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The Journal of Immunology, 2005, 174: 2343-2352.
Copyright © 2005 by The American Association of Immunologists

L-Selectin, {alpha}4{beta}1, and {alpha}4{beta}7 Integrins Participate in CD4+ T Cell Recruitment to Chronically Inflamed Small Intestine1

Jesús Rivera-Nieves2,*, Timothy Olson{dagger}, Giorgos Bamias*, Anthony Bruce{ddagger}, Michael Solga§, Robert F. Knight*, Sharon Hoang*, Fabio Cominelli* and Klaus Ley{dagger},{ddagger}

* Digestive Health Center of Excellence, {dagger} Molecular Physiology and Biological Physics, {ddagger} Cardiovascular Research Center, § Flow Cytometry Core Facility, and Departments of Biomedical Engineering, University of Virginia Health Sciences Center, Charlottesville, VA 22908

CD4+ T cells are essential for development and perpetuation of Crohn’s disease, a chronic immune-mediated condition that affects primarily the small intestine. Using novel models of Crohn’s disease-like ileitis (i.e., SAMP1/YitFc and CD4+ T cell transfer models), we have begun to understand the adhesive pathways that mediate lymphocyte trafficking to the chronically inflamed small bowel. Expansion of the CD4/{beta}7+ population and increased mucosal addressin cell adhesion molecule-1 (MAdCAM-1) expression were observed within the intestinal lamina propria with disease progression. However, Ab blockade of the {beta}7 integrin, the {alpha}4{beta}7 heterodimer, MAdCAM-1, or L-selectin did not attenuate inflammation. Blockade of two pathways (L-selectin and MAdCAM-1 or {alpha}4 integrins) was required to improve ileitis. Further analyses showed that 55 ± 7% of the mesenteric lymph node {alpha}4{beta}7+CD4 expressed L-selectin. These L-selectin+ T cells were the main producers of TNF-{alpha} and the predominant ileitis-inducing subpopulation. Mechanistically, combined blockade of L-selectin and MAdCAM-1 depleted the intestinal lamina propria of CD4+ T cells that aberrantly coexpressed {alpha}4{beta}7 and {alpha}4{beta}1 integrins, markedly decreasing local production of TNF-{alpha} and IFN-{gamma}. Thus, pathogenic CD4+ T cells not only use the physiologic {alpha}4{beta}7/MAdCAM-1 pathway, but alternatively engage {alpha}4{beta}1 and L-selectin to recirculate to the chronically inflamed small intestine.




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