3. Adhesion molecules and receptors

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Adhesion molecules are necessary for leukocyte trafficking and differentiation. They serve to initiate cell-cell interactions under conditions of shear, and they sustain the cell-cell and cell-matrix interactions needed for cellular locomotion. They also can serve directly as signaling molecules activating pathways critical to cell functions, and they can act as accessory molecules maintaining cellular contacts necessary for signaling through other receptors. Given their critical role in the emigration of leukocytes into sites of inflammation, genetic mutations that thwart adhesion molecule expression or function can produce profound disruptions in host defense. Adhesion molecules might serve as therapeutic targets for inflammatory diseases.

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Integrins

Integrins1, 2, 3 are noncovalently linked αβ heterodimers. Each subunit has a large extracellular domain, a single transmembrane domain, and a short cytoplasmic domain (20-70 residues). In vertebrates there are 18 α subunits and 8 β subunits combining to form 24 integrins with diverse ligand recognition specificity, including cell-surface and extracellular matrix molecules. Some subunits occur only in a single integrin, whereas others occur in multiple integrins; for example, β1 occurs in 12

Selectins

The selectin family5, 6, 7 consists of 3 members of C-type lectins that bind glycoproteins and glycolipids bearing sialyl Lewis X (sLeX) in a calcium-dependent manner. The lectin domain is adjacent to a domain homologous to epidermal growth factor, a variable number of short consensus repeats (SCRs; a motif found in many complement regulatory proteins), a single transmembrane domain, and a C-terminal cytoplasmic domain. The size difference among the selectins largely reflects the number of

ICAM family

The 5 members of this subfamily8, 9, 10, 11, 12 share sequence homology of 30% to 50%. They are type I transmembrane glycoproteins composed of from 2 to 9 immunoglobulin superfamily domains, a hydrophobic transmembrane region, and a short cytoplasmic domain. ICAM-1 (CD54) has 5 extracellular immunoglobulin domains and is constitutively expressed on venular endothelium and some leukocytes. After stimulation with inflammatory cytokines (eg, TNF-α), most of the body's cell types can express

Leukocyte rolling

Migration of leukocytes from blood into tissue requires coordinated sequential interactions of numerous adhesion molecules. The simplest generic model posits that selectins initiate interactions of leukocytes with endothelial cells. Selectin binding takes place under dynamic conditions, where shear forces exerted by flowing blood act on leukocytes and platelets as they interact with each other and with endothelial cells. Selectin binding requires a threshold level of shear for leukocytes to

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    Disclosure of potential conflict of interest: The author has declared that he has no conflict of interest.

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