PMID- 20380586 OWN - NLM STAT- MEDLINE DCOM- 20110301 LR - 20101111 IS - 1607-842X (Electronic) IS - 0891-6934 (Linking) VI - 43 IP - 8 DP - 2010 Dec TI - Intravenous immunoglobulin G selectively inhibits IL-1alpha-induced neutrophil-endothelial cell adhesion. PG - 619-27 LID - 10.3109/08916931003599062 [doi] AB - OBJECTIVES: Intravenous immunoglobulin (IVIG) G at high doses has therapeutic benefits in a variety of autoimmune and inflammatory disorders. The mechanism by which IVIG modulates inflammation is incompletely understood. We tested the hypothesis that IVIG modulates inflammation by inhibiting interactions between neutrophils and vascular endothelium, required for leukocyte recruitment to inflamed tissues. METHODS: The adhesion of human blood neutrophils to resting or cytokine-activated human umbilical vein endothelial cells (HUVECs) was measured, and the effect of IVIG or normal donor sera added at various stages was determined. RESULTS: IVIG completely inhibited neutrophil adhesion to endothelium stimulated with interleukin-1 (IL-1alpha), when it was present during the endothelial stimulation phase. IVIG had no effect on adhesion when IL-1beta or TNF-alpha was the activating cytokine. The plasma of some (one of five) healthy donors also selectively blocked the IL-1alpha activation of the endothelium for supporting adhesion, and this was due to the presence of neutralizing IgG at high levels in the blood of the donor. CONCLUSIONS: Thus, IgG antibodies to IL-1alpha are present in IVIG at a biologically significant level, which can prevent endothelial activation. However, IVIG does not directly affect activation of endothelium or neutrophil adhesion mechanisms. The anti-inflammatory properties of IVIG may in part be related to blocking IL-1alpha-dependent leukocyte recruitment. Potentially, such antibodies may also have immunoregulatory effects by binding and neutralizing membrane-bound IL-1alpha during cell-cell interactions. FAU - Macmillan, Heather F AU - Macmillan HF AD - Department of Pathology, Dalhousie University, Halifax, NS, Canada. FAU - Rowter, Derek AU - Rowter D FAU - Lee, Tim AU - Lee T FAU - Issekutz, Andrew C AU - Issekutz AC LA - eng GR - MG 7684/Canadian Institutes of Health Research/Canada GR - MGC 57081/Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100412 PL - England TA - Autoimmunity JT - Autoimmunity JID - 8900070 RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Interleukin-1alpha) SB - IM MH - Cell Adhesion/*immunology MH - Endothelium, Vascular/cytology/*immunology MH - Humans MH - Immunoglobulin G/blood MH - Immunoglobulins, Intravenous/*pharmacology MH - Inflammation/drug therapy/*immunology MH - Interleukin-1alpha/*immunology MH - Neutrophils/cytology/*immunology EDAT- 2010/04/13 06:00 MHDA- 2011/03/02 06:00 CRDT- 2010/04/13 06:00 PHST- 2010/04/13 06:00 [entrez] PHST- 2010/04/13 06:00 [pubmed] PHST- 2011/03/02 06:00 [medline] AID - 10.3109/08916931003599062 [doi] PST - ppublish SO - Autoimmunity. 2010 Dec;43(8):619-27. doi: 10.3109/08916931003599062. Epub 2010 Apr 12.