This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Tanji-Matsuba, K. Articles by Hogg, J. C. Search for Related Content PubMed PubMed Citation Articles by Tanji-Matsuba, K. Articles by Hogg, J. C.

(Circulation. 1998;97:91-98.)
© 1998 American Heart Association, Inc.

Basic Science Reports

Functional Changes in Aging Polymorphonuclear Leukocytes

Kayoko Tanji-Matsuba, MSc; Stephan F. van Eeden, MD, PhD; Yuji Saito, MD; Mitsushi Okazawa, MD; Maria E. Klut, PhD; Shizu Hayashi, PhD; ; James C. Hogg, MD, PhD

From the University of British Columbia, Pulmonary Research Laboratory, St Paul's Hospital, Vancouver, Canada.

Correspondence to Dr Stephan F. van Eeden, UBC, Pulmonary Research Laboratory, St Paul's Hospital, Vancouver, BC, Canada V6Z 1Y6. E-mail svaneeden{at}prl.pulmonary.ubc.ca

	Abstract

Top Abstract Introduction Methods Results Discussion References

 
Background—Previous studies from our laboratory have shown that the expression of L-selectin on polymorphonuclear neutrophils (PMN) decreases as the cell ages in the circulation and that these older PMN have more fragmented DNA and show morphological features of apoptosis.

Methods and Results—The present study was designed to compare the functional capabilities of PMN expressing low levels of L-selectin (L-selectin^low) and the total population of PMN they were isolated from (L-selectin^mixed). The results show no difference of the baseline filamentous actin (F-actin) content between PMN expressing low and high levels of L-selectin. However, the ability of L-selectin^low PMN to assemble F-actin was impaired after stimulation by n-formyl-L-methionyl-L-leucyl-L-phenylalanine (fMLP) (1 nmol/L fMLP: P<.02, 10 nmol/L fMLP: P<.01). The ability of L-selectin^low PMN to change shape when stimulated (10 nmol/L fMLP) was also decreased (P<.05). Filtration studies showed no difference in baseline deformability between L-selectin^low and L-selectin^mixed leukocytes, but the L-selectin^low cells showed a decreased ability to stiffen after fMLP stimulation (P<.05). L-selectin^low cells demonstrated a decreased ability to migrate toward a chemoattractant (1, 3, and 10 nmol/L fMLP) (P<.004) but have an enhanced ability to upregulate CD18 (P<.00002) and produce hydrogen peroxide (P<.00004).

Conclusions—We conclude that PMN undergo substantial functional changes as they age in the circulation.

Key Words: neutrophils • cells • chemotaxis • adhesion molecules • free radicals

	Introduction

Top Abstract Introduction Methods Results Discussion References

 
Polymorphonuclear neutrophils marginate along vessel walls, adhere firmly to endothelium, and migrate toward a chemotactic stimulus as they are recruited to an inflammatory site.^{1 2 3 4} Their primary role on reaching the site of inflammation is to engulf and destroy pathogenic organisms by generating reactive oxygen species and releasing hydrolytic enzymes into the phagocytic vacuoles containing the engulfed bacteria. The hypothesis that PMN become progressively activated during this process and that host tissue injury occurs when activation is either abnormal or excessive has been the subject of many reports.^{5 6} Whyte et al⁷ have shown that PMN cultured in vitro lose functions and undergo apoptosis. A recent report from our laboratory has shown that the aging members of the population of circulating PMN expressing low levels of L-selectin and have morphological features of apoptosis with high levels of fragmented DNA.⁸ These findings suggest that these cells started undergoing programmed cell death in the circulation, and the purpose of this study was to compare the function of this group of older cells with the general PMN population. To test the hypothesis that the functional capabilities of the older cells were different, we examined their abilities to assemble and reorganize F-actin from G-actin, change their deformability and shape, migrate toward a chemotactic stimulus, degranulate, and generate oxygen radicals.

	Methods

Top Abstract Introduction Methods Results Discussion References

 
Animals
The study was approved by the Animal Experimentation Committee of the University of British Columbia. Four female New Zealand White rabbits were used in each of these studies except in the F-actin study, in which 5 rabbits were used.

Baseline F-actin Contents
F-actin content of PMN in whole blood was determined with the use of a modification of a previously described method.⁹ PMN in whole blood were stained for both L-selectin with DREG-200 (mouse monoclonal antibody against rabbit L-selectin, kind gift from Dr E.C. Butcher) and F-actin with fluorescein phalloidin (Molecular Probes, Inc) Exitation (Ex.) 495 Emission (Em.) 520) (375 µg/mL) (FITC phalloidin). Phycoerythrin-conjugated goat anti-mouse-IgG (PE) (Ex.495 Em.576) (DAKO) was used as a secondary antibody for L-selectin. As a negative control for L-selectin, nonimmune mouse IgG followed by PE conjugated goat anti-mouse IgG was used. F-actin–negative control was processed by adding phosphate-buffered saline (PBS) instead of FITC phalloidin. The influence of the double labeling procedure was evaluated by comparing results from cells labeled for a single antigen (either L-selectin or F-actin) with results from double-labeled cells. Briefly, 100 µL of whole blood was added to 200 µL of PBS and 20 µL of 20 µg/mL DREG-200, incubated for 10 minutes, washed with 5 mL of PBS by centrifugation at 200g for 7 minutes, resuspended in 25 µL of 15 µg/mL PE in PBS and incubated for 10 minutes in the dark. Red blood cells were lysed by IMMUNO-LYSE (Coulter Immuno) for 2 minutes and fixed by 200 µL of formaldehyde, EM-Grade 16% solution (Electron Microscopy Sciences) for 30 minutes in the dark. After washing, cells were mixed with 200 µL of FITC phalloidin permeabilizing solution (2.5 µL of 200 U/mL FITC phalloidin in methanol evaporated and mixed with of 200 µL of 0.2 µmol/L L-a-lysophosphatidylcholine palmitoyl (Sigma) in PBS) and incubated for 30 minutes at 37°C in the dark. This solution permeabilizes the cell membrane and stains F-actin. Cells were washed and analyzed by flow cytometry, EPICS XL-MCL cell analysis system (Coulter). Analysis gates for PMN were established with distinctive forward and side scatter profiles and expressed as MFI on a log-scale analyzing 3000 to 6000 cells per specimen. The expression of F-actin on 40% of PMN expressing the lowest and 40% expressing the highest levels of L-selectin were determined (Fig 1). The 40% cutoff line was selected because the average purity of the in vitro separation of L-selectin deficient cells was 40% of the total population (see next section).

View larger version (30K): [in this window] [in a new window]   Figure 1. Purity of L-selectinlow PMN as measured by flow cytometry (A and B). PMN expressing low levels of L-selectin were enriched with the monoclonal antibody DREG-200 (see "Methods"). A, IgG control; B, L-selectinmixed [L(+)] and L-selectinlow [L(-)] populations after enrichment. In this representative example, 40% of the population of PMN were selected as L-selectinlow cells. C and D, F-actin content of PMN expressing low [L(-)] and high [L(+)] levels of L-selectin. Leukocytes in whole blood were immunolabeled for surface L-selectin with DREG-200, stained for F-actin with FITC phalloidin and analyzed by flow cytometry. The y-axis represents the number of fluorescent events and the x-axis the relative fluorescence intensity (log scale). The 40% of PMN expressing low levels of L-selectin and the 40% expressing high levels of L-selectin (C) were compared with respect to baseline F-actin content (D). Graphs show a representative example of one experiment; no difference was seen in baseline F-actin content between PMN expressing low and high levels of L-selectin (n=6, P>.05).

In Vitro Separation of Cells Expressing Low Levels of L-selectin
The selection of cells expressing low levels of L-selectin was achieved by binding the monoclonal antibody DREG-200 to magnetic beads as follows. An aliquot of 1 mL of DYNABEADS M-450 (Dynal) at a concentration of 4x10⁸ beads/mL with surface conjugated sheep anti-mouse IgG was washed in 10 mL of 0.01 mol/L HEPES, 0.09% sodium chloride irrigation, USP (Baxter) buffer (HEPES normal saline, HNS). A magnet, MPC (DYNAL), was then applied to the surface of the tube for 2 minutes and the wash fluid was decanted off. This process was repeated three times. The washed beads were then resuspended in 500 µL of HNS and 65 µL of DREG-200 at 100 µg/mL was added. This mixture of 0.2 µg of DREG-200 and 1 mg of beads was incubated overnight at 4°C and the beads were kept in suspension by bidirectional rotation. Unbound DREG-200 antibody was removed from the magnetic beads by washing the mixture in 10 mL HNS/0.1% BSA, pH 7.4, at 4°C using bidirectional rotation for 30 minutes, applying the magnet, and decanting the wash fluid. This washing procedure was repeated four times. After resuspending in 500 µL of HNS/0.1% BSA buffer, DREG-200–coated magnetic beads were stored at 4°C and kept in suspension until used as described below.

Leukocyte-rich-plasma (LRP) prepared from peripheral blood collected from the central ear artery of each rabbit using acid citrate dextrose (ACD) (Fenwal, Baxter) was used as starting material. Red blood cells were sedimented with 4% dextran (average molecular weight of 162 000) (Sigma) in 1.38 mmol/L NaCl, 27 mmol/L KCl, 8.1 mmol/L Na₂HPO₄·7H₂O, 1.5 mmol/L KH₂PO₄, and 5.5 mmol/L glucose pH 7.4 buffer (PMN buffer) for 25 minutes. Endotoxin-free solutions were used throughout all experiments. The leukocyte-rich surface layer that contains the LRP was removed and centrifuged at 300g for 7 minutes. The pellet of cells was resuspended in 600 µL of HNS/0.1% BSA and divided in two aliquots. One aliquot was incubated at 4°C for 1 hour with bidirectional rotation with either DREG-200–coated magnetic beads at a ratio of approximately 20 to 1 (beads to leukocyte) and the other aliquot incubated in buffer using the same experimental conditions (control cells). Leukocytes that adhered to the magnetic beads by virtue of the binding of L-selectin on their surface to DREG-200 were removed by the magnet and referred to as L-selectin^high leukocytes. Those that remained in solution were referred to as L-selectin^low leukocytes. The starting solution (LRP) was composed of 70±5.4% PMN and the rest were mononuclear cells (lymphocytes and monocytes), and this composition did not changes significantly after the selection procedure with the magnetic beads (65±6.6% PMN). The functional capabilities of the L-selectin^low were compared with the total population of leukocytes that they were isolated from (control cells or L-selectin^mixed cells).

These L-selectin^low and L-selectin^mixed leukocytes were used in each experiment below because the magnetic beads bound to L-selectin^high leukocytes interfere with the flow cytometry analysis as well as in the filtration studies. In preliminary experiments, incubating LRP with either magnetic beads alone, IgG coated beads, or DREG-200 followed by sheep anti-mouse IgG did not change the surface expression of the cell activation marker CD18 or the expression of L-selectin on PMN. The purity of the selection process was determined by measuring L-selectin expression on the L-selectin^low population of PMN by using flow cytometry with DREG-200 as a primary antibody and goat anti-mouse FITC as a secondary antibody. The average MFI of L-selectin^low PMN was 40% of that of the mixed population of PMN they were isolated from (L-selectin^mixed PMN). All experiments were performed under stringent endotoxin-free conditions.

F-actin Assembly
L-selectin^low and L-selectin^mixed leukocytes were resuspended in 200 µL of 1/10 dilution of 10xHanks' salt (Stem Cell Technologies Inc) (Hanks' buffer) with the final concentration to be 5x10⁵ cells/mL, incubated at 37°C for 3 minutes, and stimulated with 25 µL of fMLP in PBS (final concentration, 1 and 10 nmol/L). Leukocytes were fixed by 3% paraformaldehyde (PFA) for 30 minutes at 0, 5, 10, 20, and 80 seconds after stimulation, washed with 5 mL of PBS (centrifugation at 200g for 7 minutes). Leukocytes were incubated with 10 µL of 200U/mL N-(7-nitrobenz-2-oxa-1, 3-diazol-4-yl) phallacidin (NBD phallacidin. Molecular Probes, Inc) (Ex.405 Em.530) in methanol was evaporated and mixed with 200 µL of 0.2 µmol/L PC in PBS and further processed as described above. The concentrations of fMLP we selected (1 and 10 nmol/L) were in the linear range of the dose-response curve of cells stimulated by fMLP in concentrations between 0.01 and 300 nmol/L (data not shown).

Cell Shape Changes
The changes in PMN shape were measured according to the method described by Holden et al.¹⁰ Briefly, L-selectin^low and L-selectin^mixed leukocytes were resuspended in 100 µL of Hanks' buffer with the final concentration to be 4x10⁶ cells/mL, prewarmed at 37°C for 3 minutes, stimulated by 10 nmol/L fMLP, and 0, 0.25, 0.5, 1, 2, 5, and 10 minutes afterward fixed by the same volume of 5% glutaraldehyde (1/5 dilution of 25% solution Glutaraldehyde EM Grade. Electron Microscopy Sciences). The cells were cytospun onto precoated slides (Fisher Scientific), stained by the hematoxylin and eosin method,¹¹ mounted in a permanent medium (Entellan, New BDH) and analyzed by light microscopy (Nikon Labphoto-2). One hundred PMN were counted in random fields of view to determine the fraction of PMN that had changed shape.¹⁰ The interobserver variability was determined by two observers counting 14 randomly selected coded slides (100 cells/slide) and the intraobserver variability by the same observer counting these slides 2 weeks apart. Both the interobserver variability and the intraobserver variability were within the standard deviation.

PMN Deformability
Leukocytes were filtered in vitro according to the filtration method described by Lowe and Lennie.^{12 13} Briefly, L-selectin^low and L-selectin^mixed leukocytes were resuspended to 1x10⁵ cells/mL in 30 mL of PBS containing 0.5% human albumin (albumin [human] 5%, USP, Plasmin-5, Miles) (PBS/albumin). A 35-mL polypropylene syringe (Sherwood, Monoject Plastic) and three-way stopcock (Medexinc) were mounted onto a pump (Harvard apparatus model 55 to 2222) set to infuse at a constant flow of 3 mL/min. One port of the stopcock was connected to a removable 25-mm polypropylene holder (Poretics), which supported a single 25-mm polycarbonate membrane filter (Poretics) with defined pore size [pore diameter, 5 µm; length, 10 µm; and pore density, 4x10⁵/cm² (manufacturer's data)]. The other port, at right angles to the syringe filter, was connected to a pressure transducer (Validyne Engineering Corp), which was attached to an amplifier (DREC Recording System, Raytech Instruments), in turn outputting to an X-Y chart recorder (Microsoft Smart Drive, Disk Cache Version 3.13; MS DOS version 5). This pressure-sensing system was first calibrated with a water manometer under conditions of no flow before each leukocyte filtration. The zero baseline for each membrane was established by first filtering PBS/albumin alone for 8 minutes. The leukocyte suspension in PBS/albumin was then infused through the same membrane for 8 minutes. The absolute pressures developed over baseline were recorded in cm H₂O. Filtrations were performed in triplicate with a new filter for each occasion. After baseline studies, studies with-fMLP stimulated cells (final concentration, 1 nmol/L) was performed by adding 1 mL of fMLP in PBS to the cell solutions before filtration.

Chemotactic Ability
L-selectin^low and L-selectin^mixed leukocytes were resuspended in Hanks' buffer with the final concentration to be 1x10⁶ cells/mL. A 48-well modified Boyden chamber (Neuro Probe, Inc) and 5-µm pore polycarbonate membrane filters (Poretics) were used following the manufacturer's instructions. Fivex10⁵ cells were loaded into the top chamber with fMLP solution (final concentration to be 1, 3, and 10 nmol/L) in the lower chamber. Chambers were incubated for 45 minutes at 37°C. Nonchemotaxed cells left on the loaded surface of the membrane were removed. The filters were fixed by methanol for 20 seconds and stained by Diff-Quik (Dade Diagnostics of P.R. Inc) following the manufacturer's instruction. The cells that had passed through the filters were counted in random fields of view under the light microscope, counting at least 100 cells.

CD18 Expression
Changes in the expression of CD18 at baseline and after fMLP stimulation were measured with flow cytometry. L-selectin^low and L-selectin^mixed leukocytes were resuspended in 200 µL of Hanks' buffer with the final concentration to be 5x10⁵ cells/mL, incubated at 37°C for 3 minutes, and stimulated with 25 µL of fMLP in PBS (final concentration, 1 nmol/L). Measurements were performed at 0, 2, 4, 8, 16, and 32 minutes after the addition of fMLP. Cells were fixed with 0.025% (final concentration) glutaraldehyde for 10 minutes, cell solution was washed, 25 µL of 75 µg/mL anti-CD18 antibody (Beta chain, clone MHM23, DAKO) in PBS was added for a final concentration of 5 µg/mL. Nonimmune mouse IgG in the same final concentration was used as a negative control. After 15 minutes of incubation, cells were washed, incubated in 25 µL of 1/25 diluted anti-mouse IgG (whole molecule) FITC conjugated (Sigma, Ex.495 Em.520) in the dark, washed, and fixed by 1% PFA. Analysis gates for PMN were established using distinctive forward and side scatter profiles, and results were expressed as MFI on a log-scale analyzing 3000 to 6000 cells per specimen.

Hydrogen Peroxide Production
The respiratory burst activity of PMN was determined by measuring PMN hydrogen peroxide (H₂O₂) production at baseline and after fMLP stimulation according to the method previously described by Bass et al.¹⁴ Briefly, L-selectin^low and L-selectin^mixed leukocytes were resuspended in 2 mL of 0.1% gelatin (BDH) in 1.38 mmol/L NaCl, 27 mmol/L KCl, 8.1 mmol/L Na₂HPO₄·7H₂O, 1.5 mmol/L KH₂PO₄, and 5.5 mmol/L glucose, pH 7.4 (PMN buffer), with the final concentration 2x10⁵ cells/mL. Ten microliters of 5 mmol/L 2',7'-dichlorofluorescin diacetate (DCFH-DA) (Ex.488 Em.510, 550, Molecular Probes, Inc) in 95% ethanol (final concentration of ethanol was 0.1%) was added and incubated for 15 minutes at 37°C in a shaking water bath. Leukocytes were analyzed with flow cytometry at 0, 2, 4, 8, and 16 minutes after 25 µL of fMLP solutions were added (final concentration, 1 nmol/L). Analysis gates for PMN were established with distinctive forward and side scatter profiles and expressed as MFI on a log-scale analyzing 3000 to 6000 cells per specimen.

Statistical Analysis
Data were analyzed with a two-way ANOVA for repeated measurements with blocking on subjects in F-actin (Fig 2), cell shape changes (Fig 3), chemotactic ability (Fig 6), CD18 expression (Fig 7), and hydrogen peroxide production (Fig 8) studies. The sequential rejective Bonferroni¹⁵ procedure was used to correct for multiple comparisons. The methods described by Ratkowsky¹⁶ was used to analyze the deformability of PMN (Figs 4 and 5). Each curve was fit to the equation y=a/[1+exp (b-gx)] to determine an estimate for the plateau, represented here by a.¹⁶ The mean plateau for each subject (taken over two to four trials per subject) in both groups was calculated according to Mood et al.¹⁷ For each subject, the difference in mean plateau between the two groups to be compared was then calculated by using the method above.¹⁷ An overall mean difference was computed, and a t statistic was calculated to determine significance (P<.05). The Bonferroni correction was considered in the calculation of the t statistic to correct for multiple comparisons.

View larger version (27K): [in this window] [in a new window]   Figure 2. F-actin assembly in PMN expressing low levels of L-selectin [L(-)] and the population of cells they were isolated from (mixed cells) after fMLP stimulation. L-selectinlow and L-selectinmixed cells were stained for F-actin with NBD-phallacidin after stimulation by 1 and 10 nmol/L fMLP. F-actin content was analyzed by flow cytometry and measured as MFI (see "Methods"). After both 1 nmol/L (P<.02) and 10 nmol/L fMLP (P<.01) stimulation, L-selectinmixed PMN showed higher levels of F-actin content than L-selectinlow PMN at 10 seconds after fMLP stimulation. F-actin content is expressed as a fraction of baseline; values are mean±SE (n=5).

View larger version (16K): [in this window] [in a new window]   Figure 3. Shape changes of the L-selectinlow [L(-)] and L-selectinmixed PMN after fMLP stimulation. L-selectinlow and L-selectinmixed cells were stained by hematoxylin and eosin and analyzed under the light microscope. One hundred PMN were counted in random fields of view and the results are expressed as the fraction of PMN that have changed shape. At baseline, 20% of cells were newly spherical in shape in both populations, but 2, 5, and 10 minutes after 10 nmol/L fMLP stimulation more cells changed shape in a mixed population of PMN than in the L-selectinlow population (P<.05). Values are mean±SE (n=4).

View larger version (32K): [in this window] [in a new window]   Figure 6. Chemotactic ability of L-selectinlow [L(-)] and L-selectinmixed population of PMN. Using modified Boyden chambers and a 5-µm polycarbonate filter, the number of PMN that migrated through the filter toward 1, 3, and 10 nmol/L fMLP gradients was counted in randomly selected fields. With all concentrations of fMLP, more cells migrated through the filter in a mixed population of PMN (P<.004). Values are mean±SE (1 nmol/L, n=3; 3 and 10 nmol/L, n=4).

View larger version (17K): [in this window] [in a new window]   Figure 7. CD18 expression in the L-selectinlow [L(-)] and L-selectinmixed population of PMN after 1 nmol/L fMLP stimulation. CD18 expression in each cell population was analyzed by flow cytometry and measured as MFI (see "Methods"). There was no difference in the baseline expression of CD18 between the two cell populations (P>.05). With stimulation (1 nmol/L fMLP), L-selectinlow PMN expressed significantly more CD18 (P<.00002) than the mixed population of PMN. Values are expressed as a fraction of baseline and are mean±SE (n=4).

View larger version (15K): [in this window] [in a new window]   Figure 8. Hydrogen peroxide production in L-selectinlow [L(-)] and L-selectinmixed population of PMN after 1 nmol/L fMLP stimulation. Hydrogen peroxide production in each cell population was analyzed with flow cytometry (see "Methods"). Hydrogen peroxide production was significantly higher in L-selectinlow PMN (P<.00004) if compared with production in a mixed population of PMN. Values are expressed as a fraction of baseline and are mean±SE (n=4).

View larger version (18K): [in this window] [in a new window]   Figure 4. Change in the deformability of L-selectinlow [L(-)] and L-selectinmixed cells at baseline as measured by filtration through polycarbonate filters with 5-µm pores. There was no statistical difference in the pressure when L-selectinlow and L-selectinmixed cells were filtered. Lines represent the mean value of seven experiments.

View larger version (35K): [in this window] [in a new window]   Figure 5. Changes in the deformability of L-selectinlow [L(-)] and L-selectinmixed population of cells after stimulation with 1 nmol/L fMLP. The plateau pressures increased significantly when mixed cells were filtered after 1 nmol/L fMLP stimulation (P<.05) with little change in the L-selectinlow leukocytes (P>.05). Values are mean plateau pressure±SE (n=4) and expressed as a percentage of baseline pressure.

	Results

Top Abstract Introduction Methods Results Discussion References

 
F-actin Content of PMN
Figs 1A and 1B show the purity of L-selectin^low PMN as measured by flow cytometry. In this representative example, 40% of the population of PMN was selected as L-selectin^low cells. Figs 1C and 1D show the baseline F-actin content of L-selectin^high and L-selectin^low PMN populations. There was no difference in baseline F-actin content between the 40% of PMN expressing high levels of L-selectin and 40% of PMN expressing low levels of L-selectin. Fig 2 shows F-actin assembly in a L-selectin^low and L-selectin^mixed population of PMN after they were stimulated by 1 and 10 nmol/L fMLP. Baseline F-actin was similar (P>.05); however, at 10 seconds after stimulation with both 1 nmol/L (P<.02) and 10 nmol/L fMLP (P<.01), L-selectin^mixed PMN contained more F-actin than L-selectin^low PMN. This difference was not seen at the later time points.

Cell Shape Changes in PMN
At baseline, 20% of PMN in both of L-selectin^low and L-selectin^mixed cell populations had a nonspherical shape. Fig 3 also shows the fraction of PMN that changed shape after stimulation by 10 nmol/L fMLP. At 2, 5, and 10 minutes after stimulation, more PMN in the mixed population changed shape (P<.05) compared with the L-selectin^low population.

PMN Deformability
The baseline pressures recorded over 8 minutes by filtration of L-selectin^low and L-selectin^mixed populations of leukocytes through polycarbonate filters with a 5-µm pore size are shown in Fig 4 (n=7). Under baseline conditions, these curves were similar. Filtration of fMLP-stimulated (1 nmol/L) cells showed a significant increase in the plateau pressure during filtration of the mixed population with little change in the L-selectin^low cells (P<.05, Fig 5). The fraction of PMN in the cell suspension before and after filtration in both populations were not significantly different (P>.05) (data not shown).

Chemotactic Ability of PMN
The chemotactic ability of L-selectin^low and L-selectin^mixed populations of PMN after they were stimulated by 1, 3, and 10 nmol/L fMLP are shown in Fig 6. More PMN migrated through the filters with 1, 3, and 10 nmol/L fMLP gradient in the mixed population of PMN compared with the L-selectin^low population of PMN (P<.004).

CD18 Expression by PMN
Fig 7 shows CD18 expression on a population of L-selectin^low and L-selectin^mixed PMN after stimulation by 1 nmol/L fMLP. Baseline expression of CD18 expression was similar in L-selectin^low and L-selectin^mixed PMN (P>.05). However, after fMLP stimulation (1 nmol/L), L-selectin^low PMN expressed more CD18 on the surface than a mixed population of PMN (P<.00002).

Hydrogen Peroxide Production by PMN
Fig 8 shows hydrogen peroxide production in a population of L-selectin^low and L-selectin^mixed PMN after they were stimulated by 1 nmol/L fMLP. Baseline production of hydrogen peroxide was similar in the two populations of PMN (P>.05), but with stimulation L-selectin^low PMN produced more hydrogen peroxide than a population of mixed PMN (P<.00004).

	Discussion

Top Abstract Introduction Methods Results Discussion References

 
This report concerns the functional changes that occur in older PMN in the circulation. Previous studies from our laboratory have shown that PMN lose their L-selectin as they age in the circulation,¹⁸ and we have used this marker of cell age to select a population of older cells from the circulating population of PMN. Several studies have shown that PMN aged in vitro lose functions such as chemotaxis,^{19 20} adhesion, spreading,²¹ and phagocytosis¹⁹ and then undergo apoptosis.²² In this study we compared the functional properties of an older circulating population of PMN and found that they have a decreased ability to convert G-actin to F-actin, change shape, and migrate toward a chemotactic stimulus. Although L-selectin^low PMN baseline deformability was similar to that of L-selectin^mixed PMN, their ability to stiffen after stimulation was impaired. Furthermore, these older PMN appear to degranulate more readily and produce higher levels of oxygen radicals than a mixed population of circulating PMN.

The peripheral blood PMN consists of a heterogeneous population of cells^{23 24 25} with respect to surface expression of Fc receptors,^{26 27 28 29} fMLP receptors,³⁰ and responses to chemoattractants.^{31 32 33} Heterogeneity in the maturation of circulating PMN maturity has been recognized since the 1920s and is thought to account for the variability in PMN locomotion,^{34 35} chemotactic ability,^{31 32} and alkaline phosphate content.³⁶ Studies from our laboratory have shown that PMN newly released from the bone marrow express higher levels of L-selectin than their circulating counterparts³⁷ and that they lose their L-selectin as they age in the circulation.¹⁸ The role of these different populations of circulating PMN in the pathogenesis of inflammatory diseases is still unclear.

The coordinated conversion of G-actin to F-actin is essential for migration of PMN out of the vascular space toward pathogens.³⁸ Actin constitutes 10% of the total protein of PMN, and 50% of this actin is not polymerized in the resting cell. Stimulation by chemotactic factors causes a rapid and transient increase in the polymerization of actin with the assembly of F-actin.³⁸ Our results show no difference in baseline F-actin content between L-selectin^low and L-selectin^high PMN (Figs 1C and 1D); however, the ability of older PMN to rapidly polymerize actin (Fig 2), change shape (Fig 3), and migrate in a chemotactic gradient (Fig 6) is impaired after stimulation with fMLP. These defects in older PMN could occur at any of the numerous control sites of this well-regulated process, including the interaction of the chemoattractant with its receptor on the cell surface,³⁹ subsequent signal transduction,^{40 41 42 43} intracellular calcium mobilization,^{44 45} and changes in the content and regulation of the actin binding proteins.⁴⁶ The normal to above normal response of these older PMN to degranulate and produce hydrogen peroxide after fMLP stimulation suggests that this defect is not at the fMLP receptor level. Therefore the reduced ability of older PMN to assemble F-actin as well as their decreased ability to change shape and migrate into the tissues by moving toward a chemotactic gradient most probably represents defective intracellular events.

The defective regulation of actin assembly was supported by experiments showing that the ability of these older PMN to stiffen after stimulation was impaired (Fig 5). Cell deformability was measured as the pressure developed during cell filtration through micropore membranes where the mean diameter (5 µm) is similar to the average diameter of the human and rabbit pulmonary capillary segments.⁴⁷ Selby et al⁴⁸ have shown a relationship between PMN deformability in vitro and sequestration of PMN in the pulmonary capillaries by using a similar system. In our experiments, baseline measurements showed no difference of the deformability between older and younger PMN, but on stimulation the ability of older PMN to increase their stiffness was impaired (Fig 5). This result is consistent with the defective F-actin assembly in these older PMN. Changes in the deformability of PMN have been shown to be the major factor resulting in sequestration of PMN in pulmonary capillaries.^{47 49 50} This functional defect of older PMN to stiffen together with the results of a decreased ability to change shape and chemotax suggested that these PMN are less likely to be trapped in microvessels. This sequestration of PMN in the lung has been shown to be an important initial step in PMN-mediated lung injury in several models of acute and chronic lung inflammation.^{5 6 47 48 50}

In the systemic circulation, the low levels of L-selectin on older PMN could contribute to a decreased margination of these cells along capillary walls by reducing their ability to roll on activated endothelium in postcapillary venules. Our studies showed that older PMN, expressing low levels of L-selectin, had a reduced ability to migrate toward a chemotactic stimulus (Fig 6). Interestingly, this is similar to the defect described by Lichtman and Weed⁵¹ in immature granulocytes in the bone marrow suggesting that chemotactic ability is one of the last functions that PMN attained during maturation but also one of the first functions to deteriorate during aging. These defects in the early functional responses of older PMN could preclude them from the inflammatory site both in the systemic circulation and the pulmonary circulation.

The retention and migration of PMN through an endothelial barrier are due, at least in part, to an increase in PMN adhesiveness.⁵² Several studies have shown that recruitment of PMN into tissues can be attenuated by blocking surface PMN adhesion molecules.^{53 54 55 56} The CD18 antigen is required for firm adhesion and migration of PMN, and cell activation causes degranulation of specific granules that increases CD18 on the cell surface.^{57 58} Measurements at baseline showed that the expression of CD18 was similar in older and younger PMN (P>.05), but cell activation with fMLP increased CD18 expression significantly more in older PMN (Fig 7). The enhanced degranulation response of older PMN as well as their increased ability to produce oxygen radicals (Fig 8) suggested that these older PMN are primed. This priming of PMN may occur during their life in the circulation, where they encounter mildly activated vascular beds such as in the bladder, gums, and upper respiratory tract. Removal of these older primed PMN from the circulation may be beneficial in that it would protect the vascular bed from inappropriate oxygen radical damage when these cells encounter an intravascular stimulus generated from the complement, coagulation, or kinin-generating system of the plasma. Several studies have shown that activated PMN expressing higher levels of CD18 are removed from the circulation.^{1 2 3} We speculate that this enhanced ability of older PMN expressing low levels of L-selectin to recruit CD18 to the cell surface could augment their permanent removal from the circulation.

In summary, the results presented here support the hypothesis that older PMN have different functional responses from a mixed population of circulating PMN. These defects are mainly in their early response functions, such as F-actin assembly, changes in deformability, and chemotaxis. These functions are important for PMN to facilitate their movement into an inflammatory sites and migration toward an activating stimulus. As these older PMN are defective in their ability to migrate but degranulate more readily and produce more oxygen radicals when stimulated, they are potentially harmful in situations of diffuse intravascular cell activation. These defects could make older PMN less likely to be recruited to a site of inflammation and may mark them for permanent removal from the circulation.

	Selected Abbreviations and Acronyms

 

F-actin = filamentous actin FITC = fluorescein isothiocyanate fMLP = n-formyl-L-methionyl-L-leucyl-L-phenylalanine G-actin = glomerular actin L-selectinlowPMN = PMN expressing low levels of L-selectin MFI = mean fluorescence intensity L-selectinmixedPMN = PMN expressing intermediate levels of L-selectin L-selectinhighPMN = PMN expressing high levels of L-selectin PMN = polymorphonuclear neutrophils

	Acknowledgments

 
This work was supported by the Medical Research Council of Canada (grant 4219). Dr S.F. van Eeden received support from the St Paul's Hospital Foundation. We want to thank Dr B.A.M. Walker for reviewing the manuscript, Stuart Greene for photography, and Lorri Verbrugt for statistical analysis.

Received June 30, 1997; revision received September 8, 1997; accepted September 25, 1997.

	References

Top Abstract Introduction Methods Results Discussion References

 
1. Smith CW, Rothlein R, Hughes BJ, Mariscalco MM, Rudloff HE, Schmalstieg FC, Anderson DC. Recognition of an endothelial determinant for CD 18-dependent human neutrophil adherence and transendothelial migration. J Clin Invest. 1988;82:1746–1756.

2. Smith CW, Kishimoto TK, Abbassi O, Hughes B, Rothlein R, McIntire LV, Butcher E, Anderson DC. Chemotactic factors regulate lectin adhesion molecule 1 (LECAM-1)-dependent neutrophil adhesion to cytokine-stimulated endothelial cells in vitro [published erratum appears in J Clin Invest.. 1991;87:1873]. J Clin Invest. 1991;87:609–618.

3. Spertini O, Luscinskas FW, Kansas GS, Munro JM, Griffin JD, Gimbrone MA Jr, Tedder TF. Leukocyte adhesion molecule-1 (LAM-1, L-selectin) interacts with an inducible endothelial cell ligand to support leukocyte adhesion. J Immunol. 1991;147:2565–2573.[Abstract/Free Full Text]

4. von Andrian UH, Chambers JD, McEvoy LM, Bargatze RF, Arfors KE, Butcher EC. Two-step model of leukocyte-endothelial cell interaction in inflammation: distinct roles for LECAM-1 and the leukocyte beta 2 integrins in vivo. Proc Natl Acad Sci U{ths}S{ths}A. 1991;88:7538–7542.[Abstract/Free Full Text]

5. Henson PM, Johnston RB Jr. Tissue injury in inflammation: oxidants, proteinases, and cationic proteins. J Clin Invest. 1987;79:669–674.

6. Malech HL, Gallin JI. Current concepts: immunology: neutrophils in human diseases. N Engl J Med. 1987;317:687–694.[Medline] [Order article via Infotrieve]

7. Whyte MK, Meagher LC, MacDermot J, Haslett C. Impairment of function in aging neutrophils is associated with apoptosis. J Immunol. 1993;150:5124–5134.[Abstract]

8. Matsuba KT, Bicknell S, van Eeden SF, Walker B, Hayashi S, Hogg JC. Apoptosis in circulating PMN: increased susceptibility in L-selectin deficient PMN. Am J Physiol. 1997; 272(Heart Circ Physiol 41):H2852–H2858.

9. Rao KM, Padmanabhan J, Cohen HJ. Cytochalasins induce actin polymerization in human leukocytes. Cell Motil Cytoskel. 1992;21:58–64.[Medline] [Order article via Infotrieve]

10. Holden W, Slauson DO, Zwahlen RD, Suyemoto MM, Dore M, Neilsen NR. Alterations in complement-induced shape change and stimulus-specific superoxide anion generation by neonatal calf neutrophils. Inflammation. 1989;13:607–620.[Medline] [Order article via Infotrieve]

11. Turner DR. The haemotoxylin and eosin. In: Bancroft JD, Stevens A, eds. Theory and Practice of Histological Techniques. New York, NY: Churchill-Livingstone; 1996:99–112.

12. Lennie SE, Lowe GDO, Barbenel JC. Filterability of white blood cell subpopulations, separated by an improved method. Clin Haemorheol. 1987;7:811–816.

13. Lien DC, Wagner WW Jr, Capen RL, Haslett C, Hanson WL, Hofmeister SE, Henson PM, Worthen GS. Physiological neutrophil sequestration in the lung: visual evidence for localization in capillaries. J Appl Physiol. 1987;62:1236–1243.[Abstract/Free Full Text]

14. Bass DA, Parce JW, Dechatelet LR, Szejda P, Seeds MC, Thomas M. Flow cytometric studies of oxidative product formation by neutrophils: a graded response to membrane stimulation. J Immunol. 1983;130:1910–1917.[Abstract]

15. Holland BS, Copenhaver MD. An improved sequentially rejective Bonferroni test procedure. Biometrics. 1987;43:417–423.

16. Ratkowsky DA. Handbook of Nonlinear Regression Models (Statistics, textbooks and monographs; v. 107). New York, NY: Marcel Dekker, Inc; 1990:128–129.

17. Mood MM, Graybill FA, Boes DC. Introduction to the Theory of Statistics. New York, NY: MacGraw-Hill; 1974:178–181.

18. van Eeden SF, Bicknell S, English D, Hogg JC. Polymorphonuclear leukocytes (PMN) L-selectin expression decreases as they age in the circulation. Am J Physiol. 1996;272 (Heart and Circ Physiol. 41) H401–H408.

19. McCullough J, Wieblen BJ, Peterson PK, Quie PG. Effects of temperature on granulocyte preservation. Blood. 1978;52:301–310.[Abstract/Free Full Text]

20. Ferrante A, Beard LJ, Thong YH. Early decay of human neutrophil chemotactic responsiveness following isolation from peripheral blood. Clin Exp Immunol. 1980;39:532–537.[Medline] [Order article via Infotrieve]

21. Palm SL, Furcht LT, McCullough J. Effects of temperature and duration of storage on granulocyte adhesion, spreading, and ultrastructure. Lab Invest. 1981;45:82–88.[Medline] [Order article via Infotrieve]

22. Savill JS, Wyllie AH, Henson JE, Walport MJ, Henson PM, Haslett C. Macrophage phagocytosis of aging neutrophils in inflammation: programmed cell death in the neutrophil leads to its recognition by macrophages. J Clin Invest. 1989;83:865–875.

23. Krause PJ, Malech HL, Kristie J, Kosciol CM, Herson VC, Eisenfeld L, Pastuszak WT, Kraus A, Seligmann B. Polymorphonuclear leukocyte heterogeneity in neonates and adults. Blood. 1986;68:200–204.[Abstract/Free Full Text]

24. Pember SO, Barnes KC, Brandt SJ, Kinkade JM Jr. Density heterogeneity of neutrophilic polymorphonuclear leukocytes: gradient fractionation and relationship to chemotactic stimulation. Blood. 1983;61:1105–1115.[Abstract/Free Full Text]

25. Seligmann B, Malech HL, Melnick DA, Gallin JI. An antibody binding to human neutrophils demonstrates antigenic heterogeneity detected early in myeloid maturation which correlates with functional heterogeneity of mature neutrophils. J Immunol. 1985;135:2647–2653.[Abstract]

26. Broxmeyer HE, Ralph P, Bognacki J, Kincade PW, Desousa M. A subpopulation of human polymorphonuclear neutrophils contains an active form of lactoferrin capable of binding to human monocytes and inhibiting production of granulocyte-macrophage colony stimulatory activities. J Immunol. 1980;125:903–909.[Abstract]

27. Ory PA, Clark MR, Kwoh EE, Clarkson SB, Goldstein IM. Sequences of complementary DNAs that encode the NA1 and NA2 forms of Fc receptor III on human neutrophils. J Clin Invest. 1989;84:1688–1691.

28. Ory PA, Clark MR, Talhouk AS, Goldstein IM. Transfected NA1 and NA2 forms of human neutrophil Fc receptor III exhibit antigenic and structural heterogeneity. Blood. 1991;77:2682–2687.[Abstract/Free Full Text]

29. Sanders LA, van de Winkel JG, Rijkers GT, Voorhorst-Ogink MM, de Haas M, Capel PJ, Zegers BJ. Fc gamma receptor IIa (CD32) heterogeneity in patients with recurrent bacterial respiratory tract infections. J Infect Dis. 1994;170:854–861.[Medline] [Order article via Infotrieve]

30. Gallin JI, Seligmann BE. Mobilization and adaptation of human neutrophil chemoattractant fMet-Leu-Phe receptors. Fed Proc. 1984;43:2732–2736.[Medline] [Order article via Infotrieve]

31. Fletcher MP, Seligmann BE. PMN heterogeneity: long-term stability of fluorescent membrane potential responses to the chemoattractant N-formyl-methionyl-leucyl-phenylalanine in healthy adults and correlation with respiratory burst activity. Blood. 1986;68:611–618.[Abstract/Free Full Text]

32. Seligmann B, Chused TM, Gallin JI. Differential binding of chemoattractant peptide to subpopulations of human neutrophils. J Immunol. 1984;133:2641–2646.[Abstract]

33. Walter RJ, Marasco WA. Direct visualization of formylpeptide receptor binding on rounded and polarized human neutrophils: cellular and receptor heterogeneity. J Leukoc Biol. 1987;41:377–391.[Abstract]

34. Traniello S, Mantovani P, Gavioli R, Baricordi R, Sensi A, Damiani G, Spisani S. Monoclonal antibodies: modulation of cellular activities and identification of heterogeneity of functional response in human neutrophils. J Clin Lab Immunol. 1988;26:135–139.[Medline] [Order article via Infotrieve]

35. Howard TH. Quantification of the locomotive behavior of polymorphonuclear leukocytes in clot preparations. Blood. 1982;59:946–951.[Abstract/Free Full Text]

36. Vergnes HA, Grozdea JD. A study of the selective inhibition by urea of neutrophil alkaline phosphatase isoenzymes. Enzyme. 1985;34:45–47.[Medline] [Order article via Infotrieve]

37. Van Eeden S, Miyagashima R, Haley L, Hogg JC. L-selectin expression increases on peripheral blood polymorphonuclear leukocytes during active marrow release. Am J Respir Crit Care Med. 1995;151:500–507.[Abstract]

38. Wymann MP, Kernen P, Bengtsson T, Andersson T, Baggiolini M, Deranleau DA. Corresponding oscillations in neutrophil shape and filamentous actin content. J Biol Chem.. 1990;265:619–622.[Abstract/Free Full Text]

39. Sklar LA, Omann GM, Painter RG. Relationship of actin polymerization and depolymerization to light scattering in human neutrophils: dependence on receptor occupancy and intracellular Ca++. J Cell Biol. 1985;101:1161–1166.[Abstract/Free Full Text]

40. Keller HU, Niggli V. The PKC-inhibitor Ro 31–8220 selectively suppresses PMA- and diacylglycerol-induced fluid pinocytosis and actin polymerization in PMNs. Biochem Biophys Res Commun. 1993;194:1111–1116.[Medline] [Order article via Infotrieve]

41. Sham RL, Packman CH, Abboud CN, Lichtman MN. Signal transduction and the regulation of actin conformation during myeloid maturation: studies in HL60 cells. Blood. 1991;77:363–370.[Abstract/Free Full Text]

42. Sham RL, Phatak PD, Ihne TP, Abboud CN, Packman CH. Signal pathway regulation of interleukin-8-induced actin polymerization in neutrophils. Blood. 1993;82:2546–2551.[Abstract/Free Full Text]

43. Howard TH, Wang D. Calcium ionophore, phorbol ester, and chemotactic peptide-induced cytoskeleton reorganization in human neutrophils. J Clin Invest. 1987;79:1359–1364.

44. Huang AJ, Manning JE, Bandak TM, Ratau MC, Hanser KR, Silverstein SC. Endothelial cell cytosolic free calcium regulates neutrophil migration across monolayers of endothelial cells. J Cell Biol. 1993;120:1371–1380.[Abstract/Free Full Text]

45. Kaplan SS, Zdziarski UE, Kuhns DB, Basford RE. Inhibition of cell movement and associated changes by hexachlorocyclohexanes due to unregulated intracellular calcium increases. Blood. 1988;71:677–683.[Abstract/Free Full Text]

46. Valerius NH, Stendahl O, Hartwig JH, Stossel TP. Distribution of actin-binding protein and myosin in polymorphonuclear leukocytes during locomotion and phagocytosis. Cell. 1981;24:195–202.[Medline] [Order article via Infotrieve]

47. Doerschuk CM, Beyers N, Coxson HO, Wiggs B, Hogg JC. Comparison of neutrophil and capillary diameters and their relation to neutrophil sequestration in the lung. J Appl Physiol. 1993;74:3040–3045.[Abstract/Free Full Text]

48. Selby C, Drost E, Wraith PK, MacNee W. In vivo neutrophil sequestration within lungs of humans is determined by in vitro `filterability.' J Appl Physiol. 1991;71:1996–2003.[Abstract/Free Full Text]

49. Doerschuk CM, Allard AF, Hogg JC. Neutrophil kinetics in rabbits during infusion of zymosan-activated plasma. J Appl Physiol. 1989;67:88–95.[Abstract/Free Full Text]

50. Doerschuk CM. The role of CD18-mediated adhesion in neutrophil sequestration induced by infusion of activated plasma in rabbits. Am J Respir Cell Mol Biol. 1992;7:140–148.

51. Lichtman MA, Weed RI. Alteration of the cell periphery during granulocyte maturation: relationship to cell function. Blood. 1972;39:301–316.[Abstract/Free Full Text]

52. Gasic AC, McGuire G, Krater S, Farhood AI, Goldstein MA, Smith CW, Entman ML, Taylor AA. Hydrogen peroxide pretreatment of perfused canine vessels induces ICAM-1 and CD18-dependent neutrophil adherence. Circulation. 1991;84:2154–2166.[Abstract/Free Full Text]

53. Lundberg C, Wright SD. Relation of the CD11/CD18 family of leukocyte antigens to the transient neutropenia caused by chemoattractants. Blood. 1990;76:1240–1245.[Abstract/Free Full Text]

54. Mulligan MS, Miyasaka M, Tamatani T, Jones ML, Ward PA. Requirements for L-selectin in neutrophil-mediated lung injury in rats. J Immunol. 1994;152:832–840.[Abstract]

55. Pizcueta P, Luscinskas FW. Monoclonal antibody blockade of L-selectin inhibits mononuclear leukocyte recruitment to inflammatory sites in vivo. Am J Pathol. 1994;145:461–469.[Abstract]

56. Tedder TF, Steeber DA, Pizcueta P. L-selectin-deficient mice have impaired leukocyte recruitment into inflammatory sites. J Exp Med. 1995;181:2259–22564.[Abstract/Free Full Text]

57. Berger M, O'Shea J, Cross AS, Folks TM, Chused TM, Brown EJ, Frank EM. Human neutrophils increase expression of C3bi as well as C3b receptors upon activation. J Clin Invest. 1984;74:1566–1571.

58. Jones DH, Anderson DC, Burr BL, Rudloff HE, Smith CW, Krater SS, Schmalstieg FC. Quantitation of intracellular Mac-1 (CD11b/CD18) pools in human neutrophils. J Leukoc Biol. 1988;4:535–544.

This article has been cited by other articles:

				B. Hendey, C. L. Zhu, and S. Greenstein Fas activation opposes PMA-stimulated changes in the localization of PKC{delta}: a mechanism for reducing neutrophil adhesion to endothelial cells J. Leukoc. Biol., May 1, 2002; 71(5): 863 - 870. [Abstract] [Full Text] [PDF]

				C. Fiuza, M. Salcedo, G. Clemente, and J. M. Tellado Granulocyte Colony-Stimulating Factor Improves Deficient In Vitro Neutrophil Transendothelial Migration in Patients with Advanced Liver Disease Clin. Vaccine Immunol., March 1, 2002; 9(2): 433 - 439. [Abstract] [Full Text] [PDF]

				V. Durand, J.-O. Pers, Y. Renaudineau, A. Saraux, P. Youinou, and C. Jamin Differential effects of anti-Fc{gamma}RIIIb autoantibodies on polymorphonuclear neutrophil apoptosis and function J. Leukoc. Biol., February 1, 2001; 69(2): 233 - 240. [Abstract] [Full Text]

				S. Greenstein, J. Barnard, K. Zhou, M. Fong, and B. Hendey Fas activation reduces neutrophil adhesion to endothelial cells J. Leukoc. Biol., November 1, 2000; 68(5): 715 - 722. [Abstract] [Full Text]

				S. B. Rizoli, O. D. Rotstein, and A. Kapus Cell Volume-dependent Regulation of L-selectin Shedding in Neutrophils. A ROLE FOR p38 MITOGEN-ACTIVATED PROTEIN KINASE J. Biol. Chem., July 30, 1999; 274(31): 22072 - 22080. [Abstract] [Full Text] [PDF]

				S. F. van Eeden, J. Granton, J. M. Hards, B. Moore, and J. C. Hogg Expression of the cell adhesion molecules on leukocytes that demarginate during acute maximal exercise J Appl Physiol, March 1, 1999; 86(3): 970 - 976. [Abstract] [Full Text] [PDF]

This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Tanji-Matsuba, K. Articles by Hogg, J. C. Search for Related Content PubMed PubMed Citation Articles by Tanji-Matsuba, K. Articles by Hogg, J. C.