Extravasation of leukocytes at sites of ischemia may mediate tissue in
jury. To determine how leukocyte accumulation may be induced by ischem
ia, effects of hypoxia on basal neutrophil expression of adhesion and
activation receptors were examined. Effects of hypoxia upon preactivat
ed cells were also studied. To determine whether regulation of express
ion is dependent on oxygen availability or on mitochondrial respiratio
n, the effects of physical hypoxia (substitution of O-2 by nitrogen) w
ere compared with those of chemical hypoxia with sodium cyanide (NaCN)
. Leukocytes in whole blood (eight volunteers) were exposed either to
hypoxia alone or to priming concentrations of lipopolysaccharide (LPS,
1 mu g/ml) followed by chemical hypoxia (NaCN, 1 mM) or physical hypo
xia (PO2 of 1-10 torr) for various time intervals. Room air was contro
lled and hypoxic cells were labeled with fluorescent monoclonal antibo
dies to integrins CD18 and CD11b or to the 55-kDa TNF alpha cell surfa
ce receptor (TNFR). Receptor concentrations were measured by flow cyto
metry. Data were analyzed by ANOVA/Student's t test. Physical hypoxia
increased expression of both CD11b and CD18 over time and augmented th
eir LPS-induced up-regulation. Isolated chemical hypoxia did not chang
e neutrophil expression of CD11b or CD18, but partially inhibited neut
rophil CD11b and CD18 up-regulation by LPS. LPS-induced TNFR down-regu
lation was not affected by physical hypoxia, which failed to alter TNF
R expression in this model. Chemical hypoxia led to an up-regulation o
f TNFR in neutrophils, which was opposed by LPS. Physical hypoxia exer
ts a specific effect on expression of leukocyte receptors, which is su
bstantially different from that exerted by chemical hypoxia. (C) 1995
Academic Press, Inc.