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4
1 But Not
L
2 Integrin Dependent1



*
Dumont-University of California, Los Angeles Transplant Center, Department of Surgery, University of California, Los Angeles School of Medicine, Los Angeles, CA 90095; and
Institute of Medical Immunology, Charité, Humboldt-University, Berlin, Germany
| Abstract |
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4
1 or
anti-
L
2 mAb, because of enhanced
expression of both integrin receptors after alloactivation. The
pretreated LewisBN lymphocytes were carboxyfluorescein
diacetate succinimidyl ester labeled and adoptively transferred into
Lewis rat recipients of Brown Norway kidney allografts. The injection
of equal numbers of PKH-26-labeled untreated cells allowed quantitative
comparison of both populations in the same animal. Ex vivo treatment
with anti-
4
1 mAb diminished
intragraft infiltration of adoptively transferred T cells by 85% in a
donor-specific fashion. In contrast, treatment with
anti-
L
2 mAb did not affect intragraft
cell sequestration. Hence, blocking
4
1
integrin interactions represents a novel strategy in preventing local
intragraft recruitment of Ag-reactive CD4 T cells in transplant
recipients. | Introduction |
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In the past, conventional immunosuppressive drugs were designed either
to deplete circulating T cells (ATG, irradiation, OKT3) or to inhibit
the process of Ag priming, cytokine production/action, and clonal
expansion (calcineurin inhibitors, antiproliferative drugs,
corticosteroids, rapamycine) of harmful alloreactive cells. However,
interfering with the homing of alloreactive T cells and other effector
cells into the graft is a new approach for preventing and combating
graft-deteriorating immune processes. The inhibitory impact of
conventional immunosuppressive drugs can be easily screened in vitro by
measuring immune features such as diminished NF-
B activation, free
Ca2+ levels, cytokine production, or
proliferation after T cell activation (5). In contrary,
the effects of agents that modulate the homing are more difficult to
address.
In the syngeneic situation, the highly inflamed transplant, caused by
ischemia/reperfusion injury, attracts mainly polymorphonuclear cells
and monocytes/macrophages; Ag-activated lymphocytes are only secondary
in the pathogenesis of the very early ultimate graft loss. Indeed,
short-term treatment with agents that bind to homing receptors (e.g.,
P-selectin glycoprotein ligand-1Ig) prevents ischemia/reperfusion
injury in syngeneic grafts, stressing the importance of early
Ag-nonspecific immune response (6). Initial Ag-nonspecific
graft injury and alloantigen priming of T cells in the secondary immune
organs promote accumulation of alloreactive effector cells in the
graft, which in turn initiates acute rejection. CD4 T cell-derived
cytokines (e.g., IFN-
) and surface receptors (e.g., CD40 ligand)
also attract and activate monocytes/macrophages, thereby initiating
localized delayed-type hypersensitivity reaction (7, 8).
Although continuous immunosuppression usually prevents early acute
rejection, increased Ag-specific Th frequencies in peripheral blood
reflect donor-directed reactivity during later rejection episodes in
transplant recipients (9, 10).
The rolling, firm adhesion, and extravasation of activated lymphocytes
is a highly controlled multistep process (11). In the case
of activated type 1 T cells, P- and E-selectin ligands are believed to
be responsible for the first loose rolling attachment
(12). This slower movement allows the interaction of
cellular chemokine and integrin receptors as well as CD44 with their
endothelial counterparts. This firm adhesion promotes the diapedesis of
lymphocytes into the tissue, where ECM proteins provide framework for
sequestration and intercellular migration (13). Integrin-,
selectin-, chemokine-, and CD44-dependent steps in T cell homing
represent potential targets in blocking the sequestration of activated
Ag-reactive T lymphocytes into the allografts. The
4
1 (VLA-4) and
L
2 (LFA-1) integrins
are of particular importance. Indeed, both have specific endothelial
counterreceptors (VCAM-1, ICAM-1/2/3, respectively), besides their
affinity toward common binding sites of ECM proteins (e.g., RGD motif)
and specific binding sites (e.g., CS-1 splicing motif on fibronectin)
(14). Moreover,
4
1 is a versatile
integrin, which can support both rolling and firm adhesion of
leukocytes to VCAM-1 (15); its binding ligand affinity is
significantly up-regulated in activated
(CD25high+) CD4 lymphocytes (16).
Interestingly, mAbs against
4
1 integrin have been
demonstrated to inhibit the onset of experimental autoimmune
encephalomyelitis initiated by Th1 lymphocytes specific for the myelin
basic protein (17). mAb targeting adhesion molecules
represent an interesting tool for studying cellular interactions in T
cell homing in vivo. However, adhesion molecules are not only involved
in homing of T cells, but also in their activation by delivering
costimulatory signals (18) as well as in regulating
Th1-type cytokine network (19). This makes the
interpretation of their in vivo action difficult. The use of in vitro
preactivated T cells for in vivo homing studies circumvents this
problem. Moreover, the ability of resting cells to sequester at the
graft site is limited as compared with that of alloactivated cells
(20).
In the present study, we investigated the role of
4
1 and
L
2 integrin
expression in the trafficking of donor-specific CD4 T cells in rat
renal allograft recipients. In addition, the impact of the TCR
specificity on CD4 lymphocyte recruitment to renal allografts was
addressed.
| Materials and Methods |
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Inbred male adult rats (200250 g) were used (Harlan Sprague Dawley, Indianapolis, IN). Lewis (LEW, RT1l) or Brown Norway (BN, RT1n) kidneys were transplanted into the abdominal great vessels of LEW recipients by using standard microvascular techniques. Wistar Furth (WF, RT1u) rats served as third-party donors to generate control cell lines.
Generation of alloantigen-specific T lymphocytes
The generation of Ag-reactive T lymphocytes has been described
elsewhere (21). Briefly, LN cells from LEW rats (3 x
105 cells/well) were incubated with
-irradiated (5000 rad) LN cells from BN donors (3 x
105 cells/well). The cells were grown in T cell
medium (TCM) containing DMEM with 2 mM L-glutamine, 2 mM
L-asparagine, antibiotics, and 2% heat-inactivated
autologous LEW serum. After 4 days in culture, T cell blasts were
harvested using rat Ficoll gradient centrifugation and propagated for
68 days in IL-2-conditioned medium. This medium was based on TCM
supplemented with supernatant produced by Con A-stimulated rat
splenocytes. Contaminating Con A was removed by addition of methyl
mannopyranoside (Sigma, St. Louis, MO). For the following
restimulation, resting T lymphocytes were incubated with
-irradiated
(5000 rad) syngeneic LEW thymocytes (2 x
105/well) in the presence of
-irradiated (5000
rad) BN thymocytes (4 x 105 cells/well). T
lymphocyte blasts were transferred into IL-2-conditioned medium and
propagated. Alloantigen specificity of T lymphocytes was tested with a
standard proliferation assay measuring [3H]TdR
incorporation.
FACS analysis
Phenotype analysis of cell lines was performed by using mouse
mAbs against rat CD4, CD8, CD25, CD45RC, and L-selectin (Biosource
International, Camarillo, CA; PharMingen, San Diego, CA). mAbs against
4
1 and
L
2 integrin receptors
were directly labeled with Alexa Fluor 488 Protein Labeling kit
according to manufacturers protocol (Molecular Probes, Eugene, OR).
For indirect Ab staining of
4
1 and
L
2 preincubated
lymphocytes, cells were incubated at 4°C for 20 min in 0.1 ml PBS
with 1% goat serum and a PE-conjugated goat anti-mouse Ig (Zymed,
San Francisco, CA). After washing twice in PBS, cells were analyzed by
a FACScan (Becton Dickinson, Franklin Lakes, NJ), and data were
evaluated with FCS-Express software (De Novo Software,
Thornhill, Ontario, Canada).
For intracellular cytokine staining, the cells were harvested 3 days
after alloantigen-dependent restimulation (IFN-
) or after
stimulation with PMA (10 ng/ml) and ionomycin (400 ng/ml) at 2.5
x 106/ml for 4 h, respectively (IL-4).
GolgiStop (4 µl/6 ml; PharMingen) was added for the last 4 h.
For intracellular cytokine staining, the cells were restimulated with
PMA (10 ng/ml) and ionomycin (400 ng/ml) at 2.5 x
106/ml for 4 h in the presence of GolgiStop
(4 µl/6 ml; PharMingen). The stimulated cells were collected and
fixed/permeabilized using the CytoStain kit (PharMingen). Normal rat
IgG (10 µg) was added to 1 million cells to block nonspecific binding
sites, followed by mouse anti-rat IFN-
(DB-1) or IL-4 (OX-81)
mAb conjugated with R-PE (PharMingen). The stained cells were washed
and then analyzed by a three-color FACS. CD4+
lymphocytes were gated for cytokine expression. PMA + ionomycin-driven
stimulation does not alter intracellular cytokine expression profile
seen after allostimulation.
TCR V
RT-PCR
RNA was extracted from lymphocytes using a Qiagen RNase Mini kit
(Qiagen, Valencia, CA). A total of 0.21 µg of RNA was reverse
transcribed into cDNA (40 µl) by 20 U of Moloney murine leukemia
virus reverse transcriptase (Roche Molecular Biochemicals,
Indianapolis, IN). A total of 0.5 µl of cDNA was amplified in 25 µl
using a fixed downstream primer (Cb1) derived from TCR
-chain C
region and one of the 22 different V
-specific upstream primers. The
PCR mixture was set up as follows: cDNA, 0.4 µM of each primers, 0.2
mM of each dNTP, 2 mM MgCl2, and 0.725 U of
AmpliTaq Gold (Perkin-Elmer, Foster City, CA) in 1x GeneAmp buffer II.
Amplifications were conducted in a GeneAmp PCR System 9700
(Perkin-Elmer). The reactions started with a 10-min denaturation at
94°C, followed by 35 cycles of 30 s at 94°C, 20 s at
60°C, and 30 s at 72°C, and ended with an elongation step of 5
min at 72°C. Six microliters of PCR products was analyzed in a 2%
NuSieve-agarose gel (FMC, Rockland, ME).
Fluorescent labeling and adoptive transfer studies
Three to five times restimulated cell lines were washed in PBS
and labeled with CFSE (Molecular Probes) or PKH-26 (Sigma). For CFSE
staining, cells were washed in serum-free DMEM and incubated in 2 nM
CFSE/PBS for 30 min. The staining reaction was stopped by adding 10%
horse serum in TCM. PKH-26 labeling (25 µl 2 x
10-4 M dye) was performed according to
manufacturers protocol, and cell viability was determined by trypan
blue (Sigma). A total of 100 µg/ml
anti-
4
1 mAb
(clone GG5/3; mouse IgG1) or
anti-
L
2 mAb
(clone WT-1; mouse IgG2A; PharMingen) was added to CFSE-labeled cell
lines and incubated for 30 min at 37°C in 5%
CO2. Cells were washed with TCM/5% serum and
injected into LEW rats 1 day after kidney engraftment.
In some experiments, LEWBN T lymphocytes
(100 x 106) were infused i.v. into lightly
-irradiated (450 rad) LEW rats that were then challenged 24 h
later with cardiac allografts from BN donors. The immune potential of
transferred cells can be accurately determined in such "test-tube"
rat recipients (22).
Tracing labeled cells by fluorescent microscopy and FACS analysis
For histological analysis of PKH-26-labeled T cell distribution, organs were frozen in OCT. The 5-µm sections were mounted on gelatinized slides and dried for 60 min at room temperature. For fluorescence analysis, we used a laser microscope (Leica, Deerfield, IL). For flow-cytometric detection of fluorescent T cells, kidneys were removed, homogenized, and filtered through a 100-µm strainer. After washing twice in PBS, the pellet was resuspended with 10 ml DMEM (Life Technologies) containing 10 µg liver collagenase type V (Sigma). Incubation was done at 37°C for 30 min. Leukocytes were isolated by Ficoll density separation (Life Technologies). For Ab staining, cells were incubated at 4°C for 20 min in 0.1 ml PBS with 1% bovine serum and mouse Cy-Chrome conjugated anti-rat CD4 mAb. Arterial blood samples were lysed and fixed in 4% paraformaldehyde in PBS. Secondary staining was done using a PE-conjugated goat anti-mouse Ig (Zymed).
| Results and Discussion |
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To determine the effects of alloantigen and integrin receptors on
T cell homing, we generated LEW T cell lines with BN or WF
allospecificity. Allospecificity was confirmed in a proliferation assay
([3H]TdR incorporation) against syngeneic,
allogeneic, or third-party
-irradiated splenocytes.
LEWBN T lymphocytes showed vigorous proliferation
only after stimulation with BN, but not LEW or WF cells, whereas
LewWF T lymphocytes responded primarily against
WF splenocytes (data not shown). The cell lines resembled a memory cell
phenotype, with >95% being TCR+,
CD4+, CD8-,
4
1
integrin+,
L
2
integrin+, L-selectinlow,
and CD45RClow (Fig. 1
). Moreover, in vitro-generated cells
showed type 1 T effector phenotype, as evidenced by readily measurable
amounts of IFN-
after restimulation without any further polyclonal
sitmulation. On the other hand, intracellular IL-4 accumulation was not
detectable even after PMA plus ionomycin stimulation (Fig. 1
). No
predominant V
usage despite clonal proliferation during
restimulations could be detected. By using RT-PCR analysis, all 22
known rat TCR V
chains were readily detectable in
LEWBN T lymphocytes (Fig. 1
). Thus, despite its
alloantigen specificity, the cell line consists of polyclonal T
cells.
|
-irradiated
LEW rat recipients of BN heart grafts. The rejection time in this model
varies between 14 and 21 days (22). However, i.v. infusion
of LEWBN T cells triggered an accelerated
rejection of cardiac allografts within 6 days, thereby confirming the
operational in vivo activity of in vitro generated cells. Distribution of PKH-26-labeled LEWBN T lymphocytes after adoptive transfer
Homing of donor Ag-specific T lymphocytes to organ allografts is a
complex and highly regulated process (20, 23). It depends
on the complementary interactions between endothelial cells, lymphocyte
surface molecules, and local ECM proteins. Although most of
ligand-receptor interactions appear to be redundant, some single
factors carry critical nonredundant functions in the recruitment of
certain lymphocyte subtypes toward inflamed tissues. The donor Ag is
one of these mandatory factors in the process. It has been recently
shown that the recognition of alloantigens presented by endothelial MHC
class II complexes enhanced the transmigration of Ag-specific
lymphocytes through endothelial cell layers in vitro (24).
Interestingly, the inflammatory response due to ischemia/reperfusion
injury after transplantation has led to up-regulation of MHC class II
molecules on the endothelial surface (25). In this study,
the distribution of alloreactive T lymphocytes was evaluated at
different time points. One day after transplantation, 15 x
106 PKH-26-labeled cells were injected into
groups of allogeneic (BN to LEW) and syngeneic (LEW to LEW)
kidney-grafted rats. We used cells from the same lines and batches for
each group of syngeneic and allogeneic transplanted rats. This allowed
the quantification of differences due to graft-related effects. Several
organs were harvested 12, 24, and 48 h after cell transfer, and
the distribution of fluorescence-stained lymphocytes was monitored by
counting 5-µm tissue sections (Fig. 2
).
Time-dependent decrease of fluorescent light emission of PKH-26 did not
allow us to distinguish between labeled cells and autofluorescence
background at later than 48 h. The highest number of labeled cells
was found throughout in recipients lung and liver.
LEWBN T lymphocytes do recirculate through
secondary lymphatic organs, as shown by the appearance of labeled cells
in peripheral LNs and spleens. No T cell homing to contralateral
nontransplanted kidneys was found. An increased recruitment of labeled
T cells was detectable only in the allograft, whereas the number of
cells infiltrating syngeneic kidney grafts and other organs remained
stable. Fig. 3
depicts distinct homing
patterns of adoptively transferred lymphocytes in syngeneic vs
allogeneic rat renal graft recipients. The presence of alloantigens (BN
to LEW graft) did not affect the homing of LEWBN
T lymphocytes into recipients lung, liver, or spleen, as nearly equal
numbers of cells could be detected in both syngeneic and allogeneic
recipient groups. However, renal allografts attracted significantly
higher numbers of LEWBN T cells as compared with
syngeneic control grafts. Differences were seen from the earliest
timepoints studied and increased with time probably due to the
intragraft proliferation, apoptosis of donor-reactive T cells outside
the transplant, and/or trapping of recirculating cells, perhaps by
direct allorecognition, inside the graft.
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The increased recruitment of LEWBN T
lymphocytes to BN rather than LEW grafts may not necessarily be due to
Ag-specific cell homing. Ongoing acute rejection could possibly amplify
the inflammatory reaction in the allogeneic (BN) kidney. The attraction
of more cells by highly inflamed endothelium could result in different
infiltration pattern in allo/syngeneic grafts. To test our hypothesis
that alloantigen is a critical factor in recruiting T lymphocytes to
the graft, we generated a WF-specific cell line as a third-party
control. A total of 25 x 106 of
CFSE-labeled LEWWF T cells and 25 x
106 PKH-26-labeled LEWBN T
cells was simultaneously injected into LEW rats 24 h post-BN
kidney engraftment. This protocol enabled us to evaluate the effects of
alloantigen alone by keeping the inflammatory state of the transplanted
graft identical for both cell lines. The organs containing sufficient
numbers of infiltrating cells for FACS analysis (lung, liver, renal
graft) were harvested 24 h after the transfer. Isolated
graft-infiltrating cells were stained with anti-rat CD4 mAb, and
FACS analysis was performed. Dot blots representing the ratio of
green-labeled WF- to red-labeled BN-specific cells in lung and in the
transplanted kidney are shown in Fig. 4
.
The ratio of injected cells measured before injection was found to be
identical with the ratio in lung or liver. In contrast, a 40% increase
in numbers of BN-specific lymphocytes as compared with WF-specific
cells was detected in the BN graft. We also injected a mixture of equal
numbers of PKH-26- and CFSE-labeled LEWBN T cells
into LEW recipients of BN renal grafts. These controls did not show any
significant changes in the red to green ratio in all tested organs,
implying that alloantigen itself may represent a factor in recruiting
the lymphocytes to the graft. The impact of alloantigen can be
explained by three not mutually elusive principles. First,
alloantigen-specific lymphocytes home into the graft in an Ag-specific
manner (24). High MHC class II expression following
transplantation might initiate the cross-talk between graft endothelium
and adoptively transferred CD4+ T lymphocytes
(25). The donor-derived endothelial cells present the
alloantigen via the direct pathway. The protocol, used to generate
allospecific cell lines, promotes this direct interaction because TCR
activation during in vitro priming and expansion was performed by donor
(BN)-derived MHC class II molecules. Second, clonal expansion inside
the graft or in secondary lymphatic organs may change the total number
of alloreactive T lymphocytes. Third, random homing of activated T
cells to organ grafts was followed by enhanced apoptosis in the absence
of alloantigens (26).
|
4
1 but not
L
2 mAb inhibits intragraft homing of
Ag-specific T cells
Ag-activated and naive T lymphocytes exhibit distinct in vivo
recirculation and homing patterns (3, 20, 23). Although
these differences may not be absolute, activated cells have a higher
potential to transmigrate and accumulate at local inflamed tissues,
whereas naive T lymphocytes recirculate between peripheral lymphatic
compartments. This may be due, at least in part, upon the expression of
distinct homing receptors on their surface. The
4
1, a member of the
1 integrin family, and
L
2, a
2 integrin, are both highly expressed on
activated, but not quiescent T lymphocytes (13). It has
been shown that T cell activation dramatically enhances the binding
affinity between
4
1
and its endothelial counterreceptor VCAM-1 (16). These
features support the role of
4
1 and
L
2 as potential
targets for therapeutic intervention in transplant recipients. Indeed,
we have recently shown that targeting
4
1 in vivo
interactions significantly prolongs the survival of cardiac allografts
in rats (27). Although other studies showed only marginal
effects of
anti-
4
1 or
anti-
L
2 mAb
monotherapy, cotreatment with both Abs often resulted in an indefinite
survival of murine heart and islet grafts (28, 29).
We have then attempted to evaluate the role of
4
1 and
L
2 upon the homing of
activated alloreactive CD4 T lymphocytes in allograft recipients.
CFSE-labeled LEWBN T lymphocytes were incubated
with anti-
4
1 or
anti-
L
2 mAb to
block interactions with their counterreceptors. Preincubation had no
influence on
4
1 or
L
2 surface receptor
density, as shown by comparing direct staining of control lymphocytes
and secondary staining of preincubated cells. After removing unbound Ab
by extensive washing, 25 x 106 mAb-treated
CFSE+ cells were injected in concert with an
equal number of nontreated PKH-26-labeled LEWBN T
lymphocytes into rat recipients of renal allografts. We did not mix
both populations before injection to avoid binding of contaminating Ab
to nontreated PKH-26 control cells. Inhibition/augmentation of cell
sequestration was calculated by defining the CFSE/PKH-26 ratio in lungs
as the injection ratio. The organs were harvested 24 h after the
transfer, and graft-infiltrating cells were isolated/stained, as
described above. Although we were able to detect labeled cells in
spleen, peripheral LNs, and blood, the percentage in comparison with
hosts native CD4 lymphocytes was too low (<0.05%) to quantify
distribution differences after 24 h. Fig. 5
shows the distribution of pretreated
and untreated labeled cells in rat kidney allografts. Ex vivo treatment
with anti-
4
1 mAb
inhibited infiltration of renal allografts with CFSE-labeled cells by
85% (p < 0.05). In contrast, no significant
inhibition of
anti-
L
2
mAb-treated cells was detectable. The intralung and liver ratios
independent of any kind of treatment were nearly identical in all
treatment groups. In addition, adoptive transfer studies with two dyes
and without any Abs showed no different homing behavior into the graft
or into other organs (e.g., lung), implying that the two dyes do not
appear to differentially affect cell migration patterns. Moreover, the
difference in graft infiltration after
4
1 and
L
2 mAb treatment was
not due to different mAb densities on cell surfaces, or
isotype-dependent clearance of mAb-coated cells. Indeed, equal numbers
of treated and untreated cells sequestered in hosts spleens and
livers. Both mAb preparations had no effect on the surface phenotype of
transferred T cells, their activation (CD25 expression), proliferation
([3H]TdR incorporation), and apoptosis
(annexinV staining) after alloantigen-specific activation in vitro; no
receptor down-regulation was noted following secondary staining against
4
1 or
L
2 (data not
shown).
|
4
1 mAb was
detectable on the cell surface (data not shown), suggesting a direct
interfering in the rolling and transmigration process inside the donor
graft as causal mechanism of the blocked intragraft mononuclear cell
infiltration. On the other hand, the beneficial effects of
anti-
L
1 mAb
therapy in some transplantation models (28, 29) may not be
due to diminished intragraft recruitment of activated alloreactive CD4
cells. Perhaps direct signaling effects through LFA-1/ICAM-1 molecule
interaction during T cell activation and priming play a role. It has
been shown that ICAM-1 stimulation of T lymphocytes enhances the
t1/2 of inducible IL-2, thereby
bypassing cyclosporine-based inhibition of T cell activation
(30). We favor the notion that
anti-
L
2 mAb
treatment interferes with priming/activation of alloreactive
CD4+ T lymphocytes, whereas
anti-
4
1 mAb
blocks homing of primed cells into the graft. The
4
1 integrin-blocking
therapy with mAbs or small molecules may thus represent a useful
therapeutic option in transplant recipients.
| Footnotes |
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2 A.J.C. and J.W.K.-W. are co-senior authors. ![]()
3 Address correspondence and reprint requests to Dr. J. W. Kupiec-Weglinski, The Dumont-UCLA Transplant Center, Room 77-120 CHS, 10833 Le Conte Avenue, Los Angeles, CA 90095. ![]()
4 Abbreviations used in this paper: LN, lymph node; BN, Brown Norway; ECM, extracellular matrix; TCM, T cell medium; WF, Wistar Furth. ![]()
Received for publication August 2, 2000. Accepted for publication October 4, 2000.
| References |
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4 integrins is cell-type specific and activation dependent and is disrupted during apoptosis in T cells. Blood 15:602.
4, but not L-selectin, prevent central nervous system inflammation and experimental encephalomyelitis by blocking secondary leukocyte recruitment. Proc. Natl. Acad. Sci. USA 96:6896.This article has been cited by other articles:
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