PMID- 16316421 OWN - NLM STAT- MEDLINE DCOM- 20060119 LR - 20101118 IS - 0300-9475 (Print) IS - 0300-9475 (Linking) VI - 62 IP - 6 DP - 2005 Dec TI - Neutrophil activation in anti-proteinase 3-positive vasculitis--a prospective study. PG - 539-45 AB - In vitro studies have demonstrated that antineutrophil cytoplasmic antibodies (ANCA) have the capacity to activate neutrophils. Whether circulating neutrophils in patients with vasculitis are activated is under debate. Eight consecutive patients with antiproteinase 3 (PR3) positive acute vasculitis were included in this prospective study. Neutrophil expression of adhesion molecules, Fc-receptors and the ANCA-antigen PR3 was analysed and clinical characteristics were documented at inclusion and after 1, 3, 6 and 9 months in the same individuals. As additional markers of inflammation and endothelial activation interleukin-8 and soluble vascular cell adhesion molecule-1 in serum were analysed at the same time points. The expression of adhesion molecules on circulating neutrophils, CD62L and CD11b after in vitro N-formyl-methionyl-leucyl-phenylalanine stimulation was significantly decreased at diagnosis and after 1 month but returned to normal levels after 3-9 months. The neutrophil expression of Fc-receptor IIIb (CD 16) was decreased at diagnosis but normalized after 1-9 months. The main finding was an activated neutrophil adhesion phenotype at diagnosis and after 1 month, with normalized expression of adhesion molecules at 3-9 months. A pathological regulation of adhesion molecules may have implications on the endothelial damage seen in vasculitis. FAU - Wikman, A AU - Wikman A AD - Division of Clinical Immunology, and Transfusion Medicine, Karolinska University Hospital and Karolinske Institute, Stockholm, Sweden. agneta.wikman@karolinska.se FAU - Lundahl, J AU - Lundahl J FAU - Jacobson, S H AU - Jacobson SH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Scand J Immunol JT - Scandinavian journal of immunology JID - 0323767 RN - 0 (Antibodies, Antineutrophil Cytoplasmic) RN - 0 (Antigens, CD) RN - 0 (FCGR3B protein, human) RN - 0 (GPI-Linked Proteins) RN - 0 (Interleukin-8) RN - 0 (Receptors, IgG) RN - 0 (Vascular Cell Adhesion Molecule-1) RN - 126880-86-2 (L-Selectin) RN - EC 3.4.21.- (Serine Endopeptidases) RN - EC 3.4.21.76 (Myeloblastin) SB - IM MH - Antibodies, Antineutrophil Cytoplasmic/biosynthesis/*blood/physiology MH - Antigens, CD/blood MH - GPI-Linked Proteins MH - Humans MH - Interleukin-8/blood MH - L-Selectin/metabolism MH - Myeloblastin MH - *Neutrophil Activation/immunology MH - Neutrophils/*enzymology/*immunology/metabolism MH - Prospective Studies MH - Receptors, IgG/blood MH - Serine Endopeptidases/blood/*immunology MH - Vascular Cell Adhesion Molecule-1/metabolism MH - Vasculitis/blood/*enzymology/*immunology EDAT- 2005/12/01 09:00 MHDA- 2006/01/20 09:00 CRDT- 2005/12/01 09:00 PHST- 2005/12/01 09:00 [pubmed] PHST- 2006/01/20 09:00 [medline] PHST- 2005/12/01 09:00 [entrez] AID - SJI1695 [pii] AID - 10.1111/j.1365-3083.2005.01695.x [doi] PST - ppublish SO - Scand J Immunol. 2005 Dec;62(6):539-45. doi: 10.1111/j.1365-3083.2005.01695.x.