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The Journal of Immunology, 2000, 165: 1513-1519.
Copyright © 00 by The American Association of Immunologists

Urokinase Receptor-Deficient Mice Have Impaired Neutrophil Recruitment in Response to Pulmonary Pseudomonas aeruginosa Infection1

Margaret R. Gyetko2, Sudha Sud, Tara Kendall, Jennifer A. Fuller, Michael W. Newstead and Theodore J. Standiford

Pulmonary and Critical Care Medicine Division, Department of Internal Medicine, Ann Arbor Veterans Affairs Medical Center and University of Michigan Medical Center, Ann Arbor, MI 48109


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Leukocytes express both urokinase-type plasminogen activator (uPA) and the urokinase receptor (uPAR, CD87). Evidence in vitro has implicated uPAR as a modulator of ß2 integrin function, particularly CR3 (CD11b/CD18, Mac-1). Pseudomonas aeruginosa infection has been demonstrated to recruit neutrophils to the pulmonary parenchyma by a ß2 integrin-dependent mechanism. We demonstrate that mice deficient in uPAR (uPAR-/-) have profoundly diminished neutrophil recruitment in response to P. aeruginosa pneumonia compared with wild-type (WT) mice. The requirement for uPAR in neutrophil recruitment is independent of the serine protease uPA, as neutrophil recruitment in uPA-/- mice is indistinguishable from recruitment in WT mice. uPAR-/- mice have impaired clearance of P. aeruginosa compared with WT mice, as demonstrated by CFU and comparative histology. WT mice have diminished neutrophil recruitment to the lung when an anti-CD11b mAb is given before inoculation with the pathogen, while recruitment of uPAR-/- neutrophils is unaffected. We conclude that uPAR is required for the recruitment of neutrophils to the lung in response to P. aeruginosa pneumonia and that this requirement is independent of uPA. Further, we show that uPAR and CR3 act by a common mechanism during neutrophil recruitment to the lung in response to P. aeruginosa. This is the first report of a requirement for uPAR during cellular recruitment in vivo against a clinically relevant pathogen.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Leukocytes express both urokinase-type plasminogen activator (uPA)3 and a glycosylphosphatidylinositol-linked high affinity cell surface receptor for urokinase, the urokinase receptor (uPAR, CD87) (1, 2, 3, 4, 5, 6). Substantial evidence has implicated uPAR as a modulator of ß2 integrin function, particularly CR3 (Mac-1, Mo-1, CD11b/CD18) (7, 8, 9, 10). We have demonstrated that Ab blockade of uPAR or inhibition of uPAR expression with antisense oligonucleotides results in diminished leukocyte chemotaxis in Boyden chambers, a ß2 integrin function, in response to a wide variety of chemotaxins (8, 11). Thioglycolate-elicited leukocyte recruitment to the peritoneal cavity is reduced in uPAR-deficient mice (12). uPAR clusters to the leading edge of migration on the monocyte cell surface during chemotaxis, and uPAR facilitates CR3 adhesive function to CR3-specific counterligands (8, 9). Removal of uPAR inhibits leukocyte adherence to endothelial cell monolayers; conversely, treating leukocytes with an activating uPAR Ab enhances adherence (12). The physical connection among uPAR, the ß2 integrins, and the cytoskeleton has been shown by work demonstrating that the resistance to movement when magnetic torque is applied to uPAR-attached beads reflects transmembrane stiffness consistent with an integrin connection to cytoskeletal components (13). Biochemical coupling between uPAR and the ß2 integrins also occurs, as signaling mediated through uPAR when uPA binds to the receptor requires coexpression of CR3 (10). In human monocytes, uPAR, the ß2 integrins, and Src kinases tightly associate, suggesting the formation of a signaling complex (14).

We reasoned that if uPAR plays a physiologically important role in neutrophil recruitment in response to infectious agents, it would likely be through the modulation of ß2 integrin function. Pseudomonas aeruginosa is a common pulmonary pathogen and is a leading cause of nococomial pneumonia in the United States and Europe (15). Neutrophil recruitment to the lung in response to P. aeruginosa pneumonia is ß2 integrin dependent, as Ab blockade of ß2 integrin function has been shown to substantially reduce neutrophil recruitment in response to this pathogen (16). We show that mice deficient in uPAR, while having comparable numbers of bronchoalveolar lavage cells and bronchoalveolar neutrophils as WT mice when uninfected, have profoundly diminished neutrophil recruitment in response to P. aeruginosa lung infection compared with WT mice. WT mice have markedly diminished recruitment in response to P. aeruginosa lung infection when treatment with anti-CD11b mAb is given i.v. before inoculation with the pathogen, while recruitment of uPAR-/- neutrophils is unaffected by mAb pretreatment. From these studies we conclude that uPAR expression plays a physiologically relevant role in the recruitment of neutrophils in response to P. aeruginosa, a pathogen that recruits neutrophils to the pulmonary parenchyma by a ß2 integrin-dependent mechanism.


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

Mice were housed in specific pathogen-free isolation rooms in the University of Michigan Department of Laboratory Animal Medicine, which is fully accredited by the American Association for Accreditation of Laboratory Animal Care. This study was approved by the University of Michigan committee on use and care of animals. Mice were periodically checked for murine hepatitis virus and were found to be negative; they were fed standard animal chow (Rodent Lab Chow 5008, Ralston Purina, St. Louis, MO) and chlorinated tap water ad libitum. Mice were used at 8–12 wk of age.

Transgenic uPAR-deficient mice (uPAR-/-), uPA-deficient mice (uPA-/-), and background-matched control mice (WT) were gifts from Dr. Peter Carmeliet (Center for Molecular and Vascular Biology, Leuven, Belgium). These mice were developed as previously described (17, 18). Briefly, the uPAR or uPA gene was knocked out by homologous recombination with a uPAR/neomycin or uPA/neomycin construct in ES cells derived from strain 129 mice. The ES cells were then injected into C57/B6 blastocysts, and the resulting chimeric males were bred with C57/B6 females to produce transgenic mice heterozygous for the uPAR or the uPA gene, respectively. Breeding of these progeny resulted in mice that were homozygous for the knockout or the normal gene or were heterozygous. The homozygous mice were used to establish the uPAR-/-, the uPA-/-, and the WT lines used to generate our colonies. The genotypes of the uPA-/-, uPAR-/-, and WT mice were confirmed by PCR or RT-PCR analysis as described previously (18, 19). Mice of this background (C57B6/129) are immunocompetent, and have preservation of complement-dependent acute lung injury (20).

Antibodies

Anti-murine CD11b (M1/70.15) mAbs and rat IgG (control) were obtained from PharMingen (San Diego, CA).

Harvesting of elicited peritoneal macrophages (M{phi})

uPAR-/- and WT mice were injected i.p. with 1 ml of 5% thioglycolate. Seven days later peritoneal macrophages were harvested by serial i.p. lavage with 5 mM EDTA in normal saline. The M{phi} were washed and resuspended in RPMI 1640 (Life Technologies, Grand Island, NY) containing 5% FBS (Life Technologies). M{phi} were 51Cr (Amersham, Arlington Heights, IL) labeled using standard techniques.

Preparation of murine endothelial cells

Murine endothelial cells (IP-1B, American Type Culture Collection, Manassas, VA) were cultured according to the supplier’s instructions and grown to confluent monolayers in 24-well plates.

M{phi} adhesion assay

51Cr-labeled M{phi} (1 x 106/ml) were dispensed upon and permitted to adhere to confluent endothelial monolayers for 30 min at 37°C in 5% CO2 and humidified air. Following adherence, the endothelial cells were vigorously washed with warm RPMI 1640 to remove nonadherent M{phi}. The contents of each well were lysed, and the counts per minute, as a reflection of number of adhered M{phi}, was determined on a scintillation counter.

P. aeruginosa intratracheal (IT) inoculation

P. aeruginosa strain UI-18 (Parke-Davis, Ann Arbor, MI) was the pathogen used in experiments. P. aeruginosa was grown in trypsin soy broth (Difco, Detroit, MI) for 18 h at 37°C. The concentration of bacteria was determined by measurement of absorbance at 600 nm compared with a standard absorbance curve based on known CFU. Bacteria were pelleted by centrifugation at 3000 rpm for 15 min, washed twice in normal saline, and resuspended at the indicated concentration. Mice were lightly anesthetized with pentobarbital (64 mg/kg i.p.; Butler, Columbus, OH) and restrained on a small board. Each mouse received an IT inoculum of 1 x 107 P. aeruginosa in 30 µl of PBS as previously described (21). Aliquots of the inoculum were serially diluted and plated out to confirm the number of CFU of P. aeruginosa delivered. Control mice that received an IT inoculation with PBS were examined histologically at various times after inoculation and showed no evidence of pulmonary inflammation.

Ab treatment

In some experiments mice were injected i.v. with anti-murine CD11b mAb (rat) or control rat IgG (2 mg/kg) 15 min before IT inoculation with P. aeruginosa.

Determination of neutrophil recruitment

At the indicated times following IT inoculation, the mice were killed with an overdose of pentobarbital (250 mg/kg i.p.). After opening the thoracic cavity and the trachea, a polyethylene catheter was inserted into the trachea, and the lungs were lavaged with warmed calcium- and magnesium-free PBS containing 0.6 mM EDTA in 0.5-ml aliquots (22). The bronchoalveolar lavage (BAL) was centrifuged at 500 x g for 10 min at 4°C, an aliquot of the fluid was removed for determination of CFU, the cell pellets were washed twice in PBS, and the cells were enumerated using a hemocytometer. To determine cell differentials, aliquots were cytocentrifuged onto glass slides and stained with Wright-Giemsa (Biochemical Sciences, Swedesboro, NJ). Blinded differential counts were performed on at least 200 cells/slide.

CFU assay

The CFU assay was performed as previously described (21). Briefly, serial 10-fold dilutions of BAL fluid were plated on soy-blood agar base (Difco) supplemented with 5% defibrinated sheep blood (Colorado Serum Co., Denver, CO) in duplicate and incubated at 37°C. P. aeruginosa colonies were counted 18 h later, and the number of CFU was calculated on a per lung basis.

Preparation of histologic specimens

For histologic sections, the trachea was cannulated, and the lungs were inflated in situ with 10% formalin in PBS. Next, the entire thoracic contents were dissected and fixed by immersion in 10% formalin in PBS for 18–24 h. The fixed tissues were transferred to 70% ethanol. Parasagittal sections through the fixed lungs were cut, embedded in paraffin, and sectioned at 5-µm thickness. The slides, each representative of both lungs from a single mouse, were stained serially with hematoxylin and eosin or were Gram stained for identification of P. aeruginosa. Each slide was scanned at low power, and representative sections were identified.

Statistical analysis

Comparisons between group means were performed using unpaired Student’s t test. Where appropriate, data were log transformed to ensure equivalent variances between groups. Statistical calculations were made using StatView 4.5 software (Abacus Concepts, Berkeley, CA). The number of mice in each experimental group is indicated (n). Data are expressed as the mean ± SEM. Statistical difference was accepted at p <= 0.05.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Adherence to endothelial cells is impaired in uPAR-deficient macrophages

Peritoneal macrophages were harvested following thioglycolate elicitation from the peritoneal cavities of WT and uPAR-/- mice. The macrophages were labeled with 51Cr and then layered over confluent wild-type murine pulmonary capillary endothelial cell monolayers and allowed to adhere. Nonadhered macrophages were rinsed from the endothelial cell monolayer, and the relative number of adherent macrophages was determined by lysis and quantitation of counts per minute of 51Cr. As shown in Fig. 1Go, the uPAR-/- macrophages adhered significantly more poorly than did the WT macrophages to the endothelial cells (p = 0.0088). Because M{phi} adherence to endothelial cells is largely CR3 dependent, this suggests that the lack of uPAR expression inhibits CR3-mediated adherence.



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FIGURE 1. Comparison of uPAR-/- and WT M{phi} adherence to endothelial cell monolayers. Elicited peritoneal M{phi} were harvested from WT and uPAR-/- mice, labeled with 51Cr, and permitted to adhere to confluent WT murine endothelial cell monolayers. Nonadherent M{phi} were removed by rinsing, the cell culture was lysed, and the number of adherent M{phi} was expressed as counts per minute for each condition. {blacksquare}, WT mice; , uPAR-/-. Data are expressed as the mean ± SEM. *, p = 0.0088 (n = 14).

 
Neutrophil recruitment is impaired in uPAR-/- mice in response to pulmonary Pseudomonas infection

Encouraged by the above findings, we moved to an in vivo model where pulmonary neutrophil recruitment was assessed in response to P. aeruginosa inoculation. P. aeruginosa was chosen as a pathogen because neutrophil recruitment has been previously demonstrated to be dependent on ß2 integrin function when this pathogen is inoculated into the lung (16). WT and uPAR-/- mice were inoculated with diluent (PBS), and the number of cells obtained by BAL was determined at 4 h. The total number of cells obtained by BAL was comparable in response to IT inoculation with PBS comparing WT and uPAR-/- mice. In both instances, the number of neutrophils was ~5% of the total number of BAL cells. Thus, in the absence of inoculation of P. aeruginosa, both WT animals and uPAR-/- mice had comparable numbers of total cells and neutrophils in the pulmonary alveolar space.

WT and uPAR-/- mice were IT inoculated with 107 P. aeruginosa organisms suspended in PBS. Animals were sacrificed and subjected to BAL at 4 and 8 h post-IT inoculation. As demonstrated in Fig. 2GoA, at 4 h post-IT inoculation WT mice had a significantly greater neutrophil recruitment into the alveolar space, determined by analysis of BAL, compared with uPAR-/- (p = 0.0003). Further, at 8 h the uPAR-/- mice continued to have markedly diminished neutrophil recruitment to the alveolar space compared with WT mice (p = 0.0011). This work demonstrates that the recruitment of neutrophils to the pulmonary alveolar space in response to P. aeruginosa pneumonia is dependent upon the expression of uPAR.



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FIGURE 2. A, Comparison of neutrophil recruitment in WT and uPAR-/- mice in response to P. aeruginosa pneumonia. WT and uPAR-/- mice were IT inoculated with PBS (diluent) or P. aeruginosa, and the numbers of neutrophils present in BAL fluid were determined 4 and 8 h later. Neutrophils in PBS-inoculated mice were quantified at 4 h post-IT inculation. {blacksquare}, WT mice; , uPAR-/-. Data are expressed as the mean ± SEM. *, p = 0.0003 (n = 12); **, p = 0.0011 (n = 5). B, Comparison of pulmonary clearance of P. aeruginosa by WT and uPAR-/- mice. WT and uPAR-/- mice were IT inoculated with P. aeruginosa. Four hours later the animals were sacrificed, and P. aeruginosa CFU were determined by serial dilution of BAL fluid. {blacksquare}, WT mice; , uPAR-/-. Data are expressed as the mean ± SEM. *, p = 0.027 (n = 6).

 
Because uPAR serves to localize and focus uPA on the migrating neutrophil plasma membrane, we questioned whether the requirement for uPAR was based on the ability of uPAR to bind uPA during neutrophil recruitment or was independent of uPA. We therefore inoculated uPA-/-, uPAR-/-, and WT mice with P. aeruginosa as described above and compared neutrophil recruitment to the lungs at 4 h post-IT inoculation. There was no difference in neutrophil recruitment comparing WT to uPA-/- mice (not significant; n = 5), while both uPA-/- and WT mice recruited ~10 times the number of neutrophils in response to P. aeruginosa as did the uPAR-/- mice (p = 0.0001; n = 5). Thus, the requirement for uPAR in neutrophil recruitment to the lung during Pseudomonas pneumonia is independent of the protease uPA.

The uPAR-/- mice have impaired pulmonary clearance of P. aeruginosa compared with the WT mice

To determine whether the reduced neutrophil recruitment seen in the uPAR-/- mice impaired pulmonary clearance of the pathogen, WT and uPAR-/- mice were IT inoculated with P. aeruginosa as described above. Four hours later the animals were sacrificed, and P. aeruginosa CFU was determined. As shown in Fig. 2GoB, uPAR-/- mice had markedly reduced P. aeruginosa clearance compared with WT mice (6.43 ± 1.10 vs 3.05 ± 0.36 x 105 CFU; p = 0.027). The absence of uPAR impairs P. aeruginosa clearance.

Anti-CD11b Ab diminishes neutrophil recruitment in WT mice, but not in uPAR-/- mice

To elucidate the mechanism of impaired neutrophil recruitment, we next determined the effects of anti-CD11b (anti-CR3, Mac-1) mAb on neutrophil recruitment in WT and uPAR-/- mice. As demonstrated in Fig. 3Go, pretreatment of WT mice with the anti-CD11b mAb profoundly diminished neutrophil recruitment at 4 h post-IT inoculation of P. aeruginosa compared with that in control Ab-treated WT mice (p = 0.0011). In contrast, pretreatment of uPAR-/- mice with anti-CD11b mAb had no effect on the number of neutrophils recruited to the alveolar space compared with that in control Ab-treated uPAR-/- mice (not significant). The control animals in these experiments were treated with rat IgG injection by tail vein 15 min before IT inoculation with P. aeruginosa at the same dose as the anti-CD11b mAb. From these data we conclude that blockade with an anti-CD11b mAb profoundly diminishes the recruitment of neutrophils to the lung in response to P. aeruginosa (a ß2 integrin-dependent pathogen) in WT mice, but has no effect on neutrophil recruitment in uPAR-/- mice. This suggests the recruitment of neutrophils in response to P. aeruginosa requires both uPAR and ß2 integrin expression, and that these two receptors act by a common mechanism.



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FIGURE 3. Effect of anti-CD11b mAb on neutrophil recruitment in WT and uPAR-/- mice in response to P. aeruginosa pneumonia. WT and uPAR-/- mice were injected by tail vein with anti-CD11b or control Ab 15 min before IT inoculation with P. aeruginosa. The number of neutrophils present in BAL fluid was determined at 4 h post-IT inoculation. {blacksquare}, WT mice; , uPAR-/-. Data are expressed as the mean ± SEM. *, p = 0.0011 (n = 5).

 
Histologic evidence of P. aeruginosa lung infection and neutrophil recruitment

As shown in Fig. 4GoA, under low and high power photomicroscopy, the WT (A and B) and uPAR-/- (C and D) mice have similar pulmonary architecture and cellular composition following PBS IT inoculation. Inoculation with P. aeruginosa IT (Fig. 4GoB) results in markedly different recruitment of neutrophils to the pulmonary parenchyma comparing WT (A and B) and uPAR-/- (C and D) mice. As is clearly evident, WT mice have robust recruitment of neutrophils to the alveolar parenchyma in response to P. aeruginosa pneumonia. In contrast, there is little evidence of inflammatory changes and markedly few neutrophils recruited to the alveolar space in the uPAR-/- mice. In Fig. 4GoC, high power photomicrographs clearly show the robust recruitment of neutrophils to the alveolar space in the WT mice (A) and the marked paucity of neutrophil recruitment in the uPAR-/- mice (B).



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FIGURE 4. Comparative pulmonary histology of WT and uPAR-/- mice during P. aeruginosa pneumonia. A, Hematoxylin- and eosin-stained lung histology slides of uninfected WT and uPAR-/- mice. WT: A, x100; B, x400. uPAR-/-: C, x100; D, x400. B, Hematoxylin- and eosin-stained lung histology slides of WT and uPAR-/- mice 4 h after IT inoculation of P. aeruginosa. WT: A, x100; B, x400. uPAR-/-: C, x100; D, x400. C, Hematoxylin and eosin stained lung histology slides of WT and uPAR-/- mice 4 h after IT inoculation of P. aeruginosa. WT: A, x1000 oil immersion; uPAR-/-: B, x1000 oil immersion.

 
The uPAR-/- mice failed to recruit neutrophils to areas of intense P. aeruginosa deposition

To demonstrate that the inoculum of P. aeruginosa widely dispersed in both the WT and uPAR-/- mice, histologic sections were subjected to Gram staining. As clearly evident (Fig. 5GoA, arrows), there are organisms present at 4 h post-IT inoculation in the alveolar space of WT mice. Further, the areas of Pseudomonas deposition are accompanied by a robust inflammatory response, with marked recruitment of neutrophils to the alveolar space and evidence of internalization of the organisms by the neutrophils. In contrast, in the uPAR-/- mice, sheets of P. aeruginosa (Gram-negative rods) are evident within the alveolar spaces (Fig. 5GoB, arrows); however, there is a profound paucity of neutrophil recruitment to these areas despite the heavy bacillary load in the alveolar spaces. Thus, the diminished recruitment seen in the uPAR-/- mice occurs despite a large pathogen burden in the lung. These histologic data are fully consistent with the diminished P. aeruginosa clearance demonstrated by comparing CFU in uPAR-/- and WT mice in Fig. 2GoB.



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FIGURE 5. Comparative microbial distribution and pulmonary histology of WT and uPAR-/- mice during P. aeruginosa pneumonia. Gram-stained lung histology slides of WT and uPAR-/- mice 4 h after IT inoculation of P. aeruginosa. WT: A, x1000 oil immersion; uPAR-/-: B, x1000 oil immersion. Arrows indicate P. aeruginosa organisms in both WT and uPAR-/- mice.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study we demonstrate the following points. 1) Neutrophil recruitment to the lung is markedly impaired in the absence of uPAR expression in response to P. aeruginosa pneumonia. 2) The requirement for uPAR is independent of the serine protease uPA, uPAR’s natural ligand. 3) uPAR-/- mice have impaired clearance of P. aeruginosa compared with WT mice, as demonstrated by CFU and by comparative histology. 4) Ab-induced CR3 blockade of WT mice reduces neutrophil recruitment to the levels seen in uPAR-/- mice, but anti-CR3 Abs had no effect on neutrophil recruitment in uPAR-/- mice. Thus, uPAR expression is required for CR3-dependent neutrophil recruitment in vivo. This work demonstrates that uPAR is a potent modulator of acute pulmonary host defenses in response to a clinically relevant bacterial pathogen.

uPAR and CR3 associate on PMN and M{phi} cell membranes (9, 23). Previous in vitro work has demonstrated that uPAR plays an obligate role in leukocyte chemotaxis. We have shown that treating leukocytes with an anti-uPAR mAb or antisense oligonucleotides against uPAR blocks chemotaxis (8, 11). This effect was independent of uPA enzyme activity, because blocking the catalytic site of uPA or, alternatively, saturating the cell surface with catalytically active high molecular weight uPA had no effect on chemotaxis (11). The importance of uPAR in cell migration has been extended to many other cell types, including invasive breast carcinoma, vascular smooth muscle cells, and endothelial cells (24, 25, 26). The partnering of uPAR with CR3 also regulates other CR3-mediated functions, such as adhesion (9). Thus, uPAR is an important receptor in regulating cell movement in vitro and does so, at least in leukocytes, by forming a modulatory partner-protein interaction with CR3.

Cellular recruitment to sites of infection in vivo is far more complex than chemotaxis in vitro, as a variety of selectins and various adhesion molecules must be sequentially used and multiple tissue planes and matrix proteins traversed. The instillation of bacteria into the lung results in an acute inflammatory response, which includes the induction of expression of a plethora of chemokines and cytokines, and in complement activation. Determination of the mechanism of leukocyte recruitment to the lung in response to acute inflammation poses an unusual addition level of complexity, because in the lung, unlike other organs, the requirement for ß2 integrin activity varies depending on the recruitment stimulus (27, 28). Therefore, conclusions reached in other organ systems or in vitro regarding the requirement for specific receptors for leukocyte immigration may be irrelevant to lung biology. Selection of the infectious agent for the induction of pneumonia was critical in this study, because neutrophil recruitment even in response to various bacterial pathogens can be CR3 independent or CR3 dependent (29). We chose to study innate host defense against P. aeruginosa pneumonia for the following reasons: 1) recruitment is established to be CR3 dependent; 2) the model is well established, and recruitment parameters have been delineated in our laboratories; and 3) Pseudomonas pneumonia is of substantial clinical importance (15, 16, 21).

Our results corroborate the CR3 dependence of neutrophil recruitment in response to P. aeruginosa, as demonstrated by the marked diminution of recruitment seen in the anti-CR3 Ab-treated WT mice (Fig. 3Go). We demonstrate the novel finding that uPAR-/- mice have reduced neutrophil recruitment in response to the pathogen, similar to anti-CR3 Ab-treated WT mice. This markedly diminished recruitment is demonstrated by the paucity of neutrophils recruited to the alveolar space and quantified in BAL at 4 and 8 h post-IT inoculation (Fig. 2GoA). Histologically, while the WT and uPAR-/- mice have lungs that appear to be identical when uninfected (Fig. 4GoA), the utter lack of neutrophil response in the uPAR-/- mice compared with the WT response to infection at 4 h post-IT inoculation is striking (Fig. 4Go, B and C). This difference is not due to inhomogeneity of the bacillary inoculum, as on histologic Gram staining it is clearly evident that the uPAR-/- mice fail to recruit neutrophils to regions of the lung with a substantial pathogen burden, while WT mice respond with robust neutrophil recruitment (Fig. 5Go).

uPAR-/- neutrophil recruitment is not further reduced by anti-CR3-Ab treatment, suggesting that uPAR and CR3 participate in recruitment by a common mechanism (Fig. 3Go). The similarity of recruitment seen in the uPAR-/- mice and the anti-CR3 Ab-treated WT mice has substantial implications for our understanding of integrin biology. It is interesting that the genetic deletion of uPAR impairs CR3-mediated neutrophil recruitment, while the genetic deletion of CD18 itself results in an animal with an unknown compensatory mechanism for lung neutrophil recruitment in response to classic CR3-dependent stimuli (30, 31). This would suggest that manipulation of an integrin "partner protein" may be an efficacious target for therapeutic modulation of integrin function.

The role of uPAR in neutrophil recruitment is independent of uPA in this model. Neutrophil recruitment in the uPA-/- mice was no different from that in WT mice and was 10-fold more than recruitment in uPAR-/- mice. This suggests that the proteolytic activity of uPA, a serine protease, is not required for neutrophil recruitment to the lung. This is not surprising. Although neutrophils express many potent proteases capable of matrix degradation, the requirement for proteases (particularly serine proteases) in neutrophil emigration is disputed by some studies and remains controversial (32). The current observation is also consistent with our previous studies using uPA-/- mice. We have shown that the number of lung Mac1+ cells at times points classic for neutrophil recruitment in response to C. neoformans IT inoculation and the number of neutrophils recruited to the lung in response to P. carinii pneumonia were no different from those in WT mice (19, 33). These results are contrary to some previous work investigating the role of uPA in chemotaxis, where a uPA-dependent conformational charge was found to be induced in uPAR uncovering a chemotactic epitope. The uPA binding in this chemotaxis model is thought to transform uPAR into a pleiotropic ligand for other still unidentified cell surface molecules, which then cause cytoskeletal changes, activation of kinases, and directional cell migration (34). Apparently none of these effects of uPA on uPAR is required for cell recruitment in our in vivo model. Since the above-described conformational change in uPAR also occurs on cleavage between uPAR domains D1 and D2, (a known uPA cleavage site) (34), an alternative possibility is that a protease other than uPA may cleave uPAR between domains D1 and D2, thus activating uPAR in a uPA-independent manner.

Although our work demonstrates that uPA is not required for neutrophil recruitment to the lung, uPA may still play a role in pulmonary host defense against P. aeruginosa. The binding of uPA to uPAR generates signals that enhance cellular activation, inducing serine phosphorylation in epithelial cells (35), activation of the Jak/Stat1 pathway and induction of Src-like protein tyrosine kinases in smooth muscle cells (36), and tyrosine phosphorylation in a macrophage cell line (37). Although this study was designed to evaluate recruitment, we observed that while the uPA-/- mice recruited neutrophils comparably to the WT mice, the uPA mice tended to have higher CFUs than the WT mice (5.9 ± 1.7 vs 3.05 ± 0.4 x 105), although statistical significance was not reached. This suggests that antibacterial neutrophil activation is impaired in the absence of uPA. This observation is consistent with the in vitro demonstration that uPA binding to uPAR primed neutrophils for superoxide anion release (10). By contrast, Pseudomonas clearance is severely reduced in the uPAR-/- mice (p = 0.027). This is probably due, firstly, to the paucity of neutrophils recruited in response to the bacillary challenge (Fig. 5Go) and, secondly, to the loss of uPAR-mediated activation signaling.

In summary, this study demonstrates that uPAR is necessary for normal neutrophil recruitment to the lung in response to the clinically relevant pathogen P. aeruginosa. The requirement for uPAR in this system is independent of the protease uPA, its natural ligand; further, we show that uPAR shares a common functional mechanism with CR3. This is the first study demonstrating a role for uPAR in innate pulmonary host defenses in vivo. This work suggests that manipulation of uPAR expression or function may be a target for immunomodulation.


    Acknowledgments
 
We thank Judy Poole for her technical expertise in lung histology.


    Footnotes
 
1 This work was supported by a Merit Review Award and by a Research Enhancement Award Program (REAP) funds from The Department of Veterans Affairs, and by National Institutes of Health Grant HL54216 (to M.R.G.). Back

2 Address correspondence and reprint requests to Dr. Margaret R. Gyetko, 3916 Taubman Center, Medical Center Drive, Ann Arbor, MI 48109-0360. Back

3 Abbreviations used in this paper: uPA, urokinase; uPAR, uPA receptor; CR3, CD1b/CD18; M{phi}, macrophage; WT, wild type; BAL, bronchoalveolar lavage; IT, intratracheal. Back

Received for publication March 20, 2000. Accepted for publication May 18, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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M. Resnati, I. Pallavicini, J. M. Wang, J. Oppenheim, C. N. Serhan, M. Romano, and F. Blasi
The fibrinolytic receptor for urokinase activates the G protein-coupled chemotactic receptor FPRL1/LXA4R
PNAS, February 5, 2002; 99(3): 1359 - 1364.
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