Background. Our previous studies have implicated phospholipase A2-depe
ndent platelet-activating factor (PAF) production in the genesis of po
lymorphonuclear neutrophil (PMN)-mediated tissue injury after gut isch
emia-reperfusion. Further, these studies have suggested a discordance
of PMN sequestration and tissue injury. CD11B-dependent PMN-endothelia
l cell adhesion has been purported to play a dominant role in PMN-medi
ated tissue injury. We therefore undertook this study with the hypothe
sis that PAF-induced PMN superoxide production requires CD11B-mediated
PMN-endothelial cell adherence. Methods. Human PMNs, isolated by Perc
oll gradient centrifugation, were exposed to PAF (10 ng/ml). At fixed
times of exposure during 120 minutes, (1) superoxide production, (2) C
D11B receptor expression, and (3) PMN adhesion to unstimulated human u
mbilical vein endothelial cell cultures were assayed. Results. PAF ind
uced prompt changes in PMN priming (increased superoxide production af
ter N-formyl-methyl-leucyl-phenylalanine activation), adhesion to unst
imulated endothelial cells, and CD11B receptor expression. Priming was
temporally concordant with the rise and fall of CD11B expression but
appeared to precede adhesion. CD11B blockade (F(Ab') 2 anti-CD11B 60.
1! antibodies), before or at maximal PAF priming, reduced PMN adhesion
but had no effect on superoxide production. Conclusions. In summary,
PAF-induced PMN priming occurs in temporal concordance with the expres
sion of CD11B and subsequent endothelial cell adherence, but CD11B-med
iated adherence is not essential for this process.