Cell adhesion is required for the normal function of the vertebrate immune system. The leukocyte, or beta2, integrins (LFA-1, Mac-1, P150,95 and alphad/CD18) participate in nearly all elements of immunity from phagocytosis of opsonized particles, T cell help, T cell and NK cell cytotoxicity to transendothelial migration at sites of inflammation and lymphocyte recirculation. Leukocyte adhesion deficiency (LAD), a clinical deficiency in beta2 integrins, results in severe infections in early childhood. On the other hand, beta2 integrins are also implicated in many autoimmune disease states, including rejection of organ transplants and rheumatoid arthritis (RA). Antibodies that block the interaction of beta2 integrins with their counterreceptors have allowed long term survival of organ transplants and have induced clinical remissions in patients with otherwise refractory RA. The beta2 integrins are constitutively in a low avidity state, and must be activated in order to bind efficiently their counterreceptors. Activators include antibodies to other cell surface structures such as CD3 on T cells, or chemotactic factors or phorbol esters, and result in a conformational change in the beta2 integrins. The signalling pathways by which this activation occurs are poorly understood.
The aims of this proposal are to employ established techniques of mutagenesis and selection to obtain panels of T and B lymphoblastoid cell lines that are deficient in beta2 integrin activation or de-activation. Lymphocytes were selected for study because they play a central role in the pathogenesis of RA, they express only LFA-I which simplifies the system, and activating signals are well-defined. Functional and structural analysis of the mutants will be undertaken to identify those cells that have defects in the signal transduction pathway for integrin activation. Complementation analysis by cell fusion and functional assays will allow grouping of the mutant cells into distinct classes. Analysis of these classes of mutants with known immunological and pharmacological stimulators of activation will reveal the order of the intracellular steps required for integrin activation. These mutant cell lines will be invaluable reagents for future studies which would include transfection of DNA libraries, to allow the molecular cloning of novel elements of the regulatory pathway. A greater understanding of the regulation of integrin activation may enable the selective pharmacological blockade of those beta2 integrin functions that contribute to autoimmune disease, without interfering with integrin roles in host defense.

Project Start
2000-04-01
Project End
2001-03-31
Budget Start
1998-10-01
Budget End
1999-09-30
Support Year
16
Fiscal Year
2000
Total Cost
$157,130
Indirect Cost
Name
Brigham and Women's Hospital
Department
Type
DUNS #
030811269
City
Boston
State
MA
Country
United States
Zip Code
02115
Koch-Weser, Susan; Rudd, Rima E; Dejong, William (2010) Quantifying word use to study health literacy in doctor-patient communication. J Health Commun 15:590-602
Simard, Julia F; Karlson, Elizabeth W; Costenbader, Karen H et al. (2008) Perinatal factors and adult-onset lupus. Arthritis Rheum 59:1155-61
Costenbader, Karen H; Feskanich, Diane; Mandl, Lisa A et al. (2006) Smoking intensity, duration, and cessation, and the risk of rheumatoid arthritis in women. Am J Med 119:503.e1-9
Karlson, E W; Costenbader, K H; McAlindon, T E et al. (2005) High sensitivity, specificity and predictive value of the Connective Tissue Disease Screening Questionnaire among urban African-American women. Lupus 14:832-6
Katz, Jeffrey N; Amick 3rd, Benjamin C; Keller, Robert et al. (2005) Determinants of work absence following surgery for carpal tunnel syndrome. Am J Ind Med 47:120-30
Costenbader, Karen H; Kim, Daniel J; Peerzada, Jehanna et al. (2004) Cigarette smoking and the risk of systemic lupus erythematosus: a meta-analysis. Arthritis Rheum 50:849-57
Karlson, Elizabeth W; Liang, Matthew H; Eaton, Holley et al. (2004) A randomized clinical trial of a psychoeducational intervention to improve outcomes in systemic lupus erythematosus. Arthritis Rheum 50:1832-41
Bischoff-Ferrari, H A; Lingard, E A; Losina, E et al. (2004) Psychosocial and geriatric correlates of functional status after total hip replacement. Arthritis Rheum 51:829-35
Iversen, Maura D; Fossel, Anne H; Ayers, Kelly et al. (2004) Predictors of exercise behavior in patients with rheumatoid arthritis 6 months following a visit with their rheumatologist. Phys Ther 84:706-16
Karlson, Elizabeth W; Mandl, Lisa A; Hankinson, Susan E et al. (2004) Do breast-feeding and other reproductive factors influence future risk of rheumatoid arthritis? Results from the Nurses' Health Study. Arthritis Rheum 50:3458-67

Showing the most recent 10 out of 242 publications