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Submitted on May 18, 2005
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 ( Methods and Results--Our previous studies have established the P201-K217 sequence in the Conclusions--This study demonstrates that GP Ib
Revised on August 2, 2005
Accepted on August 22, 2005
Leukocyte Engagement of Platelet Glycoprotein Ib
Yunmei Wang PhD,
via the Integrin Mac-1 Is Critical for the Biological Response to Vascular Injury
M
2, CD11b/CD18) has been implicated in the firm adhesion and transmigration of leukocytes at sites of platelet deposition, the precise
M
2 counterligand responsible for mediating adhesion-strengthening interactions between neutrophils and platelets in vivo has not previously been identified.
MI domain as the binding site for platelet glycoprotein (GP) Ib
. Here we report that antibody targeting of
M(P201-K217) reduced
M
2-dependent adhesion to GP Ib
but not other
M
2 ligands, including fibrinogen, intercellular adhesion molecule-1, and junctional adhesion molecule-3. Anti-
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
M(P201-K217) reduced leukocyte accumulation after injury that was accompanied by inhibition of cellular proliferation and neointimal thickening.
is a physiologically relevant ligand for
M
2 and that integrin engagement of GP Ib
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.
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