Abstract-Rho family GTPases are key signal transducers that regulate cell adhesion and migration and a variety of other cellular responses, including changes in gene expression. In this review, we discuss how Rho GTPases regulate signaling by endothelial cell receptors involved in leukocyte extravasation. First, Rho GTPases affect the expression of some leukocyte adhesion molecules on endothelial cells, such as intracellular adhesion molecule-1 and E-selectin, that can be induced by proinflammatory mediators, hypoxia, or shear stress. Second, Rho GTPases are activated by engagement of several leukocyte adhesion receptors and contribute to both early morphological changes and subsequent alterations in gene expression. Rho GTPases are therefore candidate targets for inhibiting leukocyte transendothelial migration in heart disease and chronic inflammatory disorders. (Circ Res. 2006;98:757-767.)Key Words: adhesion molecules Ⅲ Rho GTPases Ⅲ leukocyte transmigration Ⅲ diapedesis Ⅲ endothelial receptors T he endothelium regulates the transport of solutes, proteins, and cells between the blood and the interstitial space. It plays a key role in physiological processes such as innate and adaptive immune responses, and its dysfunction is associated with the development of pathologies such as atherosclerosis and other cardiovascular disorders. Inflammatory and immune responses themselves also contribute to the development of cardiovascular disease. 1,2 Leukocyte transmigration across the endothelial barrier, known as transendothelial migration (TEM) or diapedesis, is pivotal to the inflammatory response. Leukocytes cross the endothelial barrier in a multistep process involving the capture and rolling of leukocytes on the blood vessel wall, firm adhesion of leukocytes to endothelial cells (ECs), and subsequent leukocyte crawling and transmigration. [3][4][5] Proinflammatory mediators, such as tumor necrosis factor-␣ (TNF-␣), interleukin-1 (IL-1), and the lipopolysaccharide (LPS) of bacterial walls, or hemodynamic forces imposed by blood flow increase the surface levels of a variety of molecules on ECs implicated in EC-leukocyte interaction. 6 -8 Moreover, both these stimuli and EC-leukocyte interaction induce changes in endothelial cell shape, permeability, and gene expression. 9 -12 Original received August 11, 2005; Rho GTPases regulate cytoskeletal organization and cell adhesion, thereby contributing to cell migration 13 and endothelial permeability. 14 In addition, it is now well established that Rho GTPases affect gene expression. [15][16][17] Here, we review how Rho GTPases contribute to EC-leukocyte interaction, first by regulating the expression of leukocyte adhesion receptors on ECs, and second by transducing signals from these receptors leading to changes in cell morphology and gene expression.
Leukocyte TEM Involves Several Endothelial ReceptorsLeukocyte TEM is regulated by the cooperative action of adhesion molecules on both the EC and the leukocyte. Leukocytes first establish transient interactions with the...