The activation of endothelial cells is critical to initiating an inflammatory response. Activation induces the fusion of WeibelPalade Bodies (WPB) with the plasma membrane, thus transferring P-selectin and VWF to the cell surface, where they act in the recruitment of leukocytes and platelets, respectively. CD63 has long been an established component of WPB, but the functional significance of its presence within an organelle that acts in inflammation and hemostasis was unknown. We find that ablating CD63 expression leads to a loss of P-selectindependent function: CD63-deficient HUVECs fail to recruit leukocytes, CD63-deficient mice exhibit a significant reduction in both leukocyte rolling and recruitment and we show a failure of leukocyte extravasation in a peritonitis model. Loss of CD63 has a similar phenotype to loss of P-selectin itself, thus CD63 is an essential cofactor to P-selectin. (Blood. 2011; 118(15):4265-4273)
IntroductionEndothelial cells contain specialized regulated secretory organelles, Weibel-Palade bodies (WPB), 1 which play an important role in inflammation and hemostasis. The best-known components of WPB are the major cargo protein von Willebrand Factor (VWF), 2 P-selectin, 3 and CD63. 4 On WPB fusion the VWF tubules unfurl into long platelet-catching strings at a site of injury, 5 playing a major role in hemostasis. VWF also has an important function in inflammation, because activated platelets make a major contribution to the inflammatory response. 6 Further, VWF binds the leukocyte receptor PSGL-1 and integrin ␣ M  2 7 implicating a more direct role in leukocyte recruitment to the endothelium.The integral membrane protein leukocyte receptor P-selectin is stored within the membrane of WPB of endothelial cells 3,8 from where it is delivered to the cell surface within minutes after secretagogue-triggered exocytosis. 9 P-selectin plays a key early role in the inflammatory trafficking of leukocytes, being the first receptor involved in recruiting leukocytes from flowing plasma to the endothelial surface. 10,11 CD63 12 is the third long-established component of WPB, 4 but this protein has no identified endothelial-specific function in either hemostasis or inflammation. This universally expressed membrane protein of the tetraspanin family is best known as a marker of the intralumenal vesicles within multivesicular endosomes. The phenotype of CD63 knockout mice suggests a redundant role for CD63 in development and distribution of immune system cells, very mild effects on platelet adhesion, and a role in kidney physiology. 13 It has been reported that CD63 might modulate the trafficking of other membrane proteins, including altering internalization from the plasma membrane, and most recently, in targeting synaptotagmin VII to the lysosome, thus facilitating lysosome-plasma membrane fusion. 12,14 Whether CD63 is involved in the hemostatic or inflammatory roles of WPB is unknown, but if so, it might operate by modulating trafficking events that underpin WPB formation and function. CD63 is found only...