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Published online before print July 1, 2003
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,1
Departments of
Cell Biology and
* Medical Microbiology, Faculty of Health Sciences, Linköping University, Sweden
1Correspondence: Department of Cell Biology, Faculty of Health Sciences, Linköping University, SE- 581 85 Linköping, Sweden. E-mail: eva.sarndahl{at}ibk.liu.se
| ABSTRACT |
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R)-mediated activation is Rac-dependent. The present study shows that engagement of the complement receptor 3 (CR3) and Fc
R and CR3- and Fc
R-mediated phagocytosis activates Rac, as well as Cdc42. Furthermore, following receptor-engagement of the CR3 or Fc
Rs, a downstream target of these small GTPases, p21-activated kinase, becomes phosphorylated, and Rac2 is translocated to the membrane fraction. Using the methyltransferase inhibitors N-acetyl-S-farnesyl-L-cysteine and N-acetyl-S-geranylgeranyl-L-cysteine, we found that the phagocytic uptake of bacteria was not Rac2- or Cdc42-dependent, whereas the oxidative activation was decreased. In conclusion, our results indicate that in neutrophils, Rac2 and Cdc42 are involved in FcR- and CR3-induced activation and for properly functioning signal transduction involved in the generation of oxygen radicals.
Key Words: RhoGTPases phagocytosis NADPH oxidase ß2 integrin leukocytes
| INTRODUCTION |
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ROIs are formed by the reduced nicotinamide adenine dinucleotide phosphate (NADPH) oxidase, a multicomponent electron transport system. Proper functioning of this enzyme system is critical for host defense. This becomes evident in patients with a defective enzyme system, such as chronic granulomatous disease, and in patients defective in any component of the enzyme complex, all of whom suffer from reoccurring infections [6 7 8 ]. Rac2, a small guanosine 5'-triphosphate (GTP)-binding protein that forms one of the components of the NADPH-oxidase enzyme system, has been shown to be crucial for NADPH-oxidase activity in cell-free systems [9 ] and in patient with Rac2 dysfunctions [10 , 11 ]. In resting cells, Rac2 remains guanosine 5'-diphosphate-bound in the cytoplasm. Once activated, Rac2 becomes GTP-bound, and a small but vital fraction moves to the NADPH-oxidase enzyme complex in the plasma or phagosome membrane [12 , 13 ].
Rac and Cdc42 are members of the Rho family of GTPases, which are involved in regulating the actin cytoskeleton in various cellular functions [14
15
16
]. To date, most of the knowledge on their function has been acquired from studies of nonhematopoietic cells such as fibroblasts. The role that Rac and Cdc42 play in inflammatory cells is, conversely, less clear at this point. As these cells differ in several aspects regarding the nature of the cytoskeletal rearrangements involving different RhoGTPases, e.g., the formation of focal adhesions and stress fibers, the knowledge acquired from one cell type is not necessarily applicable to another. Discrepancies are also evident when comparing the different signaling strategies among different types of phagocytes. For example, the requirement for calcium during phagocytosis is different between macrophages and neutrophils [17
, 18
]. Macrophages produce only a small amount of ROIs compared with neutrophils [19
]. In macrophages, Cdc42 and Rac are necessary for FcR for IgG (Fc
R)-mediated phagocytosis, whereas CR3-mediated phagocytosis, which does not trigger the NADPH oxidase in these cells, is mediated by Rho [20
]. In contrast, the NADPH oxidase is activated in neutrophils also upon CR3-mediated stimulation [21
], suggesting that Rac2 activation is involved. Until now, Rac2 and Cdc42 have only been shown to be activated in response to formyl-Met-Leu-Phe (fMLP) and platelet-activating factor in neutrophils [22
, 23
]. Evidence of RhoGTPase activation following phagocytosis is however lacking in these cells.
The p21-activated kinases (PAKs) are downstream targets of Rac and Cdc42. PAKs are serine/threonine kinases known to exist in four different isoforms, PAK14. They have been implicated in mitogen-activated protein kinase signaling pathways, apoptosis, and cytoskeletal regulation [24 ]. In a recombinant system, PAK is able to phosphorylate the cytosolic component of the NADPH oxidase p47phox, indicating an important role for PAK in regulation of the oxidase [25 ].
In this paper, we investigated the activation of Rac2 and Cdc42 after CR3 and Fc
R ligation and phagocytosis using a glutathione S-transferase (GST) pulldown assay [22
]. To verify these results, we also measured the phosphorylation of their common downstream target, PAK, and studied the translocation of Rac2. CR3 and Fc
R engagement and CR3- and Fc
R-mediated phagocytosis activated Rac2 and Cdc42. Furthermore, PAK became phosphorylated, and a translocation of Rac2 to the membrane fraction was detected following receptor engagement of CR3 and Fc
Rs. Our data indicate that in neutrophils, Rac2 and Cdc42 are important in FcR- and CR3-induced activation of the cell and for proper signal transduction leading to the generation of oxygen radicals.
| MATERIALS AND METHODS |
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S), Nonidet P-40 (NP-40), Pefablock SC [4-(2-aminoethyl)benzenesulfonyl fluoride hydrochloride (AEBSF)], and bovine serum albumin were from Roche Diagnostics Corporation (Indianapolis, IN). Ficoll-Paque, glutathione-Sepharose beads, and enhanced chemiluminescence (ECL) reagents were from Pharmacia-Amersham (Uppsala, Sweden). PolymorphprepTM and LymphoprepTM were from Nycomed Pharmacia (Oslo, Norway); ethanol amine was from BDH Laboratory Suppliers (Poole, UK); N-acetyl-S-farnesyl-L-cysteine (AFC), N-acetyl-S-geranylgeranyl-L-cysteine (AGGC), N-acetyl-S-geranyl-L-cysteine (AGC), and Pansorbins® were from Calbiochem-Behring (La Jolla, CA). All the chemicals used were of an analytical grade.
Antibodies
Anti-CD18 monoclonal antibody (mAb) IB4 (mIgG2b) was purchased from Ancell Corporation (Bayport, MN); mAb directed against Fc
RII (IV3, mIgG2b) was from Medarex Inc. (Annandale, NJ); anti-Fc
RIII mAb (VD2, mIgG2a) was from CLB (Amsterdam, The Netherlands); anti-PAK1/2/3 and antiphospho-PAK1/PAK2 antibodies were from Cell Signaling Technology (Beverly, MA); anti-Cdc42 mAb was from BD Transduction Laboratories (San Diego, CA); anti-Rac2 antibody (rabbit polyclonal, C-11) was from Santa Cruz Biotechnology (Santa Cruz, CA); anti-Rac mAb was from Upstate Biotechnology (Waltham, MA); and HRP-conjugated anti-mouse IgG, HRP-conjugated anti-rabbit IgG, and mouse IgG (i.e., negative control) were from Dakopatts AB (Glostrup, Denmark).
Preparation of human neutrophils
Peripheral human blood was drawn from healthy volunteers and collected in heparin-containing vacutainer tubes, and neutrophils were isolated as described previously [26
27
28
]. Briefly, whole blood was layered over a gradient consisting of LymphoprepTM layered over PolymorphprepTM and was centrifuged for 40 min at 480 g at room temperature. The band rich in polymorphonuclear cells was collected, and contaminating erythrocytes were removed by hypotonic lysis. The obtained cell suspension, consisting of >95% neutrophils, was washed twice, resuspended in Krebs-Ringer phosphate buffer [120 mM NaCl, 1.2 mM MgSO4x7 H2O, 1.7 mM KH2PO4, 8.3 mM Na2HPO4x2 H2O, 1 mM CaCl2, 4.9 mM KCl, and 10 mM glucose (KRG), pH 7.3]. The cells were kept on ice until used.
Preparation of antibody-coated Pansorbins®
Pansorbins® (10% w/v, specially hardened and heat-killed Staphylococcus aureus; Cowan I strain) were incubated with 0.3 mg mAb/ml for 1 h under continuous shaking and were then washed twice in 0.2 M boric acid. The coupling step was initiated by resuspending the Pansorbins® in 0.2 M boric acid supplemented with 20 mM dimethylpimpelimidate for 30 min. The termination was achieved by washing and incubating the Pansorbins® in ethanolamine (0.2 M, pH 8) for 2 h. The antibody-coated Pansorbins® were finally resuspended in phosphate-buffered saline (PBS) containing merthiolate (0.01% w/v).
FITC labeling and opsonization of Pansorbins®
Pansorbins® were resuspended in a carbonate buffer (0.2 M, pH 10) supplemented with (0.5 mg/ml) FITC for 30 min at 37°C as described by Hed [29
]. After washing, the Pansorbins® were resuspended in PBS supplemented with merthiolate. Opsonization with complement was obtained by incubating FITC-labeled Pansorbins® with 20% normal human serum (NHS) at 37°C for 30 min. To obtain the opsonization with IgG, the Pansorbins® were incubated with 20% heat-inactivated (37°C, 30 min) serum isolated from rabbits immunized with Pansorbins®. After washing three times, the Pansorbins® were diluted in KRG.
Phagocytosis
A fluorescence-quenching method [29
], which distinguishes between extracellulary and intracellularly located Pansorbins®, was used to determine phagocytosis. Neutrophils and FITC-labeled Pansorbins® were incubated at a ratio of 1:100 at 37°C for 5, 10, or 20 min. After incubation, the mixtures were kept on ice and examined by microscope. One drop of the neutrophilPansorbin® mixture and one drop of trypan blue (2 mg/ml in 25 mM citrate-phosphate buffer and 25 mM NaCl, pH 7.4) were placed on a microscopic slide. Particles bound extracellulary were quenched by trypan blue, whereas the ingested bacteria remained fluorescent when the slide was examined in an incident-light fluorescence microscope. At least 50 cells were counted for each sample. The fraction of cells containing fluorescent bacteria was used as a measure of phagocytosis (=phagocytic index).
The neutrophil respiratory burst activity
The respiratory burst in neutrophils was measured using a luminol ECL system [chemiluminescence (CL)]. The CL activity was measured using a six-channel Bioluminat LB9505 (Berthold Co., Wibald, Germany) using disposable 4-ml polypropene tubes. Neutrophils (1x106) were incubated for 5 min at 37°C with luminol (2x10-5 M), HRP (4 U), with or without inhibitor. After equilibrating at 37°C, stimulus was added at a ratio of 100 Pansorbins® per cell, and the light emission was recorded continuously.
Detection of activated forms of Cdc42 and Rac
To assay the activity of Cdc42 and Rac2, we used a precipitation assay using the p21-binding domain (PBD) of PAK1 expressed as a fusion protein with GST, as described previously [22
]. Briefly, the cDNA-encoding residues 67150 of PAK1 were cloned in-frame into the expression vector pGEX-4T3, kindly provided by Dr. Gary M. Bokoch (Scripps Research Institute, La Jolla, CA) and expressed in Escherichia coli. The GSTPBD fusion protein produced was stored at 70°C in a buffer containing 25 mM Tris-HCl, pH 7.5, 0.2 M dithiothreitol (DTT), 1 mM MgCl2, 5% glycerol, 0.5 mM PMSF, 1 mM benzamidine, and 1 µg/ml aprotinin.
Neutrophils (4x106/sample) were preincubated for 5 min at 37°C and thereafter, stimulated for 120 min. The reactions were terminated by adding an equal volume of a 2x ice-cold lysis buffer (50 mM Tris-HCl, pH 7.5, 10 mM MgCl2, 200 mM NaCl, 2% NP-40, 10% glycerol, 1 mM DTT, 2 mM PMSF, 20 µg/ml leupeptin, 20 µg/ml aprotinin, 2.8 µg/ml pepstatin, and 2 mM Na3VO4) and putting the samples on ice. The samples were thereafter incubated under rotation for 30 min at 4°C. Subsequently, the lysates were centrifuged at 10,000 g for 0 min, transferred to new tubes containing glutathione-Sepharose beads precoupled with GSTPBD, and incubated under rotation at 4°C for 30 min. The beads were washed three times with 1x lysis buffer, and the proteins on the beads were eluated with Laemmeli sample buffer [30
], separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), transferred to a nitrocellulose membrane, and blotted for Cdc42 and Rac. The presence of protein on the blot was detected using a commercial ECL detection kit (Pharmacia-Amersham), and the bands on the blots were quantified using NIH Image v.1.6.1. To ascertain the specificity of the assay, we added 1 mM EDTA and 100 µM GTP
S in the cell lysate of fMLP (1 µM)-stimulated cells (15 min, 30°C) as a positive control and added uncoupled GST beads (i.e., beads without the PBD domain of PAK1) as a negative control.
Detection of activated forms of PAK
Human neutrophils (3x106) were preincubated at 37°C for 2 min before stimulated for 5 min. The stimulation was stopped by adding ice-cold PBS supplemented by 1 mM Na3VO4 and simultaneously putting the cells on ice. The chilled cells were rapidly pelleted (10,000 g, 1 min) at 4°C, resuspended in 200 µl lysis buffer containing 0.1% SDS, 1% Triton X-100, 150 mM NaCl, 50 mM Tris, pH 7.5, 10 mM EGTA, 1 mM Na3VO4, 10 µg/ml aprotinin, 10 µg/ml leupeptin, 1.4 µg/ml pepstatin, and 1 mM PMSF, and incubated under rotation for 30 min at 4°C. After centrifugation at 10,000 g for 10 min, the lysate was suspended in Laemmli sample buffer. The samples were heated for 5 min at 95°C and subjected to SDS-PAGE, electrotransferred to nitrocellulose membrane membranes, and analyzed by immunoblotting with phospho-PAK Ab detecting active PAK. The presence of protein on the blot was detected using a commercial ECL detection kit (Pharmacia-Amersham). To confirm that equal amounts of protein were loaded in each lane, the membranes were stripped and reprobed with an anti-PAK (total PAK) antibody.
Subcellular localization of Rac2
Neutrophils (107) in KRG were preincubated at 37°C for 2 min before stimulated for 5 min. The stimulation was stopped by adding ice-cold KRG supplemented by 1 mM Na3VO4 and putting the cells on ice. The method to isolate subcellular fractions was slightly changed from that described previously [31
, 32
]. The cells were rapidly pelleted at 4°C, resuspended in 500 µl lysis buffer [2 mM EDTA, 0.5 mM EGTA, 2 mM MgCl2, 20 mM Tris, pH 7.4, and protease inhibitors, i.e., 0.3 mM Pefabloc SC (AEBSF), 1 mM Na3VO4, and 5 µg/ml leupeptin, pepstatin, and aprotinin], and then sonicated. A 200 gcentrifugation and a subsequent 500 g centrifugation for 10 min each at 4°C were used to clarify the samples. The obtained supernatants were further centrifuged twice at 10,000 g for 5 min at 4°C and thereafter, subjected to an ultracentrifugation at 200,000 g for 30 min at 4°C to separate the cytosolic and membrane fractions. The membrane fraction was washed once in lysis buffer and recentrifuged (200,000 g, 15 min). The obtained pellet was dissolved in ice-cold 1% Triton X-100 on ice for 1 h before Laemmli sample buffer was added. Proteins were subjected to SDS-PAGE, electrotransferred to nitrocellulose membranes, and analyzed by immunoblotting with an anti-Rac antibody and a commercial ECL kit.
| RESULTS |
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R activates the NADPH oxidase and a number of tyrosine kinases [28
, 33
]. We also found that Pansorbins® coated with anti-CD18 (the ß subunit of CR3) or anti-CD11b antibodies (the
subunit of CR3) were able to activate the oxidase, whereas anti-CD11a and anti-CD11c did not [21
]. These antibody-coated Pansorbins® bind readily to the neutrophils but are not ingested, whereas the particles become readily ingested by the neutrophils when opsonized with serum (see Fig. 3 C
). These differential effector functions of antibody-coated Pansorbins® versus opsonized particles could reflect binding to different epitopes and/or different density of the ligand. Notwithstanding, antibody-coated and serum-opsonized particles elicted similar signaling events.
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RIIIb), and anti-CD32 (Fc
RIIa) to study early signaling events and serum-opsonized particles to study phagocytosis. Antibody-coated Pansorbins® and Pansorbins® opsonized with serum activated the NADPH oxidase, as measured by CL (Fig. 1
). The oxidative response elicited by anti-CD18 Pansorbins® was reduced by 80% with Fabanti-CD18 (data not shown). Moreover, activating the neutrophils with Pansorbins® opsonized with heat-inactivated serum (i.e. complement degraded) induced about 25% of the response obtained with Pansorbins® opsonized with serum (data not shown).
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S, a nonhydrolysable GTP analog that arrests Cdc42 and Rac in their active stage, was added to the cell lysate of fMLP-stimulated cells and was used as a positive control [22
]. To exclude unspecific binding or activation, beads without the GSTPBD or Pansorbins® coated with mouse IgG were used as negative controls. The results showed a strong activation of Cdc42 and Rac upon stimulation with fMLP + GTP
S, whereas no activation could be detected upon incubation with mouse IgG-coated Pansorbins® (Fig. 2D)
. The noncoated beads did not bind Cdc42 or Rac (Fig. 2D)
.
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RIIa, Fc
RIIIb, or CR3 induced phosphorylation of PAK (Fig. 4
, lanes 24). Phosphorylation of PAK was also induced upon phagocytosis of serum-opsonized Pansorbins® (Fig. 4
, lane 5). These data support our previous finding (Fig. 2) , showing that C3bi and Fc stimulation activates Cdc42 and Rac in human neutrophils.
Role of small GTP-binding proteins during activation of human neutrophils with Pansorbins®
The finding that Cdc42 and Rac become activated following engagement of the phagocytic receptors and upon phagocytosis led us to investigate the potential role of Cdc42 and Rac in the activation of the NADPH oxidase and in the phagocytic process. As neutrophils are difficult to manipulate genetically, we used a pharmaceutical approach to evaluate their role [34
]. The two methyltranferase inhibitors AFC and AGGC are known to inhibit the prenylcysteine
-carboxyl methyl esterification of small GTP-binding proteins of the Rho and Ras family [35
, 36
], including Rac [35
, 37
] and Cdc42 [38
], thereby preventing their specific membrane localization [35
], a key step for the action of RhoGTPases [39
].
When neutrophils were pretreated with AFC, AGGC, or their inactive analog AGC, we could detect no significant decrease in phagocytosis of serum-opsonized Pansorbins® in AFC and AGGC-treated cells as compared with control (i.e., AGC-treated cells) or untreated cells (Table 1 ). However, neutrophils treated with AGGC or AFC exhibited a decrease in oxidative activation compared with AGC-treated or untreated cells (Table 2 ). This inhibitory effect on NADPH oxidase activity was more pronounced during phagocytosis (4065% inhibition) than receptor ligation (2040% inhibition). Pretreatment with AGGC inhibited the NADPH-oxidase activity more efficiently than did AFC in the same concentration range.
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| DISCUSSION |
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R activate Rac as well as Cdc42. This means that a prey does not have to be ingested to activate signal transduction cascades involving these small GTP-binding proteins.
The present data clearly show that Rac and Cdc42 are activated not only by FcR but also after CR3 ligation and that this activation corresponded with phagocytic uptake and ROI production. In transfected COS cells phagocytosing opsonized red blood cells (RBC), only those ingesting IgGRBC recruited Rac and Cdc42 around the phagosome [20
]. In neutrophils, conversely, we show that Rac is translocated from the cytosol to the membrane after complement activation as well (Fig. 5)
. The detection of Rac in the membrane fraction of cells can be used as an indirect measurement of Rac activation [39
, 40
] and thereby gives additional support to our observation that Rac is activated upon ligation of Fc
RIIa, Fc
RIIIb, and CR3. As these results show a stimulus-induced translocation of Rac2 to a site constituting the NADPH oxidase, they also add support for the involvement of Rac in C3bi- and Fc-induced activation of the NADPH oxidase in human neutrophils.
It is evident that neutrophils and macrophages have different signaling pathways during Fc- and C3bi-mediated phagocytosis. In neutrophils, intracellular calcium is required for Fc-mediated phagocytosis [18 ], whereas ingestion of IgG or C3bi-opsonized particles by macrophages neither triggers a rise of nor uses intracellular calcium [17 , 41 ]. Furthermore, calcium is a sine qua non for degranulation in neutrophils [42 ] but is not necessary for degranulation and phagolysosome fusion in macrophages [41 ]. Whereas Rac and Cdc42 are necessary for FcR-mediated activation and phagocytosis in macrophages, Rho is activated by CR3 ligation and required for complement-mediated ingestion [20 ]. Our finding that not only FcR, but also ligation of CR3, leads to Rac and Cdc42 activation and translocation in neutrophils adds to the diversity between these cells.
To establish if Rac and Cdc42 activation is required for phagocytosis in human neutrophils, the methyltransferase inhibitors AFC and AGGC were used. Normally, the methylation is known to lead to the association of Ras and Rho-family GTPases with membranes and to be important for their interaction with cell membrane components [43 44 45 46 47 ]. By inhibiting the methylation, these inhibitors have been widely used to study the involvement of Ras and RhoGTPases in several signal-transduction pathways [38 , 48 , 49 ], including in neutrophils [34 , 35 , 37 ]. This treatment had no significant effect on the ingestion of IgG- or C3bi-opsonized bacteria but inhibited the oxidative response, suggesting that Rac and/or Cdc42 are necessary for oxidative activation in human neutrophils. The discrepancy found between the effect of the inhibitors on phagocytosis versus ROI production is intriguing. The requirement for Rac and Cdc42 in phagocytosis is likely to be catalytic in nature. Therefore, a partial decrease in GTPase activity might explain the lack of effect of these inhibitors on phagocytosis. In contrast, Rac2 has been shown to constitute a component of the NADPH oxidase and to physically participate in the generation of ROI [50 ]. Our data imply that Rac and probably Cdc42 might not be completely inhibited by the farnesyl/geranyl transferase inhibitors, reflecting that the turnover of Rac/Cdc42 is too slow for the inhibitors to be completely effective. The difference in the need for Rac in ingestion and oxidative activation, respectively, is however further supported by recent reports on a human neutrophil deficiency syndrome associated with Rac2 mutations [10 , 11 ]. In these patients who lack a functional Rac2, superoxide production, migration, and azurophilic degranulation were severely inhibited. However, phagocytosis of IgGRBC was not impaired in these neutrophils, with the exception of fMLP-primed cells.
Phosphorylation of a downstream target of Rac and Cdc42, i.e., PAK, has been used in this study to verify the activation of Rac and Cdc42. In human neutrophils, PAK1 relocalizes to the F-actin-rich pseudopodia and phagocytic cups of opsonized zymosan [51 ]. As only a small amount of PAK1 was found around the ingested particles, PAK1 is suggested to be involved in the regulation of the cytoskeletal extensions and initial events required for engulfment of bacteria but not in the subsequent steps of the phagocytic process. Our results indicate a role for Rac and/or Cdc42 in the phagocytosis-induced oxidative activation but not in the ingestion process.
Apart from PAK, we have not investigated the role of other downsteam effector molecules regulating actin polymerization, such as gelsolin, Wiskott-Aldrich syndrome protein (WASP)/neural-WASP, and Arp2/3. Gelsolin-depleted neutrophils and WASP-deficient macrophages from WASP patients show deficient phagocytosis [52 , 53 ]. Furthermore, Arp2/3 localizes to phagosomes and is required for Fc- and C3b-mediated phagocytosis [54 ].
The present report does not allow us to distinguish between the role of Rac and Cdc42. It has been suggested that Cdc42 promotes local formation of actin-rich pseudopods, and Rac has a permissive role in particle entry [54 55 56 ]. Our data show that ligation of CR3 activates Rac and Cdc42 with the same time kinetics. Distinguishing between the roles of Rac and Cdc42 in the different steps of phagocytosis requires genetic manipulation and introduction of specific inhibitors. As these techniques are not readily available for human peripheral blood neutrophils, we are presently developing means to selectively inhibit different signaling pathways. The use of TAT fusion proteins [57 ] to introduce dominant-negative proteins is one way of pursuing these problems. Using this tool, we will also be able to discriminate between the roles of Rac1 and Rac2.
One important reason for elucidating the role of RhoGTPases and their down-stream targets during phagocytosis is the fact that several microbial toxins and virulence proteins target RhoGTPases. SptP from Salmonella [58 ], ExoS from Pseudomonas, and YopE from Yersinia [59 ] are all GTPase-activating proteins translocated into the host cells. Furthermore, Rac and/or Cdc42 are required for internalization of Yersinia pseudotuberculosis [60 , 61 ], Listeria [62 ], Salmonella [58 ], and Shigella [63 ].
Another reason is to understand the different functions and roles of neutrophils and macrophages in innate immunity. Whereas integrin and immune receptors in neutrophils trigger an oxidative response and inflammation, these receptors show a more selective role when regulating the multiple functions of macrophages in host defense. As it is evident that neutrophils and macrophages use different signaling pathways during Fc- and C3bi-mediated phagocytosis, respectively, our data add to the diversity in signal transduction between these cells. This suggests a more powerful oxidative response in neutrophils, whereas macrophages exhibit a more nonphlogistic feature benefiting from a weak activation of the NADPH oxidase.
| ACKNOWLEDGEMENTS |
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Received November 4, 2002; revised April 24, 2003; accepted April 25, 2003.
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