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(Journal of Leukocyte Biology. 2002;71:1042-1048.)
© 2002 by Society for Leukocyte Biology

Protein kinase A regulates ß2 integrin avidity in neutrophils

Samuel L. Jones

Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh

Correspondence: Samuel L. Jones, Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, 4700 Hillsborough St., Raleigh, NC 27606. E-mail: sam_jones{at}ncsu.edu


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The adhesive phenotype of neutrophils (PMN) depends largely on activating and deactivating intracellular signals regulating ß2 integrin avidity for ligand. Our hypothesis is that PKA is a negative regulator of ß2 integrin avidity. In this work, we examined the role of PKA in PMN {alpha}Mß2 integrin activation. Elevation of cAMP inhibited {alpha}Mß2 integrin-dependent adhesion of PMN to immune complexes (IC), but not PMA-induced adhesion. The PKA inhibitor KT5720 reversed the ability of cAMP to suppress adhesion to IC. Moreover, inhibition of PKA activity was sufficient to activate {alpha}Mß2 integrin-dependent adhesion and increase ß2 integrin expression and binding of the monoclonal antibody CBRM1/5, which recognizes activated {alpha}Mß2 specifically. However, PKA activity was necessary for sustained adhesion. Disruption of A kinase-anchoring, protein-PKA binding with a cell-permeant peptide derived from the AKAP Ht31 also activated adhesion. Unlike pharmacologic inhibition of PKA, AKAP peptide-induced adhesion was PKC dependent and did not affect ß2 integrin expression or CBRM1/5 binding. These data demonstrate that PKA appears to have a dual role in the mechanism regulating {alpha}Mß2 integrin avidity and adhesion.

Key Words: immune complexes • PMN • {alpha}Mß2


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Neutrophils (PMN) are critical host defense cells that are recruited to sites of inflammation, where they are activated to perform effector functions that are important for eliminating pathogens. Transendothelial migration and subsequent activation of effector functions in tissues are highly regulated in order to prevent inappropriate responses that are potentially injurious to host cells and proteins [1 ]. Adhesion is an important regulator of PMN function, being required for migration into tissues and development of the full effector phenotype [2 ]. Of the adhesion receptors expressed by PMN, the ß2 family (CD11/CD18 complex) of integrin adhesion receptors has a unique role in regulating PMN transendothelial migration and activation [1 ]. ß2 Integrins are heterodimeric transmembrane proteins consisting of one of four {alpha} chains coupled with a ß2 chain. They have as ligands counter receptors expressed on endothelial and epithelial cells, extracellular matrix proteins, products of the coagulation and complement cascades, and other proteins that are present in inflamed tissues.

ß2 integrin ligand binding, and thus adhesion, require a transition from a low avidity to a high avidity state in response to signals generated by immune complexes (IC), bacterial products, chemokines, cytokines, or other inflammatory mediators [1 ]. Activation of the high avidity state is a complex mechanism that involves changes in ß2 integrin conformation, which increase affinity for ligand, as well as changes in integrin mobility in the cell membrane and association with cytoskeletal elements. The signaling mechanisms that regulate ß2 integrin avidity are not completely understood. We previously identified two mechanisms of activating ß2 integrin avidity in PMN. The first, induced by ligation of Fc receptors for immunoglobulin G (IgG; Fc{gamma}Rs) by IC, is dependent on phosphatidylinositol 3-kinase (PI3K), whereas the second, activated by G-protein-linked serpentine receptor ligation, is PI3K independent [3 ]. However, very little is known about how ß2 integrins are maintained in the inactive state in quiescent PMN or are inactivated once the high avidity state is achieved.

In general, cyclic adenosine monophosphate (cAMP) activation of protein kinase A (PKA) inhibits many PMN functions including adhesion and migration [4 5 6 7 ]. cAMP-elevating agents inhibit spreading and actin assembly in tumor necrosis factor {alpha}-stimulated PMN adherent to a ß2 integrin substrate [8 ]. Moreover, pharmacological cAMP treatment has been demonstrated to hasten lymphocyte deadhesion from cells expressing the {alpha}Lß2 integrin ligand intercellular adhesion molecule-1 [9 ]. These data suggest that PKA activity inhibits integrin function. In contrast, recent work has identified a necessary role for PKA activity in prolonged adhesion of PMN to immune complexes [10 ]. Our hypothesis is that PKA-dependent signaling is an important negative regulator of ß2 integrin avidity activation, which is distinct from its role in sustained adhesion.

We demonstrate in this work that PKA activity is required for cAMP-mediated inhibition of ß2 integrin-dependent adhesion of PMN to IC. Importantly, inhibition of PKA activity is sufficient to activate ß2 integrin-dependent adhesion, total ß2 integrin expression, and binding of a monoclonal antibody (mAb; CBRM1/5), which specifically recognizes a neoepitope induced by activation of {alpha}Mß2 [11 ]. PKA inhibitor-induced activation of adhesion is independent of PI3K and protein kinase C (PKC). However, PKA activity is necessary for sustained adhesion to IC. Treatment of PMN with a cell-permeant peptide derived from the PKA binding site of human thyroid A kinase anchoring protein (AKAP), which inhibits PKA/AKAP binding, also activates ß2 integrin-dependent adhesion. In contrast to adhesion induced by global inhibition of PKA activity, AKAP peptide-induced adhesion is PKC dependent and is not associated with an increase in ß2 expression or CBRM1/5 binding. Moreover, AKAP peptides do not affect sustained adhesion to immune complexes.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Reagents
PMA, Me2SO, rabbit polyclonal antibovine serum albumin (anti-BSA) antiserum, BSA, poly-L-lysine, glutaraldehyde, fluorescein isothiocyanate (FITC)-conjugated F(ab')2 sheep anti-mouse IgG antibody, HEPES, and ethyleneglycol-bis(ß-aminoethylether)-N,N'-tetraacetic acid were from Sigma Chemical Co. (St. Louis, MO). Powdered phosphate-buffered saline (PBS) and Hanks’ balanced saline solution (HBSS) were from Life Technologies (Grand Island, NY). Ficoll-Paque and Dextran T500 were obtained from Pharmacia Biotech (Upsala, Sweden). Wortmannin, KT5720, 8-Br cAMP, pentoxifylline, and H89 were obtained from Alexis (San Diego, CA). The AKAP St-Ht31 inhibitor and control peptides were obtained from Promega (Madison, WI). Fetal calf serum (FCS) was from Hyclone (Logan, UT). Calcein was from Molecular Probes (Eugene OR). Ninety-six-well Immulon-2 plates were from Dynatech (Chantilly, VA). mAb IB4 (anti-ß2, CD18; ref. [12 ]) and W6/32 {anti-class I human leukocyte antigen (HLA); ref. [13 ]} were purified, and F(ab')2 was prepared as described [14 ]. CBRM1/5 [11 ] concentrated tissue culture supernatant was a kind gift from Tim Springer (Harvard Medical School, Center for Blood Research).

Preparation of PMN suspensions
Human PMN were isolated from whole blood using a dextran sedimentation/Ficoll gradient centrifugation protocol as described [3 ]. PMN were >98% viable as indicated by the exclusion of trypan blue dye. Cells were suspended in HBSS with 20 mM HEPES, 8.9 mM sodium bicarbonate, 1.0 mM Mg2+, and 1 mM Ca2+ (HBSS++) for adhesion assays and flow cytometry.

Adhesion assay
Purified human PMN (1x107/ml) were incubated with 2 µg/ml calcein in HBSS for 30 min at room temperature (RT). The cells were washed once and resuspended in HBSS++ at 2 x 106/ml. Cells were treated with inhibitors at the indicated concentration or Me2SO as a control for 20 min at 37°C. For antibody inhibition experiments, cells were incubated with 25 µg/ml of the appropriate antibody F(ab')2 for 15 min at RT. Cells (1x105) were added per well to Immulon 2 plates coated with BSA and a 1:50 dilution of rabbit anti-BSA to form IC or 5% FCS as described [15 ]. For PMA or AKAP St-Ht31 peptide adhesion, PMA, St-Ht31-inhibitory peptide, or St Ht31P control peptides were added at the indicated final concentrations to the cells after allowing them to settle onto FCS-coated wells for 6 min at RT. The plates were then incubated at 37°C for the indicated time. The fluorescence (485 nm excitation; 530 nm emission wavelengths) was measured using an fMax fluorescence plate reader (Molecular Devices, Sunnyvale, CA) before and after washing twice with 150 µl PBS. Percent adhesion was calculated by dividing the fluorescence after washing by the fluorescence before washing. In preliminary experiments, fluorescence was shown to be linearly related to cell number (unpublished results).

Flow cytometry
Purified PMN (4x106/ml in HBSS++) were treated with inhibitors, peptides, or PMA at the indicated concentrations for 20 min at 37°C. The cells were then placed on ice, washed once with ice-cold wash buffer (PBS, 1% FCS, 0.1% sodium azide), and resuspended in 100 µl wash buffer plus primary antibody (25 µg/ml). Cells were incubated with primary antibody F(ab')2 for 40 min on ice and then washed twice. After incubation with FITC-conjugated sheep anti-mouse IgG secondary antibody F(ab')2 at a 1:50 dilution in 200 µl wash buffer for 20 min on ice, cells were washed twice, and the relative fluorescence of 10,000 gated PMN was measured using a FacsCalibur flow cytometer (Becton Dickinson, Franklin Lakes, NJ).


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The cAMP-PKA signaling pathway inhibits {alpha}Mß2 integrin-dependent adhesion in PMN
To test our hypothesis that PKA activity inhibits ß2 integrin activation, we first investigated the effect of cAMP on Fc{gamma}R-induced adhesion to surfaces coated with immobilized IC, which is dependent on {alpha}Mß2 activation [3 , 16 17 18 ]. Treatment with the cell permeant pharmacologic cAMP analog 8-Br-cAMP inhibited adhesion to immobilized IC (Fig. 1 ). The nonspecific phosphodiesterase inhibitor pentoxifylline, the phosphodiesterase IV inhibitor rolipram, and the ß2 adrenergic agonists clenbuterol and isoproterenol inhibited adhesion to IC similarly (unpublished results). 8-Br-cAMP increased adhesion to FCS slightly, but this effect was not consistent. In contrast to adhesion to IC, none of these agents had a significant effect on adhesion induced by the phorbol ester PMA (Fig. 1A) , demonstrating that cAMP elevation does not inhibit PMN adhesion globally and is not toxic to the cells. The effect of cAMP on adhesion to IC was reversed with the specific PKA inhibitor KT5720 (Fig. 1A) , demonstrating that PKA activity is necessary for cAMP to inhibit ß2 integrin-dependent adhesion to IC.



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Figure 1. PKA inhibits adhesion in stimulated and unstimulated PMN. (A) Purified PMN fluorescently labeled with calcein were treated with control Me2SO or the indicated concentrations of 8-Br-cAMP and KT5720 for 20 min at 37°C and allowed to adhere for 30 min in 96-well plates coated with BSA-anti-BSA IC or FCS at 37°C as described in Materials and Methods. PMA (10 ng/ml) was added to some cells after they were placed in wells coated with FCS. (B) PMN were pretreated with control Me2SO4 or 8-Br-cAMP (5 mM) for 20 min at 37°C and were then added to plates coated with IC or FCS. St-Ht31 inhibitory peptide (AKAP) or a control peptide was added where indicated to the cells, and adhesion was measured after 30 min at 37°C. Data are presented as the mean ± SE of triplicate wells shown as adhesion index (AI), the percentage of PMN remaining after washing as described in Materials and Methods. 8-Br cAMP inhibited adhesion to IC significantly (P<0.05) but not PMA-induced adhesion to FCS. KT5720 or AKAP peptide treatment abolished the ability of 8-Br-cAMP to inhibit adhesion to IC, and both treatments increased adhesion to FCS significantly, even in the presence of 8-Br-cAMP (P<0.05). Data are representative of four separate experiments using PMN from different donors.

 
PKA directly regulates {alpha}Mß2 integrin activation
The ability of cAMP to inhibit Fc{gamma}R-induced activation of {alpha}Mß2 integrin dependent adhesion is consistent with the ability of cAMP signaling to inhibit agonist receptor signal transduction. However, it is also possible that cAMP activation of PKA regulates ß2 integrin function directly in the absence of integrin activator-induced signals. To examine the latter possibility, we determined whether inhibition of PKA activity was sufficient to activate adhesion in unstimulated PMN. KT5720 treatment activated adhesion of PMN to the {alpha}Mß2 integrin substrate FCS [3 ] in the absence of any other stimulus (Figs. 1A and 2A ). KT5720 stimulated adhesion in a dose-dependent manner with maximal adhesion observed at a concentration of 25 µM (Fig. 2 A ). The PKA inhibitor H89 similarly activated adhesion of PMN to FCS in a dose-dependent manner with maximal adhesion observed at a concentration of 50 µM (Fig. 2B) . Neither KT5720 nor H89 activated respiratory burst activity in PMN in suspension or adherent to FCS substrates at doses that induced adhesion (data not shown), demonstrating that inhibition of PKA activity does not activate PMN globally. At concentrations that activated adhesion to FCS, KT5720 (25 and 50 µM) inhibited adhesion to IC at 30 min slightly but significantly (P<0.05), but did not affect PMA-induced adhesion at any concentration (Fig. 2A) . H89 inhibited adhesion to IC and PMA-induced adhesion at 30 min modestly but significantly (P<0.05; Fig. 2B ). Like adhesion to FCS induced by other integrin activators, KT5720-stimulated adhesion was inhibited by anti-ß2 integrin mAb IB4 but was unaffected by the control mAb anti-HLA W6/32 (Fig. 3 ) or anti-{alpha}Lß2 TS1/22 (unpublished results).



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Figure 2. PKA inhibitors activate adhesion in a dose-dependent manner. PMN were incubated with Me2SO control or the indicated concentration of (A) KT5720 or (B) H89 for 20 min at 37°C before adhesion. Adhesion to IC or FCS with or without PMA (10 ng/ml) was measured after 30 min as described in Figure 1 . (C) PMN were added to wells coated with FCS and allowed to settle for 5 min at RT. The St-Ht31 inhibitory peptide (AKAP) or a control peptide was then added at the indicated concentration, and adhesion was measured after 30 min at 37°C. Data are presented as the mean ± SE of triplicate wells. KT5720, H89, and the AKAP peptide increased adhesion to FCS significantly (*, P<0.05) in a dose-dependent manner. KT5720 and H89 inhibited adhesion to IC slightly but significantly (P<0.05) at 25 µM and 50 µM, respectively. The AKAP peptide had no effect on adhesion to IC or PMA-induced adhesion (data not shown). Data are representative of three separate experiments using PMN from different donors.

 


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Figure 3. PKA inhibitor-induced adhesion is dependent on ß2 integrins. PMN were incubated with PBS alone or anti-ß2 mAb IB4 F(ab')2 or the control anti-HLA mAb W6/32 F(ab')2 (25 µg/ml each) for 10 min at RT prior to adhesion. Cells were then added to wells coated with IC or FCS and allowed to settle at RT for 5 min. KT5720 (25 µM), St-Ht31 (AKAP) peptide (50 µM), or PMA (10 ng/ml) was added to cells in FCS-coated wells, and adhesion was measured after 30 min at 37°C as described in Figure 1 . Data are presented as the mean ± SE of triplicate wells. IB4 but not W6/32 inhibited KT5720, St-Ht31 peptide, PMA, and IC-induced adhesion significantly (P<0.05). Data are representative of three separate experiments using PMN from different donors.

 
Disruption of PKA-AKAP binding activates ß2 integrin-dependent adhesion
PKA function is regulated by cAMP and by localization to discrete intracellular compartments, which is determined by binding to AKAPs [19 ]. Several AKAPs have been identified that bind to RI and RII regulatory subunits of PKA and anchor PKA to the cytoskeletal, particulate, or membrane fractions of cells [19 ]. A 24-amino acid (aa) peptide derived from aa 493–515 of the human AKAP Ht31 that spans the amphipathic helical PKA-RII binding site inhibits the binding of type II PKA holoenzymes to several AKAPs in cell extracts and decreases AKAP-dependent PKA anchorage in cells [20 , 21 ]. In contrast, a control peptide with proline substitutions at positions 502 and 507 does not affect AKAP-PKA RII binding. We took advantage of stearated cell-permeant peptides derived from this 24-aa region of Ht31 (St-Ht31 peptide) and the control sequence [21 ] to determine whether PKA-AKAP association has a role in regulating ß2 integrin activation. Like treatment with inhibitors of PKA activity, treatment with the St-Ht31 peptide was sufficient to activate PMN adhesion to the {alpha}Mß2 integrin substrate FCS (Fig. 1B) . Maximal activation of adhesion was observed at St-Ht31 peptide concentrations of 50 µM (Fig. 2C) . St-Ht31-induced adhesion was inhibited by anti-ß2 mAb (Fig. 3) . In contrast, the control peptide had no significant effect on adhesion. Treatment with 8-Br-cAMP did not significantly inhibit St-Ht31-induced adhesion of PMN to FCS (Fig. 1B) . Moreover, St-Ht31 rescued adhesion of 8-Br-cAMP-treated PMN to IC (Fig. 1B) .

PKA has a distinct role in regulating adhesion activation and sustained adhesion
To investigate more carefully the dynamics of adhesion in PMN treated with PKA inhibitors, we determined the kinetics of adhesion in H89-treated PMN during adhesion to IC and FCS. H89 (50 µM) inhibited adhesion to IC modestly, up to 30 min (Fig. 4 ). As has been shown previously [10 ], H89 inhibited sustained adhesion to IC progressively, compared with controls (Fig. 4) . H89 inhibition of adhesion to IC was almost complete by 60 min. Adhesion to FCS induced by H89 to FCS was maximal by 30 min and then decreased dramatically thereafter, demonstrating that although inhibition of PKA activity is sufficient to activate ß2 integrin-dependent adhesion, PKA activity is necessary to sustain adhesion beyond 30 min. Unlike pharmacologic PKA inhibitor-induced adhesion, St-Ht31 peptide-induced adhesion did not decrease for up to 60 min, and St-Ht31 treatment had no effect on PMN adhesion to IC at any time point (data not shown).



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Figure 4. PKA activity is required for sustained adhesion. PMN were treated with Me2SO or H89 (50 µM) for 20 min at 37°C prior to adhesion. Adhesion to IC or FCS was measured after the indicated time as described in Figure 1 . Data are presented as the mean ± SE for triplicate wells. H89 increased adhesion to FCS significantly (P<0.05) by 30 min, after which adhesion decreased. H89 inhibited adhesion to IC modestly but significantly (P<0.05) up to 30 min and inhibited sustained adhesion to IC dramatically after 30 min. Data are representative of three separate experiments using PMN from different donors.

 
Signaling requirements for PKA inhibitor-induced adhesion
Treatment with KT5720, H89, and St-Ht31 is sufficient to activate {alpha}Mß2 integrin-dependent adhesion in the absence of any other stimulus, suggesting that inhibition of PKA induces signals that activate ß2 integrins. PI3K and PKC are important signaling molecules involved in signaling pathways that activate ß2 integrin-dependent adhesion in PMN. We therefore investigated whether adhesion induced by inhibition of PKA was dependent on PI3K or PKC activity. Consistent with our previous work [3 ], wortmannin, a specific inhibitor of PI3K, and staurosporine, a specific inhibitor of PKC, both significantly inhibited adhesion of PMN to immobilized IC (Fig. 5 ). Staurosporine, but not wortmannin, inhibited PMA-induced adhesion. Neither wortmannin nor staurosporine affected KT5720-induced adhesion (Fig. 5) . Interestingly, cotreatment of PMN with KT5720 and staurosporine or wortmannin inhibited adhesion to IC and (in the case of staurosporine cotreatment) PMA-induced adhesion, to the level of KT5720-induced adhesion to FCS (data not shown). Like KT5720-induced adhesion, St-Ht31-stimulated adhesion of PMN to FCS was insensitive to wortmannin (Fig. 5) . However, St-Ht31-induced adhesion was inhibited by staurosporine significantly (Fig. 5) , suggesting that the mechanism of St-Ht31 activation of PMN adhesion was distinct from pharmacological PKA inhibitor-induced adhesion.



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Figure 5. Role of PI3K and PKC in PKA inhibitor-induced adhesion. PMN were incubated with Me2SO, wortmannin (100 nM), or staurosporine (10 µM) for 20 min at 37°C prior to measuring adhesion. Cells were then added to wells coated with IC or FCS and allowed to settle at RT for 5 min. KT5720 (25 µM), St-Ht31 (AKAP) peptide (50 µM), or PMA (10 ng/ml) was added to cells in FCS-coated wells, and adhesion was measured after 30 min at 37°C as described in Figure 1 . Data are presented as the mean ± SE of triplicate wells. Wortmannin inhibited adhesion to IC significantly (P<0.05) but did not affect KT5720-, St-Ht31 (AKAP) peptide-, or PMA-induced adhesion significantly. Staurosporine inhibited adhesion to IC and St-Ht31- and PMA-induced adhesion significantly (P<0.05) but had no significant effect on KT5720-induced adhesion. KT5720 rescued adhesion to IC in the presence of wortmannin and staurosporine and PMA-induced adhesion in the presence of staurosporine (unpublished results). Data are representative of three separate experiments using PMN from different donors.

 
Inhibition of PKA but not St-Ht31 peptide treatment activates CBRM1/5 binding
Stimulation of PMN by inflammatory mediators that induce adhesion is associated with an increase in the binding of CBRM1/5, a mAb that recognizes a neoepitope on {alpha}Mß2 that is induced upon activation [11 ]. To investigate the mechanism by which PKA inhibitors activate ß2 integrin-dependent adhesion, we determined the effect of KT5720 and St-Ht31 on CBRM1/5 binding. Treatment of PMN with KT5720 at a concentration that activates adhesion (25 µM) induced a 3.5-fold increase in CBRM1/5 binding, equivalent to the potent {alpha}Mß2 activator PMA (Fig. 6 ). KT5720 treatment increased total ß2 integrin expression to a level greater than PMA. In contrast to KT5720 treatment, treatment with the St-Ht31 peptide at concentrations that activate adhesion (50 µM) did not increase ß2 integrin expression or CBRM1/5 binding (Fig. 6) , further distinguishing the two mechanisms of activating adhesion. Concentrations of St-Ht31 peptide up to 100 µM did not affect CBRM1/5 binding nor did treatment for up to 45 min (data not shown). KT5720, St-Ht-31, or PMA did not increase expression of HLA (Fig. 6) or of {alpha}Lß2 (data not shown).



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Figure 6. Inhibition of PKA activity but not disruption of PKA-AKAP binding activates {alpha}Mß2. PMN were incubated with Me2SO, PMA (10 ng/ml), KT5720 (25 µM), St-Ht31-inhibitory peptide (AKAP), or control peptide (50 µM each) for 20 min at 37°C. Binding of anti-ß2 antibody IB4 F(ab')2, antiactivated {alpha}Mß2 mAb CBRM1/5, or the control anti-HLA mAb W6/32 F(ab')2 was measured by flow cytometry as described in Materials and Methods. Data are presented as the fluorescence of the PMN population normalized to the fluorescence of control PMN. Each point represents the mean ± SE of the relative fluorescence from three separate experiments. KT5720 and PMA increased the binding of IB4 and CBRM1/5 significantly (P<0.05) but not W6/32. The inhibitory St-Ht31 peptide did not affect the binding of IB4 or CBRM1/5.

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
In the work described here, we identify PKA as an important element in the mechanism regulating {alpha}Mß2 integrin avidity in stimulated and unstimulated PMN. In general, stimulation of PKA with cAMP inhibits cellular activation by inhibiting agonist receptor signaling [4 , 22 23 24 25 26 ]. Our data are consistent with a model in which cAMP stimulation of PKA inhibits Fc{gamma}R signaling during activation of {alpha}Mß2 avidity. We also demonstrate that inhibition of PKA activity is sufficient to activate {alpha}Mß2 integrin-dependent adhesion and {alpha}Mß2 avidity in unstimulated PMN. Thus, prevention of {alpha}Mß2 integrin activation by PKA is critical for the maintenance of the nonadherent state of quiescent PMN. Our conclusion from this data is that PKA must have an active and direct role in regulating {alpha}Mß2 avidity even in the absence of activating signals induced by inflammatory stimuli. Like activation of PMN adhesion, the nonadherent state of PMN, such as is necessary in circulating blood, is a regulated process. Activating and inhibitory signals influence the ultimate avidity state of ß2 integrins in PMN even in unstimulated PMN. PKA is a critical element of this inhibitory signal.

As demonstrated here and elsewhere [4 ], pharmacological elevation of intracellular cAMP inhibits inflammatory mediator-induced stimulation of ß2 integrin activation, thus preventing the initiation of adhesion. However, cAMP-dependent signals also are capable of promoting de-adhesion [9 ], a process that is likely critical at the trailing edge during leukocyte migration. These related but distinct effects of cAMP on the PMN-adhesive phenotype are consistent with the ability of cAMP to inhibit agonist receptor signals that activate ß2 integrin-dependent adhesion and to terminate activating signals, both via PKA-dependent phosphorylation of RhoA [4 , 27 ]. We now show that a basal level of PKA activity tips the balance of signals that regulate {alpha}Mß2 avidity in favor of inhibitory signals in quiescent PMN. It is tempting to speculate that PKA phosphorylation of RhoA is also responsible for inhibiting {alpha}Mß2 integrin-avidity activation in unstimulated PMN. In contrast to PKA, PKC appears to be an important activator of RhoA, placing RhoA distal to converging, but antagonistic, pathways that regulate leukocyte adhesion. This suggests that PKA and PKC are regulatory elements of inhibiting and activating pathways that converge on RhoA. In our model, RhoA acts as a switch mechanism that ultimately determines ß2 integrin avidity in stimulated and resting PMN (Fig. 7A ). However, PKC activity is not required for adhesion induced by PKA inhibitors. Thus, PKC activation may not be required for RhoA activation and may instead be a mechanism to override PKA-induced inactivation of RhoA. This is consistent with our finding that PMA-induced adhesion is relatively insensitive to cAMP.



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Figure 7. Proposed model for the dual role of PKA in the mechanism of integrin activation and regulation of stable adhesion to IC. (A) Signals generated by activating stimuli such as immune complexes induce the transition of ß2 integrins to an avid ligand-binding state. IC-induced activation of ß2 integrins is PI3K- and PKC-dependent. PKC activates RhoA, which in turn activates ß2 integrins. cAMP-dependent activation of PKA inhibits ß2 integrin-avidity activation via inactivation of RhoA. (B) Stable adhesion is mediated by clustered integrins and requires the formation of actin cytoskeletal structures called podosomes (represented by actin filaments). A current model for the mechanism of stable adhesion consists of PKA phosphorylation of the actin bundling protein, L-plastin (LPL), which has a role in regulating adhesion and integrin function likely mediated by effects on podosome formation and stability.

 
Adhesion induced by PKA inhibitors is not maintained beyond 30 min. Moreover, PKA activity is necessary for sustained adhesion to IC. Thus, once adhesion is activated, PKA appears to have a role that is necessary for sustaining stable adhesion. The leukocyte-specific, actin-bundling protein L-plastin (LPL) is a candidate PKA effector molecule during sustained adhesion. L-plastin is phosphorylated on Ser5 in stimulated leukocytes and on Ser5 by PKA in vitro [10 ]. Moreover, phosphorylation of L-plastin in PMN is induced by cAMP, and IC-induced L-plastin phosphorylation is inhibited by H89 [10 ]. Introduction of peptides derived from the L-plastin aminoterminus containing the phosphorylation site into PMN or monocyte cytosol activates {alpha}Mß2 avidity and adhesion [28 ]. Activation of {alpha}Mß2 avidity by the L-plastin aminoterminus is dependent on the phosphorylation site Ser5 [28 ]. In addition, the kinetics of L-plastin phosphorylation is consistent with a role in sustained adhesion [29 ]. These features suggest a model in which PKA-dependent phosphorylation of L-plastin regulates sustained adhesion, perhaps by effects on the structural aspects of the actin cytoskeleton (podosomes) at adhesion sites (Fig. 7B) .

We have found that PKA regulates adhesion activation by at least two mechanisms. Pharmacologic inhibition of PKA activity and St-Ht31 peptide-induced disruption of PKA-AKAP binding activate adhesion, but have distinct dependence on PKC and distinct effects on CBRM1/5 binding and total ß2 integrin expression. Moreover, unlike pharmacological inhibition of PKA, AKAP peptides do not inhibit sustained adhesion. Thus, it appears that PKA has a complex role in regulating adhesion that is determined by kinetic and perhaps spatial factors. It is significant to note that like the St-Ht31-AKAP peptide, low concentrations of cytochalasin D activate PMN ß2 integrin-dependent adhesion but do not affect total ß2 integrin expression or CBRM1/5 binding (data not shown). This adhesion is also PKC-dependent, suggesting that St-Ht31-AKAP peptides activate adhesion by disrupting the actin cytoskeleton.

PI3K is an important component of the Fc{gamma}R-initiated mechanism of ß2 integrin activation and sustained adhesion to IC [3 ]. Moreover, IC-induced L-plastin phosphorylation and sustained adhesion are dependent on PKA and PI3K [10 , 29 ], suggesting a link between PI3K and PKA in the mechanism of adhesion. However, pharmacologic inhibition of PKA or disruption of AKAP binding with St-Ht31 activates ß2 integrins independently of PI3K. This suggests that the PKA-dependent inhibitory pathway regulating ß2 integrin activation does not involve PI3K downstream of PKA. It is possible, at least for Fc{gamma}R-initiated activation of ß2 integrins, that PI3K has role in regulating PKA function. Our data demonstrating that AKAP peptides do not affect sustained adhesion to IC (unlike pharmacological inhibition of PKA) raise the possibility that PI3K regulates PKA-AKAP binding. PI3K-dependent relocalization of PKA may explain the requirement for PI3K for sustained adhesion to IC and PKA-mediated L-plastin phosphorylation and in part explain the contrasting roles of PKA in avidity activation and maintenance of adhesion.


    ACKNOWLEDGEMENTS
 
The author acknowledges Yousuf Sharief for technical assistance. This work was supported in part by a grant from the Triangle Community Foundation and the Burroughs Wellcome Fund.

Received July 13, 2001; revised January 29, 2002; accepted January 31, 2002.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

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