Previous studies have suggested that LFA-3 has an important role in a numbe
r of chronic inflammatory pathologies, although an active role for LFA-3 wi
thin in vivo inflammatory reactions has not previously been directly observ
ed in humans. To assess the importance of LFA-3 in this process, this study
used an adaptation of the Stamper-Woodruff lymphocyte adhesion assay to me
asure the binding of exogenous activated lymphocytes to the T-cell-dominate
d chronic inflammatory infiltrate of oral lichen planus. Antibody blockade
experiments showed that anti-LFA-3 monoclonal antibody reduced lymphocyte a
dhesion by approximate to 29%, while anti-ICAM-1 produced a reduction of 26
%. These results thus suggest that both LFA-3 and ICAM-1 are likely to medi
ate cell-cell interactions within lesional tissues in vivo. Moreover, these
findings are also the first to directly demonstrate that LFA-3-mediated ad
hesion, like that of ICAM-1, is functionally important in the molecular pat
hology of inflammatory mucosal disease.