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Clinica Pediatrica,
Cattedra di Chimica, and
Sezione di Patologia Generale ed Immunologia, Universita di Brescia, Brescia, Italy;
§
Dipartimento di Patologia e Medicina Sperimentale e Clinica, Universita di Udine, Udine, Italy;
¶
Servizio di Immunologia Clinica, Spedali Civili, Brescia, Italy; and
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Istituto Ricerche Farmacologiche "Mario Negri," Milan, Italy
Wiskott-Aldrich syndrome (WAS) is an X-linked disorder
characterized by trombocytopenia, eczema, and progressive decline of
the immune function. In addition, lymphocytes and platelets from WAS
patients have morphologic abnormalities. Since chemokines may induce
morphologic changes and migration of leukocytes, we investigated the
monocyte response to chemoattractants in cells from WAS patients with
an identified mutation in the WAS protein gene. Here, we report that
monocytes derived from four patients with molecularly defined typical
WAS have a severely impaired migration in response to FMLP and to the
chemokines monocyte chemoattractant protein-1 (MCP-1) and macrophage
inflammatory protein-1
compared with normal donors. Conversely,
neither MCP-1 binding to monocytes nor induction of the respiratory
burst by MCP-1 and FMLP is significantly different between WAS patients
and normal donors. Within a few minutes of stimulation, monocytes
respond to chemokines with increased expression of adhesion molecules
and with morphologic changes such as cell polarization. Although
up-regulation of CD11b/CD18 expression following stimulation with FMLP
or MCP-1 is preserved in WAS patients, cell polarization is
dramatically decreased. Staining of F-actin by FITC-phalloidin in
monocytes stimulated with chemoattractants shows F-actin to have a
rounded shape in WAS patients, as opposed to the polymorphic
distribution of F-actin in the polarized monocytes from healthy donors.
These results suggest that WAS protein is involved in the monocyte
response to the chemokines MCP-1 and macrophage inflammatory
protein-1
.
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