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Article
Nature Medicine  7, 1123 - 1127 (2001)
doi:10.1038/nm1001-1123

Heparin-binding protein (HBP/CAP37): A missing link in neutrophil-evoked alteration of vascular permeability

Narinder Gautam1, A. Maria Olofsson2, Heiko Herwald2, Lars F. Iversen3, Evy Lundgren-Åkerlund2, Per Hedqvist1, Karl-E. Arfors4, Hans Flodgaard3 & Lennart Lindbom1

1  Department of Physiology & Pharmacology, Karolinska Institutet, Stockholm, Sweden

2  Department of Cell and Molecular Biology, Lund University, Lund, Sweden

3  Novo Nordisk A/S, Bagsvaerd, Denmark

4  Sidney Kimmel Cancer Center, San Diego, California, USA

Correspondence should be addressed to Lennart Lindbom lennart.lindbom@fyfa.ki.se
Polymorphonuclear leukocyte infiltration into tissues in host defense and inflammatory disease causes increased vascular permeability and edema formation through unknown mechanisms. Here, we report the involvement of a paracrine mechanism in neutrophil-evoked alteration in endothelial barrier function. We show that upon neutrophil adhesion to the endothelial lining, leukocytic beta2 integrin signaling triggers the release of neutrophil-borne heparin-binding protein (HBP), also known as CAP37/azurocidin, a member of the serprocidin family of neutrophil cationic proteins. HBP induced Ca++-dependent cytoskeletal rearrangement and intercellular gap formation in endothelial-cell monolayers in vitro, and increased macromolecular efflux in microvessels in vivo. Moreover, selective inactivation of HBP prevented the neutrophils from inducing endothelial hyperpermeability. Our data suggest a fundamental role of neutrophil-derived HBP in the vascular response to neutrophil trafficking in inflammation. Targeting this molecule in inflammatory disease conditions offers a new strategy for prevention of endothelial barrier dysfunction caused by misdirected leukocyte activation.

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REFERENCE
Antimicrobial Proteins and Peptides
Nature Encyclopaedia of Life Sciences

NEWS AND VIEWS
Plugging the leaks
Nature Medicine News and Views (01 Oct 2001)

RESEARCH
Neutrophils Induce Sequential Focal Changes in Endothelial Adherens Junction Components: Role of Elastase
Microcirculation Original Article (11 Apr 2003)

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Nature Medicine
ISSN: 1078-8956
EISSN: 1546-170X
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