Chemokine homeostasis vs. chemokine presentation during severe acute lung injury: the other side of the Duffy antigen receptor for chemokines
pmid: 20061440
Chemokine homeostasis vs. chemokine presentation during severe acute lung injury: the other side of the Duffy antigen receptor for chemokines
Acute lung injury (ALI) still poses a major challenge in critical care medicine. Neutrophils, platelets, and chemokines are all considered key components in the development of ALI. The Duffy antigen receptor for chemokines (DARC ) is thought to be involved in scavenging, transendothelial transport, and presentation of neutrophil-specific chemokines. DARC is expressed on endothelial cells and erythrocytes but not on leukocytes. Here, we show that DARC is crucial for chemokine-mediated leukocyte recruitment in vivo. However, we also demonstrate that changes in chemokine and chemokine receptor homeostasis, associated with Darc gene deficiency, exert strong anti-inflammatory effects. Neutrophils from Darc gene-deficient ( Darc−/ −) mice display a more prolonged downregulation of CXCR2 during severe inflammation than neutrophils from wild-type mice. In a CXCR2-dependent model of acid-induced ALI, Darc gene deficiency prevents ALI. Darc−/ −mice demonstrate fully preserved oxygenation, only a small increase in vascular permeability, and a complete lack of pulmonary neutrophil recruitment. Further analysis reveals that only neutrophils but neither endothelial cells nor erythrocytes from Darc−/ −mice confer protection from ALI. The protection appears to be due to abolished pulmonary recruitment of neutrophils from Darc−/ −mice. The generation of neutrophil-platelet aggregates, a key mechanism in both pulmonary neutrophil recruitment and thrombus formation, is also affected by altered CXCR2 homeostasis in Darc−/ −mice. CXCR2 blockade enhances the formation of platelet-neutrophil aggregates and thereby corrects a formerly unknown bleeding defect in Darc−/ −mice. In summary, our study suggests that chemokine/chemokine receptor homeostasis plays a previously unrecognized and crucial role in severe ALI.
- University of Münster Germany
- Max Planck Society Germany
- Max Planck Institute for Molecular Biomedicine Germany
- University of Pittsburgh United States
Inflammation, Bleeding Time, Erythrocytes, Platelet Aggregation, Neutrophils, Chemokine CXCL1, Acute Lung Injury, Down-Regulation, Endothelial Cells, Hemorrhage, Receptors, Cell Surface, Blood Cell Count, Mice, Chemotaxis, Leukocyte, Animals, Homeostasis, Hydrochloric Acid, Chemokines, Duffy Blood-Group System, Cell Aggregation
Inflammation, Bleeding Time, Erythrocytes, Platelet Aggregation, Neutrophils, Chemokine CXCL1, Acute Lung Injury, Down-Regulation, Endothelial Cells, Hemorrhage, Receptors, Cell Surface, Blood Cell Count, Mice, Chemotaxis, Leukocyte, Animals, Homeostasis, Hydrochloric Acid, Chemokines, Duffy Blood-Group System, Cell Aggregation
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