Expression of adhesion molecules on circulating pmnl during hyperdynamic endotoxemia. Holzer, Katharina, Thiel, M., Moritz, Sandra, Kreimeier, U. and Messmer, K. Institute for Surgical Research and Department of Anaesthesiology, Klinikum Grosshadern, Ludwig-Maximilians-University Munich, Germany
APStracts 3:0098A, 1996.
In a porcine model of hyperdynamic endotoxemia we studied the numeric expression of L-selectin and [beta]2-integrins on circulating polymorphonuclear leukocytes (PMNL). Functional changes of [beta]2 -integrins were determined by the adhesion of PMNL to C3-coated zymosan particles. Anaesthesized pigs received a continuous infusion of Salmonella abortus equi endotoxin (5 [mu]g/kg bw *h) for 270 min (Endotoxin; n=7). A control group received NaCl 0.9% (n=6). L -selectin had decreased 30 min after the induction of endotoxemia (59.1 +/- 11.9 relative fluorescence units (RFU) vs. 91.6 +/- 15.5 RFU at baseline (p&LT0.05), reaching minimal values after 150 min (23.9 +/- 3.9 RFU vs. 95.2 +/- 30.4 RFU in control group, p&LT 0.05). PMNL adhesion to C3-coated zymosan increased at 30 min (41.3 +/- 9.9% vs. 2.4 +/- 1.1% in control group, p&LT0.05) and remained significantly elevated thereafter. In contrast to the rapid shedding of L-selectin and functional upregulation of [beta]2-integrins the numeric expression of [beta]2-integrins remained unchanged until 60 min (44.8 +/- 2.8 RFU vs. 32.2 +/- 1.7 RFU at baseline, p&LT0.05); as compared to the control group, significantly elevated values were observed 150 min after the start of endotoxin (48.9 +/- 2.4 RFU in group Endotoxin vs. 36.5 +/- 2.7 RFU in controls, p&LT 0.05). We conclude that numerical and functional expression of [beta]2 -integrins are dissociated during endotoxemia. Although upregulation of [beta]2-integrins might render PMNL more adhesive to the vascular endothelium, the presence of activated PMNL in the circulation suggests that low expression of L-selectin might impede adhesion.

Received 19 January 1995; accepted in final form 2 February 1996.
APS Manuscript Number A63-5.
Article publication pending Journal of Applied Physiology.
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 14 February 96