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Circulation Research. 1998;82:871-878

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(Circulation Research. 1998;82:871-878.)
© 1998 American Heart Association, Inc.


Original Contributions

Adhesion of Monocytes to Vascular Cell Adhesion Molecule-1–Transduced Human Endothelial Cells

Implications for Atherogenesis

Robert E. Gerszten, Yaw-Chyn Lim, Han T. Ding, Karen Snapp, Geoffrey Kansas, David A. Dichek, Carlos Cabañas, Francisco Sánchez-Madrid, Michael A. Gimbrone, Jr, Anthony Rosenzweig, , Francis W. Luscinskas

From the Cardiovascular Research Center and Cardiac Unit (R.E.G., A.R.), Massachusetts General Hospital, Boston; the Vascular Research Division (Y.-C.L., H.T.D., M.A.G., F.W.L.), Department of Pathology, Brigham and Women's Hospital, Boston, Mass; the Department of Medicine and Gladstone Institute of Cardiovascular Disease (D.A.D.), UCSF, San Francisco, Calif; Universidad Complutense (C.C.), Madrid, Spain; Servicio de Inmunologia (F.S.-M.), Hospital de la Princesa, Madrid, Spain; and the Department of Microbiology/Immunology (K.S., G.K.), Northwestern University Medical School, Chicago, Ill.

Correspondence to Dr F.W. Luscinskas, Vascular Research Division, Brigham and Women's Hospital, 221 Longwood Ave, Boston, MA 02115. E-mail fluscinska{at}rics.bwh.harvard.edu

Abstract—To study the role of vascular cell adhesion molecule-1 (VCAM-1) in monocyte recruitment and atherogenesis, we constructed a recombinant adenovirus, AdRSVrVCAM-1, carrying the rabbit VCAM-1 cDNA. We have previously shown that AdRSVrVCAM-1–transduced human umbilical vein endothelial cells (HUVECs) support the adhesion of CD4+ CD45RO+ memory T lymphocytes under laminar flow conditions. We now demonstrate that AdRSVrVCAM-1–transduced HUVECs support the adhesion of peripheral blood monocytes at a shear stress of <=1.5 dyne/cm2. Although VCAM-1 supported only firm adhesion of lymphocytes, it was able to mediate monocyte rolling, firm adhesion, and transmigration when expressed in the context of otherwise unactivated vascular endothelium. VCAM-1–transduced HUVECs supported the adhesion of as many as 4-fold more monocytes than T cells under laminar flow. The greater monocyte adhesion was explained at least in part by leukocyte-leukocyte interactions (secondary adhesions), which were not seen with T cells. These secondary monocyte interactions were specifically blocked by monoclonal antibodies to L-selectin and P-selectin glycoprotein ligand-1. These data demonstrate that VCAM-1 expressed in the context of unactivated vascular endothelium supports the adhesion of the leukocyte populations present in atherosclerotic plaque and may contribute to the predominance of monocytes over lymphocytes.


Key Words: adenovirus • adhesion • atherosclerosis • mononuclear leukocyte




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