PMID- 26361072 OWN - NLM STAT- MEDLINE DCOM- 20160719 LR - 20171116 IS - 1537-2995 (Electronic) IS - 0041-1132 (Linking) VI - 55 IP - 12 DP - 2015 Dec TI - Human neutrophil antigen-3a antibodies induce neutrophil stiffening and conformational activation of CD11b without shedding of L-selectin. PG - 2939-48 LID - 10.1111/trf.13299 [doi] AB - BACKGROUND: HNA-3a antibodies induce severe transfusion-related acute lung injury (TRALI) in which neutrophils play a major role. As neutrophil passage through the pulmonary microvasculature is a critical step in the pathogenesis of TRALI, we investigated the impact of HNA-3a antibodies on two important factors that could impair granulocyte passage through lung capillaries: the elasticity of neutrophils and the expression and activation of adhesion molecules. STUDY DESIGN AND METHODS: The impact of HNA-3a antibodies on the elasticity of neutrophils was investigated using atomic force microscopy (AFM). Neutrophils were settled on poly-2-hydroxyethyl-methacrylate-coated glass slides before treatment with anti-HNA-3a plasma samples, control plasma, or control plasma containing formyl-methionyl-leucyl-phenylalanine (fMLP). Elasticity measurements were carried out in a temperature-controlled perfusion chamber using an atomic force microscopy (AFM) device. The impact of HNA-3a antibodies on the surface expression of total CD11b, activation of CD11b, and L-selectin (CD62L) shedding was investigated by flow cytometry. The functional impact of HNA-3a antibodies on neutrophil adhesion was assessed using fibrinogen-coated plates. RESULTS: HNA-3a antibodies induced stiffening of neutrophils (+24%-40%; p < 0.05) to a similar extent as fMLP. This effect was blocked by treatment of neutrophils with cytochalasin D. While total surface expression of CD11b and L-selectin on neutrophils was largely unaffected, HNA-3a antibodies induced alloantigen-specific activation of CD11b (+72%-107%; p < 0.05) and increased adhesion of neutrophils to fibrinogen. CONCLUSION: Accumulation of neutrophils in the pulmonary microvasculature during severe TRALI is likely mediated by increased rigidity and CD11b-mediated adhesion of neutrophils leading to retention of neutrophils. CI - (c) 2015 AABB. FAU - Berthold, Tom AU - Berthold T AD - Institute for Immunology and Transfusion Medicine, Universitatsmedizin Greifswald, Greifswald, Germany. FAU - Glaubitz, Michael AU - Glaubitz M AD - Nanostructure Group, ZIK HIKE-Center for Innovation Competence, Humoral Immune Reactions in Cardiovascular Diseases, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany. FAU - Muschter, Stefan AU - Muschter S AD - Institute for Immunology and Transfusion Medicine, Universitatsmedizin Greifswald, Greifswald, Germany. FAU - Gross, Stefan AU - Gross S AD - Department of Cardiology, Universitatsmedizin Greifswald, Greifswald, Germany. AD - DZHK-German Centre for Cardiovascular Research, Greifswald, Germany. FAU - Palankar, Raghavendra AU - Palankar R AD - Nanostructure Group, ZIK HIKE-Center for Innovation Competence, Humoral Immune Reactions in Cardiovascular Diseases, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany. FAU - Reil, Angelika AU - Reil A AD - German Red Cross Blood Service West, Hagen, Germany. FAU - Helm, Christiane A AU - Helm CA AD - Institute of Physics, Ernst-Moritz-Arndt-University Greifswald. FAU - Bakchoul, Tamam AU - Bakchoul T AD - Institute for Immunology and Transfusion Medicine, Universitatsmedizin Greifswald, Greifswald, Germany. FAU - Schwertz, Hansjorg AU - Schwertz H AD - Institute for Immunology and Transfusion Medicine, Universitatsmedizin Greifswald, Greifswald, Germany. AD - Lichtenberg-Professor for Experimental Hemostasis, Universitatsmedizin Greifswald. AD - Program in Molecular Medicine, University of Utah, Salt Lake City, Utah. AD - Department of Surgery, University of Utah, Salt Lake City, Utah. FAU - Bux, Jurgen AU - Bux J AD - Ruhr University Bochum, Bochum, Germany. FAU - Greinacher, Andreas AU - Greinacher A AD - Institute for Immunology and Transfusion Medicine, Universitatsmedizin Greifswald, Greifswald, Germany. FAU - Delcea, Mihaela AU - Delcea M AD - Nanostructure Group, ZIK HIKE-Center for Innovation Competence, Humoral Immune Reactions in Cardiovascular Diseases, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150910 PL - United States TA - Transfusion JT - Transfusion JID - 0417360 RN - 0 (CD11b Antigen) RN - 0 (HNA-3a antigen, human) RN - 0 (ITGAM protein, human) RN - 0 (Isoantibodies) RN - 0 (Isoantigens) RN - 126880-86-2 (L-Selectin) SB - IM MH - Acute Lung Injury/etiology MH - CD11b Antigen/chemistry/*physiology MH - Cell Adhesion MH - Humans MH - Isoantibodies/*physiology MH - Isoantigens/*immunology MH - L-Selectin/*physiology MH - Microscopy, Atomic Force MH - Neutrophils/*physiology MH - Protein Conformation MH - Transfusion Reaction EDAT- 2015/09/12 06:00 MHDA- 2016/07/20 06:00 CRDT- 2015/09/12 06:00 PHST- 2015/02/09 00:00 [received] PHST- 2015/05/27 00:00 [revised] PHST- 2015/06/29 00:00 [accepted] PHST- 2015/09/12 06:00 [entrez] PHST- 2015/09/12 06:00 [pubmed] PHST- 2016/07/20 06:00 [medline] AID - 10.1111/trf.13299 [doi] PST - ppublish SO - Transfusion. 2015 Dec;55(12):2939-48. doi: 10.1111/trf.13299. Epub 2015 Sep 10.