2001
DOI: 10.1038/86539
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Functional α4-integrin: A newly identified pathway of neutrophil recruitment in critically ill septic patients

Abstract: Using a novel flow chamber assay system and whole blood, we show that leukocytes from septic individuals have a four-fold elevation of adhesion, but not rolling, on a P-selectin/beta2-integrin substrate. Most leukocytes from septic patients (but not healthy controls) that bound vascular cell adhesion molecule 1 (VCAM-1) were neutrophils. All adhesion was inhibited with an antibody specific for the VCAM-1 ligand alpha4-integrin. The alpha4-integrin was present on neutrophils from septic patients but not on neut… Show more

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Cited by 132 publications
(103 citation statements)
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“…The inhibition of neutrophil adherence to OB by the antiCD49d antibody suggested that CD49d was involved in the adhesion. This is in agreement with the increased expression of CD49d by neutrophils, as previously reported, 29 and its lack of expression by OBs. In the experimental conditions Figure 7 Schematic representation of pathological sequences associated with MSU deposits in bone.…”
Section: Discussionsupporting
confidence: 80%
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“…The inhibition of neutrophil adherence to OB by the antiCD49d antibody suggested that CD49d was involved in the adhesion. This is in agreement with the increased expression of CD49d by neutrophils, as previously reported, 29 and its lack of expression by OBs. In the experimental conditions Figure 7 Schematic representation of pathological sequences associated with MSU deposits in bone.…”
Section: Discussionsupporting
confidence: 80%
“…Adherent neutrophils express the b 1 integrin CD29/CD49d, and various inflammatory conditions increase neutrophil expression of the subunit CD49d. 14,29,30 Neutrophils also express the b 1 integrin subunit CD49e. 31 CD29 and ICAM-1 were expressed by OBs, while CD49d and CD49e were not ( Table 1).…”
Section: Integrin Involvement In Neutrophil Adhesion To Obsmentioning
confidence: 99%
“…These results are consistent with experimental and clinical data showing that, during inflammatory episodes, circulating neutrophils express low levels of L-selectin and elevated levels of CD11b and CD49d. 1,[12][13][14][15][16] Further, the same changes in adhesion molecule expression have previously been reported following stimulation of neutrophils with chemotactic factors in vitro. 23,24 Therefore, using the in situ perfusion system of the rat femoral bone marrow we sought to investigate the functional significance of these changes with respect to the mobilization process.…”
Section: Discussionsupporting
confidence: 55%
“…23,[29][30][31][32] Expression of CD49d on neutrophils is up-regulated in vivo during specific inflammatory reactions and in vitro when neutrophils migrate in response to chemoattractants. 12,13,23 In this study we report that expression of CD49d is significantly increased as neutrophils are mobilized from the bone marrow. Moreover, we show here, for the first time, that neutrophil mobilization in response to an inflammatory stimulus, MIP-2, is CD49d dependent.…”
Section: Discussionmentioning
confidence: 77%
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