|
|
||||||||
Departments of Pathology and Cytometry, Cancer Research and Treatment Center, University of New Mexico Health Sciences Center, Albuquerque, NM 87131
| Abstract |
|---|
|
|
|---|
20 sites/µm2, a
range likely to be relevant to endothelial cell expression levels in
conditions associated with eosinophilia. The unique behavior is
retained over shear rates ranging from 100 to 1500/s but is magnified
at low shear. Results from parallel-plate flow chamber assays suggest
that preferential eosinophil adhesion reflects an enhanced efficiency
of initial PSGL-1 bond formation with P-selectin rather than a unique
ability of eosinophils to mediate rolling interactions of longer
duration on low-density P-selectin substrates. These differences may
account in part for the increase in eosinophil accumulation in allergic
diseases. | Introduction |
|---|
|
|
|---|
The recruitment of an eosinophil (Eo)3 to a site of inflammation appears to exhibit many features of a pathway common to all leukocytes. Initial Eo tethering to endothelium is mediated by adhesion to vascular selectins induced on endothelial cell surfaces by inflammatory mediators. Selectin-dependent attachment occurs under fluid shear and results in a slowing down or "rolling" of Eos along the affected vascular segments (5). This event is reversible unless the adhesive activation of the integrins on the Eo follows. In the presence of chemoattractants or cell contact-mediated signals, the integrins become functionally activated and, in some cases, also increase in number. Activated integrins bind cell adhesion molecule counterstructures on endothelial cells, which results in a sustained, strong attachment and cell spreading (5, 6).
There also appear to be unique features of adhesion receptor usage by
Eos that could account for the differential patterns of Eo and
polymorphonuclear neutrophil (PMN) migration observed in allergic
diseases such as asthma. Unlike resting PMNs, Eos express the
ß1 integrin very late Ag-4
(
4ß1) that mediates
both rolling and firm adhesion to VCAM-1, a counterstructure whose
expression is induced upon endothelial cells by inflammatory cytokines.
Consistent with a role in selective recruitment of Eos, VCAM-1 is
expressed, albeit weakly, on lung endothelium in clinical asthma
(7, 8).
Eos also appear to differ from PMNs in their relative ability to recognize and bind vascular E- and P-selectins. It has been a consistent finding that Eos bind significantly less avidly than PMNs to E-selectin (9, 10, 11). With P-selectin, the relationship has been less clear cut. An increased binding avidity of Eos for P-selectin was implicated as the reason up to 10-fold more Eos than PMNs selectively accumulated on airway endothelium (nasal polyps) in vitro (12). This was consistent with the finding in a murine asthma model that Ag-induced eosinophilia was blocked by preventing associated production of histamine, a selective inducer of endothelial cell P-selectin (13). Recent studies in P-selectin gene knockout mice have also supported P-selectin as an important element in Eos recruitment (14, 15, 16). However, there have been conflicting results in studies of leukocyte adhesion to purified P-selectin immobilized on surfaces. Eos showed only a modestly increased avidity for P-selectin (9, 12) or bound P-selectin apparently less avidly than PMNs (10). These latter results raised questions as to how differential P-selectin recognition could account for selective Eo accumulation.
In the present study, we exposed cell suspensions to fluid shear using a novel on-line cone-plate viscometer integrated with a flow cytometer to detect cell adhesion. This model of cell-cell adhesion reveals a previously unappreciated ability of Eos to selectively recognize and bind to cells expressing very low cell membrane densities of P-selectin. These results suggest that low P-selectin expression may foster selective recruitment of Eos over PMNs to vascular endothelium.
| Materials and Methods |
|---|
|
|
|---|
Eos were prepared from peripheral blood of healthy volunteers as
previously described (17, 18) by separation of
granulocytes on Percoll and hypotonic lysis of contaminating
erythrocytes. Eos were then purified from the granulocytes by negative
selection in the presence of magnetic beads bearing mAbs to CD16 (to
remove PMNs) and CD3 (to remove the small number of contaminating T
lymphocytes). Such preparations consisted of 95% or more Eos. Because
the initial unfractionated granulocyte preparations typically consisted
of 95% or more PMNs and only 13% Eos, we used them rather than the
magnetic bead-coated postfractionation PMNs as the source of PMNs for
analysis. The expression by PMNs and Eos of a panel of membrane
determinants was assessed by direct immunofluorescence staining with
fluorochrome-conjugated mAbs. Expression of each determinant was
quantified by comparison of the median fluorescence intensity to a
standard curve generated with Quantum Simply Cellular microspheres
(Flow Cytometry Standards, San Juan, Puerto Rico) stained in parallel
with the same mAb. Levels of PMN Mac-1 (CD11b/CD18) expression (Fig. 1
A) were similar to what we
previously observed in whole-blood preparations of unstimulated PMNs
(19), an indication that the preparation procedures did
not inadvertently induce cell activation.
|
900
µm2 using the assumption of the cells as
spherical objects of 16.9-µm diameter. This is an obvious
oversimplification that does not account for membrane folds and
ruffles, but one that is meaningful as an average measure of what
leukocytes likely encounter during cell contacts and as a normalization
method to permit qualitative comparisons with results obtained in other
studies involving different experimental parameters. P-selectin site
number determinations were routinely performed at the beginning of each
adhesion experiment, and site density was computed as total Ab binding
sites/mean cell surface area. Fig. 1Cell suspension adhesion assays
Eos and PMNs were labeled with green fluorescent fluo3 (7.5 µM, 15 min 37°C), and CHO-Psel were labeled with red fluorescent hydroethidine (250 µM, 15 min, 37°C). In some experiments, PMNs were labeled with red fluorescent Fura Red (7.5 µM, 15 min, 37°C). Labeled cells were washed, resuspended in HHB buffer (110 mM NaCl, 10 mM KCl, 1 mM MgCl2, 1.5 mM CaCl2, 30 mM HEPES, 10 mM glucose, rendered nonpyrogenic by affinity chromatography over Polymixin B, pH 7.4), and stored on ice until used in assays. In initial experiments, cell adhesion was assessed under conditions of fluid shear generated by a magnetic stir bar. Cell suspensions containing 105 leukocytes plus 105 CHO-Psel in 0.5 ml HHB were stirred in a 12 x 75-mm polystyrene tube with a 2 x 5-mm magnetic stir bar (400 rpm, 37°C). After 5 min of continuous stirring, cells were sampled and analyzed in the flow cytometer to determine numbers of nonadherent singlet leukocytes (green/nonred fluorescent), nonadherent singlet CHO-Psel (red/nongreen fluorescent), and cell conjugates containing leukocytes adherent to CHO-Psel (red/green cofluorescent). The percentage of adherent leukocytes was calculated on the basis of the decrease in singlet leukocyte numbers: 100 x (I - O)/I in which I was the original number of input leukocytes and O was the number of leukocytes observed in the singlet population at the time of sampling.
To provide an adhesion environment in which fluid shear forces were
uniform and subject to precise control, cell suspension adhesion assays
were also performed in a cone-plate viscometer (CPV) (Brookfield
DV-III, Stoughton, MA). The CPV consists of a stationary plate beneath
a rotating cone designed to apply a uniform shear rate to all parts of
a sample placed between the opposing cone and plate surfaces
(21). The shear rate is independent of distance from the
cone center and equal to the cone angular velocity divided by the
tangent of the cone angle (22). Cones with angles of
0.8°, 1.565°, and 3° were used. Cell suspensions consisted of
2.5 x 104 Fluo 3-labeled PMNs or Eos plus
105 hydroethidine-labeled CHO-Psel in 0.5 ml HHB,
which were combined and placed in the CPV just before application of
shear. In one set of experiments, Fluo3-labeled Eos and Fura
Red-labeled PMNs (2 x 104 of each) were
combined together with 1.2 x 105 unlabeled
CHO-Psel. The increase in the ratio of CHO-Psel to leukocytes to
3:1
in CPV experiments was to ensure that the CHO cells were present in
excess and thus not limiting to the adhesion interaction. Samples were
aspirated through a port that penetrated the plate at the mid-point of
cone rotation.
To acquire and deliver the samples from the CPV to the flow cytometer, an automated device was used that involved the integrated actions of a syringe, a reciprocating two-position eight-port valve, and a pressure-driven fluid line. Fourteen 35-µl aliquots of suspension were aspirated from the CPV over a 2-min period as the cone was continuously rotating. From each aliquot, a 5-µl sample was collected in one of the valve sample loops, injected into the pressurized fluid line by switching the valve, and delivered to the flow cytometer by the moving fluid for analysis of cell adhesion. This sampling device is described in more detail in a separate publication (23). There was an interval of 68 s between initial sample aspiration and analysis. For each condition of shear, a suspension of leukocytes plus control parental untransfected CHO cells was analyzed to determine the cumulative total of input leukocytes recovered from all 14 aspirated samples (I). This was compared with the observed cumulative number of nonadherent leukocytes recovered in the singlet populations when leukocytes were subjected to comparable shear in the presence of CHO-Psel (O). The percentage of adherent leukocytes was then calculated as 100 x (I - O)/I. In an alternate approach, Fura Red-labeled PMNs and Fluo3-labeled Eos were combined together in suspension with unlabeled CHO-Psel. Singlet Eos and PMNs exhibited relatively low and comparable forward light scatter intensity signals, which shifted to the distinctively higher light scatter intensity profile characteristic of CHO cells when the leukocytes adhered to CHO-Psel. In these experiments, the number of input Eos and PMNs (I) was determined as the cumulative total of PMNs and Eos detected in the singlet leukocyte forward light scatter gate when CHO-Psel were pretreated with anti-P-selectin function-blocking mAbs. This was compared with the observed (O) cumulative number of nonadherent Eos and PMNs recovered in the singlet population when sheared with CHO-Psel in the absence of blocking mAbs. The percentage of adherent Eos and PMNs was then calculated as 100 x (I - O)/I as above. Function-blocking mAbs G1, directed against P-selectin, and PL-1 (Fab) directed against P-selectin glycoprotein ligand-1 (PSGL-1) were gifts from Dr. R. P. McEver.
The singlet-depletion method used for adhesion analysis assumes that a
decrease in cell numbers in the singlet leukocyte population strictly
reflects the formation of heterologous doublets and higher order
clusters between leukocytes and CHO-Psel. The validity of this
assumption is supported by our observation that the loss of leukocyte
singlet numbers in the presence of CHO-Psel is completely reversed in
the presence of P-selectin blocking Abs (see Fig. 3
A below).
Because only the CHO cells express P-selectin, only heterologous
adhesion should be affected and the total observed decrease in singlet
leukocyte numbers must be attributable to this cause. Thus, singlet
depletion due to homotypic leukocyte-leukocyte adhesion or leukocyte
death were not of detectable consequence in our adhesion measurements.
We have found that direct enumeration of heterologous conjugates (i.e.,
two-color events) consistently underestimates the number of adherent
leukocytes. This is due in part to the presence of higher order
heterologous clusters and the difficulty under our analysis conditions
of accurately quantifying the number of leukocytes present in such
heterologous clusters.
|
Physiologic flow conditions were produced in vitro using a flow chamber with parallel-plate geometry (Glycotech, Rockville, MD). The parallel-plate flow chamber used in this study has been described in detail (24). Briefly, the chamber produces a well-defined laminar flow over cell monolayers grown on coverslips. A suspension of Eos or PMNs (2 x 106 ml) in RPMI 1640 media, 1% human serum albumin was perfused through the chamber at a defined flow rate. Defined levels of shear are applied to CHO cell monolayers expressing P-selectin by drawing perfusion media through the parallel-plate chamber via a syringe pump (Harvard Apparatus, Natick, MA). The entire time period of leukocyte perfusion was videotaped under phase-contrast microscopy (Olympus, New Hyde Park, NY). All experiments were recorded with a Vicon VC240 CCD video camera and Toshiba KV-7168A recorder (ADI, Albuquerque, NM). Videotaped data frames were digitized for data analysis. Two quantities were measured in the analysis: the rate of initial attachment and the total number of rolling cells. The total number of rolling cells was determined by analysis of videotape recordings of 810 random fields surveyed over a 5-min interval (x20 phase-contrast objective). The rate of initial attachment was determined by counting the number of leukocytes that attached for at least 1 s during the first 3 min of observation in one field (x20 phase-contrast objective) per experiment.
| Results and Discussion |
|---|
|
|
|---|
In four separate experiments involving four different healthy blood
donors, we observed a statistically significant log linear relationship
to exist between P-selectin site density and the percentage of
leukocytes adherent to CHO-Psel (Fig. 2
,
p = 0.01 and 0.003 for linear fit of PMN and Eo data,
respectively). A greater percentage of Eos than PMNs bound to CHO-Psel
in each paired comparison. Moreover, as P-selectin site density
decreased, the ratio of adherent Eos to adherent PMNs increased. At the
lowest tested level of P-selectin (20
sites/µm2),
40% of Eos were adherent as
compared with 10% of PMNs, a 4:1 ratio (Fig. 2
). These initial results
suggested that low levels of P-selectin expression might favor
selective adhesion of Eos.
|
20 to less than 10
sites/µm2 (Fig. 3
In subsequent experiments, PMNs and Eos were mixed with CHO-Psel at
shear rates ranging from 114/s to 1500/s. The effect of shear at low
P-selectin site density was confirmed in repeated experiments with
leukocytes from four different healthy donors in which CHO P-selectin
site density was 9 ± 2 sites/µm2. The
ratio of adherent Eos to adherent PMNs was
9:1 at the lowest shear
rate of 114/s, then decreased to a plateau range of between 2:1 and 3:1
as shear rate increased to 225/s and 1500/s (Fig. 4
A). This was in distinct
contrast to the adhesion pattern observed when CHO-Psel expressing
7-fold higher levels of P-selectin (75 ± 16
sites/µm2) were tested in similar experiments
(Fig. 4
B). Although Eos again consistently exhibited a
larger adherent cell fraction than PMNs at all levels of shear, the
differences were of much smaller magnitude, and the influence of shear
rate on adhesion was less pronounced.
|
These experiments represent, to our knowledge, the first studies of how
defined shear conditions affect P-selectin-dependent adhesion of
leukocytes in free-cell suspensions. In previous work, such adhesive
interactions have been exclusively characterized between flowing
leukocytes and immobilized P-selectin or planar monolayers of cells
expressing P-selectin (9, 10, 12, 25, 26). The collisions
of free-flowing cells with immobilized cell monolayers in these latter
experimental systems differ in certain physical aspects from collisions
between cells in free suspension, and these differences are likely to
have important consequences for adhesion receptor operation.
Mathematical models comparing these two different classes of
intercellular collision suggest that when cells collide in free
suspension the average initial contact angle between cells is greater
(i.e., closer to head-on) and the average receptor-independent duration
of cell contact is
26 times longer (27, 28). Both of
these factors are likely to foster increased numbers of receptor-ligand
bonds; the first because of the broadened contact area between opposing
cell surface membranes promoted by increased compressive forces of
collision, the second because of the extended time frame in which
adhesion receptors are allowed to interact. Thus, the relatively stable
associations between leukocytes and CHO-Psel observed in our cell
suspension assays probably reflected the formation of a multiplicity of
PSGL-1/P-selectin bonds between individual pairs of colliding cells. To
further refine the physiological implications of our sheared cell
suspension adhesion data, we next compared the effect of P-selectin
site density on initial attachment and rolling of PMNs and Eos on CHO
cell monolayers in a conventional parallel-plate flow chamber assay.
This assay simulates interactions observed in vivo in which circulating
leukocytes are captured to vessel walls and roll along the vascular
endothelium.
Leukocytes were perfused over monolayers of CHO cells expressing
P-selectin over a range of 7140 sites/µm2.
The rate of fluid flow was adjusted to achieve a wall shear rate of
120/s. When P-selectin was expressed at relatively high site
densities (48140 sites/µm2), the frequency of
rolling Eos was consistently greater than that of PMNs (Fig. 5
A). By contrast, both
leukocyte types exhibited similar very low frequencies of rolling cells
on CHO cell monolayers expressing seven P-selectin
sites/µm2. All observed leukocyte rolling was
P-selectin dependent as there was no detectable rolling on
untransfected or mock-transfected control CHO cell monolayers (data not
shown). It has been previously shown that when P-selectin site density
falls below
15 sites/µm2, PMNs are
transiently captured or tethered to the substrate but often fail to
subsequently roll (29, 30). These attachment events are
thought, on the basis of binding kinetics data, to reflect single
P-selectin/PSGL-1 bond interactions (29, 30). Therefore,
we reevaluated PMN and Eo interactions with low-density P-selectin
substrates to determine whether differences in initial attachment could
be discerned. When leukocytes were perfused over CHO-Psel monolayers
expressing 812 P-selectin sites/µm2, the rate
of Eo initial attachment was significantly higher than that of PMNs
(Fig. 5
B).
|
It is noteworthy that the cell suspension adhesion assay used in
this study provided a uniquely sensitive method by which to
discern the differences between PMN and Eo attachment to P-selectin.
The present results suggest it to be a productive methodology for
modeling important physiologically relevant features of initial
receptor bond formation under shear flow. Perhaps the most important
aspect of the suspension assay in this regard is that it permits long
cell-cell contact times at moderate shear that could only be observed
under near static conditions in a parallel-plate assay. Thus, the
suspension assay complements the more conventional parallel-plate assay
and highlights features of adhesion receptor interactions that might
not be immediately obvious from the latter assay. Moreover, the
suspension assay methodology requires minimal numbers of leukocytes
(
25,000 per assay) so that low frequency leukocyte populations such
as Eos may be routinely prepared from relatively small amounts of
blood.
An interesting observation was the decline of PMN but not Eo adhesion
to near baseline levels that occurred in suspension assays when the
shear rate was decreased from 225 to 114/s (Fig. 4
A). This
suggested that between these two shear levels was a shear threshold
below which stable PMN adhesion to CHO-Psel was less efficiently
established. This was somewhat higher than the shear threshold of
70/s reported for rolling of HL-60 cells on
50
sites/µm2 P-selectin in parallel-plate assays
(33). This discrepancy may have reflected the reported
variation of shear threshold with P-selectin site density
(33), our use of PMNs rather than HL-60 cells,
and possibly a difference in the cumulative number of PSGL-1/P-selectin
bonds required for formation of stable conjugates in the suspension
assay. In any event, these results suggest that Eos and PMNs may
exhibit differences in shear thresholds for P-selectin adhesion
deserving of further investigation.
An additional important finding in our parallel-plate flow chamber
studies was that Eos showed increased rolling with increasing
P-selectin site density, whereas PMN rolling showed a plateau (Fig. 5
A). This suggests that not only do Eos bind more
efficiently than PMNs to P-selectin when it is present at very low site
density, but they are also able to more efficiently use higher levels
of P-selectin for rolling. Because anti-PSGL-1 function blocking
mAbs completely blocked adhesion of both PMNs and Eos to P-selectin
(Fig. 3
, A and B), it seems unlikely that other
potential leukocyte P-selectin counterligands (34, 35, 36, 37)
could have been significantly involved. Therefore, differences between
Eos and PMNs in P-selectin recognition may reflect qualitative or
quantitative differences in PSGL-1 expression. Eos express nearly
2-fold higher levels of PSGL-1 than PMNs (Ref. 12 , Fig. 1
A). The molecular structure of PSGL-1 also reportedly
differs in Eos vs PMNs (12, 38). It is also possible that
differences in PSGL-1 organization on microvilli may be involved.
Further studies will be required to distinguish among these
possibilities. It is interesting that despite their increased initial
attachment rate at low P-selectin site densities, Eos were
no more able than PMNs to subsequently mediate rolling interactions of
>1- to 3-s duration. This suggests that Eos and PMNs share a common
minimum P-selectin site density requirement for more sustained rolling
interactions that is independent of the efficiency of the initial
PSGL-1/P-selectin tether bond formation.
| Footnotes |
|---|
2 Address correspondence and reprint request to Dr. Bruce S. Edwards, Cytometry, CRF Room 217, University of New Mexico Health Sciences Center, 2325 Camino de Salud, Albuquerque, NM 87131. ![]()
3 Abbreviations used in this paper: Eo, eosinophil; CHO, Chinese hamster ovary; CHO-Psel, CHO cells expressing transfected human P-selectin; CPV, cone-plate viscometer; PMN, polymorphonuclear neutrophil; PSGL, P-selectin glycoprotein ligand-1. ![]()
Received for publication December 6, 1999. Accepted for publication April 12, 2000.
| References |
|---|
|
|
|---|
, or human interleukin 8. J. Exp. Med. 178:1913.
4 integrin have distinct roles in eosinophil tethering and arrest on vascular endothelial cells under physiological flow conditions. J. Immunol. 159:3929.[Abstract]
This article has been cited by other articles:
![]() |
S. Siddiqui, F. Hollins, S. Saha, and C. E. Brightling Inflammatory cell microlocalisation and airway dysfunction: cause and effect? Eur. Respir. J., December 1, 2007; 30(6): 1043 - 1056. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Satoh, Y. Kanai, M.-H. Wu, H. Yokozeki, R. Kannagi, J. B. Lowe, and K. Nishioka Synthesis of {alpha}(1,3) Fucosyltransferases IV- and VII-Dependent Eosinophil Selectin Ligand and Recruitment to the Skin Am. J. Pathol., September 1, 2005; 167(3): 787 - 796. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Sayasith, N. Bouchard, D. Boerboom, K. A. Brown, M. Dore, and J. Sirois Molecular Characterization of Equine P-Selectin (CD62P) and Its Regulation in Ovarian Follicles During the Ovulatory Process Biol Reprod, March 1, 2005; 72(3): 736 - 744. [Abstract] [Full Text] [PDF] |
||||
![]() |
I. G. Winkler, K. R. Snapp, P. J. Simmons, and J.-P. Levesque Adhesion to E-selectin promotes growth inhibition and apoptosis of human and murine hematopoietic progenitor cells independent of PSGL-1 Blood, March 1, 2004; 103(5): 1685 - 1692. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Chigaev, G. Zwartz, S. W. Graves, D. C. Dwyer, H. Tsuji, T. D. Foutz, B. S. Edwards, E. R. Prossnitz, R. S. Larson, and L. A. Sklar {alpha}4{beta}1 Integrin Affinity Changes Govern Cell Adhesion J. Biol. Chem., October 3, 2003; 278(40): 38174 - 38182. [Abstract] [Full Text] [PDF] |
||||
![]() |
O. J. T. McCarty, N. Tien, B. S. Bochner, and K. Konstantopoulos Exogenous eosinophil activation converts PSGL-1-dependent binding to CD18-dependent stable adhesion to platelets in shear flow Am J Physiol Cell Physiol, May 1, 2003; 284(5): C1223 - C1234. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Koarai, M. Ichinose, S. Ishigaki-Suzuki, S. Yamagata, H. Sugiura, E. Sakurai, Y. Makabe-Kobayashi, A. Kuramasu, T. Watanabe, K. Shirato, et al. Disruption of L-Histidine Decarboxylase Reduces Airway Eosinophilia but not Hyperresponsiveness Am. J. Respir. Crit. Care Med., March 1, 2003; 167(5): 758 - 763. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. Dang, S. Wiehler, and K. D. Patel Increased PSGL-1 expression on granulocytes from allergic-asthmatic subjects results in enhanced leukocyte recruitment under flow conditions J. Leukoc. Biol., October 1, 2002; 72(4): 702 - 710. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. H. Broide, M. Miller, D. Castaneda, J. Nayar, J. Y. Cho, M. Roman, L. G. Ellies, and P. Sriramarao Core 2 oligosaccharides mediate eosinophil and neutrophil peritoneal but not lung recruitment Am J Physiol Lung Cell Mol Physiol, February 1, 2002; 282(2): L259 - L266. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Chigaev, A. M. Blenc, J. V. Braaten, N. Kumaraswamy, C. L. Kepley, R. P. Andrews, J. M. Oliver, B. S. Edwards, E. R. Prossnitz, R. S. Larson, et al. Real Time Analysis of the Affinity Regulation of alpha 4-Integrin. THE PHYSIOLOGICALLY ACTIVATED RECEPTOR IS INTERMEDIATE IN AFFINITY BETWEEN RESTING AND Mn2+ OR ANTIBODY ACTIVATION J. Biol. Chem., December 21, 2001; 276(52): 48670 - 48678. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |