The Journal of Immunology, 2000, 165: 442-452.
Copyright © 2000 by The American Association of Immunologists
The LFA-1 Integrin Supports Rolling Adhesions on ICAM-1 Under Physiological Shear Flow in a Permissive Cellular Environment1
Alex Sigal*,
Diederik A. Bleijs
,
Valentin Grabovsky*,
Sandra J. van Vliet
,
Oren Dwir*,
Carl G. Figdor
,
Yvette van Kooyk
and
Ronen Alon2,*
*
Department of Immunology, The Weizmann Institute of Science, Rehovot, Israel; and
Department of Tumor Immunology, University Hospital Nijmegen, Nijmegen, The Netherlands
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Abstract
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The LFA-1 integrin is crucial for the firm adhesion of circulating
leukocytes to ICAM-1-expressing endothelial cells. In the present
study, we demonstrate that LFA-1 can arrest unstimulated PBL subsets
and lymphoblastoid Jurkat cells on immobilized ICAM-1 under
subphysiological shear flow and mediate firm adhesion to ICAM-1 after
short static contact. However, LFA-1 expressed in K562 cells failed to
support firm adhesion to ICAM-1 but instead mediated K562 cell rolling
on the endothelial ligand under physiological shear stress.
LFA-1-mediated rolling required an intact LFA-1 I-domain, was enhanced
by Mg2+, and was sharply dependent on ICAM-1 density. This
is the first indication that LFA-1 can engage in rolling adhesions with
ICAM-1 under physiological shear flow. The ability of LFA-1 to support
rolling correlates with decreased avidity and impaired time-dependent
adhesion strengthening. A ß2 cytoplasmic domain-deletion
mutant of LFA-1, with high avidity to immobilized ICAM-1, mediated firm
arrests of K562 cells interacting with ICAM-1 under shear flow. Our
results suggest that restrictions in LFA-1 clustering mediated by
cytoskeletal attachments may lock the integrin into low-avidity states
in particular cellular environments. Although low-avidity LFA-1 states
fail to undergo adhesion strengthening upon contact with ICAM-1 at
stasis, these states are permissive for leukocyte rolling on ICAM-1
under physiological shear flow. Rolling mediated by low-avidity LFA-1
interactions with ICAM-1 may stabilize rolling initiated by specialized
vascular rolling receptors and allow the leukocyte to arrest on
vascular endothelium upon exposure to stimulatory endothelial
signals.
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Introduction
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The
recruitment of leukocytes into sites of inflammation and lymphoid
tissues involves leukocyte interactions with vascular endothelium under
shear flow. These interactions are initiated by weak reversible
recognition of endothelial ligands followed by firm adhesion mediated
by members of the integrin family and their respective Ig family
ligands (1). ß2 Integrins are the
major cell-cell adhesion receptors on leukocytes, and they participate
in versatile adhesive processes of these cells within the vasculature
(1). These processes include the arrest of immune cells on
vessel walls at sites of inflammation or lymphoid tissues,
transendothelial migration, and final localization at sites of Ag
presentation (1, 2). LFA-1
(
Lß2) is the major
ß2 integrin on lymphocytes that mediates
binding to ICAMs, Ig family integrin ligands expressed on venular
endothelia and on APC, effector immune cells, and activated platelets
(3, 4, 5, 6). ICAM-1 (CD54) is the major LFA-1 ligand; it is
ubiquitously found on most leukocytes and endothelial cells, where it
is up-regulated during inflammation. ICAM-1 is a bent rod and contains
five Ig-like domains oriented head to tail (7). Domain 1
of ICAM-1, the most membrane-distal, contains the primary site of
contact for LFA-1 (8).
LFA-1 has been postulated to require activation to support firm
adhesion to its different ICAM ligands (9, 10).
High-avidity LFA-1 binding to endothelial ICAM-1 is triggered on
circulating leukocytes after they have established weak rolling
adhesions on the vessel wall through selectins, CD44, or VAP-1
(1, 11). However, several integrins like
4ß1 and
4ß7 occur in
constitutively adhesive states on circulating leukocytes and can also
support rolling adhesions on their respective endothelial ligands
(12, 13, 14, 15). The inability of ß2
integrins to participate in similar rolling interactions between
leukocytes and vascular endothelium has been attributed to the critical
dependence of their adhesiveness on prior activation of chemoattractant
receptors coupled to heterotrimeric G-proteins on circulating
leukocytes (16, 17, 18).
Controlled flow assays performed in laminar flow chambers have been
useful in the characterization of transient and weak adhesive
interactions between cells and surface-immobilized ligands or Abs
(19). Using these assays to generate low-range detachment
forces, relatively weak adhesions between integrins on resting cells
and immobilized ligands can be detected and quantified
(20, 21, 22). Testing LFA-1 adhesiveness to ICAM-1 in the
human leukemia cell Jurkat as a prototypic T cell model, we show in
this paper that LFA-1 can spontaneously form weak but specific adhesion
to immobilized ICAM-1. Subsets of PBL were also found to develop LFA-1
adhesions of considerable strength upon short contact with
ICAM-1-coated surfaces. Under identical conditions, stable adhesion to
ICAM-1 of K562 cells transfected with LFA-1 was not observed.
Nevertheless, when exposed to physiological shear stresses,
LFA-1-expressing K562 cells established persistent rolling on ICAM-1.
These results extend previous findings, which showed that the isolated
I-domain of LFA-1 can engage in rolling interactions with high-density
ICAM-1 and ICAM-3 (23). This is the first indication that
the intact LFA-1 integrin, when placed in a permissive cellular
environment, can support rolling adhesions on physiological densities
of ICAM-1 under physiological shear flow. Furthermore, this study
provides evidence that cell-type-dependent differences in LFA-1 avidity
states, but not intrinsic affinity properties, control LFA-1 ability to
support rolling adhesions on ICAM-1 under physiological shear
flow.
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Materials and Methods
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Abs and reagents
All mAbs were used as purified IgGs. The function-blocking
anti-LFA-1 mAb NKI-L15 and the nonblocking mAbs SPV-L7 and NKI-L16,
directed against the
subunit of LFA-1, were produced as previously
described (24). TS1.22, a function-blocking anti-LFA-1
mAb directed against the I-domain of the integrin
subunit
(25), and mAb R 6.5, an anti-ICAM-1 mAb directed
against the LFA-1 recognition site on the first Ig-like domain of
ICAM-1 (26), were the generous gift of Dr. T. Springer,
(Center for Blood Research, Harvard Medical School, Boston, MA). TS2.4,
a nonblocking anti-LFA-1 mAb (25), was kindly provided
by Dr. E. Martz. HP 1/2, a very late Ag-4
(VLA-4)3-specific mAb
(27), was a kind gift of Dr. R. Lobb (Biogen, Cambridge,
MA). The anti-ß2 mAb KIM185 was used to
activate LFA-1 (28). Purified mouse IgG (Zymed, South San
Francisco, CA) was used as a control. Fluorescein
isothiocyanate-conjugated goat anti-mouse IgG and goat
F(ab')2 anti-mouse IgG (Zymed), or goat
anti-human Fc (Jackson Immunoresearch, West Grove, PA) were used as
secondary Abs in FACS analysis and immunofluorescence microscopy.
Recombinant soluble ICAM-1 (sICAM-1), encompassing the entire
extracellular domain of human ICAM-1 was purchased from R&D Systems
(Minneapolis, MN). ICAM-1-Fc, consisting of the entire extracellular
portion of human ICAM-1 fused to human IgG Fc (29), was
the generous gift of Dr. L. Klickstein (Brigham and Womens Hospital,
Boston, MA). A VCAM-1-Fc fusion protein, consisting of the two
N-terminal domains of human VCAM-1, fused to human IgG Fc was a gift of
Dr. R. Lobb. BSA- (fraction V), protein A-,
Ca2+-, and Mg2+-free HBSS
and Ficoll-Hypaque 1077 were obtained from Sigma (St. Louis, MO). Human
serum albumin (HSA; fraction V) and PMA were purchased from Calbiochem
(La Jolla, CA).
Cells
K562 cells stably expressing LFA-1 (30) were
maintained in RPMI 1640/Iscoves medium (3:1 v/v) supplemented with
5% heat-inactivated FCS (Biological Industries, Beit Hahemek, Israel),
1% penicillin/streptomycin (Bio Lab, Jerusalem, Israel), and 2 mg/ml
G418 (Calbiochem) to selectively maintain the transfected population.
The ß2 deletion mutant
Lß2/
724 generated
by truncation of the ß2 cytoplasmic tail at
amino acid position 724 close to the transmembrane region
(30) was stably expressed in K562 cells maintained as
above. The Jurkat T lymphoblastoid cell line was maintained in RPMI
1640 supplemented with 10% heat-inactivated FCS (Sigma), 2 mM
L-glutamine, and 1% antibiotics. Human peripheral blood
lymphocytes (obtained from healthy donors) were isolated from
citrate-anticoagulated whole blood by dextran sedimentation and density
separation over Ficoll-Hypaque (20). The mononuclear cells
thus obtained were washed and further purified on nylon wool and by
further panning on serum-coated dishes. The resulting purified PBL were
more than 90% CD3-positive T lymphocytes. PBL were maintained in RPMI
1640 supplemented with 10% heat-inactivated FCS for 1518 h after
isolation and purification until use.
Flow cytometry
A total of 106 cells were incubated for
1 h on ice in 20 µg/ml of the
LFA-1 mAb TS1.22 and control
mAb 4B9 in a solution of PBS with 1% BSA and 0.05% sodium azide (FACS
buffer). Cells were washed three times in FACS buffer and incubated for
15 min on ice with 5 µg/ml FITC-conjugated goat anti-mouse IgG
(Zymed) in FACS buffer. Cells were washed three times and analyzed by
FACSort flow cytometer (Becton Dickinson).
ICAM-1-Fc binding to cells was determined by immunofluorescence
by incubating 50,000 cells in TSA binding medium (20 mM Tris-HCl (pH
8.0), 150 mM NaCl, 1 mM Ca2+, 2 mM
Mg2+, and 5 mg/ml BSA) with or without LFA-1
blocking mAb (20 µg/ml) for 10 min at room temperature (RT) in a
96-well V-bottom plate. Different concentrations of purified soluble
ICAM-1-Fc were added, and the suspension was incubated for 30 min at
37°C. The cells were washed with TSA and incubated for 30 min at RT
with FITC-conjugated goat-anti-human Fc-specific Ab, and then they
were washed again, and the percentage of positively stained cells was
measured by FACScan. Net binding values were depicted as: (percentage
of positive cells stained in the absence of the LFA-1 blocking mAb
(NKI-L15)) - (percentage of cells stained in the presence of the
LFA-1 blocking mAb). The concentration of sICAM-1Fc that gave
half-maximal net ICAM-1-Fc staining was determined for the different
experimental groups.
Fluorescent beads adhesion assay
Cells were resuspended in TSA binding medium (5 x
106 cells/ml). A total of 50,000 cells were
preincubated with or without LFA-1-blocking mAb (20 µg/ml) for 10 min
at RT in a 96-well V-bottom plate, alone or in the presence of 100
ng/ml PMA. Ligand-coated TransFluoSpheres (1 µm; Molecular Probes,
Eugene, OR) were incubated with different experimental groups (at a
ratio of 20 beads/cell) for 30 min at 37°C. The cells were washed
with TSA, and LFA-1-mediated bead adhesion was measured by flow
cytometry using FACScan as previously described (31).
Values are depicted as integrin-specific adhesion, i.e., (percentage of
cells binding to beads in the absence of the LFA-1 blocking mAb
(NKI-L15)) - (percentage of cells binding to beads in the
presence of the LFA-1 blocking mAb).
Confocal microscopy
Cells were fixed with 0.5% paraformaldehyde and stained with
TS2/4 mAb (10 µg/ml) for 30 min at 37°C before incubation with
FITC-labeled goat F(ab')2 anti-mouse IgG mAb
for 30 min at RT. Cells were attached to polyl-lysine-coated glass
slides, and cell surface distribution of integrins was determined by
confocal laser scanning microscopy (CLSM) at 488 nm with a
krypton/argon laser (Bio-Rad 1000; Bio-Rad, Hercules, CA).
Laminar flow assays
Preparation of adhesive substrates.
Recombinant sICAM-1 was dissolved in coating medium (PBS buffered with
20 mM bicarbonate (pH 8.5)) and directly coated to a polystyrene plate
(60 x 15 mm petri dish; Becton Dickinson, Lincoln Park, NJ) for
2 h at 37°C. The plate was washed three times with PBS and
blocked with HSA (20 mg/ml in PBS) overnight at 4°C. ICAM-1-Fc-coated
substrates were prepared as previously described (32).
Protein A (20 µg/ml in coating medium) was spotted onto a polystyrene
plate, and the substrate was washed and blocked with HSA (20 mg/ml in
PBS). The protein A-coated substrate was overlaid overnight at 4°C
with 0.510 µg/ml of ICAM-1-Fc in PBS supplemented with HSA. The
adsorbed chimeric ICAM-1 was shown to bind the protein A-coated
substrate exclusively through its Fc region, as verified by the ability
of excess human IgG to compete off all ICAM-1-Fc adsorption onto the
substrate. LFA-1-specific mAbs were coated (5 µg/ml in PBS/HSA) on
surfaces precoated with protein A and overlaid with IgG-Fc-specific
rabbit anti-mouse (5 µg/ml in PBS/HSA). The density of functional
sICAM-1 coated on the substrate was determined by saturation binding of
125I-labeled anti-ICAM-1 mAb, R 6.5. The site
density of ICAM-1-Fc adsorbed to the protein A substrates was
determined from overlay experiments with
125I-labeled ICAM-1-Fc. Labeled fusion protein or
ICAM-1 mAb were prepared by the chloramine T method (33),
using a ratio of 50 µg protein to 0.5 mCi of carrier-free
[125I]Na (Amersham, Buckinghamshire, U.K.).
Determination of cell adhesion to ICAM-1 in stasis and under flow.
A polystyrene coated with an adhesive ligand was assembled in a
parallel-plate laminar flow chamber (260-µm gap) and mounted on the
stage of an inverted phase contrast microscope (Diaphot 300; Nikon,
Tokyo, Japan) as previously described (13, 34). Cell
images were videotaped with a long-integration LIS-700 CCD video camera
(Applitech, Holon, Israel) and a Panasonic AG-6730 SVHS video recorder
(Panasonic, Osaka, Japan). Cultured cells were washed twice with
cation-free H/H medium (HBSS containing BSA (2 mg/ml) and 10 mM HEPES
(pH 7.4)) containing 5 mM EDTA, resuspended in H/H medium, and kept at
RT until use. Cells were suspended at RT in binding medium (H/H
supplemented with 1 mM each of Ca2+ and
Mg2+; also referred to as physiological binding
medium). Alternatively, cells were suspended in H/H supplemented with 2
mM Mg2+, alone or with 0.5 mM EGTA
(Mg2+/EGTA). Suspended cells
(106 cells/ml) were perfused through the flow
chamber and allowed to settle on the plate for different periods in the
absence of flow or were perfused through the chamber for 1 min at a
constant low shear flow (0.25 dyn/cm2, unless
otherwise indicated) before being subjected to an incremental increase
in shear stress. Shear flow was generated and automatically controlled
with an automated syringe pump (Harvard Apparatus, Natick, MA) attached
to the outlet side of the flow chamber. The wall shear stress was
increased step-wise every 5 s (by a programmed set of flow rates)
until it reached 10 dyn/cm2. At the end of each
5-s interval at a particular shear stress, the number of cells that
remained bound (stationary or rolling; see below) was determined
relative to the number of cells originally settled in stasis or
relative to the number of cells that had accumulated at low shear flow
on the ICAM-1-coated field. Cellular interactions were determined on
two representative fields of view (each typically 0.34
mm2 of area). For Ab inhibition studies, cells
(107/ml) were preincubated (5 min; 4°C) in H/H
medium with LFA-1 blocking mAb (20 µg/ml). The cells were diluted
1:10 into binding medium without washing out the Abs, and the
suspension was perfused into the flow chamber. To selectively block
high-affinity LFA-1 on compared cells, cells were suspended in binding
medium containing soluble ICAM-1-Fc (0.51 µg/ml) or control
VCAM-1-Fc for 5 min at 24°C and then perfused through the flow
chamber without diluting out the soluble ligands. For metabolic energy
inhibition experiments, cells (2 x 107/ml)
were treated (10 min; 22°C) with 0.1% sodium azide (Sigma) and 50 mM
2-deoxyglucose (2-DOG; Sigma) in H/H medium and then diluted (1:5) with
binding medium and immediately perfused into the flow chamber.
Determination of rolling fractions and rolling velocities.
Cells interacting with ICAM-1 were defined as arrested if they adhered
to the substrate and remained motionless throughout the shear-flow
interval examined. Cellular motions were defined as rolling if they
persisted for at least 4 s at a mean velocity >2 µm/s that was
reduced at least 20-fold compared with a freely flowing cell at a given
shear stress. Some cells that arrested after tethering to high-density
ICAM-1 under low shear flow began rolling when subjected to elevated
shear stresses. The rolling fraction at a given shear stress was
defined as: [(no. of rolling cells) x 100]/(no. of rolling
cells + no. of stationary cells). The mean rolling velocities of cell
populations at a given shear stress were determined by measuring the
displacements of 1520 cells over 5-s shear intervals.
Image analysis.
Quantitative analysis of cell displacements was performed with the
WSCAN-Array-3 imaging software (Galai, Migdal-Haemek, Israel). Video
frame images were digitized using a Matrox Pulsar frame grabber (Matrox
Graphics, Dorval, Quebec, Canada) and processed by software running on
an Atlas Pentium MMX-200 work station. The program output provided the
coordinates of the center point of each cell with time, and analysis
was performed with a dedicated software run under Matlab 5.2 (developed
in collaboration with the lab of Prof. David Malah, Signal and Image
Processing Lab, Technion, Haifa, Israel). Selected video images were
also digitized on a G3 Macintosh using a Media100 frame grabber, and
cellular motions were tracked using the DIAS imaging software
(Solltech, Oakdale, IA).
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Results
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LFA-1 expressed in K562 cells supports rolling adhesions on ICAM-1
under physiological shear flow
To assess the magnitude of adhesiveness spontaneously developed by
LFA-1 during brief cell contact with ICAM-1, we used a controlled flow
assay to study weak LFA-1-dependent adhesion of various cell types to
ICAM-1 substrates. LFA-1-mediated adhesion of the T cell leukemia line
Jurkat was compared with that of K562 cells transfected with LFA-1 cDNA
(K562-LFA-1 cells). The level of LFA-1 expressed on both cell types was
comparable, although it was somewhat more heterogeneous in the K562
transfectants (Fig. 1
). Substrates were
coated with a recombinant human ICAM-1-Fc fusion protein by
overlaying the protein on plastic precoated with protein A.
Unstimulated Jurkat and K562-LFA-1 cells failed to develop firm
adherence to immobilized ICAM-1 in conventional tip plate adhesion
assays (data not shown). Nevertheless, when allowed to briefly settle
on ICAM-1-coated substrates assembled in a flow chamber, significant
fractions of both cell types developed considerable LFA-1-specific
adhesion to ICAM-1 even without stimulation (Fig. 2
A). Adhesion of both cell
types was entirely LFA-1-dependent because it was blocked in the
presence of the LFA-1-blocking mAb TS1.22 or by integrin inhibition in
the presence of EDTA (Fig. 2
A and data not shown).
VLA-4-expressing K562 cells failed to adhere to identical ICAM-1
substrates (Fig. 2
A). Replacement of
Ca2+ by Mg2+, which induces
a high-affinity state on LFA-1 without dependence on intracellular
signaling events, increased LFA-1 adhesiveness to ICAM-1 in both cell
types to a comparable degree (Fig. 2
A). The fraction of
Jurkat cells that spontaneously adhered to ICAM-1 was markedly higher
than that of K562-LFA-1 cells, both in medium containing
Ca2+ and Mg2+ and in medium
containing Mg2+ alone.

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FIGURE 1. Expression of LFA-1 on K562-LFA-1, Jurkat, and PBL. Cells were stained
with the anti-LFA-1 mAb TS1.22 and then with FITC-labeled goat
anti-mouse and were analyzed by FACS (open histograms). Negative
control staining with murine IgG is shown in the filled
histograms.
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FIGURE 2. LFA-1-mediated adhesion to ICAM-1 in different unstimulated
LFA-1-expressing cells. A, K562-LFA-1 cells or Jurkat
cells were introduced into the flow chamber in the indicated medium and
allowed to settle for 1 min on a substrate coated with ICAM-1-Fc as
described in Materials and Methods. The substrate
contained 375 sites/µm2 of ICAM-1-Fc
molecules/µm2 (750 ICAM-1 sites/µm2). Cells
were then subjected to a shear stress of 0.25 dyn/cm2 for
10 s before incremented shear stresses were applied, as indicated
in the figure. Each increment lasted for 5 s, and the number of
cells remaining adherent to ICAM-1 at the end of each interval of
incremented shear was determined in two representative fields. The mean
values ± range are shown in the figure. Reduction in the number
of LFA-1 K562 cells remaining bound in the field was a result of cell
detachment from the substrate and not of cells rolling out of the field
of view. No adhesion of K562-LFA-1 or Jurkat cells was detected on
substrates coated with protein A or with HSA alone. One of six similar
independent experiments. B, Effect of shear stress and
cation composition in the binding medium on the ability of
LFA-1-expressing cells to roll on ICAM-1. Fractions of adherent cells
within each cell type that maintained steady rolling on the ICAM-1 substrate at the indicated
shear stresses are depicted. Rolling fractions were determined in two
representative fields at a shear stress of 1.5 dyn/cm2 or
3.5 dyn/cm2. Average values ± range are shown.
C, Images of K562-LFA-1 cells rolling on ICAM-1-Fc
coated at 950 ICAM-1 sites/µm2 at a shear stress of 3.5
dyn/cm2. The figure shows superposition of sequential
images of cells captured from videotaped cellular motions at 0.28-s
intervals. Cell images analyzed by the imaging software DIAS (see
Materials and Methods) are represented as filled
superimposed circles. Representative cells rolling with either a
persistent or a jerky pattern are shown in medium containing either
Ca2+ and Mg2+ (top panel) or
Mg2+ alone (bottom panel). The arrow in the
top panel indicates the position of a representative
rolling cell at the position where it began to detach from the
ICAM-1-coated substrate. The velocity of freely flowing cells at a
shear stress of 3.5 dyn/cm2 was >400 µm/s.
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Strikingly, when K562-LFA-1 cells adhered to ICAM-1 were subjected to a
physiological shear stress higher than 1 dyn/cm2,
the majority of cells started to roll on the ICAM-1 substrate in a
persistent manner, reminiscent of selectin-mediated rolling assayed in
similar flow assays (Fig. 2
, B and C). Rolling
required a threshold of ICAM-1 density because it diminished on
substrates coated at densities below 80
sites/µm2 (data not shown). The median strength
of LFA-1-transfected K562 cell adhesions i.e., the shear stress causing
the detachment of half of originally adherent cells, also varied with
ICAM-1 density. The median strength dropped from 2.5
dyn/cm2 on ICAM-1-Fc coated at 750
sites/µm2 to a median strength of 1
dyn/cm2 on ICAM-1-Fc coated at 190
sites/µm2. Mg2+ was
obligatory for LFA-1-mediated rolling of K562 cells on ICAM-1 because,
in the presence of Ca2+ alone, LFA-1 adhesiveness
was abolished on any ICAM-1 substrate tested (Fig. 2
A).
Replacement of Ca2+ with
Mg2+ rendered essentially all adherent K562 cells
rolling on the ligand (Fig. 2
B). Recently, ICAM-1
dimerization has been shown to strengthen LFA-1-mediated adhesions
(35). ICAM-1 dimerization within the ICAM-1-Fc chimera did
not appear obligatory for efficient LFA-1-mediated rolling because
LFA-1 adhesiveness to monovalent ICAM-1, sICAM-1, directly immobilized
on the substrate was comparable to LFA-1 adhesiveness to the dimeric
ICAM-1-Fc when both were present at high site densities (Fig. 3
). Notably, the ability of K562-LFA-1
cells to roll on ICAM-1 did not depend on a prior contact with
immobilized ICAM-1. Cells tethered at shear flow to high-density ICAM-1
substrates (Fig. 3
) continued to efficiently roll on the substrates,
similarly to cells statically adhered and then subjected to shear flow
(Fig. 2
).

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FIGURE 3. Effect of ICAM-1 type and site density on K562-LFA-1 accumulation and
rolling efficiency. Rolling attachments formed by K562-LFA-1 cells on
different ICAM-1 substrates under shear flow. Cells were perfused in
the presence of 2 mM Mg2+ and allowed to accumulate at 0.25
dyn/cm2 for 60 s. The shear stress was increased to
0.5 dyn/cm2 for 5 s. The number of cells remaining
adherent at the end of this interval is depicted by the hatched bars,
and the fraction of adherent cells rolling on ICAM-1 at 0.5
dyn/cm2 is shown in parentheses on top of each bar graph.
Cells remaining bound at 0.5 dyn/cm2 were subjected to
incremented shear stresses of 0.75, 1.0, and 1.5 dyn/cm2,
with each incremented shear lasting for 5 s. The number of cells
remaining adherent at 1.5 dyn/cm2 (average ± range of
two representative fields) is depicted by the filled bars, and the
fraction of rolling cells at this shear stress is shown in parentheses
on each bar. One of four similar experiments.
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Rolling velocity through LFA-1 is modulated by
cations and is only moderately increased by elevated shear stresses
Agonists of VLA-4 affinity to VCAM-1 such as
Mn2+ or Mg2+ have been
shown to slow integrin-mediated rolling (13). Therefore,
we asked how LFA-1 rolling on ICAM-1 is regulated by divalent cations.
Although rolling adhesions of K562-LFA-1 cells increased in the
presence of Mg2+ alone (Fig. 2
, A and
B), the velocities of cells rolling on ICAM-1 in the
presence of this cation alone were not significantly different from
those measured in physiological concentrations of
Ca2+ and Mg2+ (Fig. 4
A). LFA-1 binding to ICAM-1
in the presence of Mg2+ can be increased by
chelation of residual Ca2+ in the presence of
EGTA because Ca2+ exclusion stabilizes LFA-1 in a
conformation with high affinity for ICAM-1 (36). Indeed,
in the presence of Mg2+/EGTA, the fraction of
adherent K562-LFA-1 cells rolling on ICAM-1 was sharply reduced (Fig. 4
B, inset), and the cells that could still roll
on ICAM-1 did so at 5- to 7-fold slower velocities than in the presence
of Mg2+ alone (Fig. 4
B). Increasing
LFA-1 affinity to ICAM-1 in the presence of
Mg2+/EGTA thus resulted in the majority of
K562-LFA-1 cells developing firm adherence to ICAM-1 substrates.
Elevation of ICAM-1 density caused all cells to arrest on ICAM-1 in the
presence of Mg2+/EGTA (data not shown). Thus,
increasing LFA-1 affinity restricts rolling interactions and leads to
arrest of K562 cells interacting with ICAM-1 under shear flow.
A characteristic of rolling adhesions mediated by selectins and
4 integrins is that rolling velocity increases
with increasing shear forces (13, 34). A remarkable
feature of LFA-1-mediated rolling demonstrated by our experiments was
the invariance of rolling velocity with elevated shear stress (Fig. 4
, A and B). To rule out the possibility that cells
with higher resistance to detachment from ICAM-1, and therefore higher
avidity of LFA-1 and slower rolling dynamics, were enriched within the
population of cells remaining rolling on ICAM-1 at elevated shear
stresses, single cells were analyzed for their displacement with time
at continuously incremented shear stress. Surprisingly, rolling
velocities of individual K562-LFA-1 remained constant (Fig. 4
C, open symbols) or increased only moderately with elevated
shear stress (Fig. 4
C,
). This peculiar dynamic behavior
was seen only in cell subsets that exhibited higher resistance to
detachment by elevated shear stresses. Thus, highly adhesive
LFA-1-expressing K562 cells could overcome the destabilizing effects of
elevated shear stress, which lead to faster rolling and enhanced
detachment in the more weakly adhered K562-LFA-1 cells.
LFA-1 tail-deletion mutant expressed in K562 cells exhibits high
avidity to ICAM-1 concomitant with loss of rolling
To study how increased LFA-1 avidity to ICAM-1 can modulate
interactions between this integrin ligand pair under shear flow, we
compared the dynamic properties of wild-type (wt) LFA-1 and an LFA-1
cytoplasmic tail deletion mutant. The ß2
subunit tail deletion mutant
Lß2/
724 exhibits
constitutive high avidity to ICAM-1 and high expression of the
activation epitope M24 concomitant with ligand-independent clustering
(30, 37), yet it binds soluble ICAM-1-Fc with affinity
similar to that of wt LFA-1 (37). K562 cells expressing
the deletion mutant at levels identical to those of K562-LFA-1
cells (not shown) accumulated on both high- and low-density ICAM-1 at
strikingly higher levels than did K562-LFA-1 under shear flow (Fig. 5
A). The ß deletion
mutant-expressing cells immediately arrested upon tethering to ICAM-1
and remained arrested on the ligand without ability to roll even when
exposed to elevated shear stresses that caused their detachment from
ICAM-1 (Fig. 5
A). The resistance to detachment from ICAM-1
of LFA-1 mutant-expressing cells was markedly higher than that of
K562-LFA-1 cells on both bivalent (high-density) or monovalent
(low-density) ICAM-1 (Fig. 5
). No rolling was supported by the mutant
LFA-1 on ICAM-1 at any ligand concentration or shear stress tested, in
contrast to highly efficient rolling mediated by wt LFA-1 (Fig. 5
A). These findings are consistent with the notion that
enhanced LFA-1 avidity to ICAM-1 results in immediate adhesion
strengthening under shear flow at the expense of reversible rolling
interactions. Thus, even in a cellular environment permissive for
LFA-1-mediated rolling like that of K562 cells, interference with the
cytoskeletal association of LFA-1 through tail deletion abrogates the
ability of the integrin to support rolling adhesions under
physiological flow.
Modulation of LFA-1 avidity in T cells does not produce rolling
reactivity
Metabolic energy is essential for optimal integrin function
(38). Energy depletion of Jurkat cells by sodium azide and
2-deoxyglucose enhances VLA-4-mediated rolling on VCAM-1 at the expense
of firm adhesion associated with reduction of integrin affinity to
ligand (22). Therefore, we asked whether a similar energy
depletion treatment of resting T cells would enhance their LFA-1
rolling on ICAM-1. However, metabolic energy depletion of Jurkat cells
and PBL by azide/2-deoxyglucose greatly decreased LFA-1 adhesion to
ICAM-1 without promoting LFA-1 rolling (Fig. 6
). Phorbol esters like PMA are strong
agonists of integrin adhesion in leukocytes (13, 39, 40, 41, 42).
PMA treatment enhances LFA-1 adhesiveness in T cells by augmenting
integrin clustering rather than affinity to ligand (43, 44). Therefore, we set out to determine whether PMA stimulation
of T cell LFA-1 can render a fraction of LFA-1-expressing cells capable
of rolling on ICAM-1 under shear flow. PMA stimulation of PBL increased
the number of PBL that arrested on ICAM-1 under low flow by 3-fold, but
did not render any subset of treated cells capable of rolling on ICAM-1
(Fig. 6
B).
LFA-1 avidity to ICAM-1 is lower in K562 cells than in T cells
despite conserved affinity and constitutive clustering
The markedly stronger adhesion developed by T cell LFA-1, together
with its inability to support rolling, suggests that LFA-1 avidity to
ICAM-1 is higher in Jurkat T cells, as well as in PBL, than in K562
cells. Consistent with such a possibility, Jurkat cells could bind
ICAM-1-coated beads better than K562 cells could in physiological
medium in the absence of shear flow, even without cell stimulation
(Fig. 7
A). Thus, markedly
enhanced adhesiveness of Jurkat cell LFA-1 to surface-bound ICAM-1
could be observed even in shear-less conditions. Integrin-mediated
adhesion to physiological ligands is dynamically regulated after ligand
binding (29, 42, 44, 45). LFA-1 adhesion strengthening is
diffusion-limited and depends strongly on contact time with the
immobilized ligand (43). Consistent with the inherent
defect in adhesion strengthening of wt LFA-1 on K562 cells, K562-LFA-1
transfectants could not develop firm adhesion to ICAM-1 even after
prolonged contact with ligand (Fig. 7
B). When statically
adhered to low- or high-density ICAM-1, only a small fraction of K562
cells developed detectable adhesion to ICAM-1 during 1 min of contact,
and a 3-fold longer contact period with the ligand did not increase the
fraction of K562-LFA-1 cells firmly adherent to ICAM-1 (Fig. 7
B). Notably, even though Jurkat cell adhesion developed
over 1 min of contact was much higher than that of the K562-LFA-1
cells, it could be further enhanced by a 3-fold or 10-fold prolonged
contact period with ICAM-1, in contrast to K562-LFA-1 adhesion (Fig. 7
B and data not shown). These experiments collectively
suggest that Jurkat LFA-1 and PBL develop firmer adhesion to
surface-bound ICAM-1 than do K562-LFA-1 cells because of higher
constitutive avidity of LFA-1 and higher contact-dependent adhesion
strengthening of the integrin expressed in these T cells compared with
K562 cells.

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FIGURE 7. LFA-1 avidity to ICAM-1 is higher in resting Jurkat T cells than in
K562 cells. A, Binding of ICAM-1-coated beads to
K562-LFA-1 and Jurkat cells. Cells were suspended in the presence of
the indicated agonists for 10 min with fluorescent beads coated with
ICAM-1 at a cell:bead ratio of 1:20. After washing off unbound beads,
the fraction of cells with bound beads was determined by FACS.
Background bead binding was determined by including an LFA-1 blocking
mAb in the reaction suspension and was less than 5%. Results are
expressed as the mean percentage of cells with bound beads from two
independent experiments, each conducted in triplicate. Mean values
± SD of LFA-1-specific adhesion are depicted. PMA was present at 100
ng/ml, and the LFA-1 activating mAb KIM185 was used at 5 µg/ml. ND,
not determined because of cell aggregation induced by the mAb.
B, Development of adhesion over contact time by LFA-1 in
K562 cells and Jurkat. Cells were allowed to settle in physiological
binding medium for 1 or 3 min in stasis on sICAM-1 coated at 200
sites/cm2 and then subjected to detachment by shear force
of 0.25 dyn/cm2 for 10 s and then 0.5
dyn/cm2 for an additional 5 s. The fraction of
originally settled cells remaining bound at the end of the assay is
shown for cells settled for different periods. Results represent the
mean ± range of two fields of view. Results are representative of
three independent experiments.
|
|
The reduced constitutive avidity of LFA-1 in the K562 cell system could
reflect reduced intrinsic affinity to soluble ligand as well as lower
constitutive clustering. ICAM-1-Fc bound saturably to K562-LFA-1,
Jurkat cells, and subsets of PBL with comparable half-saturation
concentrations (10 nM; data not shown), suggesting that the affinity of
LFA-1 to ICAM-1 in solution is of the same order in both cell types.
Direct binding measurements of soluble integrin ligands to their
cell-surface receptors may discriminate against low-avidity LFA-1
subsets because of rapid dissociation of ligand from these subsets
caused by removal of unbound ligand by cell washing. Therefore, we took
an alternative approach to assess in situ the role of LFA-1 affinity in
T cell and K562-LFA-1 cell adhesion to ICAM-1 under flow. Because
high-affinity LFA-1 states are preferentially occupied by soluble
ICAM-1 (36), we measured the extent of inhibition exerted
by this soluble ligand on LFA-1-dependent cell adhesion to immobilized
ICAM-1. ICAM-1-Fc inhibited in a dose-dependent manner both the
accumulation on and resistance to detachment from ICAM-1 of PBL and of
K562-LFA-1 cells interacting with ICAM-1 under shear flow (Fig. 8
). The similar ICAM-1-Fc dose dependence
of LFA-1 adhesion seen with both cell types suggested that LFA-1
molecules with comparable levels of affinity contributed to LFA-1
adhesiveness in both PBL and K562-LFA-1 cells.

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FIGURE 8. Susceptibility of LFA-1-dependent adhesion of K562 cells and PBL to
inhibition by soluble ICAM-1-Fc. Cells were suspended in physiological
binding medium containing soluble ICAM-1-Fc at the indicated
concentrations for 5 min at 24°C and then perfused unwashed at 0.25
dyn/cm2 for 1 min over a substrate coated with sICAM-1 at
200 sites/µm2. Accumulated cells were subjected to
incremented shear stresses as described in Fig. 2 , and the number of
cells remaining adherent at the end of each shear stress interval was
determined. Values represent the mean (± range) of two fields of view.
Control VCAM-1-Fc had no inhibitory effect on cell accumulation
or on adhesion to the ICAM-1 substrates at the indicated concentrations
(data not shown). A representative experiment of three.
|
|
In light of the conserved affinity of LFA-1 toward ICAM-1 in both
resting Jurkat cells and K562 cells, we next tested whether Jurkat
cells exhibit higher constitutive clustering of LFA-1 relative to that
on K562-LFA-1 cells. CLSM analysis of LFA-1 surface distribution
revealed that the majority of LFA-1 in both cell types is not clustered
under physiological conditions (Fig. 9
).
Rather, LFA-1 was found either evenly diffused or in small patches on
the entire cell surface of both cell types, but no major difference in
the number or size of LFA-1 patches between the two cell types was
detected (Fig. 9
). Consistent with the CLSM analysis, the levels of
NKL16, a Ca2+-dependent LFA-1
clustering-associated epitope (46), were similar on both
cell types; a comparable ratio of L16 staining to LFA-1 staining was
observed in K562-LFA-1 (0.36 ± 0.06) and in Jurkat cells
(0.25 ± 0.03). These results suggest that before ligand binding,
LFA-1 on both Jurkat cells and K562 cells as well as on PBL
(42) is largely unclustered. Thus, differences in
constitutive preligand binding of LFA-1 in resting T cells and K562
cells cannot account for the firm adhesion to ICAM-1 rapidly developed
by these cells but not by K562-LFA-1 cells under dynamic conditions of
shear flow.

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FIGURE 9. Constitutive LFA-1 distribution on Jurkat and K562-LFA-1 cells
determined by confocal microscopy. K562 cells (top
panel) or Jurkat cells (bottom panel) were
prefixed in medium containing 1 mM each of Ca2+ and
Mg2+, and cells were stained with the anti-LFA-1 mAb
TS2/4 and then with FITC-labeled goat F(ab')2
anti-mouse IgG. Single representative cells from each experimental
group are depicted. The majority of LFA-1 is dispersed, but small
patches can be seen on both cell types.
|
|
 |
Discussion
|
|---|
This study demonstrates several novel concepts in LFA-1-mediated
adhesion. First, LFA-1 exists in unstimulated PBL and in T cell lines
in functionally adhesive states, which supports significant adhesion to
immobilized ICAM-1 during short static contact with ligand. LFA-1 on
subsets of T cells and K562 transfectants can develop different modes
of adhesion to high-density ICAM-1 within fractions of a second, even
without agonist stimulation. These types of LFA-1-mediated adhesion do
not involve cell spreading triggered by ligand occupancy of LFA-1,
which contributes to adhesion strengthening through diffusion-limited
integrin clustering events (36). Like early events of
LFA-1-dependent adhesive cascades, these interactions are not
discernible in standard adhesion assays, which apply stringent washing
steps with high, uncontrolled detachment forces. Second, low-avidity
LFA-1 states with similar affinity to that of soluble ICAM-1 can have
strikingly different adhesive properties when expressed on different
cellular backgrounds. In K562 cells, LFA-1 can establish weak rolling
adhesions on ICAM-1 under physiological shear flow, the first direct
demonstration that this integrin can associate rapidly and reversibly
with ICAM-1 under flow conditions. In Jurkat T leukemia cells and in
subsets of peripheral blood T lymphocytes, LFA-1 can spontaneously
support high-avidity interactions with immobilized ICAM-1, leading to
cellular arrest under shear flow. Third, the ability of LFA-1 to
mediate cell rolling on ICAM-1 is associated with an impaired ability
to undergo adhesion strengthening; increased adhesion strengthening by
an LFA-1 tail mutant results in loss of rolling and its replacement by
firm adhesion of K562 cells. Therefore, our findings indicate a
reciprocal relationship between ability of LFA-1 to roll and to undergo
adhesion strengthening under shear flow conditions.
To support reversible rolling adhesions, major rolling receptors like
selectins need to rapidly and reversibly bind a small number of ligands
at the adhesive contact zone (47). To engage in rolling
interactions with its endothelial ligand, LFA-1 might also need to be
prevented from engaging in highly multivalent interactions with ICAM-1.
We have shown that a ß2 tail-truncated LFA-1
mutant with conserved affinity to ICAM-1 but impaired cytoskeletal
constraints in the K562 cell system exhibited enhanced ability to
undergo rapid adhesion strengthening on ICAM-1 under shear flow. These
results suggest that the inability of wt LFA-1 to mediate rolling in
Jurkat cells and PBL subsets may also result in reduced cytoskeletal
constraints and hence increased adhesion strengthening of wt LFA-1 in T
cells relative to those imposed on the integrin in K562 cells.
Ligand-induced LFA-1 clustering in T cells requires the release of
cytoskeletal restraints on LFA-1, which restricts its lateral
clustering (42, 43, 44). Notably, release of cytoskeletal
constraints of LFA-1 and adhesion strengthening is facilitated upon T
cell activation by PMA without alteration of LFA-1 affinity
(36). PMA fails to induce adhesion strengthening to ICAM-1
in K562 cells (37, 42), which supports major reduced
susceptibility of LFA-1 association with the actin cytoskeleton to PMA
stimulation in these cells. Consistent with an inherent defect in LFA-1
release of cytoskeletal constraints in K562 cells, cytochalasin D
treatment has been reported to induce LFA-1 clustering in resting PBL
but not in K562 cells (30, 42). Higher cytoskeletal
restraints of LFA-1 in K562 cells and impaired adhesion strengthening
may keep LFA-1:ICAM-1 interactions at low avidity and may allow
reversible fast-breaking rolling interactions to form under constant
shear flow. Thus, a cell-type-dependent restriction in LFA-1-mediated
adhesion strengthening, rather than intrinsic integrin properties,
appears to control the ability of LFA-1 to promote rolling adhesions of
circulating leukocytes on its endothelial ligand. Enhanced constitutive
clustering of LFA-1 before ligand binding has been shown to correlate
with increased avidity to ICAM-1 in various cellular systems (42, 43). However, the impaired ability of K562-LFA-1 to support
high-avidity adherence was not because of impaired constitutive
clustering of LFA-1 in K562 cells relative to Jurkat T cells or PBL
(Fig. 9
and Refs. 30, 42). Taken together, these
observations suggest that the deficient adhesion strengthening
properties of LFA-1 in K562 cells and the acquisition of a rolling
phenotype by LFA-1 in these cells reflect a defect in postligand
binding clustering, rather than a constitutive, i.e., preligand
binding, LFA-1 clustering defect.
LFA-1-mediated rolling requires an intact I-domain, suggesting the
critical contribution of this module to recognition of ICAM-1 under
both static and dynamic conditions (48). The I-domain of
LFA-1 has recently been shown to act as a transient
Mg2+-dependent binding module that supports
transient rolling adhesions on substrates containing ICAM-1 or ICAM-3
(23). Unstimulated T cell LFA-1 binds ICAM-1 with a
Kd of 100 µM (49); a
slightly lower affinity (Kd of
100200 µM) was estimated for the binding of ICAM-1 to the isolated
I-domain (23). This affinity is similar to the recently
determined affinity between L-selectin and its endothelial ligand,
glycosylation-dependent cell adhesion molecule-1 (50).
Nevertheless, the ability of LFA-1 to mediate rolling does not depend
on its affinity to ligand because the affinity of LFA-1 to
ICAM-1 in the T cell systems that failed to roll on ICAM-1
was not higher than LFA-1 affinity in the K562 cells that
efficiently rolled on the LFA-1 ligand. ICAM-1-Fc bound
saturably to K562-LFA-1 and Jurkat cells with comparable
half-saturation concentrations (10 nM; data not shown), and comparable
levels of high-affinity LFA-1 contributed to adhesion of both T cells
and K562-LFA-1 cells to ICAM-1 because both cells exhibited similar
susceptibility to inhibition by soluble ICAM-1. Therefore, our results
suggest that affinity-independent mechanisms of integrin clustering
control LFA-1 ability to undergo adhesion strengthening in T cells and
also engage weak reversible rolling interactions on ICAM-1 in K562
cells.
Cell adhesive bonds that support rolling adhesions have been
suggested to share fast kinetics of formation and dissociation
(47, 51). Cellular environment may alter the kinetics of
tether bond formation under flow, and faster kinetics of bond formation
by LFA-1 can be favored by increased cell-surface availability of the
integrin (52, 53, 54). ß2 Integrins
are generally excluded from microvilli in most leukocytes
(55). A recent study showed that about 30% of LFA-1 is
located on microvilli in transfected K562 cells (55). Our
electron microscopy studies confirm that more than 20% of the
cell-surface LFA-1 in K562 cells is localized to microvilli, whereas a
diminished fraction of LFA-1 on Jurkat cells or PBL is distributed to
these cellular projections (Y.V.K., unpublished observations).
Nevertheless, exclusion of selectins from microvilli does not preclude
their ability to support rolling (54), suggesting that
exclusion of LFA-1 from these surface extensions in T cells could not
have accounted for the complete loss of rolling activity of LFA-1
expressed in these cells. Indeed, although excluded from microvilli,
LFA-1 on Jurkat cells was still able to tether to ICAM-1 at comparably
high shear stresses relative to those permissive for LFA-1-mediated
tethering of K562 cells to ICAM-1 (data not shown). Therefore, the
ability of LFA-1 expressed in K562 cells to mediate rolling appears to
be primarily because of a defect in LFA-1 avidity to ICAM-1 rather than
because of markedly higher topographical availability of the integrin
for rapid interactions with ICAM-1.
The ability of the LFA-1:ICAM-1 pair to participate in rolling
adhesions under physiological conditions is clearly more limited than
that of the
4 integrins. First, tethering of
LFA-1 to ICAM-1 in the presence of physiological cation concentrations
was not as efficient as the tethering of VLA-4 to VCAM-1 or of
4ß7 to mucosal
addressin cell adhesion molecule-1 (13, 14). Second,
LFA-1-mediated rolling required higher-density ICAM-1 than was required
for
4 integrin-mediated rolling on VCAM-1
(data not shown). Third, in contrast to LFA-1, the ability of the VLA-4
integrin to support rolling on its endothelial ligand VCAM-1 is not
cell-type-restricted, in that this integrin supports rolling of several
types of cells, including T cells, polymorphonuclear cells, and
hematopoietic progenitors (12, 13, 14, 15, 56, 57). Therefore, we
predict that rolling through LFA-1 may take place mainly in a context
of another rolling interaction initiated by a selectin or
4 integrin. Indeed, recent studies implicate
the LFA-1:ICAM-1 interaction in rolling adhesions promoted by P- and
L-selectin. The stability of leukocyte rolling mediated by these
selectins on inflamed vessel walls is significantly reduced in ICAM-1
knockout mice (58) after either trauma or cytokine-induced
inflammation. Reduction in physiologic shear rates has been shown in
another study to enhance CD11/CD18-dependent, selectin-independent
leukocyte rolling in vivo, suggesting that LFA-1 mediates weak rolling
interactions on inflamed vessel walls under particular conditions
(59). Our results would predict that to engage in rolling
interactions with endothelial ICAM-1, LFA-1 must be restricted from
forming multivalent receptor:ligand clusters. Such restriction may be
regulated by the cytoskeletal associations of the integrin. Small
subsets of circulating leukocytes may regulate the cytoskeletal
associations of LFA-1 such that they can engage in reversible rolling
adhesions on ICAM-1 in vivo. Taken together, the multistep paradigm of
leukocyte adhesion to specific endothelial sites may be more complex
than previously realized. Rather than a sequential process conducted by
distinct adhesive steps, which are exclusively mediated by either
selectins or integrins, leukocytes may use weak interactions of both
4 integrins and LFA-1 with their respective
ligands to stabilize selectin-initiated rolling. The LFA-1-mediated
rolling demonstrated in the present study further increases the
complexity and functional diversity of adhesive cascades, which
determine the cell-type-specific recruitment of circulating leukocytes
at sites of inflammation and at specialized hematopoietic
beds.
 |
Acknowledgments
|
|---|
We thank Drs. L. Klickstein, T. Springer, R. Lobb, and E.
Martz for providing reagents. We also thank Dr. S.
Schwarzbaum for editorial assistance; Moshe Miller, Shahar Feldman,
Nimrod Peleg, Renato Kresch-Keshet, and Prof. D. Malah of the Signal
and Image Processing Lab (Technion) for their help in the development
of the computerized imaging software used for cell motion analysis; and
Nurit Lichtenstein for assistance in sampling video images for motion
analysis.
 |
Footnotes
|
|---|
1 This work was supported in part by the Israel Science Foundation founded by the Israel Academy of Sciences and Humanities and by The Israel Cancer Research Fund (to R.A.) as well as by a grant (900-512-143) from the Netherlands Organization for Scientific Research (to Y.V.K). R.A. is the Incumbent of the Tauro Career Development Chair in Biomedical Research. 
2 Address correspondence and reprint requests to Dr. Ronen Alon, Department of Immunology, The Weizmann Institute of Science, Rehovot, 76100 Israel. 
3 Abbreviations used in this paper: VLA-4, very late Ag-4; sICAM-1, soluble ICAM-1; HSA, human serum albumin; RT, room temperature; wt, wild type; CLSM, confocal laser scanning microscopy. 
Received for publication June 28, 1999.
Accepted for publication April 19, 2000.
 |
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