H. Haller et al., CIRCULATING LEUKOCYTE INTEGRIN EXPRESSION IN WEGENERS GRANULOMATOSIS, Journal of the American Society of Nephrology, 7(1), 1996, pp. 40-48
Leukocyte adhesion and infiltration are important in the pathogenesis
of Wegener's granulomatosis (WG). We tested the hypothesis that the ex
pression of the beta 1-chain integrin VLA-4 (CD49d/CD29) and the beta
2-chain integrins LFA-1 (CD11a/CD18), Mac-1 (CD11a/ CD18), and gp150,9
5 (CD11c/CD18) is increased on leukocytes in patients with active WG.
Fifteen patients with active WG as defined by positive antineutrophil
cytoplasmic autoantibody (cANCA) titers and biopsy, 30 patients with W
G in remission as defined by negative cANCA titers and/or immunosuppre
ssive therapy, 25 normal control subjects, and 12 patients with other
inflammatory renal and systemic diseases were studied. Surface express
ion of LFA-1, Mac-1, p150, 95, and VLA-4 on neutrophils, lymphocytes,
and monocytes was measured by fluorescent antibody cell sorting with m
onoclonal antibodies against CD11a, CD11b, CD11c, CD18, CD49d, and CD2
9 respectively. Immunocytochemistry and confocal microscopy were also
utilized. beta 1 (CD29) and beta 2 (CD18) integrin subunit expression
on neutrophils, monocytes, and lymphocytes from patients with acute WG
was significantly increased compared with healthy persons and compare
d with patients with treated vasculitis. Furthermore, the a-integrin s
ubunit CD11b expression was increased on granulocytes and monocytes, b
ut not on lymphocytes. Finally, the alpha-integrin subunit CD11a expre
ssion was increased on monocytes. Immunocytochemistry showed that the
increased immunoreactivity on neutrophils was evenly distributed on th
e plasma membrane and in the cytosol. Immunosuppression resulted in de
creased expression of the beta 1 and beta 2-integrin subunits. It was
concluded that the integrin adhesion molecules, particularly Mac-1 (CD
11b/CD18), are upregulated on leukocytes in active WG. This finding su
ggests a role for integrin expression in the pathogenesis of WG and a
possible clue for treatment.