The Journal of Immunology, 1999, 163: 4557-4563.
Copyright © 1999 by The American Association of Immunologists
Activated Lymphocytes Promote Endothelial Cell Detachment from Matrix: A Role for Modulation of Endothelial Cell ß1 Integrin Affinity1
Cecile Phan*,
Alan W. McMahon*,
Randall C. Nelson*,
John F. Elliott
and
Allan G. Murray2,*
Departments of
*
Medicine and
Medical Microbiology and Immunology, University of Alberta, Edmonton, Canada
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Abstract
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In vivo, MHC class I-restricted injury of allogeneic tissue or
cells infected by intracellular pathogens occurs in the absence of
classical cytolytic effector mechanisms and Ab. Modulation of the
target cell adhesion to matrix may be an additional mechanism used to
injure vascular or epithelial cells in inflammation. We studied the
mechanisms of human umbilical vein endothelial cell (EC) detachment
from matrix-coated plastic following contact by concanamycin A-treated
lymphocytes as an in vitro model of perforin-independent modulation of
EC basement membrane adhesion. Human PBL were depleted of monocytes,
stimulated, then added to an EC monolayer plated on either fibronectin
or type I collagen matrices. Activated, but not resting, PBL induced
progressive EC detachment from the underlying matrix. Injury of the EC
monolayer required direct cell contact with the activated lymphocytes
because no detachment was seen when the PBL were placed above a
Transwell membrane. Moreover plasma membranes prepared from activated
but not resting PBL induced EC detachment. Adherent EC stimulated with
activated PBL did not show evidence of apoptosis using TUNEL and
annexin V staining at time points before EC detachment was observed.
Finally, neither the matrix metalloproteinase inhibitors
o-phenanthroline and BB-94 nor aprotinin blocked EC
detachment. However, activation of EC ß1 integrin using
mAb TS2/16 or Mg2+ decreased EC detachment. These data
indicate that cell-cell contact between activated PBL and EC reduces
adhesion of EC to the underlying matrix, at least in part by inducing
changes in the affinity of the endothelial ß1
integrin.
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Introduction
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Cytotoxic
T cells are thought to play a central role in the control of viral
infections and in rejection of allografts (1, 2). CTL
injure a target cell largely through one of three mechanisms: the
perforin/granzyme, Fas ligand
(FasL),3 or TNF
pathways; however, CD8+ T cells may provide
effective immunity in the absence of these classic cytolytic effector
mechanisms. For example, in some cases CD8+ T
cells control viral or intracellular bacterial infections in the
absence of perforin- and FasL-dependent injury even in the absence of
Ab or classic cytokines involved in delayed type hypersensitivity
responses (3, 4). Moreover, allograft rejection in the
absence of cell-mediated cytotoxicity has been observed in models using
adoptive transfer of noncytolytic lymphocytes, and using
perforin-deficient recipients to reject grafts deficient in Fas- and
TNFR signaling (5, 6, 7).
These observations in vivo suggest a role for direct noncytolytic
lymphocyte-mediated injury of target cells. A candidate mechanism to
account for cell injury in the absence of cytolysis has been proposed
previously by Russell and colleagues (8, 9, 10). They
observed that activated lymphocytes induce loss of target cell
adhesiveness to extracellular matrix independent of cytolytic damage.
Although this form of injury was defined using fibroblast target cells,
polarized epithelial and vascular cells may be most vulnerable to
injury promoted by loss of matrix adhesion in vivo. In particular, loss
of endothelial cell (EC) adhesion to the basement membrane may
compromise vessel integrity and tissue perfusion. Focal loss of
vascular EC is a feature of robust inflammatory infiltrates such as
delayed-type hypersensitivity, antitumor responses, and allograft
rejection (11, 12, 13). Shed microvessel EC displaying
adhesion molecules characteristic of inflammation have been detected in
the circulation (14).
EC adhesion to matrix proteins is mediated by transmembrane receptors
of the integrin class that are anchored to the cytoskeleton through the
focal adhesion complex. A tyrosine kinase,
p125FAK, associated with the ß subunit of the
ß1 family of integrin adhesion molecules is
thought to play an important role in the assembly and maintenance of
the focal adhesion complex and associated stress fibers
(15). Cell contact between monocytes and EC stimulates
p125FAK degradation and results in changes in EC
architecture in vitro (16). This observation suggests that
interaction between leukocytes and EC may influence EC adhesion to
matrix.
In the present series of experiments we sought to develop a model to
study the effect of lymphocytes on EC-matrix adhesion to determine
whether EC adhesion was functionally altered by contact with
lymphocytes. We observed that activated but not resting lymphocytes, or
plasma membrane preparations of activated lymphocytes, stimulate EC
release from matrix ligands. Detachment of the EC was partly inhibited
by an Ab against the ß1 integrin that fixes
this integrin in the high-affinity state.
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Materials and Methods
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Cytokines and reagents
IL-4, TNF, and neutralizing pAb to TNF, lymphotoxin, and IL-12
were obtained from R&D Systems (Minneapolis, MN). mAb CH-11 to CD95 was
obtained from Upstate Biotechnology (Lake Placid, NY), TS2/16
(anti-CD29) and OKT3 (anti-CD3) were from the American Type
Culture Collection (Manassas, VA). Recombinant Fas-Ig was produced from
stably transfected BW5147 cells (J. Elliott, unpublished data). PHA,
concanamycin A (CMA), phenanthroline, MgCl2,
aprotinin, and PMSF, were obtained from Sigma (St. Louis, MO). Annexin
V-FITC was obtained from R&D Systems. BB-94 was a generous gift from D.
Edwards (University of Calgary).
Cell lines
Endothelial cells.
Human umbilical vein EC were isolated as described previously from
single umbilical cords and cultured in M199 medium containing 20% FBS,
EC growth factor, and antibiotics (17). The cells were
expanded on gelatin substratum and then used in the experiments between
passage 3 and 6. For the EC cytolysis assays, the EC were plated at
2 x 104 cells/well on a flat-bottom 96-well
fibronectin (FN)-coated plate, and then were loaded with
111In essentially as described (18).
For the EC detachment assays EC were labeled with
[3H]thymidine at 4 µCi/ml during the
logarithmic phase of growth. The EC were harvested using trypsin/EDTA,
then replated at high density (1.8 x
105/well) on FN- or type I collagen-coated
24-well plates.
Lymphocyte lines.
Human PBL were isolated from volunteer donors using leukapheresis,
followed by centrifugation over a Ficoll gradient as described earlier
(19). The resulting mononuclear cell population was then
serially passed over uncoated and FN-coated plastic culture plates to
remove mononuclear cells. Short-term lines of lymphocytes were
generated by stimulating the PBL with 5 µg/ml PHA alone or in the
presence of IL-4 (10 ng/ml) and neutralizing pAb to IL-12 (3 µg/ml)
for two cycles. In other experiments, the PBL were suspended at 3
x 106 cells/ml, then stimulated with OKT3 (10
µg/ml) and sheep anti-mouse IgG (3 µg/ml) for 24 h before
use. Except where indicated, the PBL were treated with 10 nM CMA for
4 h before use in the assays.
Subpopulations of PBL were isolated by negative selection using
immunomagnetic beads. Briefly, anti-mouse IgG-coated beads were
loaded with HB145 (anti-MHC class II), and either OKT4 or OKT8 as
directed by the manufacturer (Immunotech, Westbrook, ME). PBL were
incubated at 4°C with a mixture of beads for 1 h, then bound
cells were removed as directed. The resulting
CD8+- or CD4+-enriched T
cell populations were studied by FACS analysis and determined to have
<1% contaminating CD4+ or
CD8+ T cells, CD19+ B
cells, and CD16/56+ NK cells.
Cytolysis assay
The target cells were prepared as described above, then
unincorporated 111In was removed by one wash with
medium, followed by a 1-h incubation and a further wash with medium.
The effector lymphocytes were added in a final volume of 200 µl, then
incubated at 37°C for 4 h. One replicate group of EC was treated
with SDS at a final concentration of 0.1% to lyse the cells. Eighty
microliters of cell-free supernatant was collected, and then the
radioactivity was measured using a gamma counter. Each point represents
the mean of four samples.
Detachment assay
The target EC were labeled with [methyl-3H]thymidine,
and then allowed to form a confluent monolayer on either FN or type I
collagen matrix for 24 h. The cells were gently washed twice, then
overlaid with the effector cell population in a final volume of 500
µl and cultured at 37°C for the indicated time. One group was
treated with a 0.1% SDS final concentration to release all
incorporated radioactivity. The loosely adherent cells were resuspended
using the coculture supernatant, then 250 µl of the supernatant was
added to liquid scintillation fluid and the radioactivity was
determined using a beta counter. Each point represents the mean of four
samples.
Specific release of label in the cytotoxicity or detachment experiments
was calculated using the following formula: specific release (%)
= [(experimental - spontaneous)/(total -
spontaneous)].
Values less than zero are shown as zero. Spontaneous release was <20%
of total counts.
Plasma membrane preparation
Resting or activated PBL were treated with 10 nM CMA for 4
h, and then plasma membranes were isolated as previously described
(20). Briefly, PBL were washed with PBS, lysed in buffer
(0.25 M sucrose, 0.1 M MgCl2, 10 mM Tris-HCl, 250
U/ml aprotinin, and 1 mM PMSF), and sonicated using three 5-s bursts at
40 W. The nuclei were pelleted by centrifugation at 1000 x
g, and then the membrane fraction was isolated by
centrifugation at 100,000 x g. The PBL membranes were
resuspended in medium and used immediately in the assay.
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Results
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EC lysis
To study the interaction between activated lymphocytes and EC in
the absence of cytolytic EC injury, we first characterized the
mechanisms of PHA-activated PBL-mediated EC lysis. PBL activated with
PHA lyse EC as demonstrated previously (21, 22). Although
lymphokine-activated killer cells generated in this way express both
FasL and TNF, EC lysis is accomplished using the perforin/granzyme
cytolytic pathway because pretreatment of the activated lymphocytes
with CMA completely inhibits release of 111In
from the target EC (Fig. 1
)
(23). CMA pretreatment of cytolytic cells is thought to
inhibit cytolysis by altering the acidity of the lymphocyte cytolytic
granules thereby promoting conformation changes in perforin or other
granule proteins (23). This interpretation is supported by
the observation that chelation of extracellular calcium using EGTA also
completely blocks EC lysis and is consistent with earlier reports (data
not shown) (24). To study EC detachment from matrix in the
absence of perforin-mediated lysis, then, resting and PHA-activated PBL
were pretreated with CMA in the subsequent experiments.

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FIGURE 1. The effect of CMA on EC lysis by lymphokine-activated killer cells.
Human PBL were activated with PHA for 24 h and then tested for
lytic activity against 111In-labeled HUVEC at an E:T cell
ratio of 20:1. Specific release of 111In at 4 h was
calculated as indicated in Materials and Methods. Where
indicated, the PBL were pretreated with CMA for 4 h before use in
the assay. The means of all PHA-PBL + CMA-treated groups were
significantly different from the mock-treated PHA-PBL group
(p < 0.05 by ANOVA). The data are representative
of more than four experiments.
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EC detachment from matrix
To examine lymphocyte-stimulated alterations in EC adhesion to
matrix, we added CMA-treated resting or activated lymphocytes to a
confluent monolayer of HUVEC. As shown in Fig. 2
, interaction between the PHA-activated
but not resting PBL and the EC monolayer promoted detachment of the EC
from FN matrix. The extent of the EC detachment varied according to
both the E:T cell ratio and the time of coculture, but was reproducibly
and significantly increased after 16 h of coculture at an E:T cell
ratio between 10 and 20:1. Detachment of EC from a type 1 collagen
matrix and the complex matrix Matrigel was similarly promoted by
contact with lectin-activated PBL (32.1 ± 2.7% vs 42.3 ±
6.2%, respectively; p = NS, in one of three
experiments with similar results).

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FIGURE 2. Activated PBL promote HUVEC detachment from FN matrix. Resting or
PHA-activated PBL were pretreated with CMA 10 nM for 4 h to
inhibit cytolysis and then tested for the ability to stimulate
detachment of HUVEC from a FN matrix. HUVEC detachment following
coculture with activated PBL added at a 20:1 E:T ratio was
significantly different from mock-treated or resting PBL control
cultures at 16 h (p < 0.05 by ANOVA). The
data are representative of four independent experiments.
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To determine whether both CD4+ and
CD8+ subpopulations of T cells were able to
promote EC detachment from matrix, we prepared highly enriched
CD4+ and CD8+ lymphocytes
by negative selection. Activated CD4+ and
CD8+ PBL were both able to promote EC release
from the matrix (Fig. 3
A).
Moreover both populations appeared to be equally efficient to induce
detachment.

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FIGURE 3. Detachment of HUVEC is promoted by CD8+, CD4+,
and both Th1- and Th2-like populations of PBL. Human PBL were
pretreated with 10 nM CMA, and then EC detachment was determined at
18 h of coculture using an E:T ratio of 20:1. The mean EC
detachment induced by unstimulated PBL was different from each of the
stimulated PBL groups (p < 0.05 by ANOVA) but not
between stimulated PBL groups. The data are representative of three
independent experiments.
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Similarly, activated lymphocytes with a Th1- or Th2-like phenotype were
tested to determine whether both lines of polarized lymphocytes induced
EC detachment. In these experiments, we generated short-term lines of
PBL stimulated with PHA alone (for Th1-like cells), or PHA in the
presence of IL-4 and neutralizing Ab to IL-12 (to generate Th2-like
cells). In agreement with previous work, activated lymphocytes
stimulated in the presence of IL-4 and neutralizing Ab to IL-12
produced little IFN-
compared with PBL stimulated with lectin alone,
and lacked the ability to lyse EC targets in a lectin-directed
111In-release assay (data not shown) (25, 26). We observed that both lines stimulated EC detachment (Fig. 3
B). Taken together, these observations indicate that
lymphocytes are able to promote EC detachment from matrix independent
from cytolytic injury, and that this capability is broadly shared among
different activated lymphocyte populations.
EC detachment requires direct contact with activated lymphocytes
To determine whether soluble products released following contact
between the activated lymphocyte and EC could promote EC detachment,
both lymphocytes and EC were cultured above a semipermeable membrane,
and the detachment of radiolabeled EC in the lower chamber was
assessed. As shown in Fig. 4
, EC release
was not stimulated by the activated PBL unless direct cell-cell contact
occurred. To further confirm that soluble signals did not account for
the effect of the activated lymphocytes, we tested the ability of
activated-lymphocyte conditioned medium to stimulate EC detachment.
Neither activated nor resting lymphocyte conditioned medium
promoted EC detachment from FN (data not shown). These
observations indicate that soluble mediators alone do not account for
activated lymphocyte-stimulated EC detachment.

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FIGURE 4. EC detachment requires direct cell-cell contact with activated PBL. PBL
were activated with PHA and then pretreated with CMA before use in the
assay at an E:T ratio of 20:1. Where noted activated PBL were placed in
a Transwell with 2 x 105 HUVEC in suspension, and
then detachment of the EC in the lower chamber was assayed at 18
h. The mean EC detachment was different between activated PBL groups
(p < 0.05 by ANOVA).
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TNF, lymphotoxin, and FasL are cell surface molecules expressed by
activated lymphocytes and are known to elicit pro-inflammatory and
injury responses in some cell types. As shown in Fig. 5
, inhibition of these signals failed to
block EC detachment. However, at the concentrations used, apoptosis of
the WEHI and Jurkat cell lines, used to test the TNF/LT or FasL
blocking reagents, respectively, was inhibited by 96.4 ± 1.8%
and 87.3 ± 3.8%, respectively. In contrast, we observed that
plasma membrane preparations of activated, but not resting lymphocytes
promoted EC release from matrix (Fig. 6
).
These data suggest that a cell surface ligand is presented to the EC by
the activated lymphocyte and is sufficient to induce EC detachment.

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FIGURE 5. Inhibition of FasL or TNF fails to block EC detachment. PBL were
activated with PHA and then pretreated with CMA before coculture with
HUVEC in the presence of blocking reagents to Fas (A) or
neutralizing pAb to TNF and lymphotoxin (B). EC
detachment was determined after 18 h of coculture. No difference
was detected between groups of activated PBL (p >
0.05 by ANOVA), but all activated PBL groups induced greater detachment
than resting PBL (p < 0.05 by ANOVA). The data are
representative of three experiments.
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FIGURE 6. Plasma membranes prepared from activated PBL promote EC detachment from
FN matrix. PBL were activated with PHA and then pretreated with CMA
before the plasma membranes were isolated as described in
Materials and Methods. The mean EC detachment was
different between activated and resting membrane preparations at the
equivalence of 20:1 and 6:1 E:T cell ratio (p <
0.05 by ANOVA). The data are representative of three experiments.
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EC are not apoptotic before detachment
Detachment from matrix is a late feature of apoptosis in the EC
(27). To determine whether EC were undergoing apoptosis
after contact by the activated lymphocytes but before detachment, we
examined the adherent EC for evidence of phosphatidyl serine
translocated to the outer leaflet of the cell membrane and genomic DNA
degradation. Phosphatidyl serine displayed by the adherent EC was
examined 4, 8, and 16 h after contact with CMA-treated activated
lymphocytes by staining with FITC-conjugated annexin V and quantitated
using flow microfluorometry. As shown in Fig. 7
, a small fraction of EC stained with
annexin V, but no increase was detected following stimulation with
activated lymphocytes. To detect fragmentation of DNA, EC monolayers
grown on FN-coated chamber slides were stimulated with lymphocytes at
the same time points and then stained using the TUNEL technique. Small
numbers (<5%) of the EC stained when stimulated with either resting
or activated lymphocytes at any time point (data not shown). However,
distinct staining was evident in control cultures treated with
C6-ceramide in agreement with previous reports (28). These
data indicate that the EC do not undergo apoptosis before detaching
from their matrix ligands.

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FIGURE 7. EC do not display phosphatidyl serine on the outer leaflet of the cell
membrane before detachment. PBL were stimulated with OKT3 and
anti-mouse IgG and then pretreated with CMA before addition to an
EC monolayer at a ratio of 10:1. Adherent EC were harvested then
stained using FITC-conjugated Annexin V and evaluated for the intensity
of annexin V staining using flow cytometry. No differences in the
fraction of annexin V-positive EC were appreciated among mock-treated
cells, or cultures incubated with either resting or activated PBL. The
data are representative of four experiments.
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Matrix metalloproteinases (MMPs) do not mediate EC detachment
Because MMP transcription is increased in both EC and lymphocytes
after activation, we considered the possibility that contact between
the activated lymphocyte and EC might induce matrix-degrading MMPs to
mediate EC detachment (29, 30). As shown in Fig. 8
, EC detachment was not inhibited by
either o-phenanthroline or BB-94, two broadly active MMP
inhibitors. Supernatant from the coculture of activated lymphocytes and
EC showed the presence of MMP2 and MMP9 proenzyme activity by
gelatinase assay, but the active cleaved forms of the matrix MMPs were
not detected. Taken together with the lack of detachment following EC
culture with supernatant from the activated lymphocyte-EC coculture we
conclude that matrix MMP activity does not account for
lymphocyte-stimulated EC matrix release.

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FIGURE 8. EC detachment is not blocked by inhibitors of matrix MMPs or serine
proteases. PBL were stimulated with OKT3 and anti-mouse IgG and
then pretreated with CMA before addition to an EC monolayer at a ratio
of 20:1. EC detachment was determined at 18 h of coculture. No
difference in the mean endothelial detachment was apparent among
activated PBL groups (p > 0.05 by ANOVA). EC
detachment in the presence of the inhibitors or carrier alone was <5%
and was not different from the resting PBL group (p
> 0.05 by ANOVA). The data are representative of three
experiments.
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Activating mAb to CD29 stabilizes EC adhesion following contact by
activated lymphocytes
Finally, we tested the hypothesis that contact with the activated
lymphocyte influences EC-matrix adhesion through modulation of the
affinity of the ß1 integrin for its matrix
ligand. We plated EC onto FN matrix in the presence of the
anti-ß1 integrin mAb, TS2/16, which has
previously been shown to fix ß1 integrin in the
high affinity state for the matrix ligand (31, 32).
Activated lymphocytes were then added to the coculture in the continued
presence of TS2/16. As shown in Fig. 9
,
we observed that EC detachment was significantly reduced in the
presence of this mAb. Similar inhibition of EC detachment was not
observed with either irrelevant control mAb, or a binding control mAb
directed against CD31.

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FIGURE 9. EC detachment is inhibited by activating anti-CD29 mAb. HUVEC were
plated onto FN matrix in the presence of activating anti-CD29 mAb
TS2/16 (10 µg/ml) or isotype-matched control mAb. The wells were
washed twice, before PHA-activated CMA-pretreated PBL were added at a
20:1 ratio in the presence of TS2/16. The mean EC detachment between Ig
and anti-CD29 mAb groups was different (p <
0.05 by ANOVA).
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The high-affinity state of ß1 integrin is also
favored by exposure to Mn2+ or
Mg2+ (33). We found that prolonged
exposure of EC to Mn2+ caused toxicity, but the
addition of 1 mM Mg2+ to the culture medium
reduced activated lymphocyte-stimulated EC detachment by 40.0 ±
4.1% vs control medium (mean ± SD, n = 3
experiments). These results support the interpretation that EC
detachment stimulated by contact with activated lymphocytes involves a
change in the EC ß1 integrin matrix receptors
to favor the low affinity conformation.
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Discussion
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We have observed that contact between activated lymphocytes or
plasma membranes derived from activated PBL, and EC in culture results
in the detachment of the EC from its underlying matrix. Both
CD4+ and CD8+ T cell
subsets as well as noncytolytic T cell lines were competent to promote
EC detachment following activation. Neither induction of apoptosis nor
increased matrix MMP activity accounted for the phenomenon. However, EC
detachment was inhibited if the ß1 integrin
matrix receptor was locked into the high-affinity conformation.
The simplest interpretation of these data is that EC detachment after
contact by activated lymphocytes is mediated directly through changes
in the affinity of the ß1 integrin for the
matrix ligand. Alternatively, dissociation of the transmembrane matrix
receptor from the cytoskeletal anchoring proteins might relieve
conformational constraints on the ß1 integrin
allowing more receptors to cycle back to the low-affinity state.
Because isolated plasma membrane from activated lymphocytes is
sufficient to promote EC detachment, we favor the idea that a
contact-dependent signal is delivered to the EC following interaction
between an unidentified cell surface ligand(s) on the lymphocyte and a
receptor on the EC. This is consistent with the observation that
monocyte adhesion to EC promotes EC rounding, a process associated with
reduced matrix adhesion (16).
Inside-outside regulation of integrin ligand affinity has been
described in several systems including platelet adhesion to fibrinogen
through
IIbß3, and
leukocyte adhesion to ICAM-1 through
Lß2 or FN through
5ß1
(34, 35, 36). In these systems the integrin assumes the high
affinity conformation after the cell is stimulated by agents such as
platelet-activating factor or chemokines. In contrast,
ß1 integrins, such as the FN receptor, may also
exist in the active conformation or change to the high-affinity
conformation after the ligand is engaged without a requirement for
extracellular signals (37, 38, 39, 40).
Conformational change of ß1 integrins from the
high- to the low-affinity state is involved in morphogenesis, cell
division/ras activation, and cell motility
(41). For example, regional integrin-mediated attachment
to the matrix at the trailing edge of the migrating cell is loosened in
a process involving both decreased ß1 integrin
affinity and fracturing of the association between the integrin and the
cytoskeleton (42, 43, 44). The calcium-dependent protease
calpain has been implicated in regulation of integrin affinity through
localized proteolysis of cytoskeletal associations (45, 46). However, we are unaware of examples of intercell
contact-dependent signals regulating ß1
integrin affinity.
Our observations confirm and extend earlier work in a murine system in
which fibroblast target cells were observed to detach from matrix after
contact with activated lymphocytes (8, 9, 10). In this model
of injury, target cell detachment induced by cloned noncytolytic T
cells required protein synthesis by both the lymphocyte and target
cell, suggesting a newly synthesized effector molecule is placed on the
surface following lymphocyte activation (10). Activated
monocytes also injure EC in culture following direct cell contact, in
some cases independent of reactive oxygen intermediates
(47). Moreover, contact-dependent interaction between
monocytes and EC has been shown to result in focal adhesion kinase
degradation (16). Taken together with our results, these
observations raise the possibility that activated leukocytes may be
able to modulate matrix receptor affinity in a variety of different
cell types.
EC detachment has been recognized as a feature of EC undergoing
apoptosis (48). Recent work has emphasized the role of
caspase 3 activation as a effector mechanism for the cytoskeletal
remodeling involved in "rounding" that occurs before the apoptotic
EC detaches (27). Several lines of evidence argue against
endothelial apoptosis in our system. First, neither annexin V
translocation to the outer leaflet of the cell membrane, nor genomic
DNA nicking, early features of apoptosis, were detected in the adherent
EC before matrix release. Second, lymphocyte-mediated injury of EC is
dependent on perforin-dependent mechanisms that were excluded in our
system by pretreatment of the effector cells with CMA, manipulation of
the cells to a noncytolytic Th2-like phenotype, and by the
demonstration that isolated lymphocyte plasma membrane preparations
were able to elicit EC detachment. Finally, the EC detachment was
significantly impaired by freezing the ß1
integrin matrix receptor in the high affinity conformation. This is
most consistent with a physiological, regulated mechanism controlling
matrix adhesion rather than a prelethal event.
The extent of down-modulation of endothelial matrix avidity following
contact with lymphocytes may occur over a wide range, encompassing the
whole cell or in a strictly regional fashion depending perhaps on the
duration of the intercellular interaction, and may be important in
several settings. First, angiogenesis at sites of inflammation requires
EC migration at the budding end of the newly forming capillary. This
process requires that the endothelium remodel matrix attachments as the
EC migrates outward. EC have been shown to express the high affinity
IL-2 receptor at sites of inflammation and synthesize MMPs in response
to lymphocyte-derived CD40 ligand, suggesting that contact between
lymphocytes and the EC may condition the EC for angiogenesis (49, 50). Second, regional remodeling of the EC matrix attachments
may play a permissive role in leukocyte transmigration similar to that
identified for cytoskeletal remodeling and that proposed for lateral
wall adhesion structure remodeling (51, 52). Finally, in
the setting of high signal intensity of protracted duration endothelial
detachment may be a mechanism of cell-mediated injury as proposed
earlier (8).
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Acknowledgments
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We thank Doris Abley for her expert technical assistance, and
Shannon Malowany for help in preparation of the manuscript.
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Footnotes
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1 This work was supported by grants from the Medical Research Council of Canada (to A.G.M.) and Juvenile Diabetes Foundation International (to J.F.E.). A.G.M. is the recipient of a Clinician-Investigator award from the Alberta Heritage Foundation for Medical Research. 
2 Address correspondence and reprint requests to Dr. Allan G. Murray, Room 11-107 CSB, University of Alberta, Edmonton, AB, T6G 2B7 Canada. E-mail address: 
3 Abbreviations used in this paper: FasL, Fas ligand; EC, endothelial cell(s); CMA, concanamycin A; FN, fibronectin; MMP, metalloproteinase; pAb, polyclonal antibody. 
Received for publication March 16, 1999.
Accepted for publication August 2, 1999.
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