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*
Central Laboratory of The Netherlands Red Cross Blood Transfusion Service and Laboratory of Experimental and Clinical Immunology, and
Department of Pulmonology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| Abstract |
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| Introduction |
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The first step in the migration process is the interaction of circulating eosinophils with the vascular endothelium at the allergic reaction site. Endothelial cells actively regulate leukocyte infiltration in inflammatory tissues through different mechanisms, such as vasodilatation, expression of adhesion molecules, opening of intercellular junctions, and secretion of chemotactic factors (6). One can imagine that selective up-regulation and/or activation of adhesion molecules on eosinophils and endothelial cells by cytokines and the production of chemokines and/or chemoattractants may promote specific eosinophil migration and their subsequent accumulation in tissues. However, migration studies have shown that the so-called allergy-related cytokines or chemokines are not selective in attracting eosinophils (3, 7, 8, 9). These findings imply that the selective activation and attraction of eosinophils toward sites of allergic inflammation are the results of a complex interplay among different cell types, mediators, and adhesion molecules.
Recently, attention has focused on the role of the epithelium in
leukocyte infiltration into inflammatory sites (10, 11, 12, 13). Besides the
barrier function for protection against pathogen invasion, epithelial
cells play an active role in the induction of inflammation through the
expression of cellular adhesion molecules, such as ICAM-1 (14, 15, 16) and
integrins (17). Another role of epithelial cells in lung inflammation
involves the synthesis of a variety of proinflammatory mediators,
including RANTES, PAF,3 and
IL-8 after IL-1ß or TNF-
stimulation (18), and
granulocyte-macrophage CSF after stimulation with eosinophil peroxidase
(19).
Whereas eosinophil migration across endothelial monolayers has been described extensively (1, 3, 6, 8, 9), little is known about the mechanisms regulating eosinophil migration across epithelial monolayers. In the present study, we investigated human eosinophil migration across confluent monolayers of lung epithelial cell line cells (H292) and primary human bronchial epithelial cells (HBEC) in vitro. Substantial eosinophil transmigration was observed with combinations of PAF and C5a, or PAF and LTB4, but not with these chemoattractants alone. Besides the conventional potent chemotactic role of PAF and the priming effect of PAF on eosinophils, we also found that a permissive change in the epithelial monolayers induced by PAF is pivotal for efficient eosinophil transepithelial migration.
| Materials and Methods |
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Recombinant human (rh) TNF-
was a gift from Dr. A. Creasy
(Cetus, Oakland, CA). PAF, C5a, FMLP, and LTB4 were
purchased from Sigma (St. Louis, MO). rhRANTES was purchased from Life
Technologies (Gaithersburg, MD). The PAF receptor antagonist WEB 2086
was a gift from Dr. H. Heuer (Boehringer Ingelheim, Ingelheim,
Germany), and the PAF receptor antagonist TCV-309 was purchased from
Takeda (Osaka, Japan) (20). RhIL-1ß and rhIL-5 were purchased from
Pepro Tech (Rocky Hill, NJ), and rhIL-8 and rhIFN-
were obtained
from Boehringer Mannheim (Mannheim, Germany). WEB 2086 was dissolved in
DMSO at 1000 times the final concentration and was stored at -20°C.
C5a, PAF, FMLP, RANTES, LTB4, IL-1ß, IL-5, IL-8, and
IFN-
were dissolved in PBS supplemented with 0.5% (w/v) human serum
albumin (HSA; Central Laboratory of The Netherlands Red Cross Blood
Transfusion Service, Amsterdam, The Netherlands) and were stored at
-20°C. HEPES medium contained 132 mM NaCl, 6.0 mM KCl, 1.0 mM
CaCl2, 1.0 mM MgSO4, 1.2 mM
KH2PO4, 20 mM HEPES, 5.5 mM glucose, and 0.5%
(w/v) HSA. Incubation medium used in the transmigration assay consisted
of a 1/1 mixture of RPMI 1640 and medium 199 (Life Technologies,
Paisley, U.K.) supplemented with 0.5% (w/v) HSA. ELISA sample buffer
consisted of PBS supplemented with 0.1% (v/v) Tween-20 (Merck,
Schuchardt, Germany), 0.2% (w/v) hexadecyl-trimethyl-ammonium bromide
(Sigma), 0.2% (w/v) BSA (Sigma), and 20 mM EDTA.
Cell culture
The human lung adenocarcinoma-derived cell line H292 (American Type Culture Collection CRL 1848, Rockville, MD) (21) was grown in RPMI 1640 supplemented with 10% (v/v) heat-inactivated FCS (Life Technologies), 100 U/ml penicillin (Life Technologies), 100 µg/ml streptomycin (Life Technologies), and 2 mM glutamine (Merck). The doubling time of the H292 cells was approximately 24 h. Primary HBEC were obtained from bronchial tissues with a microscopically normal appearance from patients undergoing thoracotomy. The cells were cultured in a keratinocyte medium (Keratinocyte-SKM, Life Technologies) (14). After confluence was reached, cell suspensions were obtained by proteolysis with trypsin/EDTA (Life Technologies). The activity of trypsin was inhibited immediately after detachment of the cells by means of soybean trypsin inhibitor type II (Sigma), and the cells were subsequently transferred for propagation. The 4th to 30th passages of H292 cells and the 3rd to 4th passages of HBEC were used for subculture on polycarbonate membranes (3.0-µm pore size, 12 mm diameter) of inverted transwells (Costar, Cambridge, MA), according to the method of Parkos et al. (22) with minor modifications (23). In brief, sterile polyoxymethylene polyacetal collars with an inner diameter equal to the outer diameter of the transwells and with a height of 13 mm were tightly fixed to the bottoms of the transwells. Epithelial cell suspensions were added to the inverted transwells and were allowed to attach for 18 h. Thereafter, the collars were removed, and the transwells were placed upright in culture dishes and incubated for 5 days. In this way, monolayers of epithelial cells hanging underneath the membranes were obtained. Complete confluence of the inverted epithelial cell monolayers was reached as determined by May-Grunwald/Giemsa staining and light microscopy, and the confluence of the monolayers was confirmed by [3H]inulin (Amersham, Aylesbury, U.K.) leakage experiments (24).
Granulocyte isolation
Blood was obtained from healthy volunteers. Granulocytes were purified from a buffy coat of 500 ml of blood by density gradient centrifugation over isotonic Percoll (Pharmacia, Uppsala, Sweden) (25). After lysis of the erythrocytes in the pellet fraction with a cold lysis buffer containing 155 mM NH4Cl, 10 mM KHCO3, and 0.1 mM EDTA (pH 7.4), the granulocytes were washed twice in PBS and resuspended in HEPES medium without CaCl2.
Eosinophil purification
Human eosinophils were purified by means of the FMLP method (26). In brief, granulocytes in HEPES medium without CaCl2 were incubated for 30 min at 37°C to restore the initial density of the cells. The cells were washed, resuspended in PBS supplemented with 0.5% (w/v) HSA and 13 mM trisodium citrate, and incubated for 5 min in a shaking water bath at 37°C. The incubation was continued for 10 min after the addition of 10 nM FMLP to the cell suspension. Thereafter, the eosinophils were purified by centrifugation (15 min, 1000 x g) over isotonic Percoll (1.082 g/ml, pH 7.4), washed, and resuspended in HEPES medium. The purity and viability of the eosinophils were >95%. Contaminating cells were mostly neutrophils. In some experiments, eosinophils were isolated by means of immunomagnetic removal of CD16-expressing cells (27).
Eosinophil transmigration
Fresh medium was added to the transwells 4 h before the start of the transmigration assay, and the transwells were washed twice just before starting the experiment. The lower compartment was filled with prewarmed incubation medium with or without chemoattractants. Eosinophils (5 x 105 cells in 0.5 ml of prewarmed incubation medium) were placed in the upper compartment, and the transwells were incubated for 2 h at 37°C with 5% CO2 and maximal humidity. Whenever indicated, eosinophils and/or epithelial cells were preincubated with 10 µM WEB 2086 for 5 min before the start of the transmigration assay. When epithelial cells were treated with WEB 2086, WEB 2086 was added to the lower compartment. WEB 2086 remained present throughout the experiment. After the 2-h incubation, the upper and lower compartments were washed separately with incubation medium and ELISA sample buffer, respectively, and the fluids were collected. The cells in the collected fluids and in the excised membranes were lysed in ELISA sample buffer. The percentage of eosinophils that had transmigrated was determined by means of an ELISA for eosinophil cationic protein (ECP).
ECP quantification
The amount of ECP as a measure for the number of eosinophils in different cell preparations was determined by means of a slightly modified, previously described ELISA (28). In brief, specific polyclonal rabbit antiserum (poAb) against human ECP was obtained by immunization of a rabbit with highly purified human ECP (29). Human ECP was a gift from Prof. I. Olsson (Lund, Sweden). The Ig fraction of the rabbit serum was isolated by ammonium sulfate precipitation and was biotinylated (30).
Culture plates with 96 wells (Maxisorb, Nunc, Roskilde, Denmark) were coated overnight at 4°C with 100 µl of 3 µg/ml rabbit anti-ECP poAb diluted in 0.1 mM NaHCO3. After each incubation step, the plates were washed three times with PBS containing 0.1% (v/v) BSA and Tween-20. The wells were blocked with blocking buffer, consisting of PBS supplemented with 0.2% (w/v) BSA and 0.1% (v/v) Tween-20, for 1 h at 37°C. Highly purified ECP and samples were diluted in ELISA sample buffer, added at a volume of 100 µl/well, and incubated for 2 h at 37°C. The wells were subsequently incubated with 100 µl of 1 µg/ml biotin-conjugated anti-ECP poAb diluted in block buffer for 90 min at 37°C. The biotin-labeled Abs were allowed to bind avidin-biotinylated alkaline phosphatase complex (Dako, Glostrup, Denmark) diluted in Tris-buffered saline supplemented with 0.1% (v/v) Tween-20 and 0.2% (w/v) BSA for 30 min at room temperature according to the manufacturers description. Enzymatic activity was detected with 1 mg/ml phosphatase substrate (Sigma 104) dissolved in 1 M diethanolamine, 0.5 mM MgCl2, and 0.02% NaN3 (pH 9.8). The absorbance was measured after 60 min in a Multiscan Multisoft microplate reader (Labsystems Oy, Helsinki, Finland) at 405 nm. The sensitivity of this assay ranged from 0.1 to 10 ng/ml of ECP. We confirmed that this ECP ELISA assay was highly specific for eosinophils, i.e., no reaction was measured in lysates of human monocytes, lymphocytes, or neutrophils. In addition, eosinophil migration quantified by means of the ECP ELISA and that determined by cell counting in the lower compartment were comparable. The total amount of ECP added to the transwell system as well as that in each compartment separately (upper compartment, lower compartment, and membrane) were determined. The percentage of recovery was always >85%. The percentage of eosinophils that had transmigrated was calculated from the amount of ECP detected in the lower compartment in relation to the total amount of added ECP. Alternatively, transepithelial migration of calcein-AM (Molecular Probes, Eugene, OR)-labeled eosinophils was measured by both ECP detection and calcein quantification.
Calcein labeling
Eosinophils were labeled with calcein-AM before the onset of the transmigration assay. The cells (10 x 106/ml) were labeled with 4 µg/ml calcein-AM diluted in HEPES medium for 45 min at 37°C. After labeling, the cells were washed three times with HEPES medium. The transmigration assay with calcein-AM-labeled eosinophils was performed as described above, except that HEPES medium was used instead of incubation medium. The concentrations of calcein-AM in the upper compartment, lower compartment, and membrane were measured with a spectrofluorometer (model RF-540, Shimadzu, Kyoto, Japan). The percentage of eosinophils that had transmigrated was calculated from the amount of fluorescence detected in the lower compartment in relation to the fluorescence of the total added calcein-AM-labeled eosinophils.
Chemotaxis assay
Chemotaxis in Boyden chambers was measured with a computerized image analyzer (Quantimet 600, Leica, Cambridge, U.K.) to quantify eosinophil migration into filters after an incubation period of 1 h (31).
Intracellular free Ca2+ concentration ([Ca2+]i) measurement
For the [Ca2+]i measurement, cells (610 x 106/ml in HEPES medium) in suspension were loaded with 1 µM indo-1/AM (Molecular Probes) for 40 min at 37°C (32). The cells were washed, resuspended in HEPES medium to the previous concentration, and kept in the dark at room temperature. Before being transferred to a cuvette, the indo-1/AM-loaded cells were diluted 10 times in HEPES medium and were prewarmed for 5 min at 37°C. Fluorescence changes in the magnetically stirred cells were monitored with a spectrofluorometer (model RF-540, Shimadzu), with 340 and 390 nm as excitation and emission wavelengths, respectively. To calibrate indo-1 fluorescence as a function of [Ca2+]i, all trapped indo-1 was saturated with Ca2+ by addition of 10 µM digitonin, after which indo-1 fluorescence was quenched with 0.5 mM MnCl2. A dissociation constant of 250 nM for the indo-1-Ca2+ complex was used to calculate [Ca2+]i (33).
Statistical analysis
Results were expressed as the mean ± SEM of the number of different experiments mentioned in the figure and table legends. Results were analyzed using Students t test. One-sided p values were calculated, and p values exceeding 0.05 were considered not significant.
| Results |
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Human eosinophil migration across confluent monolayers of lung epithelial H292 cell line cells was analyzed in the physiologic basolateral to apical direction (with the epithelial cells growing underneath a filter membrane). Eosinophil transepithelial migration reached its plateau after 2 h of incubation (our unpublished observations). The monolayers remained intact during the transmigration assay, as checked by examination of the filter by light microscopy and by determination of [3H]inulin diffusion through the monolayer before and after the transmigration assay.
Individual chemoattractants (C5a, PAF, IL-8, RANTES, or
LTB4) induced little transmigration of IL-5-primed
eosinophils, i.e., maximally 7% (Table I
). Pretreatment of the
epithelial monolayers with 5 ng/ml IL-1ß for 4 h (Table I
) or
with TNF-
and/or IFN-
for 4 or 24 h (not shown) did not
induce this migration either. In these studies eosinophils that were
isolated by means of removal of CD16-expressing cells showed a similar
response. Moreover, quantification of eosinophil migration by means of
ECP measurement yielded results similar to those obtained by calcein
fluorescence measurement.
|
In general, we observed that neither individual chemoattractants
nor most combinations of chemoattractants induced >10% of eosinophil
transepithelial migration (Tables I and
II). Only
when PAF was combined with C5a, LTB4, or RANTES did higher
percentages of eosinophils migrate across the monolayers (Table II
).
The enhanced migration toward PAF/C5a (up to 25%) was not only
observed with IL-5-primed eosinophils but also with unprimed cells
(Fig. 1
). In addition, PAF/C5a enhanced
the migration of IL-5-primed eosinophils across primary HBEC (C5a,
6.5%; PAF, 9.5%; C5a/PAF, 34.6%). This synergistic response was not
observed when C5a was combined with LTB4 (Table II
); thus,
the enhancement must be due to the effect of PAF. Both PAF and C5a play
a chemotactic role in these transmigration assays, because the addition
of either of these agents to the upper compartment just before starting
the migration assay resulted in a dose-dependent inhibition of
eosinophil transmigration toward PAF/C5a in the lower compartment (not
shown). PAF did not induce damage to the epithelial cell layers, as
measured by light microscopy and determination of
[3H]inulin diffusion through the monolayer.
|
|
To investigate the effect of PAF on eosinophil migration toward
C5a in the absence of epithelial cells, chemotaxis of eosinophils
toward PAF, C5a, or combinations was assessed. The total distance
migrated by eosinophils in filters was determined in a Boyden chamber
assay. Addition of PAF or C5a to the lower compartment as well as IL-5
priming of eosinophils were found to enhance migration, but these three
factors together appeared to render the strongest migration stimulus
(Fig. 2
).
|
The role of PAF in inducing eosinophil migration across epithelial
monolayers toward C5a was further analyzed with the PAF receptor
antagonist WEB 2086. When eosinophils were treated with WEB 2086,
transmigration of unprimed eosinophils was inhibited, whereas
transmigration of IL-5-primed cells remained unaffected, even when
higher concentrations (up to 25 µM) of WEB 2086 were used (Fig. 3
A). In contrast, the
transmigration of both IL-5-primed and unprimed eosinophils was
impaired when the epithelial monolayers were treated with WEB 2086
(Fig. 3
A). WEB 2086 treatment of both eosinophils and
epithelial cells did not yield more inhibition than WEB 2086 treatment
of the epithelial cells alone. Eosinophil migration across monolayers
of primary HBEC was comparably affected by WEB 2086 (Fig. 3
B).
|
The inhibitory effect of WEB 2086 treatment of epithelial cells on
transmigration of eosinophils indicated the existence of PAF receptors
on lung epithelial cells. To investigate the response of epithelial
cells to PAF binding, we measured the change in the intracellular free
Ca2+ concentration in epithelial cells. Both H292
epithelial cells and primary HBEC showed a rapid
[Ca2+]i increase upon addition of
10-6 M PAF (Fig. 4
), and
this response was completely abolished by pretreatment of the cells
with two distinct PAF receptor antagonists, i.e., 10 µM WEB 2086
(Fig. 4
) and 0.1 µM TCV-309 (not shown). Addition of C5a
(10-8 M), IL-8 (10-8 M), FMLP
(10-8M), WEB 2086 (10 or 25 µM), or TCV-309 (0.1 µM)
to epithelial cells did not cause a Ca2+ response (not
shown). Moreover, HUVEC did not show a Ca2+ response upon
addition of PAF, revealing a difference in this respect between
epithelial and endothelial cells.
|
| Discussion |
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In this study, we investigated the migration of human eosinophils across monolayers of human lung epithelial cell line H292 cells and primary HBEC. The H292 epithelial cell line was chosen because these cells form polarized confluent monolayers and functional tight junctions in a reproducible manner (24). Moreover, H292 cells resemble differentiated primary bronchial epithelial cells, for instance in the expression of mucins and cytokeratins (our unpublished observations). In a previous study, we demonstrated that human neutrophil migration across lung epithelial cells is strongly dependent on the polarity of the epithelial cells, i.e., much more pronounced in the physiologic basolateral to apical direction than in the opposite direction (23). Eosinophils exhibit the same preferential transepithelial migration, but to a lesser extent (our unpublished observations). Therefore, the epithelial cells were routinely cultured in the inverted position, with the apical side toward the lower compartment of the transwell system. The integrity of the epithelial monolayers was checked after each eosinophil migration assay, for eosinophils may release toxic components upon activation (7, 34, 35, 36, 37) and thus may damage the epithelial monolayers. However, we did not detect a decreased integrity of the epithelial cell monolayer after eosinophil passage or after incubation with PAF.
Eosinophil migration was detected by means of an ECP ELISA (28). Quantification of this specific eosinophil marker excludes neutrophil interference in the determination of eosinophil migration. This is necessary because the eosinophil suspensions are generally contaminated with 0 to 4% neutrophils. Detection of eosinophil migration by cell counting or by calcein fluorescence measurement (38) yielded similar results as ECP measurement. Thus, we found no indication for ECP release during eosinophil migration or selective migration of ECP-rich or ECP-poor eosinophils.
Chemotactic and priming role of PAF
Transepithelial migration of primed eosinophils was low. Even PAF, the most potent chemoattractant, attracted <7% of the eosinophils. Resnick et al. (39) also observed low eosinophil migration across human intestinal epithelium toward individual chemoattractants, but, in contrast, relatively high migration toward PAF. Apparently, PAF induces more eosinophil migration across intestinal epithelium than across bronchial epithelium.
We show that eosinophil migration across bronchial epithelium toward C5a, LTB4, or RANTES is synergistically enhanced by PAF. This stimulatory effect was specific for PAF, but did not occur when PAF was combined with other chemoattractants. On the basis of these results, we predict that in human eosinophils, PAF activates a signaling pathway that differs from those activated by C5a, LTB4, and RANTES.
Eosinophils need to be primed (e.g., by IL-5) for induction of migration across epithelial cells; i.e., unprimed eosinophils hardly migrated across epithelial monolayers. However, massive migration of unprimed eosinophils across epithelial monolayers was induced by PAF/C5a, and this migration could be inhibited by treatment of the eosinophils with the PAF receptor antagonist WEB 2086. In contrast, treatment of IL-5-primed eosinophils with WEB 2086 did not inhibit transepithelial migration toward PAF/C5a. This reveals the priming role of PAF that had diffused from the lower compartment to unprimed eosinophils in the upper compartment. In addition, PAF and C5a both induce chemotaxis of eosinophils in a Boyden chamber assay. Thus, C5a is a chemoattractant for eosinophils, and PAF is not only a chemoattractant but also a primer for eosinophils.
Epithelium-activating role of PAF
Our results indicate that the synergistic transepithelial migration of eosinophils toward C5a/PAF is partly due to the direct action of PAF on the epithelial cells. We found that the synergistic enhancement by PAF was not observed when the eosinophils migrated in the absence of epithelial cells. Moreover, treatment of the epithelial monolayer with the PAF receptor antagonist WEB 2086 strongly decreased the transepithelial migration toward C5a/PAF. Expression of PAF receptors in bronchial epithelial cells was confirmed by the finding that PAF induces a rapid increase in [Ca2+]i in epithelial cells, a response that was prevented by pretreatment of epithelial cells with the PAF receptor antagonists WEB 2086 and TCV-309. PAF receptors have previously been identified in epithelial cells derived from the chinchilla middle ear (40); feline, canine, guinea pig, and cow trachea (41, 42, 43, 44); and rabbit cornea (45). PAF induces an increase in [Ca2+]i, acts as a mucous secretagogue, and decreases the ciliary beat frequency of the tracheal epithelial cells (41, 42, 43, 46). Moreover, PAF receptors have been identified on human primary bronchial epithelial cells (47), and it has been shown that PAF induces up-regulation of the nuclear transcription factor activator protein-1 in these cells (47). Binding of PAF to the receptors in bronchial epithelial cells may cause transduction of signals leading to functional changes, such as the ability to permit eosinophil transmigration.
Together, these data strongly suggest that PAF induces permissive changes in epithelial cells that favor eosinophil transmigration. However, the exact nature of the epithelial changes that allow eosinophil transmigration remains to be elucidated. The role of PAF is currently under investigation. Preliminary results suggest that the morphology of bronchial epithelial cells is unaffected by PAF, and that the monolayers do not become more "leaky" when PAF is present. Moreover, we found that ICAM-1 expression is not up-regulated by PAF (4-h incubation with PAF; unpublished observation). Thus, PAF-treated bronchial epithelial cells do not appear to be activated or morphologically changed. PAF possibly induces more subtle changes in the epithelial cells. One possible explanation might be that tight junction resistance is decreased as a result of the PAF-induced [Ca2+]i increase. Regulation of tight junction resistance by [Ca2+]i elevation has been shown in human intestinal epithelial T84 cell line cells (48). Tight junction resistance in T84 cells is unaffected by PAF (39), because these epithelial cells do not express PAF receptors (49). However, inulin leakage experiments did not show increased permeability of the monolayers. Another possibility is that PAF induces changes in cortical actin, which affects cell-cell adhesion of epithelial cells and may result in augmented transmigration (50).
Differences between endothelial and epithelial cells
PAF did not induce an increase in
[Ca2+]i in endothelial cells from umbilical
veins (HUVEC), and PAF did not enhance eosinophil migration across
HUVEC toward C5a (6, 51) (not shown). Thus, HUVEC probably lack a
functional PAF receptor. However, endothelial cells are capable of PAF
production after incubation with IL-1ß or TNF-
(52, 53), in
contrast to epithelial cells (23). These results confirm the importance
of the stimulatory effects of PAF on eosinophil transepithelial
migration. Moreover, this demonstrates that different mechanisms
control eosinophil migration across the endothelium and epithelium.
PAF did not enhance eosinophil transepithelial migration toward IL-8. It is known that IL-8 is a very poor chemoattractant for eosinophils (9). We have previously shown that lung epithelial cells generate IL-8 after activation with IL-1ß (23, 54). In accordance, eosinophil migration across IL-1ß-stimulated epithelial monolayers was not enhanced by PAF. These results suggest that IL-8 is too weak to induce eosinophil migration even in the case of primed eosinophils and PAF-activated epithelium.
Conclusion
Together, our results show that human eosinophils migrate massively across lung epithelial monolayers in response to a chemotactic gradient of PAF in combination with a potent chemoattractant (C5a or LTB4). In this process, PAF acts as a priming agent and as a chemoattractant for the eosinophils. In addition, PAF induces transmigration-permissive changes of the epithelial cells. Clarification of this epithelial activation may help in the development of drugs to prevent eosinophil migration into the lungs and concomitant damage to the epithelium.
| Acknowledgments |
|---|
| Footnotes |
|---|
2 Address correspondence and reprint requests to Dr. Dirk Roos, Central Laboratory of The Netherlands Red Cross Blood Transfusion Service, Plesmanlaan 125, 1066 CX Amsterdam, The Netherlands. E-mail address: ![]()
3 Abbreviations used in this paper: PAF, platelet-activating factor; HBEC, human bronchial epithelial cells; C5a, complement fragment 5a; LTB4, leukotriene B4; rh, recombinant human; HSA, human serum albumin; ECP, eosinophil cationic protein; [Ca2+]i, intracellular free Ca2+ concentration. ![]()
Received for publication June 13, 1997. Accepted for publication April 30, 1998.
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