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1 Department of Pharmacology and Therapeutics, University of Liverpool, Liverpool L69 3GE, United Kingdom; 2 Department of Environmental Health Sciences, School of Hygiene and Public Health and 3 Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland 21205; and 4 Department of Medicine, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin 9, Ireland
In vivo,
eosinophils localize to airway cholinergic nerves in antigen-challenged
animals, and inhibition of this localization prevents antigen-induced
hyperreactivity. In this study, the mechanism of eosinophil
localization to nerves was investigated by examining adhesion molecule
expression by cholinergic nerves. Immunohistochemical and functional
studies demonstrated that primary cultures of parasympathetic nerves
express vascular cell adhesion molecule-1 (VCAM-1) and after cytokine
pretreatment with tumor necrosis factor-
and interferon-
intercellular adhesion molecule-1 (ICAM-1). Eosinophils adhere to these
parasympathetic neurones after cytokine pretreatment via a
CD11/18-dependent pathway. Immunohistochemistry and Western blotting
showed that a human cholinergic nerve cell line (IMR-32) expressed
VCAM-1 and ICAM-1. Inhibitory experiments using monoclonal blocking
antibodies to ICAM-1, VCAM-1, or CD11/18 and with the very late
antigen-4 peptide inhibitor ZD-7349 showed that eosinophils adhered to
IMR-32 cells via these adhesion molecules. The protein kinase C
signaling pathway is involved in this process as a specific inhibitor-attenuated adhesion. Eosinophil adhesion to IMR-32 cells was
associated with the release of eosinophil peroxidase and leukotriene C4. Thus eosinophils adhere to cholinergic nerves via
specific adhesion molecules, and this leads to eosinophil activation
and degranulation; this may be part of the mechanism of
eosinophil-induced vagal hyperreactivity.
hyperreactivity; neural inflammation; muscarinic receptors
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