Ceramide levels increase in activated polymorphonuclear neutrophils, and here we show that endogenous ceramide induced degranulation and superoxide generation and increased surface  2 -integrin expression. Ceramide accumulation reveals a bifurcation in integrin function, as it abolished agonist-induced adhesion to planar surfaces, yet had little effect on homotypic aggregation. We increased cellular ceramide content by treating polymorphonuclear neutrophils with sphingomyelinase C and controlled for loss of sphingomyelin by pretreatment with sphingomyelinase D to generate ceramide phosphate, which is not a substrate for sphingomyelinase C. Pretreatment with the latter enzyme blocked all the effects of sphingomyelinase C. Ceramide generation caused a Ca 2؉ flux and complete degranulation of both primary and secondary granules and increased surface  2 -integrin expression. These integrins were in a nonfunctional state, and subsequent activation with platelet-activating factor or formyl-methionyl-leucyl-phenylalanine induced  2 -integrin-dependent homotypic aggregation. However, these cells were completely unable to adhere to surfaces via  2 -integrins. This was not due to a defect in the integrins themselves because the active conformation could be achieved by cation switching. Rather, ceramide affected cytoskeletal organization and inside-out signaling, leading to affinity maturation. Cytochalasin D induced the same disparity between aggregation and surface adhesion. We conclude that ceramide affects F-actin rearrangement, leading to massive degranulation, and reveals differences in  2 -integrin-mediated adhesive events.
Adhesion of PMNs1 to vessel walls and their subsequent emigration from the vasculature depend on the heterodimeric adhesion protein ␣ M  2 -integrin (MAC-1 or CD11b/CD18), one of four members of the  2 -integrin (CD18 surface antigen) family.  2 -Integrins are expressed on resting PMNs, but in a low affinity state (1-3) that does not support adhesion. The  2 -integrin constitutively expressed on the cell surface can be activated by an incompletely defined process of inside-out signaling (4, 5). The complement of surface  2 -integrin is also quantitatively augmented by translocation of ␣ M  2 and ␣ x  2 (6) from specialized intracellular granules to the cell surface of activated cells (7,8), but it is the activation of the constitutively expressed integrin, rather than the newly recruited  2 -integrin, that is required for PMN aggregation (9). Sequentially increasing agonist concentrations shows that the newly recruited integrin is activated separately from the constitutively expressed integrin and that a subsequent stimulus is needed to promote this  2 -integrin to an active conformation (10).  2 -Integrin function is also regulated by clustering, which strengthens adhesive interactions (5). Microscopy shows the  2 -integrins to be uniformly distributed over the surface of unactivated PMNs (11, 12), but they appear to be aggregated in clusters in activated cells (3, 13). Clusterin...