5 × 105/ml) were perfused over the platelet layer
for 3 min at the indicated wall shear stress levels in the presence or
absence of MAbs. Data represent the number of stationary interacting
cells, primary interacting cells that tethered directly to platelet
layer within the field of view, and secondary interacting cells.
*P < 0.05 with respect to no-treatment control.
B: strength of stationary eosinophil interactions to
immobilized platelets under flow conditions: effects of antibodies and
chemokines. Eosinophils were allowed to tether onto the platelet for
~4 min at a shear stress of 2 dyn/cm2, after which the
flow was incrementally increased every 30 s to achieve shear
stress levels of 4, 8, 16, and 32 dyn/cm2. The percentage
of eosinophils remaining stationary was quantified after 20 s at
each shear stress tested. Eosinophils were pretreated with 7E4
(blocking-anti-CD18 integrin MAb; 20 µg/ml) for 30 min at 4°C
before infusion to the flow chamber. Saturating concentrations of 7E4
as well as eotaxin-2 (eosinophil-specific CCR3 chemokine) were
maintained in the flow buffer. Values are means ± SE of 3-9
experiments, except in the case of treatment of control eosinophils
with 7E4 alone, where data are means ± range from 2 experiments.
|
|
Controlled detachment assays were performed to probe the adhesive
strength of eosinophils tethered to immobilized platelets at 2 dyn/cm2 by incrementally increasing the flow rate every
30 s to achieve wall shear stress levels of 4, 8, 16, and 32 dyn/cm2. Our data indicate that
75% of stationary
eosinophils detached from the platelet layer by the time that shear
exposure of 32 dyn/cm2 was achieved (Fig. 5B).
It is noteworthy that the extent of shear-induced eosinophil detachment
was further augmented by the presence of the anti-CD18 integrin MAb 7E4
(Fig. 5B). For example, 41.5 ± 4.1 vs. 18.1 ± 0.3% of tethered eosinophils remained adherent after exposure to a
stress level of 8 dyn/cm2 in the absence and presence of
7E4, respectively. Furthermore, the average rolling velocity of
eosinophils increased with increasing shear stress, as shown in Table
3.
We next wanted to evaluate the effects of eosinophil activation induced
by the CCR3-active chemokine eotaxin-2, which rapidly upregulates CD18
integrin function (21, 46) while decreasing CD49d integrin
avidity (46), on eosinophil interactions with surface-anchored platelets in shear flow. Neither the number of primary
interacting eosinophils nor the extent of stationary adhesion to
immobilized platelets was significantly affected by the presence or
absence of eotaxin-2 in the perfusion buffer at a wall shear stress
level of 2 dyn/cm2 (Fig. 5A). However, there was
a small but statistically significant reduction in the number of
secondary interacting eosinophils (Fig. 5A), which may be
ascribed to eotaxin-2-induced partial L-selectin shedding
(45).
In distinct contrast to untreated (control) cells, eosinophils became
resistant to shear-induced detachment forces when exposed to eotaxin-2,
with <25% of the stationary eosinophils detaching from the platelet
layer even with a shear stress level of 32 dyn/cm2. The
conversion from stationary to firmly adherent cells was dependent on
eosinophil CD18 integrin binding to the platelet surface, as evidenced
by the marked reduction of the percentage of eosinophils remaining
bound in the presence of the anti-CD18 MAb 7E4 (Fig. 5B). In
an attempt to determine the potential contributions of CD11a/CD18,
CD11b/CD18, and CD11d/CD18 to this process, eosinophils were pretreated
with function-blocking anti-CD11a, CD11b, or CD11d MAbs, respectively.
However, none of these antibodies when used either alone or in
combination with the other two in the presence of eotaxin-2 affected
the extent of eosinophil firm adhesion in the controlled detachment
assays (data not shown). A possible explanation for the inability of
the aforementioned MAbs to interfere with eosinophil stable adhesion to
platelet layers may be that these MAbs block epitopes different from
those involved in eosinophil binding to platelets, as previously
demonstrated for a panel of similar MAbs (50).
Some previous studies suggested that platelet
IIb
3- and/or
IIb
3-bound fibrinogen mediates neutrophil
adhesion to immobilized platelets under dynamic flow conditions
(26, 50), but others have failed to confirm this finding
(36, 39). We therefore wanted to explore the potential
role of platelet
IIb
3 in eosinophil attachment to surface-anchored platelets in shear flow. Treatment of
the platelet layer with the highly specific
IIb
3 antagonist XV454 (1) or
the function-blocking
anti-
IIb
3/
v
3
MAb c7E3, which were maintained in the perfusion buffer during the
experiment, had no effect on the extent of firm or stationary adhesion
in the presence or absence of eotaxin-2, respectively, compared with matched control specimens (data not shown). Furthermore, superfusion of
the RGD-containing peptide GRGDSP during the controlled detachment assays failed to reduce the percentage of eotaxin-2-treated eosinophils remaining bound to the platelet surface (data not shown). These findings are in agreement with previous studies by Ostrovsky et al.
(36), which indicate that neutrophil binding to platelets via CD18 integrins is RGD- and platelet
IIb
3 integrin independent. Moreover,
treatment of platelets with the blocking anti-fibrinogen MAb D1G10VL2
(5), which was maintained in the perfusion buffer during
the flow experiment, failed to affect the extent and strength of firm
adhesion of eotaxin-2-treated eosinophils, compared with matched
controls (data not shown). Recent studies have identified platelet GPIb
as a potential counter-ligand for the CD18 integrin receptor Mac-1
(41). However, pretreatment of the platelet layer with an
anti-GPIb MAb had no effect on the extent and strength of eosinophil
adhesion to platelets (data not shown). Altogether, these data suggest
that treatment of eosinophils with eotaxin-2 rapidly upregulates the
avidity of CD18 integrins, which mediate eosinophil shear-resistant
firm adhesion to immobilized platelets by binding to a platelet
counterreceptor(s) in a RGD-independent manner.
Role of eosinophil cytoskeleton in eosinophil-platelet interactions
under flow.
Our data show that PSGL-1 binding to platelet P-selectin not only
initiates the majority of eosinophil tethering and rolling but also
plays a predominant role in mediating stationary adhesion to
surface-bound platelets in shear flow in the absence of any exogenously
added stimulus. The ability of PSGL-1 to support eosinophil stationary
adhesion to platelet P-selectin may be regulated by its interaction
with the leukocyte actin cytoskeleton (40). We therefore
wanted to investigate how disruption of the eosinophil actin
cytoskeleton affects the pattern of eosinophil-platelet interactions.
To rule out any possible effects of the actin polymerization inhibitors cytochalasin B or latrunculin A on the platelet
cytoskeleton, experiments were performed with thrombin-treated,
formalin-fixed immobilized platelets. Treatment of platelets with
formalin for 15 min before the perfusion of eosinophils reduced, but
did not eliminate, the ability of eosinophils to arrest on the platelet surface, which is in accord with previous studies on
neutrophil-platelet interactions (40). At a shear stress
level of 2 dyn/cm2, >60% of eosinophils were observed to
roll on the fixed platelet surface. As shown in Fig.
6, eosinophils that developed stationary interactions with fixed platelets at 2 dyn/cm2 detached on
exposure to increasing shear forces in a similar yet enhanced manner
compared with unfixed platelets.

View larger version (15K):
[in this window]
[in a new window]
|
Fig. 6.
Effects of actin polymerization inhibitors on eosinophil
interactions with immobilized platelets. Platelet layers were incubated
with thrombin (1 U/ml) for 10 min, followed by incubation with 1%
formalin for 15 min. Eosinophils were then perfused for 3 min at a
shear stress of 2 dyn/cm2, after which cytochalasin B,
latrunculin A, or control buffer was superfused over the platelet
surface for 1 min. Subsequently, the flow was incrementally increased
every 30 s to achieve shear stress levels of 4, 8, 16, and 32 dyn/cm2. The percentage of eosinophils remaining stationary
was reevaluated on superfusion of agents for 1 min at 2 dyn/cm2, as well as being quantified after 20 s at
each shear stress tested. Values are means ± SE of 3 experiments.
|
|
Superfusion of cytochalasin B, a compound that caps the growing end of
actin filaments, after 3 min of flow at 2 dyn/cm2 caused
rolling eosinophils to arrest on formalin-treated platelets. This is
reflected by the marked increase in the percentage of eosinophils
remaining stationary at 2 dyn/cm2 when reevaluated after
the superfusion of cytochalasin B (Fig. 6). Moreover, these cells
exhibited increased deformability (data not shown) and resistance to
shear-induced detachment forces at all shear levels examined in this
work (Fig. 6). In distinct contrast, when latrunculin A, a compound
that prevents actin polymerization by irreversibly binding to actin
monomers (52), was superfused after 3 min of flow,
stationary cells became shear sensitive and detached rapidly from the
formalin-treated platelet surface at 2 dyn/cm2.
Accordingly, this is reflected by a pronounced decrease in the percentage of eosinophils remaining stationary at 2 dyn/cm2
when reevaluated after the superfusion of latrunculin A (Fig. 6).
Similar trends were observed when cytochalasin B and latrunculin A were
superfused over eosinophils interacting with non-formalin-treated platelets (data not shown). Together, our data demonstrate the absolute
requirement of an intact cytoskeleton for the efficient recruitment and
interaction of eosinophils with surface-bound platelets under
hydrodynamic shear.
 |
DISCUSSION |
The major findings of this work are as follows. 1)
Eosinophils, tethered either directly to surface-anchored platelets via PSGL-1 binding to platelet P-selectin or through homotypic secondary interactions mediated by L-selectin-PSGL-1 tethering, become rapidly immobilized on the platelet layer at low shear. The majority of these
stationary interactions are dependent on the high degree of eosinophil
PSGL-1 binding to platelet P-selectin and have an absolute requirement
for intact eosinophil cytoskeleton. Only a small fraction of
these stationary eosinophils develop shear-resistant attachments
mediated by CD18 integrins. 2) Exogenous stimulation of
eosinophils with the CCR3-active chemokine eotaxin-2 converts PSGL-1-P-selectin-dependent stationary adhesion to CD18-mediated stable attachment.
Eosinophil tethering, rolling, and stationary adhesion to
immobilized platelets in shear flow are mediated by PSGL-1-P-selectin
interactions.
In concert with previous studies using neutrophils (10, 36,
39), PSGL-1 binding supports eosinophil primary tethering and
rolling along surface-bound platelets under flow. However, significant
differences are observed in the adhesive interactions of these two
leukocyte subpopulations with immobilized platelets in shear flow. More
specifically, the number of eosinophils tethered directly to the
platelet surface is higher than that of neutrophils. Furthermore, the
relative percentage of tethered cells rolling along the platelet layer
and their respective average rolling velocity are markedly diminished
for eosinophils compared with neutrophils. Direct comparison of these
interactions with respect to cell surface ligand expression must be
avoided because eosinophils and neutrophils were purified via different
isolation methods from different donors. However, our observations are
in accord with previously published data in purified P-selectin,
P-selectin-expressing Chinese hamster ovary cells, or fixed platelets
(12, 18, 20). The aforementioned discrepancies may be
attributed to qualitative differences in the molecular structure of
PSGL-1 on eosinophils from that on neutrophils (29, 44)
and/or the higher PSGL-1 expression levels detected on the eosinophil
relative to the neutrophil surface (8, 12, 44).
Interestingly, as shown in Table 3, the average rolling velocity of
neutrophils at a given shear stress level (e.g., 7.0 ± 0.7 µm/s
at 4 dyn/cm2) is essentially equal to that of eosinophils
expressing nearly twice as much PSGL-1 (8) at twice the
level of shear (e.g., 7.1 ± 0.7 µm/s at 8 dyn/cm2).
This finding further supports the concept that the biomechanics of cell
rolling depends on both the ligand density and the fluid shear at a
given receptor-site density.
Previous studies suggested that nearly all tethered neutrophils become
stably arrested via CD18 integrin involvement within seconds of the
initial PSGL-1-P-selectin-mediated binding (10, 50). This
finding is in clear contrast to other reports (36, 43)
showing that nearly 50% of the tethered neutrophils roll continuously
along immobilized platelets in shear flow and the remaining ~50%
become firmly adherent via CD18-dependent binding. Our data indicate
that the majority of eosinophils and neutrophils tethered to the
platelet surface become rapidly stationary at a wall shear stress level
of 2 dyn/cm2 in a P-selectin-dependent manner. However, the
percentage of eosinophils (or neutrophils) remaining stationary
decreases dramatically with increasing shear, with <25% of cells
forming shear-resistant attachments mediated by CD18 integrins at a
shear level of 32 dyn/cm2. It is noteworthy that increasing
shear caused eosinophils (and neutrophils) to begin to roll on the
platelet surface rather than abruptly detaching. A subsequent reduction
in the shear stress level to 2 dyn/cm2 caused these
"rolling" cells to become stationary again (data not shown).
Cumulatively, our data suggest that immobilization of free-flowing,
resting eosinophils (or neutrophils) to platelet layers at low shear
results predominantly from the eosinophil (or neutrophil) PSGL-1
binding to high site densities of platelet P-selectin. Along these
lines, eosinophils (and neutrophils) were observed to tether, roll and
develop stationary adhesive interactions when perfused at 2 dyn/cm2 over high levels of immobilized, purified
P-selectin (0.5 µg/ml), in contrast to rolling interactions that were
exclusively observed at lower P-selectin concentrations (
0.25
µg/ml; data not shown).
Prior work suggests that the energy provided by the fluid flow to the
rolling cell is dissipated principally into two parts: energy
dissipation due to adhesion bond separation and energy loss due to
cytoplasm viscous dissipation (11). Cytochalasins inhibit
actin polymerization, thereby increasing the fluidity of the cell
(49) and thus increasing the relative contribution of
cytoplasmic viscous dissipation. Partial disruption of the actin
cytoskeleton by cytochalasin B converts rolling of otherwise resting
eosinophils instantly to stationary adhesion to platelet P-selectin, as
previously reported for neutrophils (15, 40). Moreover,
the pattern of detachment of cytochalasin B-treated eosinophils was
markedly different from that of untreated cells. Application of high
shear caused cytochalasin-treated eosinophils to elongate in the
direction of shear before abruptly detaching from the platelet surface.
Treatment of leukocytes with cytochalasin B has been reported to
partially decrease the number of microvilli and sum of microvillus tip
widths present on the cell surface (15). Because
microvilli are points of attachment of actin bundles to the plasma
membrane and because of the higher affinity of cytochalasin B for
cytoplasmic rather than cortical actin filaments, this actin-capping agent primarily interferes with cytoplasmic actin filaments while having little effect on localized polymerization of cortical actin. Consequently, the possible association of PSGL-1 with cortical actin
coupled with biomechanical factors such as increased intercellular contact area and decreased shear forces on adherent leukocytes due to
enhanced cell deformation may support greater resistance to detachment
of cytochalasin B-treated leukocytes over control cells. In distinct
contrast, exposure of interacting eosinophils to latrunculin A, which
abrogates both cortical and cytoplasmic actin polymerization by binding
to G-actin monomers, completely eliminated their ability to maintain
stationary adhesion to surface-anchored platelets in shear flow. To
this end, previously stationary eosinophils immediately began to roll
and their resultant average rolling velocity was substantially elevated
compared with that of nontreated cells (data not shown). Consequently,
we speculate that latrunculin A eliminates PSGL-1 association with
cortical actin filaments, thereby drastically diminishing the magnitude
of strain that eosinophils bound to platelets via PSGL-1-P-selectin
bond(s) can withstand before detaching under shear stress.
Tethered leukocytes are capable of recruiting free-flowing cells via
homotypic cell interactions predominantly mediated by L-selectin
binding to PSGL-1. However, the contribution of this pathway relative
to PSGL-1-P-selectin-mediated recruitment increases with increasing
shear, which is in accord with the relative binding kinetics of the
respective receptor-ligand pairs (2). The enhanced neutrophil recruitment relative to eosinophil accumulation to immobilized platelets via secondary tethering may be ascribed to the
twofold higher L-selectin expression levels on the neutrophil surface
compared with those on eosinophils (12). Taking into account the relative L-selectin and PSGL-1 expression levels on the
eosinophil and neutrophil surfaces, our data suggest that homotypic
leukocyte interactions are primarily dependent on the surface
expression level of L-selectin and are less sensitive to the
differences in PSGL-1 expression levels.
Eotaxin-2-induced eosinophil activation is required for
shear-resistant CD18 integrin-mediated adhesion to immobilized
platelets.
The activation of leukocytes represents a key component in their
adhesion cascade to vascular endothelium, platelets, or other leukocytes and upregulates the binding affinity of integrins via both
conformational changes and altered interactions with the cytoskeleton
(6, 24). Previous studies showed that activation of
tethered neutrophils via platelet-derived activating agents such as PAF
converts neutrophil rolling to shear-resistant, CD18-mediated firm
adhesion to immobilized platelets (36, 50). The percentage of tethered neutrophils activated by agents generated by or through platelets varies from 25-50% (36) up to nearly 100%
(50). In the current study, only ~25% of stationary
eosinophils remained adherent to the platelet surface on exposure to a
wall shear stress of 32 dyn/cm2 and ~60% of these
adhesion events were eliminated by the use of the function-blocking
anti-CD18 MAb 7E4. These data suggest that a small fraction of
stationary eosinophils may have been activated by locally
platelet-secreted agents such as PAF or RANTES, which was previously
shown to be released by thrombin-stimulated platelets
(17).
Selective leukocyte recruitment is the result of the orchestrated
events involving cell surface receptors, their respective ligands, and
chemokines. The CCR3-active chemokines such as eotaxin-2 selectively
regulate eosinophil adhesion in a mitogen-activated protein
kinase-dependent manner while having no chemotactic effect on
neutrophils (4). Along these lines, addition of eotaxin-2 in the perfusion buffer induced rapid shear-resistant eosinophil firm
adhesion to platelet layers via eosinophil CD18-integrins, as evidenced
by the dramatic reduction of adhesion by the use of an anti-CD18 MAb.
Previous studies suggest that neutrophil firm adhesion to immobilized
platelets is predominantly mediated via CD11b/CD18 integrin binding to
platelet-associated fibrinogen presented by
IIb
3 integrins (26, 50).
However, our data indicate that blockade of platelet
IIb
3 or platelet-bound fibrinogen or the
incorporation of an RGD peptide had no effect on the extent of
eosinophil binding to platelets in the presence or absence of eotaxin-2
in both attachment and detachment assays. These findings are in accord
with other previously published reports (36, 39) that
failed to demonstrate any potential platelet
IIb
3 or RGD peptide involvement in these leukocyte-platelet interactions. Therefore, we have yet to demonstrate which platelet ligand(s) is responsible for mediating CD18-dependent firm adhesion of activated eosinophils.
In summary, eosinophil recruitment to surface-bound platelets in shear
flow follows a cascade of events that shares common features with that
outlined for neutrophils. In particular, PSGL-1 predominantly binds to
platelet P-selectin to initiate primary tethering and rolling of
free-flowing eosinophils, which assist in the secondary eosinophil
recruitment mediated by L-selectin-PSGL-1 interactions. In the absence
of any exogenous eosinophil activation, cortical actin-associated
PSGL-1 binding is sufficient to mediate stationary interactions at low
shear levels, presumably because of the high density of the
receptor-ligand pairs on the apposing cell surfaces. Disruption of
cortical actin polymerization eliminates these heterotypic cell
adhesive interactions in shear flow. In the absence of exogenously
added chemokines, only a small proportion of stationary cells (<25%)
may develop shear-resistant CD18-integrin-dependent attachments to
platelet layers. However, eotaxin-2-induced activation of eosinophils
converts PSGL-1-dependent binding to shear-resistant firm adhesion
mediated by CD18-integrin binding to adhesive proteins attached to the
platelet surface. Together, these findings enhance our understanding of
the molecular mechanisms of eosinophil-platelet adhesion and may
provide insights for the rational development of novel therapeutic
strategies aimed to alter these adhesive interactions.
 |
ACKNOWLEDGEMENTS |
We thank Drs. Thomas F. Tedder, Pat Hoffman, Shaker A. Mousa,
Nicholas Landolfi, and John White for providing valuable reagents, Dr.
Denis Wirtz (Johns Hopkins University) for helpful discussions, and
Carol Bickel, Sherry A. Hudson, Daniel Plymire, Andy Jun, and Parag
Pawar for technical support.
 |
FOOTNOTES |
This work was supported by National Science Foundation Grant BES
9978160 and a Mid-Atlantic American Heart Association Grant-in-Aid.
Address for reprint requests and other correspondence: K. Konstantopoulos, Dept. of Chemical and Biomolecular Engineering, Johns
Hopkins Univ., 3400 N. Charles St., Baltimore, MD 21218-2694 (E-mail: kkonsta1{at}jhu.edu).
The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement"
in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
First published January 15, 2003;10.1152/ajpcell.00403.2002
Received 30 August 2002; accepted in final form 9 January 2003.
 |
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