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The Journal of Immunology, 1999, 162: 4109-4114.
Copyright © 1999 by The American Association of Immunologists

Structural Requirements for CD43 Function1

Joy Walker and Jonathan M. Green2

Departments of Medicine and Pathology, Washington University School of Medicine, St. Louis, MO 63110


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The regulation of T cell activation and adhesion by CD43 (leukosialin, sialophorin) has been thought to be mainly a function of the large size and negative charge of the extracellular domain of the protein. In this work, we demonstrate that the cytoplasmic tail is both necessary and sufficient for the negative regulatory effect of CD43 on cell-cell adhesion. Expression of mutant CD43 proteins in primary T cells from CD43-deficient mice demonstrated that the antiproliferative effect of CD43 is also dependent upon the cytoplasmic tail. In contrast, Ab-mediated costimulation through CD43 does not require the intracellular domain of CD43. These data demonstrate that CD43 primarily serves as a negative regulator of T cell activation and adhesion, and that this is mediated not exclusively by passive effects of the extracellular domain, but requires participation of the cytoplasmic tail, perhaps through interactions with the cytoskeleton, or alternatively, active regulation of intracellular signaling pathways.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CD43 (leukosialin, sialophorin) is a heavily glycosylated transmembrane protein expressed on the surface of most hemopoietic cells. It has been implicated in the regulation of both cell adhesion and activation. Analysis of T cells from CD43-deficient mice demonstrated that the cells are hyperresponsive to a variety of mitogenic stimuli as well as having increased adhesive properties (1, 2). CD43 is a large protein that extends in a linear conformation outward from the cell membrane ~45 nm (3). It is abundantly O-glycosylated and bears numerous sialic acid residues (4, 5). These structural features have been thought to account for the negative regulatory properties of CD43. Specifically, the combination of large size and negative charge has led to the model that CD43 sterically interferes with cell-cell contact in a nonspecific manner. However, this model fails to account for any potential function of the cytoplasmic domain of CD43.

Cross-linking of CD43 on the surface of T cells has been shown to synergize with TCR engagement in the induction of a proliferative response (6, 7, 8). In addition, CD43 engagement may lead to regulation of both integrin- and nonintegrin-mediated adhesion (9, 10, 11). CD43 may also be important in the regulation of cell survival (12, 13, 14, 15, 16). Recent work with CD43 on human T cells has demonstrated that ligation of CD43 with the mAb L10 resulted in phosphorylation of Shc and induced the formation of a Shc/Grb2 complex as well as the tyrosine phosphorylation of Vav and mitogen-activated protein kinase activation (17). In addition, the cytoplasmic tail of CD43 has been demonstrated to interact with the cytoskeletal linker proteins Ezrin and Moesin (18, 19). Other studies have suggested an interaction of CD43 with the protein tyrosine kinase Fyn (20). These and other observations have suggested that CD43 may have signaling properties.

Given the conflicting data as to how CD43 regulates cell adhesion and activation, we examined the structural elements of CD43 responsible for modulating the adhesive and proliferative properties of T cells. Using both cell lines and primary cells deficient in CD43 expression, we demonstrate that the cytoplasmic domain of CD43 is both necessary and sufficient for the antiadhesive effect of CD43. In addition, the cytoplasmic domain is required for the inhibitory effect of CD43 on T cell proliferation. Surprisingly, however, the cytoplasmic tail of CD43 is dispensable for the costimulatory effect of coligation of CD43 with TCR engagement. These data suggest that the antiadhesive and antiproliferative effects of CD43 are not mediated exclusively by steric interactions of the extracellular domain. The requirement for the cytoplasmic tail in this circumstance may reflect a direct signaling role for CD43, or alternatively may mediate critical interactions with the cytoskeleton.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice

CD43-deficient mice (1) (generously provided by Dr. Blair Ardman, New England Medical Center, Boston, MA) were backbred for six generations onto the C57BL/6 background and housed in specific pathogen-free conditions at Washington University School of Medicine (St. Louis, MO). Wild-type (wt)3 C57BL/6 mice were purchased from The Jackson Laboratory (Bar Harbor, ME).

Antibodies

Anti-CD43 mAb R2/60 (rat IgM) was purified from ascites by affinity chromatography using an Immunopure mannan binding protein (MBP) column (Pierce, Rockford, IL). FITC and phycoerythrin-conjugated control or anti-CD43 (clone S7, rat IgG) Abs were purchased from PharMingen (San Diego, CA). Anti-IFN-{gamma}R {alpha}-chain mAb (GIR 94, mouse IgG) was provided by Dr. R. Schreiber (Washington University). FITC-conjugated anti-rat IgM was purchased from Kirkegaard and Perry Laboratories (Gaithersburg, MD), and FITC-conjugated anti-mouse IgG was obtained from Sigma (St. Louis, MO). Anti-CD3 mAb (2C11) was generously provided by Dr. J. A. Bluestone (University of Chicago, Chicago, IL). Anti-CD28 mAb (PV-1, hamster IgG) was provided by Dr. Carl June (Naval Medical Research Institute, Bethesda, MD).

Cell aggregation assays

cDNA constructs encoding for either full-length murine CD43, murine CD43 in which all but three amino acids of the cytoplasmic tail had been deleted, or chimeric proteins in which the extracellular domain of the human IFN-{gamma}R {alpha}-chain or of mouse CD8 was fused to the transmembrane and intracellular domain of CD43 (IFN-{gamma}R cDNA was generously provided by R. Schreiber, Washington University; murine CD8 cDNA was provided by M. Thomas, Washington University) were subcloned into the expression vector pBabe (21), which allows for selection of stable clones based upon resistance to puromycin. The human T cell line CEM deficient in expression of CD43 (Ref. 22 , provided by Dr. B. Ardman, New England Medical Center, Boston, MA) was transfected with each construct or empty vector alone by electroporation; stable transfectants were selected for in the presence of puromycin (0.75 µg/ml; Sigma). Puromycin-resistant cells were cloned by limiting dilution and screened for protein expression by flow-cytometric analysis using anti-CD43 mAb (R2/60 (8), anti-IFN-{gamma}R mAb, or anti-CD8 (PharMingen)). Samples were analyzed on a FACScalibur flow cytometer using CellQuest software (Becton Dickinson, Mountain View, CA).

The parental wt, CD43-deficient, or transfected CEM cells were stimulated with 100 ng/ml PMA (Sigma) at a density of 1 x 106 cells/ml in media (RPMI 1640 supplemented with 2 mM L-glutamine, 10 mM HEPES, 100 U/ml penicillin, and 100 µg/ml streptomycin (Life Technologies, Gaithersburg, MD)). A total of 2 ml of the stimulated cells were placed in each well of a six-well tissue culture dish that had been preblocked for 2 h with casein blocking reagent (Pierce). The cells were maintained at 37°C and 5% CO2 for 3 h and then assayed for homotypic aggregation. The percentage of aggregated cells was determined for each condition by carefully removing 100 µl of cells through a pipet in which the tip had been cut to enlarge the opening. A total of 10 µl of the sample was placed immediately into one side of a hemocytometer, and the remaining sample was mixed in an Eppendorf tube to disrupt cellular aggregates. The total number of free cells (those not in an aggregate of any size) was determined for the unmixed sample by counting all individual cells in four squares of the hemocytometer. The total number of cells present was then determined by counting the total number of cells in the same area of the hemocytometer after mixing of the sample. The percentage of aggregated cells was then calculated by the formula (number of free cells/number of total cells) x 100. Three independent measurements were obtained for each sample, and the mean ± SD of the three measurements was shown. Each assay has been performed a minimum of three times, with at least two independent clones and one representative experiment presented. Representative fields were photographed at x200 magnification with a Leitz inverted microscope.

Retroviral infection

The retroviral expression vector GFP-RV (23) was generously provided by Dr. W. Sha (University of California, Berkeley, CA). The full-length or mutant murine CD43 cDNA constructs were subcloned into the XhoI site of the vector or a control vector that expresses a tailless form of human CD4 (provided by Dr. Kenneth Murphy, Washington University). A total of 20 µg of DNA was used to transfect a 100-mm dish of the Phoenix E packaging cell line (provided by Dr. Garry Nolan, Stanford University, Stanford, CA) by chloroquine-mediated calcium phosphate transfection. At 48 h posttransfection, the retroviral supernatant was harvested and used to infect lymph node cells from wt or CD43-deficient mice that had been activated 48 h previously with PMA (5 ng/ml) plus ionomycin (0.1 µg/ml) to facilitate infection. The cells were cocultured with the retroviral supernatant for 72 h and then sorted. Cells expressing the retrovirally encoded protein were sorted by immunomagnetic sorting using CD43 microbeads and a VarioMacs magnetic sorter (Miltenyi Biotec, Auburn, CA). Control cells expressing tailless human CD4 were sorted with CD4 microbeads. Following sorting, the cells were washed and rested overnight in fresh media before stimulation. The purity of the sort was assessed by flow cytometric analysis and was routinely >90%.

Proliferation assays

Wild-type or CD43-deficient T cells transduced with either control, full-length, or mutant CD43 were plated at 5 x 104 cells/well in 96-well microtiter plates and stimulated with soluble anti-CD3 mAb (0.1 µg/ml). Proliferation was determined by pulsing with 1.0 µCi tritiated thymidine ([3H]TdR; ICN, Costa Mesa, CA) for the final 12 h of a 36-h culture. For assays of CD43 costimulation, cells were cultured in round-bottom 96-well plates and stimulated with plate-immobilized anti-CD3 (0.1 µg/ml) alone or in conjunction with immobilized anti-CD43 (mAb R2/60, 1 µg/ml) or soluble anti-CD28 (PV-1, 1 µg/ml). All proliferation assays were performed in triplicate. Data shown are the mean ± SD of triplicate wells. All plates were harvested onto glass microfiber filtermats using a Skatron 96-well plate harvester and counted on a Wallac 1205 betaplate liquid scintillation counter (Turku, Finland).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The cytoplasmic domain mediates the antiadhesive function of CD43

It has been thought that the antiadhesive effect of CD43 is mediated primarily by the large size and negative charge of the extracellular domain. To examine this, we tested the structural domains of CD43 for their ability to inhibit cell-cell interactions. A CD43-deficient human T cell line, CEM cells, had been generated previously by gene targeting and shown to have increased homotypic adhesion in response to PMA stimulation (22). We introduced into this cell line murine CD43 either as a full-length protein (FL CD43), with the cytoplasmic tail deleted (CD43{Delta}cyto) or a chimeric protein in which the extracellular domain of the human IFN-{gamma}R {alpha}-chain (IFN-{gamma}/CD43) or of murine CD8 (CD8/CD43) was fused to the transmembrane and intracellular domain of CD43. Clones were selected that had similar levels of expression of each construct, as assessed by flow cytometry (Fig. 1Go). The cells were then tested for homotypic adhesion following stimulation with PMA. A quantitative assessment of cellular aggregation (Fig. 2GoA) demonstrated that the wt (CD43+/+) cell line had low levels of homotypic adhesion following stimulation, whereas the majority of the CD43-deficient cells (CD43-/-) were in large aggregates. Expression of the full-length murine CD43 protein restored the wt phenotype, with low levels of homotypic adhesion, whereas cells that express mutant CD43 lacking the cytoplasmic domain had high levels of aggregation, similar to the CD43-/- cells. Microscopic examination of the cells confirmed that the majority of cells expressing full-length CD43 were either not in aggregates or were in small clumps (Fig. 3Go, A and C). In contrast, cells lacking CD43 expression or expressing the cytoplasmic deletion mutant of CD43 formed very large aggregates, with the majority of the cells being in aggregates (Fig. 3Go, B, D, and F). Thus, the cytoplasmic domain is required for the CD43 to inhibit homotypic interactions. Flow-cytometric analysis showed no change in CD43 expression following stimulation with PMA, suggesting that shedding of CD43 is not responsible for the increased adhesion (data not shown).



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FIGURE 1. CD43 expression on CEM cell lines. CD43-deficient CEM cells were transfected with the CD43 constructs listed and evaluated for protein expression by flow cytometry. The parental wt CEM cells (A) or CD43-deficient cells (B) were stained with anti-human CD43. CD43-deficient cells transfected with either full-length CD43 (C) or CD43{Delta}cyto (D) were stained with anti-murine CD43 mAb. Cells transfected with the IFN-{gamma}/CD43 chimeric protein (E) were stained with an anti-IFN-{gamma}R mAb. Two independent clones transfected with the murine CD8/CD43 chimera were stained with anti-CD8, and results are shown in F. Control staining is shown in the dotted line in each panel.

 


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FIGURE 2. Quantitative assessment of homotypic adhesion of CEM cell lines. wt, CD43-/- or transfected CEM cells were stimulated with PMA (100 ng/ml) and assessed for homotypic aggregation. A, The cell lines expressing the FL CD43 construct show parental levels of adhesion, whereas the CD43{Delta}cyto or vector control transfection demonstrates comparable levels of adhesion to the CD43-/- cells. B, In an independent experiment, both the FL CD43 construct as well as the chimeric IFN-{gamma}/CD43 restore wt levels of adhesion. C, Expression of a CD8/CD43 chimera restores the wt phenotype. Results obtained with two independent clones are shown.

 


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FIGURE 3. Microscopic examination of PMA-stimulated CEM cell lines. wt (A), CD43-/- (B), or transfected CEM cells were stimulated with PMA and examined at x200 for cellular aggregates. Full-length CD43 (C) or the IFN-{gamma}/CD43 chimera (E) restored the wt phenotype, whereas CD43{Delta}cyto (D) and empty vector (F) did not.

 
To determine whether the cytoplasmic domain of CD43 could mediate the inhibition of homotypic adhesion in the absence of the extracellular domain, we examined whether expression of the chimeric IFN-{gamma}/CD43 protein altered homotypic aggregation. Both full-length CD43 as well as the chimeric protein inhibited PMA-induced homotypic adhesion (Fig. 2GoB). Similar to the wt CD43+/+ CEM cells, the clones expressing full-length CD43 or the chimeric protein were in very small aggregates or remained as single cells (Fig. 3Go, A, C, and E). To be certain that the restoration of the wt phenotype was not a function of the IFN-{gamma} extracellular domain, we examined a second chimera. Wild-type CEM cells express human CD4 and lack CD8 expression. Expression of a fusion protein of the murine CD8 extracellular domain to CD43 transmembrane and intracellular domain also inhibited PMA-induced aggregation (Fig. 2GoC). Similar to wt, microscopic examination revealed that these cells were in only small aggregates or remained as single cells (data not shown). These data suggest that the cytoplasmic domain of CD43 is both necessary and sufficient to inhibit cell-cell contact in this system.

Negative regulation of T cell proliferation by CD43 requires the intracellular domain

T cells from CD43-deficient mice have been shown to have an increased proliferative response to stimulation through the TCR (1, 2). The mechanism for this effect has not been elucidated definitively, but has been thought to be due to the increased adhesive properties of CD43-deficient cells. This in turn has been presumed to be due to the lack of the bulky extracellular domain of CD43. To test this model, we examined the structural requirements for the antiproliferative effect of CD43 on primary murine T cells. Lymph node cells were isolated from CD43-deficient mice and activated with PMA and ionomycin to facilitate retroviral infection. The T cells were then cultured with retrovirus encoding either full-length murine CD43, CD43{Delta}cyto construct, or a control vector encoding for tailless human CD4. After 72 h, the cells were sorted by immunomagnetic selection, washed, and rested overnight in fresh medium. Expression of CD43 was confirmed by flow cytometry (Fig. 4Go). Sorting efficiencies were routinely >=90% (data not shown). The T cells were then stimulated with anti-CD3 (0.1 µg/ml), and proliferation was determined by [3H]TdR incorporation (Fig. 5Go). T cells from CD43-deficient T cells infected with control retrovirus had an increased proliferative response as compared with wt cells. Expression of the full-length CD43 in the CD43-deficient cells decreased the proliferative response, whereas the cytoplasmic deletion had no effect despite similar expression levels. In independent experiments, similar results were obtained with different doses of anti-CD3 (data not shown and Table IGo). Therefore, the cytoplasmic domain of CD43 is required for inhibition of T cell proliferation in primary T cells.



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FIGURE 4. Expression of CD43 on retrovirally infected T cells. Lymph node cells from wt (A) or CD43-/- mice were infected with retrovirus encoding control (B), FL CD43 (C), or CD43{Delta}cyto (D) and assessed for CD43 expression by flow cytometry. The cells were stained with phycoerythrin-conjugated anti-CD43 and examined with two-color flow cytometry. CD43 expression is shown following gating on the green fluorescent protein-positive cells.

 


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FIGURE 5. The cytoplasmic tail of CD43 is necessary for its antiproliferative effect on primary T cells. wt or CD43-/- lymph node T cells were infected with control retrovirus or retrovirus encoding FL CD43 or CD43{Delta}cyto, and proliferation was determined following stimulation with anti-CD3 mAb (0.1 µg/ml). A two-tailed Student’s t test demonstrates a p < 0.05, comparing the results of FL CD43 with control or CD43{Delta}cyto.

 

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Table I. Costimulation of retrovirally infected T cells1

 
Costimulation of T cell proliferation with anti-CD43 is independent of the cytoplasmic tail of CD43

Coligation of CD43 with TCR engagement has been demonstrated to augment the proliferative response of primary T cells (2, 6, 7, 8, 11). The mechanism for CD43-mediated costimulation is unclear, but may involve direct signal transduction mechanisms. To examine this, we expressed either full-length CD43 or CD43 in which the cytoplasmic tail had been deleted in primary T cells from CD43-deficient mice. The cells were then stimulated with anti-CD3 alone (0.1 µg/ml) or in combination with anti-CD43 (1.0 µg/ml) or anti-CD28 (1 µg/ml). CD43-deficient T cells that had been infected with a control retrovirus did not respond to CD43 coligation. In contrast, retrovirally infected wt T cells and CD43-deficient T cells expressing either the full-length CD43 or the cytoplasmic deletion had an augmented proliferative response when stimulated with a combination of anti-CD3 and anti-CD43 Abs (Fig. 6Go). All cultures responded to costimulation with anti-CD28 (Table IGo). Thus, in contrast to the antiadhesive and antiproliferative effects of CD43, the cytoplasmic tail of CD43 is not required for the generation of a costimulatory signal by Ab.



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FIGURE 6. Anti-CD43-mediated costimulation does not require the cytoplasmic tail. Lymph node cells from CD43-/- mice were infected with either control or retrovirus encoding for FL CD43 or CD43{Delta}cyto, and proliferation was determined following stimulation with anti-CD3 (0.1 µg/ml) or anti-CD3 + anti-CD43 mAb (1 µg/ml).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The regulation of T cell adhesion and activation by CD43 has been noted since the initial observation that an anti-rat CD43 mAb could inhibit a mixed lymphocyte reaction in 1979 (24). Subsequently, several other groups demonstrated that ligation of CD43 on both human and murine T cells could augment the proliferative response to Ag receptor engagement (6, 7, 8, 11). Aberrant expression of CD43 had been noted on T cells from patients with the immunodeficiency disorder Wiskott-Aldrich syndrome (25, 26); however, how this is related to the clinical syndrome is unclear.

Certain structural features of CD43 have been thought to be critical to the ability of CD43 to modulate T cell adhesion and activation. In particular, the large size and abundant glycosylation of the extracellular domain have been proposed to form a barrier to effective intercellular contact and receptor ligand engagement. In support of this, transfection of HeLa cells with CD43 has been shown to decrease their adhesive properties, which is reversed upon treatment with neuraminidase (27). In addition, study of CD43-deficient mice has demonstrated that the T cells are hyperproliferative as well as having increased adhesive properties (1, 2). CD43 also influences lymphocyte migration (28, 29). Although these data are consistent with such a model, they do not exclude a role for the cytoplasmic tail in CD43 function.

CD43 has a large cytoplasmic tail (124 amino acids in the mouse) that has been conserved through evolution, suggesting an important function for this part of the protein (30). Data from several groups have suggested that CD43 can transduce a signal. Ligation of CD43 resulted in the activation of signaling pathways in human monocytes and a human T cell line (31, 32, 33). Treatment of cells with PMA has been shown to result in hyperphosphorylation of the cytoplasmic tail of CD43 (34, 35). Recent studies have demonstrated that ligation of CD43 on human T cells with the mAb L10 led to the phosphorylation of the adapter protein Shc, as well as the formation of a Shc/Grb2 complex. In addition, phosphorylation of Vav was detected following CD43 ligation as well as activation of components of the mitogen-activated protein kinase pathway (17). CD43 also interacts with elements of the actin cytoskeleton through the linker proteins Ezrin and Moesin. These interactions mediate the distribution of CD43 on the cell and its localization to the cellular uropod (18, 19).

Given the conflicting models of CD43 function, we chose to examine the structural requirements for the regulation of cell adhesion and activation in a T cell line and primary murine T cells. Expression of the extracellular domain of CD43 failed to inhibit homotypic aggregation in a human T cell line, whereas expression of a chimeric protein containing the cytoplasmic domain of CD43 did inhibit cell-cell contact. These data suggest that the cytoplasmic tail of CD43 is both necessary and sufficient to mediate the antiadhesive effects of this protein. This suggests that the CD43 regulates cell adhesion by a mechanism other than steric hindrance.

To confirm and extend the observations made in the cell line, we examined the role of the cytoplasmic tail of CD43 in regulating T cell proliferation. We and others have demonstrated that T cells from CD43-deficient mice have an increased proliferative response to TCR engagement as compared with wt T cells (1, 2). By the use of a retroviral infection system, we expressed full-length or mutant CD43 proteins in T cells from CD43-deficient mice. Expression of the full-length protein resulted in a decrease of the proliferative response, whereas the mutant protein lacking the cytoplasmic domain failed to effect proliferation. Surface expression of the transduced proteins was equivalent for each construct, but was not quite as high as wt levels, perhaps accounting for the failure of the full-length CD43 to decrease T cell proliferation completely to wt levels. The failure of the cytoplasmic deletion mutant to restore wt function to the CD43-/- cells may indicate that CD43 influences cell signaling. Alternatively, the inability of this protein to interact with the cytoskeleton may alter the distribution of CD43 in a way that precludes its function. In addition, recognition of the retrovirally expressed proteins by the glycoform-specific CD43 mAb clone S7 (36) suggests that these proteins are correctly glycosylated; however, it is possible that there are some undetected defects in glycosylation in the mutant proteins that render them nonfunctional.

In contrast to the above findings, we find that costimulation mediated by anti-CD43 mAb does not depend upon the cytoplasmic tail. This suggests that direct signaling through CD43 is not required for this effect. This is in contrast to an earlier study in which the cytoplasmic domain of CD43 was found to be essential for costimulation (6). Park et al. demonstrated that engagement of CD43 by a cell-bound ligand on the surface of Daudi cells interacting with transfected human CD43 on a murine hybridoma required the cytoplasmic domain of CD43 to induce IL-2 production. We have examined Ab-mediated costimulation through CD43 on the surface of primary murine T cells. Costimulation through CD43 in this circumstance requires plate immobilization of anti-CD3 and anti-CD43 mAb. Thus, it is possible that the Ab-mediated costimulation we have measured is fundamentally different from that induced by cell-bound ligand. Cross-linking by plate-immobilized anti-CD43 may lead to a redistribution of CD43 on the cell surface, or in fact result in a loss of CD43 expression, rendering the area of the TCR relatively CD43 deficient and augmenting TCR signal transduction events (37). Alternatively, this high degree of cross-linking may in some way bypass the requirement for cytoskeletal linkage, allowing for costimulation in the absence of the cytoplasmic domain.

This study suggests that the regulation of cell adhesion and activation by CD43 cannot be accounted for exclusively by steric hindrance. Examination of the structural features of CD43 required for function in a human T cell line, as well as in primary murine T cells, demonstrates a critical role for the cytoplasmic domain. Further study of the intracellular pathways regulated by CD43 will undoubtedly yield important insights into the regulation of T cell function.


    Acknowledgments
 
We thank Dr. Anne Sperling for assistance with backbreeding and Drs. Matthew Thomas and Eric Brown for critical review of this manuscript. We also thank Dr. W. Sha for providing the retroviral vector, Dr. G. Nolan for allowing us to use the Phoenix Eco cells, Dr. Ken Murphy and Theresa Murphy for assistance with the retroviral system, and Dr. R. Schreiber for providing IFN-{gamma}R cDNA and Ab.


    Footnotes
 
1 This work is supported in part by National Institutes of Health Grants K08 HL03408 and R29 HL58444 and by a grant from the American Lung Association of Eastern Missouri. Back

2 Address correspondence and reprint requests to Dr. Jonathan M. Green, Washington University School of Medicine, Box 8052, 660 South Euclid Avenue, St. Louis, MO 63110. E-mail address: Back

3 Abbreviation used in this paper: wt, wild type. Back

Received for publication July 15, 1998. Accepted for publication January 11, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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