To identify the mechanisms that cause monocyte localization in infarcted my
ocardium, we studied the impact of ischemia-reperfusion injury an the surfa
ce expression and function of the monocyte fibronectin (FN) receptor VLA-5
(alpha(5)beta(1) integrin, CD49e/CD29). Myocardial infarction was associate
d with the release of FN fragments into cardiac extracellular fluids. Incub
ating monocytes with postreperfusion cardiac lymph that contained these FN
fragments selectively reduced expression of VLA-5, an effect suppressed by
specific immunoadsorption of the fragments. Treating monocytes with purifie
d, 120-kDa cell-binding FN fragments (FN120) likewise decreased VLA-5 expre
ssion, and did so by inducing a serine proteinase-dependent proteolysis of
this beta(1) integrin. We postulated that changes in VLA-5 expression, whic
h were induced by interactions with cell-binding FN fragments, may alter mo
nocyte migration into tissue FN, a prominent component of the cardiac extra
cellular matrix; Support for this hypothesis came from experiments showing
that FN120 treatment significantly reduced both spontaneous and MCP-1-induc
ed monocyte migration on an FN-impregnated collagen matrix. In vivo, it is
likely that contact with cell-binding FN fragments also modulates VLA-5/FN
adhesive interactions, and this causes monocytes to accumulate at sites whe
re the fragment concentration is sufficient to ensure proteolytic degradati
on of VLA-5.