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on October 31, 2005

Circulation. 2005
Published online before print October 31, 2005, doi: 10.1161/CIRCULATIONAHA.105.571315
A more recent version of this article appeared on November 8, 2005
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Submitted on May 18, 2005
Revised on August 2, 2005
Accepted on August 22, 2005

Leukocyte Engagement of Platelet Glycoprotein Ib{alpha} via the Integrin Mac-1 Is Critical for the Biological Response to Vascular Injury

Yunmei Wang PhD, Masashi Sakuma MD, Zhiping Chen MS, Valentin Ustinov PhD, Can Shi PhD, Kevin Croce MD, PhD, Alexandre C. Zago MD, Jose Lopez MD, Patrick Andre PhD, Edward Plow PhD, and Daniel I. Simon MD*

From the Cardiovascular Division, Brigham and Women’s Hospital, Boston, Mass (Y.W., M.S., Z.C., C.S., K.C., A.C.Z., D.I.S.); The Cleveland Clinic Foundation, Cleveland, Ohio (V.U., E.P.); Thrombosis Research Section, Departments of Medicine and Molecular and Human Genetics, Baylor College of Medicine, Houston, Tex (J.L.); and Portola Pharmaceuticals, South San Francisco, Calif (P.A.).

* To whom correspondence should be addressed. E-mail: dsimon{at}rics.bwh.harvard.edu.

Background--Leukocyte-platelet interactions are critical in the initiation and progression of atherosclerosis as well as restenosis. Although the leukocyte integrin Mac-1 ({alpha}M{beta}2, CD11b/CD18) has been implicated in the firm adhesion and transmigration of leukocytes at sites of platelet deposition, the precise {alpha}M{beta}2 counterligand responsible for mediating adhesion-strengthening interactions between neutrophils and platelets in vivo has not previously been identified.

Methods and Results--Our previous studies have established the P201-K217 sequence in the {alpha}MI domain as the binding site for platelet glycoprotein (GP) Ib{alpha}. Here we report that antibody targeting of {alpha}M(P201-K217) reduced {alpha}M{beta}2-dependent adhesion to GP Ib{alpha} but not other {alpha}M{beta}2 ligands, including fibrinogen, intercellular adhesion molecule-1, and junctional adhesion molecule-3. Anti-{alpha}M(P201-K217) inhibited the firm adhesion of both human and murine leukocytes to adherent platelets under laminar flow conditions. In a mouse femoral artery wire injury model, antibody targeting of {alpha}M(P201-K217) reduced leukocyte accumulation after injury that was accompanied by inhibition of cellular proliferation and neointimal thickening.

Conclusions--This study demonstrates that GP Ib{alpha} is a physiologically relevant ligand for {alpha}M{beta}2 and that integrin engagement of GP Ib{alpha} is critical to leukocyte function and the biological response to vascular injury. These observations establish a molecular target for selectively disrupting leukocyte-platelet complexes that promote inflammation in thrombosis and restenosis.


Key words: cell adhesion molecules • inflammation • leukocytes • platelets • restenosis




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