Background. Neutrophils have been shown to play a role in ischemia-rep
erfusion injury, and the initial interaction of neutrophils with the e
ndothelium is mediated through the selectin family of adhesion molecul
es. Thus the purpose of these studies was to determine whether a P-sel
ectin-IgG chimera was protective in a model of ischemia-reperfusion in
jury. Methods. The model used was a rabbit ear model of ischemia-reper
fusion. Selectin-IgG chimeras were given at the time of reperfusion of
the tissue, and their efficacy was compared with an anti-CD18 antibod
y (MHM23). Results. The P-selectin-IgG was as protective in this model
as an anti-CD18 antibody. The chimera did not mediate its effect by c
ausing the animals to become neutropenic. Conclusions. P-selectin play
s a role in ischemia-reperfusion injury. This is in agreement with dat
a from other groups. The fact that the chimera was effective in this m
odel suggests that carbohydrates or small molecule mimics of carbohydr
ates would be effective in this model. Such antiinflammatory agents ma
y have fewer side effects in terms of increased risk of sepsis.