cellular adhesion molecules
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Synopsis on cellular adhesion molecules from Middleton's Allergy: Principles and Practice, 7th editionPresented by Sawad Boonpiyathad, MD.TRANSCRIPT
Cellular Adhesion Molecule
Cell adhesion molecules (CAMs) - important molecules
to selective recruitment of circulating leukocytes to sites
of inflammation by promoting cell–cell and cell–matrix
interactions
Middleton 7th edition
CAMs subdivided 3 main families
1. Selectins
2. Integrins
3. Immunoglobulin gene super family (IgSF) members
4. Other; gelectin, cadherin and CD44
Middleton 7th edition
Selectin
Selectins are a family of CAMs which bind to specific
sugar determinants on the surface of adjacent cells
Selectin family
leukocyte-expressed L-selectin (CD62L)
endothelial-expressed E-selectin (CD62E)
P-selectin (CD62P) which is expressed by both platelets and
endothelial cells
Middleton 7th edition
Klaus Ley and Kansas GS. Nat Rev Immunol 2004 (4):1-11
critical 120-amino acid N-terminal Ca2+-
dependent (C-type) lectin
epidermal growth
factor-like region
2-9 consensus repeats similar to those found in
complement regulatory proteins, a
transmembrane region
17–35 amino acid cytoplasmic tail
Middleton 7th edition
L-selectin
L-selectin was originally identified as a peripheral lymph
node homing receptor responsible for lymphocyte
adhesion to high endothelial venules in lymph nodes
Expressed on the tips of the microvilli of most leukocytes,
neutrophils, eosinophils, monocytes, naïve T and B cells as
well as on the surface of some activated T cells and
memory T cells
Middleton 7th edition
L-selectin
L-selectin mediates leukocyte margination and tethering
to endothelium under conditions of shear stress
associated with blood flow
L-selectin is irreversibly and rapidly shed from the
leukocyte cell surface by endogenous membrane-bound
proteases
Middleton 7th edition
E-selectin
E-selectin is not expressed on the surface of unstimulated
endothelium but is induced within several hours following
exposure to either IL-1, TNF-α, or bacterial endotoxin
Surface expression of E-selectin in vitro is relatively
transient, with endothelial expression levels peaking at 4–
6h and approaching baseline levels by 24 h
Middleton 7th edition
P-selectin
P-selectin functions as a vascular ligand for most myeloid
and lymphoid cells
Expressed by activated platelets
P-selectin is stored in intracellular granules (Weibel-
Palade bodies and in α granules of platelets)and can be
rapidly translocated to the cell surface when endothelial
cells are stimulated with agents such as C5a, histamine,
thrombin, phorbol esters or leukotriene C4
Middleton 7th edition
Leukocyte interaction with endothelial P-selectin has
been shown to alter leukocyte cellular functions, including
superoxide production, integrin-mediated phagocytosis,
and production of cytokines and chemokines
Middleton 7th edition
Selectin ligands
All 3 selectins can recognize glycoproteins and/or
glycolipids containing the tetrasaccharide sialyl-LewisX
(sialyl-CD15, sLeX) and in some cases its isomer sialyl-
Lewis
Middleton 7th edition
Selectin Ligands Distribution
E-selectin Sialylated Lewis X and related glycans(eg. CLA1)
Endothelium activated by cytokines (IL1, TNF)
P-selectin Sialylated Lewis X and related glycans on PSGL-1 (P-selectin glycoprotein ligand-1)
Storage granules & surface of endothelium and platelets
L-selectin GlyCAM-1(HEV)
MadCAM-1(GALT)
CD 34
Lymphocytes (high expression on Naive T cell)
Integrin
Structurally related non-covalently linked α and β
heterodimeric cell adhesion receptors
α and β subunits are type I transmembrane proteins
containing large extracellular domains (700–1100 amino
acids) and relatively small cytoplasmic domains (30–50
amino acids)
In vertebrates there are 18 α subunits and 8 β subunits
combining to form 24 integrins
Middleton 7th edition
4 of the β subunits are expressed on leukocytes (ie, β1,
β2, β3, and β7)
β2 and β7 expression limited to leukocytes, and β1
expression occurring on most of the body’s cell types.
Middleton 7th edition
Globular heads contain divalent cation-binding
domains
Divalent cation: integrin receptor function, interact
with integrin ligands
Stalks: Extend from globular heads to plasma membrane transmembrane segment and cytoplasmic tails
Extracellular domains bind: extracellular matrix glycoproteins, activated complement component and proteins on surface of other cells
Cytoplasmic domains bind cytoskeletalcomponent (vinculin, talin, actin
Middleton 7th edition
Structure of β2 integrin. Schematic representation of the structure of the β2
integrin heterodimer. The I domain and divalent cation-binding domains on the α
subunit that contribute to adhesive function are shown, as is the cysteine-rich
repeat region of the β2 subunit that is conserved among integrin β subunits.
β1 Integrin
VLA molecules (very late activation)
a1b1 and a2b1: express on T cell 2-4 wks after repetitive stimulation
CD49a-fCD29
Most express on leukocytes
VLA4 (a4b1): constitutively express on some T cell or rapidly induced homing lymphocytes to endothelium at peripheral site of
inflammation binds to VCAM-1
Middleton 7th edition
Subunit (CD, name) Ligands Lymph
o
Mon
o
Neutr
o
Eosino Baso Mast
α1β1 (49a/29, VLA-1) Laminin, collagen + − − − − −
α2β1 (49b/29, VLA-2) Collagen, laminin + + − − − −
α3β1 (49c/29, VLA-3) Collagen, laminin, fibronectin + − − − − +
α4β1 (49d/29, VLA-4) VCAM-1, fibronectin CS-1
domain
+ + − + + +
α5β1 (49e/29, VLA-5) Fibronectin + + + − + +
α6β1 (49f/29, VLA-6) Laminin + + + + − −
αLβ2 (11a/18, LFA-1) ICAM-1,-2,-3,-4, and -5 + + + + + −
αMβ2 (11b/18, Mac-1) ICAM-1 and -2, C3bi,
fibrinogen, heparin
− + + + + −
αXβ2 (11c/18, p150,95) C3bi, fibrinogen + + + + + +
αdβ2 (αd/18) ICAM-3, VCAM-1 + + + + + −
αvβ3 (51/61) Vitronectin, PECAM-1, other
RGD peptides
− + − − − +
α4β7 (49d/β7, ACT-1) MAdCAM-1, VCAM-1,
fibronectin CS-1 domain
+ + − + + −
αEβ7 (103/β7, HML-1) E-cadherin + − − − − −
β2 Integrin
CD11a-cCD18
Expression restricted to leukocytes
CD11aCD18 = LFA-1(leukocyte function-associated antigen-1) Important role in adhesion of lymphocytes with other cell ex. APCs, vascular endothelium
Middleton 7th edition
Mac-1 (CR3) & CR4 mediate leukocyte attachment to endothelial cell & subsequent extravasation
For all leukocytes : processes dependent on β2 integrins Firm adhesion
Locomotion
Transendothelial migration
Middleton 7th edition
Integrin signaling
Inside-out signaling
activation of the cytoplasmic tail of the integrin sends a signal
to the extracellular domain of the integrin to change its
conformation
important in a key step of the adhesion of leukocytes to
endothelium
Outside-in signaling
transduce the extracellular signal from the cell surface to the
interior of the cell
influence cell proliferation, differentiation, migration, gene
transcription, and apoptosis
Middleton 7th edition
Inside-out signaling
Chemokine and Integrin
Activation by chemokines can enhance or inhibit integrin
avidity
CCR3: enhance LFA-1 function but inhibiting VLA-4
function
Chemokines, such as eotaxin and IL-8, are potential in situ
regulators of integrin activity on leukocytes (i.e.
eosinophils and neutrophils, respectively) interacting with
vessel walls or migrating across the extracellular matrix
Middleton 7th edition
IMMUNOGLOBULIN GENE SUPERFAMILY
consists of more than 25 molecules
Have a series of globular Ig-like domains, formed by
disulfide bonds
Structure of immunoglobulin gene superfamily. Schematic representation of several
immunoglobulin gene superfamily molecules expressed on endothelial cells and leukocytes. The
counterligands, most of which are integrins, are also shown.
leukocyte endothelial cell adhesion,
as well as in endothelial cell-
endothelial cell, and leukocyte-
leukocyte adhesion
Intercellular adhesion molecule (ICAM)
ICAM-1 (CD54)
increase following stimulation by cytokines (IL-1, TNF-α, IFN-γ),
or bacterial endotoxin
IFN-γ selectively induces ICAM-1 expression without affecting
expression of other adhesion molecules
Ligands for the most N-terminal domain of ICAM-1 include
LFA-1, fibrinogen, and most serotypes of rhinovirus, whereas
the third domain is recognized by Mac-1
Middleton 7th edition
ICAM-2 (CD102)
2 Ig-like extracellular domains that possess 34% homology to
the first two domains of ICAM-1
ligand binding site for LFA-1
ICAM-2 is constitutively expressed on mononuclear cells,
basophils, mast cells, and platelets, and expression appears to
be unaffected by cytokines
Middleton 7th edition
ICAM-3 (CD50)
functions as an LFA-1 ligand , αdβ2 integrin
expressed on all leukocytes and on mast cells
ICAM-3 cross-linking results in calcium mobilization, tyrosine
phosphorylation, enhanced adhesion, chemokine secretion, and
modulation of basophil mediator release
Middleton 7th edition
Vascular cell adhesion molecule
VCAM-1 (CD106) is a cytokine-inducible endothelial cell
adhesion molecule
Expressed on macrophage, DC, astrocytes, & BM stromalcells and respiratory epithelium cell line
Expression on umbilical vein endothelial cells induced by IL-1, TNF-α, or LPS
Expression on endothelial cells induced by IL-4, IL-13
Platelet-endothelial cell adhesion
molecule
PECAM-1 (CD31) is a cell adhesion molecule expressed
on endothelial cells and circulating leukocyte
plays an important role in mediating neutrophil and
monocyte transendothelial migration
Middleton 7th edition
Other adhesion molecules
Galectins
family of β-galactose-recognizing proteins that exhibit a
conserved ≈130 amino acid carbohydrate-recognition domain
(CRD)
Cadherins
transmembrane proteins that mediate intercellular adhesion in
epithelial and endothelial cells
found on structural cells, including endothelium and epithelium
and are potentially involved in maintaining tissue integrity, cell–
cell recognition, signaling, communication, growth, and
angiogenesis
Middleton 7th edition
CD44
found in high levels on most leukocytes, endothelial cells,
epithelial cells, and other cells
has been implicated in a variety of biological processes
including lymphopoiesis, angiogenesis, wound healing, leukocyte
extravasation at inflammatory sites, and tumor metastasis
IL3, IL5, GM-CSF increase CD44 levels on eosinophil
Middleton 7th edition
DISEASE ASSOCIATED WITH ADHESION MOLECULE DEFICIENCY
Human syndrome Adhesion molecule
defect
Clinical phenotype
LAD-I β2 integrin structure
(mutation CD18)
Absent or near-absent expression of all β2 integrins;
blood neutrophilia with tissue neutropenia, delayed
umbilical cord separation, recurrent soft tissue
infections (e.g., skin, periodontal), impaired pus
formation and wound healing; reduced or absent
neutrophil adhesion, transendothelial migration, and
chemotactic responses; normal rolling adhesion
LAD-I variants β2 integrin function β2 integrins expressed but dysfunctional; biologic
consequences identical to those of LAD-I
LAD-II GFTP gene
(guanosine
diphosphate-fucose
transporter gene)and sLeX
Defect in fucosylation of many structures, including
sialyl-Lewis-X (sLeX); developmental abnormalities (e.g.,
severe mental retardation, short stature, distinctive facial
appearance). (hh) blood phenotype, impaired pus
formation, pneumonia, periodontitis, and otitis;
neutrophil studies, reduced or absent sLeX expression,
reduced rolling adhesion, normal firm adhesion
LAD-III Integrin signaling
(failed inside-out
signaling)
LAD-III is a very rare disorder characterized by severe
recurrent infections, a bleeding tendency and marked
leukocytosis. Leukocytes and platelets have normal
expression of CD18 (defective in LAD-I), normal
expression of CD15a (defective in LAD-II), but defective
integrin signaling
E-selectin E-selectin Case report of child with clinical presentation similar to
LAD disease but whose neutrophils expressed normal
levels of β1 integrins, L-selectin, and sLeX; staining of
inflamed tissue revealed no E-selectin
Middleton 7th edition