C5a, an 11,000 dalton glycopeptide produced by specific enzymatic cleavage of native C5, is the most potent complement-derived soluble mediator of inflammation. C5a plays a key role in the pathogenesis of a number of diseases in man and also makes important direct contributions to all inflammatory reactions associated with the activation of complement. Recent in vivo studies have demonstrated that peripheral blood leukocytes (especially neutrophils) make a significant and an immediate contribution to C5a-mediated inflammation in human skin. Because these in vivo studies in man have demonstrated that C5a-induced inflammation is in large part mediated by anaphylatoxin-stimulated leukocytes, studies in this proposal will directly characterize the interactions of purified human C5a and its less potent physiologic derivative, C5a des Arg, with different types and subpopulations of human leukocytes. Specific experiments with fluoresceinated and radiolabeled C5a and C5a des Arg will determine the expression, number, and affinity of neutrophil, monocyte, and lymphocyte plasma membrane binding sites for these complement cleavage fragments. Cytometric studies with double-stained leukocytes will precisely identify the phenotype of cells which bind these fluoresceinated ligands. Additional cytometric studies will be conducted with processed and unprocessed peripheral blood leukocytes to directly assess alterations in C5a receptor expression during purification procedures. Other studies will characterize the specific C5a receptor site on human neutrophils and monocytes using both ultrastructural and biochemical approaches. These studies, which will assess C5a receptor sites on both leukocyte intracellular organelles and plasma membranes, will provide novel information regarding the homology of human neutrophil and monocyte C5a receptors and also directly address important considerations regarding mechanisms of receptor internalization, processing, renewal, and signal transduction. Additional studies will employ an in vitro chemotaxis bioassay to define and isolate subpopulations of human neutrophils and monocytes which are responsive or nonresponsive to C5a. These subpopulations of leukocytes will be further characterized phenotypically and functionally in order to define the specific population of neutrophils and monocytes responsible for inflammation and tissue damage at sites of complement activation.

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
First Independent Research Support & Transition (FIRST) Awards (R29)
Project #
1R29AR037446-01
Application #
3456685
Study Section
General Medicine A Subcommittee 2 (GMA)
Project Start
1986-08-01
Project End
1991-07-31
Budget Start
1986-08-01
Budget End
1987-07-31
Support Year
1
Fiscal Year
1986
Total Cost
Indirect Cost
Name
U.S. Uniformed Services University of Health Science
Department
Type
Schools of Medicine
DUNS #
City
Bethesda
State
MD
Country
United States
Zip Code
20814
Domloge-Hultsch, N; Anhalt, G J; Gammon, W R et al. (1994) Antiepiligrin cicatricial pemphigoid. A subepithelial bullous disorder. Arch Dermatol 130:1521-9
Chan, L S; Yancey, K B; Hammerberg, C et al. (1993) Immune-mediated subepithelial blistering diseases of mucous membranes. Pure ocular cicatricial pemphigoid is a unique clinical and immunopathological entity distinct from bullous pemphigoid and other subsets identified by antigenic specificity of autoanti Arch Dermatol 129:448-55
Saad, R W; Domloge-Hultsch, N; Yancey, K B et al. (1992) Childhood localized vulvar pemphigoid is a true variant of bullous pemphigoid. Arch Dermatol 128:807-10
Domloge-Hultsch, N; Gammon, W R; Briggaman, R A et al. (1992) Epiligrin, the major human keratinocyte integrin ligand, is a target in both an acquired autoimmune and an inherited subepidermal blistering skin disease. J Clin Invest 90:1628-33
Yancey, K B; Overholser, O; Domloge-Hultsch, N et al. (1992) Human keratinocytes and A-431 cells synthesize and secrete factor B, the major zymogen protease of the alternative complement pathway. J Invest Dermatol 98:379-83
Domloge-Hultsch, N; Benson, P; Gammon, W R et al. (1992) A bullous skin disease patient with autoantibodies against separate epitopes in 1 mol/L sodium chloride split skin. Arch Dermatol 128:1096-101
Cobb, M W; Domloge-Hultsch, N; Frame, J N et al. (1992) Waldenstrom macroglobulinemia with an IgM-kappa antiepidermal basement membrane zone antibody. Arch Dermatol 128:372-6
Lim, H W; He, D; Esquenazi-Behar, S et al. (1991) C5a, cutaneous mast cells, and inflammation: in vitro and in vivo studies in a murine model. J Invest Dermatol 97:305-11
Domloge-Hultsch, N; Bisalbutra, P; Gammon, W R et al. (1991) Direct immunofluorescence microscopy of 1 mol/L sodium chloride-treated patient skin. J Am Acad Dermatol 24:946-51
Basset-Seguin, N; Caughman, S W; Yancey, K B (1990) A-431 cells and human keratinocytes synthesize and secrete the third component of complement. J Invest Dermatol 95:621-5

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