With the use of a whole blood laminar flow chamber system, we examined the
types of leukocytes, adhesion molecules and the role of nuclear factor-kapp
aB (NF-kappaB) in thrombin-induced leukocyte recruitment. Primary human umb
ilical vein endothelial cells (HUVEC) stimulated with thrombin induced a si
gnificant increase in P-selectin-dependent neutrophil recruitment. Unexpect
edly, brief thrombin stimulation (3 min) of endothelium also induced a sign
ificant lymphocyte recruitment 4 h later in addition to neutrophil recruitm
ent. E-selectin antibody reduced neutrophil recruitment by >90%, whereas va
scular adhesion molecule-1 (VCAM-1)/alpha (4)-integrin were primarily respo
nsible for lymphocyte recruitment. To examine whether NF-kappaB contributed
to leukocyte recruitment 4 h post thrombin stimulation, we treated HUVEC w
ith the NF-kappaB inhibitor MG-132 for 1 h before thrombin stimulation. MG-
132 significantly reduced the number of rolling (77.1%) and adherent (79.9%
) leukocytes compared with thrombin stimulation alone. The inhibitor was mo
re effective at preventing lymphocyte than neutrophil recruitment, consiste
nt with its greater effect on VCAM-1 versus E-selectin expression. Tumor ne
crosis factor-alpha- and MG-132-treated HUVEC displayed no inhibition of le
ukocyte recruitment despite a decrease in NF-kappaB activation. In summary,
thrombin causes predominant neutrophil recruitment via rapid P-selectin ex
pression but also a delayed E-selectin- and VCAM-1-dependent neutrophil and
lymphocyte recruitment via de novo protein synthesis. Although NF-kappaB m
obilization was essential for thrombin-mediated VCAM-1-dependent recruitmen
t, it only partially contributed to E-selectin- dependent recruitment.