Platelet activation, P-selectin, and eosinophil ?1-integrin activation in asthma.
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ABSTRACT: Eosinophil ?1-integrin activation correlates inversely with FEV1 and directly with eosinophil-bound P-selectin in subjects with nonsevere allergic asthma.Determine the relationships between ?1-integrin activation and pulmonary function or eosinophil-bound P-selectin in subjects with asthma of varying severity and discern the source of eosinophil-bound P-selectin.Blood was assayed by flow cytometry for P-selectin and activated ?1-integrin on eosinophils and platelets. Plasma was analyzed with ELISA for soluble P-selectin, platelet factor 4, and thrombospondin-1.Activated ?1-integrin correlated with eosinophil-bound P-selectin among all subjects with asthma even though activated ?1-integrin was higher in subjects with nonsevere asthma than severe asthma. Activated ?1-integrin correlated inversely with FEV1 corrected for FVC only in younger subjects with nonsevere asthma. Paradoxically, platelet surface P-selectin, a platelet activation marker, was low in subjects with severe asthma, whereas plasma platelet factor 4, a second platelet activation marker, was high. Correlations indicated that P-selectin-positive platelets complexed to eosinophils are the major source of the eosinophil-bound P-selectin associated with ?1-integrin activation. After whole-lung antigen challenge of subjects with nonsevere asthma, a model of asthma exacerbation known to cause platelet activation, circulating eosinophils bearing P-selectin and activated ?1-integrin disappeared.The relationship between eosinophil ?1-integrin activation and pulmonary function was replicated only for younger subjects with nonsevere asthma. However, we infer that platelet activation and binding of activated platelets to eosinophils followed by P-selectin-mediated eosinophil ?1-integrin activation occur in both nonsevere and severe asthma with rapid movement of platelet-eosinophil complexes into the lung in more severe disease.
SUBMITTER: Johansson MW
PROVIDER: S-EPMC3297102 | biostudies-literature | 2012 Mar
REPOSITORIES: biostudies-literature
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