Abstract

Leukocyte and platelet accumulation at sites of cerebral ischemia exacerbate cerebral damage. The ectoenzyme CD39 on the plasmalemma of endothelial cells metabolizes ADP to suppress platelet accumulation in the ischemic brain. However, the role of leukocyte surface CD39 in regulating monocyte and neutrophil trafficking in this setting is not known. Here we have demonstrated in mice what we believe to be a novel mechanism by which CD39 on monocytes and neutrophils regulates their own sequestration into ischemic cerebral tissue, by catabolizing nucleotides released by injured cells, thereby inhibiting their chemotaxis, adhesion, and transmigration. Bone marrow reconstitution and provision of an apyrase, an enzyme that hydrolyzes nucleoside tri- and diphosphates, each normalized ischemic leukosequestration and cerebral infarction in CD39-deficient mice. Leukocytes purified from Cd39-/- mice had a markedly diminished capacity to phosphohydrolyze adenine nucleotides and regulate platelet reactivity, suggesting that leukocyte ectoapyrases modulate the ambient vascular nucleotide milieu. Dissipation of ATP by CD39 reduced P2X7 receptor stimulation and thereby suppressed baseline leukocyte alphaMbeta2-integrin expression. As alphaMbeta2-integrin blockade reversed the postischemic, inflammatory phenotype of Cd39-/- mice, these data suggest that phosphohydrolytic activity on the leukocyte surface suppresses cell-cell interactions that would otherwise promote thrombosis or inflammation. These studies indicate that CD39 on both endothelial cells and leukocytes reduces inflammatory cell trafficking and platelet reactivity, with a consequent reduction in tissue injury following cerebral ischemic challenge.

Highlights

  • The early consequences of cerebral ischemia are often amplified by local leukocyte and platelet accumulation

  • Permanent cerebral ischemia was induced in CD39-deficient and WT mice with the use of a photothrombotic model of middle cerebral artery (MCA) occlusion [20]

  • The data obtained with this model of stroke parallel those previously reported with intraluminal MCA occlusion using a nylon monofilament — studies in which larger cerebral infarct volumes were observed in Cd39–/– mice 24 hours after ischemia [7]

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Summary

Introduction

The early consequences of cerebral ischemia are often amplified by local leukocyte and platelet accumulation. This cellular accrual exacerbates cerebral damage by impeding distal microvascular flow [1, 2] and promoting local inflammation, tissue destruction, and regional edema. Purinergic signaling is a critical mediator of platelet and leukocyte accumulation, endogenous mechanisms regulating these events are poorly understood [3,4,5,6]. Though CD39 regulates platelet activation and adhesion through catabolism of ADP [7, 11, 12], it is not known whether CD39 modulates trafficking of inflammatory cells in ischemic tissue. Emerging evidence has highlighted a crucial role for autocrine and Conflict of interest: The authors have declared that no conflict of interest exists

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