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Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia 30322
In many inflammatory conditions of the
gastrointestinal tract, disease activity and patient symptoms correlate
with the histological finding of neutrophil (PMN) migration across the
epithelium. PMN interactions with intestinal epithelium can influence
epithelial functions ranging from barrier maintenance to electrolyte
secretion. Additionally, PMN recruitment to the epithelium can be
modulated by epithelial interactions with luminal enteric pathogens.
Adhesive interactions between PMN and intestinal epithelial cells have been shown to be distinct from interactions of PMN with endothelia. In
particular, PMN transepithelial migration is modulated by a distinct
array of cytokines including interferon-
and interleukin-4 and
requires the PMN
2-integrin
CD11b/CD18 but is independent of CD11a/CD18, selectins, and
intercellular adhesion molecule 1. Additionally, an integral membrane
protein termed CD47 has recently been shown to play an important role
in PMN transepithelial migration at point(s) subsequent to initial
adhesive interactions. This article provides a brief overview of PMN
interactions with epithelia and their functional consequences in
relation to inflammatory disease.
interferon-
; CD47; CD11b/CD18; selectins; inflammation; intercellular adhesion molecule 1; transepithelial migration
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