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Veterinary Immunology and ImmunopathoIogy, 25 ( 1990 ) 209-217 209 Elsewer Scmnce Pubhshers B V, Amsterdam -- Prmted m The Netherlands Effects of Proinflammatory Mediators on Canine Neutrophil Chemotaxis and Aggregation H STROM* and M K THOMSEN** Department of Pharmacology, Leo Pharmaceuttcal Products, DK-2750 Ballerup (Denmark) (Accepted 7 December 1989) ABSTRACT Strom, H and Thomsen, M K, 1990 Effects of promflammatory medmtors on canine neutrophfi chemotaxls and aggregatmn Vet Immunol Immunopathol, 25 209-217 The present study investigated m vitro the quahtatlve and quantitative neutrophll function- activating propertms of the most important non-cytoklne participants in the acute inflammatory cell response Apart from the results obtained with leukotrmne (LT) D4, similar quahtatlve rela- tmnsh~ps were found for the several medmtors tested regardmg effects on neutrophfl mlgratmn and aggregatmn Thus, LTB4, PAF-acether and zymosan-actlvated serum all ach~ated both func- tions, while f-Met-Leu-Phe had no effect In all cases, the halt-mammal ehcltmg concentratmn (ECho) for mductmn of chemotams was much lower than for aggregatmm indicating that high and low receptor afflmty responses were being studmd, respectively LTD4 reduced modest aggre- gatmn, but was virtually w~thout effect on m~gratlon Using PAF-acether as stimulus, the mech- anism of aggregatmn was studmd m more detail The results mdmate that LTB4, PAF-acether, the complement-spht products C5a/C5a desArg, and perhaps LTD4, may play a role as shmulants of neutrophfi functmns m inflammatory processes m wvo INTRODUCTION Polymorphonuclear granulocytes (PMN) play a v~tal role m host defence against mlcroorgamsms The temporal sequence revolved m activation of PMN can be divided into early events, 1 e aggregation, vascular adherence and chemotaxls, and late events occurring at ten-fold higher stimulant concentra- hons, 1 e lysosomal enzyme and superomde amon secrehon (Showell et al, 1976) Finally, phagocytosm is a process lmtlated by the antibody- or C3b- coated microorganism Endogenous promflammatory mediators generally have an effect on PMN *Present address Department of Small Ammal Chmc and Chmcal Practice, Royal Veterinary and Agricultural Umverslty, Bulowsvej 13, DK-1870 Fredenksberg C (Denmark) **To whom correspondence should be addressed 0165-2427/90/$03 50 © 1990 Elsewer Scmnce Pubhshers B V

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Page 1: Effects of proinflammatory mediators on canine neutrophil chemotaxis and aggregation

Veterinary Immunology and ImmunopathoIogy, 25 ( 1990 ) 209-217 209 Elsewer Scmnce Pubhshers B V, Amsterdam - - Prmted m The Netherlands

Effects of P r o i n f l a m m a t o r y Mediators on Canine Neutrophi l Chemotax i s and Aggregat ion

H STROM* and M K THOMSEN**

Department of Pharmacology, Leo Pharmaceuttcal Products, DK-2750 Ballerup (Denmark)

(Accepted 7 December 1989)

ABSTRACT

Strom, H and Thomsen, M K, 1990 Effects of promflammatory medmtors on canine neutrophfi chemotaxls and aggregatmn Vet Immunol Immunopathol, 25 209-217

The present study investigated m vitro the quahtatlve and quantitative neutrophll function- activating propertms of the most important non-cytoklne participants in the acute inflammatory cell response Apart from the results obtained with leukotrmne (LT) D4, similar quahtatlve rela- tmnsh~ps were found for the several medmtors tested regardmg effects on neutrophfl mlgratmn and aggregatmn Thus, LTB4, PAF-acether and zymosan-actlvated serum all ach~ated both func- tions, while f-Met-Leu-Phe had no effect In all cases, the halt-mammal ehcltmg concentratmn (ECho) for mductmn of chemotams was much lower than for aggregatmm indicating that high and low receptor afflmty responses were being studmd, respectively LTD4 reduced modest aggre- gatmn, but was virtually w~thout effect on m~gratlon Using PAF-acether as stimulus, the mech- anism of aggregatmn was studmd m more detail The results mdmate that LTB4, PAF-acether, the complement-spht products C5a/C5a desArg, and perhaps LTD4, may play a role as shmulants of neutrophfi functmns m inflammatory processes m wvo

INTRODUCTION

Polymorphonuclear granulocytes ( P M N ) play a v~tal role m host defence against mlcroorgamsms The temporal sequence revolved m activation of P M N can be divided into early events, 1 e aggregation, vascular adherence and chemotaxls, and late events occurring at ten-fold higher st imulant concentra- hons, 1 e lysosomal enzyme and superomde amon secrehon (Showell et a l , 1976) Finally, phagocytosm is a process lmtlated by the antibody- or C3b- coated microorganism

Endogenous promflammatory mediators generally have an effect on P M N

*Present address Department of Small Ammal Chmc and Chmcal Practice, Royal Veterinary and Agricultural Umverslty, Bulowsvej 13, DK-1870 Fredenksberg C (Denmark) **To whom correspondence should be addressed

0165-2427/90/$03 50 © 1990 Elsewer Scmnce Pubhshers B V

Page 2: Effects of proinflammatory mediators on canine neutrophil chemotaxis and aggregation

210 H STROM AND M K THOMSEN

motlhty and will be referred to as chemotaxms, while their effect on the oxi- dative burst and degranulatlon is more variable Chemotaxms may be media- tors of innate or adaptive ymmumty, or bacterml or tissue-derived substances Most emphasis has been placed on the complement-spht products C5a and C5a desArg, present m zymosan-actlvated serum (ZAS), and leukocyte membrane- derived hpld mediators such as leukotnenes and PAF-acether (Snyderman et al, 1969, Ford-Hutchinson et al , 1980) All have been shown to be mvolved m inflammation m VlVO, at least under experimental condltmns (Cochrane et al, 1959, Braquet et al, 1987) Formyl-Met-Leu-Phe (FMLP) produced by Eschenchm coh is generally used as a representative of bacterml chemotaxms (Schfffmann et al, 1975 ), but has been reported to be without effect on canine PMN (Redl et al, 1983)

The early stages of PMN activation revolve responses that are complete at low receptor occupancy (Sklar et al, 1983) Consequently, studms on stimu- lus-response couphng necessitate the continuous assay of fast PMN functmns m order to obtain a quantitative estimate of the response before receptor-h- gand eqmhbrmm is reached (Yuh and Snydermann, 1984) While chemotaxls is a well characterized early event, aggregatmn fulfils the above cnterm, since it revolves the contmuous measurement of medmtor-mduced changes m hght transmlssmn through a dense PMN suspensmn The functmnal slgmficance of PMN aggregatmn is less well studmd than that of chemotaxls, but must be considered to represent the m wtro correlate of the transmnt neutropenm ob- served following systemic mfusmn of chemotactm factors (Ford-Hutchinson and Evans, 1988)

Even though studms on PMN filter assay chemotaxls and aggregatmn (Kroese et al, 1981, Redl et al, 1983, Thomsen and Ahnfelt-R~nne, 1989) have been undertaken m healthy dogs, there have been no quantitative com- parisons between the migratory and aggregatory effects of varmus promflam- matory medmtors It was the mm of this study to obtain canme dose-response relatmnshlps for a number putative partlopants m acute mflammatmn, ~ e leukotrmne B4 (LTB4), LTD4 (constituent of slow-reacting substance of an- aphylaxm (SRS-A)), PAF-acether, C5a/C5a desArg (obtained by activating serum with zymosan), and FMLP

M A T E R I A L S A N D M E T H O D S

Cell preparatmn PMN were isolated from EDTA-stablhzed venous blood by a method pre-

vmusly described (Thomsen and Ahnfelt-R~nne, 1989) In each experiment, adequate buffer controls were included, and only dogs that had not partmlpated m any experiment during the prewous 2 weeks were used Cell recovery, purity and wablhty as jugded by the eosm Y dye exclusmn test were approx 50%, > 95% and > 95% respectively

Page 3: Effects of proinflammatory mediators on canine neutrophil chemotaxis and aggregation

EFFECTS OF PROINFLAMMATORY MEDIATORS ON CANINE NEUTROPHILS 211

Chemotax~s A modlficatmn of the Boyden chamber techmque (Boyden, 1962) using

acryhc bhnd well chambers (Molytex, Denmark) was used The upper chain- ber, containing the PMN adjusted to 2 × 106/ml and suspended m Hank's bal- anced salt solutmn (HBSS, Glbco, U S A ) ennched with 0 2% glucose and 2% bowne serum albumin (Sigma, U S A ) was separated from the chemoattrac- tant chamber by a 3-/tm pore cellulose mtrate filter (Sartorms, F R G ) Ran- dora mlgratmn (RM) was estimated with HBSS m the lower chamber, while chemotaxls was evaluated by filhng the lower chamber with HBSS-dfiuted ZAS (Maderazo and Woromck, 1978), LTB4, LTD4 (Ultrafine Chemicals, Great Britain), PAF-acether (Leo Pharmaceutical Products, Denmark) or FMLP (Sigma, U S A ) Incubatmn at 37°C for 45 mm was followed by fixatmn and stammg of the filters Experiments were carned out m duphcate, and mlgra- tmn was determined according to the leadmg front techmque (Zlgmond and Hlrsch, 1973), as previously described (Thomsen and Strom, 1989) Chemo- tactic responsiveness was evaluated as absolute mlgratmn (/1m/45 ram), chemotact~c dffferentml (CD d~rected mlgratmn minus random m~gratmn) or chemotactlc index (CI directed mlgratmn/random mlgratmn)

Aggregatmn 200 ~tl PMN, adjusted to 5 × 107/ml, were placed m a sfllcomzed aggrego-

meter cuvette and recalclfied with 5/~1 recaloficatlon medmm (40 mM CaCI2, 30 mM MgC12) Light transmission was adjusted to 10% and 90% with and w~thout the PMN suspension m the aggregometer respectively Aggregatmn was assayed using a Payton hght aggregometer (Payton Association Inc, U S A ) at 37°C with continuous stirring at 900 rpm Stimulants for aggrega- tmn were diluted m HBSS and added in a volume of 5/11 when the basehne was stable, and hght transm~ssmn was recorded for 5 mm Curves were exammed for number, t~me and height of peaks For the mvestlgatmn of the mechamsms mvolved m aggregatmn, brief premcubatmns m 0 25% ethanol or 10/~g/ml cytochalasm B were made prmr to addltmn of the stimulus

S tatavt~cs Parametric stat~stlcs were apphcable to the techmque employed (Pedersen,

1987) Thus, Student's independent t-test was used to compare results Values are presented as the mean + s e m

R E S U L T S

LTB4 and PAF-acether slgmficantly ( P < 0 05) reduced chemotaxls at all concentrations (Fig 1) Only LTB4 exhibited a normal dose-response curve, with a half-maximal eho tmg concentration (ECso) of 5 × 10 - 9M ( CI ) or 10 - ~ M (CD) The maximum CI for ZAS, LTB4 and PAF-acether was 3 90, 3 94

Page 4: Effects of proinflammatory mediators on canine neutrophil chemotaxis and aggregation

21'2 H S T R O M AND M K T H O M S E N

180-

160-

E140- u'3

E ~120- Z

~ 100-

80-

60-

t -.x.- ILTB 4 , l , . , . ~ PAF

{" _ . _b ~ 'e _ - - - - - - 4 _ _ - ]:LTD4

t- I . . . . . . . . .

-LOG CONCENTRATION (M)

t FMLP

Fig 1 Effect of LTB4, LTD4, F M L P and PAF on neutrophll mlgratmn Mlgratmn towards each medmtor was studmd m four dogs m the range 10 -9 M to 10 -6 M *Only three values were used Values are expressed as mean +_ s e m Random mxgratmn was 45 4- 3 pm/45 mln

and 3 44 pm/45 mln respectively, and the maximum CD 138, 125 and 112 #m/ 45 mm There were no stgmficant differences between results for ZAS and LTB4, while PAF-mduced chemotaxis was significantly (P < 0 05) lower FMLP elicited no response at any concentration tested (Fig 1) whereas LTD4 at 10- 7M to 10- 6 M caused slgmficantly greater PMN migration (P < 0 05) than RM, with maximum CI and CD values of 1.38 and 18 respectively Thus, C5a/ C5a desArg, LTB4 and PAF-acether, but not FMLP and LTD4, reduced di- rected migration of canine PMN m a dose-dependent and potent manner

Results obtained m aggregometry resembled the chemotax~s data in that LTB4, ZAS and PAF-acether were potent stimulants (Fig 2) ZAS and LTB4 had a higher efficacy than PAF-acether, and ZAS reduced a significantly higher response ( P < 0 05) than that obtained with LTB4 Marked deactivation at high concentrations was only present for ZAS (Fig 2), whereas only LTB4, and m particular PAF-acether, gave rise to blphas~c curves at htgh concentra- ttons LTD4 induced modest, dose-dependent aggregatmn FMLP had no ef- fect The leukotrlenes and ZAS caused aggregation smmedmtely upon addltmn, with a peak w~thm 20-30 s, whereas PAF-acether-mduced aggregatmn peaked slightly later Aggregatmn lmtlated by LTBt was characterized by rapid

Page 5: Effects of proinflammatory mediators on canine neutrophil chemotaxis and aggregation

EFFECTS OF PROINFLAMMATORY MEDIATORS ON CANINE NEUTROPHILS ''C' ILUTION

- r , ,~ 10

FMLP added t

100 1000

tilt ~ tilt lmln ZAS added LTD4 added

[nM] 1000

1000

100 10

1

1 mtn

213

[nMl 1000

100

tttt 1 mm PAF added

[nM]

100

1000

10

tttt ' - - ' lmm LTB 4 added

Fig 2 Effect of LTB4, LTD4, FMLP, PAF and ZAS on neutrophl l aggregation The hgh t t rans- mission curves show the P M N aggregatory response to increasing concent ra tmns of s t imulant The vertmal axis shows the d~stance, in mm, from basehne to the peak aggregation, which was 46 (LTD4), 116 (PAF-ace the r ) , 137 (LTB4) and 171 m m (ZAS) All curves were obtained with one p repara tmn of cells A typmal exper iment is shown The relative s t imulant potency and efficacy were the same m all exper iments

Page 6: Effects of proinflammatory mediators on canine neutrophil chemotaxis and aggregation

214 H STROMAND M K THOMSEN

Control

/• ~ll~]Cytochalasln B I ~ 'pretreated •

PAF added lm~n

Fig 3 Modulation of PMN aggregation by ethanol and cytochalasm B Cells were premcubated for 5 mm (cytochalasm B) or 1 mm (ethanol) prmr to addltmn of 10- ~ M PAF-ace ther Changes m hght transm~ssmn were recorded for 5 mm m each of three separate expemments

reverstbxhty, gtvmg rose to sharp aggregation peaks Pre t rea tment of P M N w~th 0.25% ethanol prmr to addttlon of 10 -7 M PAF-ace ther resulted m an essentially monophasm curve whtch peaked later than usual and had a greater amphtude P M N premcubated with cytochalasm B exhibited a meager early response to 10 -7 M PAF-acether , but w~th a lag t~me of approx 1 5 mm a continuously mcreasmg late response was detected The aggregatton expert- ments show that LTB4, PAF-ace ther and C5a/C5a desArg (present m ZAS) are all s t imulants of canme P M N aggregation, but only the first two reduce second-wave aggregation

DISCUSSION

Only compounds exhibiting clear-cut st lmulatory effects on P M N m vitro may be considered to be candidates for P M N - m d u c e d inflammation In the present study, LTB4, PAF-ace ther and C5a/C5a desArg from ZAS all reduced chemotaxts and aggregation of canine P M N , wtth a potency and efficacy whtch supports their putative m vlvo roles The order of efficacy w~th regard to both assays was ZAS >t LTB4 >~ PAF-acether>>LTD4, F M L P was completely reef-

Page 7: Effects of proinflammatory mediators on canine neutrophil chemotaxis and aggregation

EFFECTS OF PROINFLAMMATORY MEDIATORS ON CANINE NEUTROPHILS 215

fective The atypical dose-response curve obtained with PAF-acether m the chemotax:s assay could be due to PAF-acether priming PMN to be more re- sponsive to non-specific stimuli at minute concentrations, as recently reported (Vercellottl et al , 1988) Sedgwlck et al (1987) stuched equine PMN loco- motion induced by ZAS, LTB4 and FMLP, and found the same ranking With human PMN, greater aggregation has - - as with canine PMN m this study - - been obtained with ZAS compared to LTB4 (Ringertz et al , 1985) The mar- gmal chemotactm response obtained with the SRS-A leukotrlene, LTD4, re- sembles observations of LTC4 m human PMN (Goetzl, and Pickett, 1980)

LTB4 and PAF-acether in the range 10 -7 to 10 -6 M induced what was orig- inally referred to as second-wave aggregation, 1 e a late increase in light trans- mission, peaking after approximately 1.5-2 mm. Rather than representing ag- gregation, subcellular events associated with lysosomal enzyme and superoxlde anion secretion have been proposed as the cause of this phenomenon (Yuh and Snyderman, 1984) This proposal is supported with respect to canine PMN by the present data on the temporal and dose-related characteristics of the re- sponse, since secretory events occur later and require higher concentrations of the hgands involved Furthermore, cytochalasm B, which potentiates secretion while inhibiting cell motility (Bennett et al., 1980), accentuated the late re- sponse but attenuated the early response Ahphatic alcohols, e g. ethanol, are reported to have opposite effects (Yuh et al., 1982), and in the present work indeed had reverse effects on light transmission, 1 e enchancmg and diminish- mg early and late responses respectively. Complement-split products are known to be weak secretory stimulants (Vercellottl et al , 1988), m accordance with which no late response to ZAS was apparent However, the amount of C5a/ C5a desArg m our ZAS could be below the threshold concentration necessary for reducing secretion Deactivation at high stimulant concentrations was clearly present only for ZAS (data for chemotaxis not shown), which is in agreement with findings m other species (Chenoweth et al, 1980) With LTB4, a characteristic rapidly reversible early response was seen m aggregometry, as reported previously for human PMN (Rmgertz et al, 1985)

In a clinical context, substantial evidence of the involvement of PMN chem- otaxls towards different factors m a variety of inflammatory conditions has accumulated (Klebanoff and Clark, 1978), and circumstantial evidence of a role for C5a and LTB4 in inducing PMN aggregation m acute myocardial in- farction and shock lung has been presented (Jacob, 1981) Present and pre- vious findings make it probable that these substances, as well as PAF-acether, are important mediators of inflammatory conchtlons relevant to the dog The present findings do not indicate a chrect and simple mechamsm through which LTD4 influences PMN functions to a significant extent Likewise, FMLP, as previously reported (Redl et al , 1983), does not activate canine PMN The lack of receptors for formyl-Met peptldes in canine PMN does mean that the

Page 8: Effects of proinflammatory mediators on canine neutrophil chemotaxis and aggregation

216 H STROM AND M K THOMSEN

canine host orgamsm depends on endogenous chemoattractants, such as C5a/ C5a desArg, when mobxhzmg PMN to s~tes of refection

In conclusmn, canine PMN clearly exhibit a functmnal profile tha t encour- ages the study of these cells not only in disease but also In health, serving as a non-mvaslve tool m the preclxmcal development of, e g, novel ant lmflamma- tory drugs on a cellular level

ACKNOWLEDGEMENTS

We are indebted to Dr Ole Haagen Nielsen, Department of Gastroenterol- ogy, Herlev Umverslty Hospital, Denmark, for having assisted m originally setting up the chemotaxls assay The skillful techmcal assistance of Ms S Baumgarten, A B Hansen and B Nmlsen is gratefully acknowledged

REFERENCES

Bennett, J P , Cockcroft, S and Gomperts, B D, 1980 Use of cytochalasm B to dlstmgmsh be- tween early and late events m neutrophll activation Blochem Blophys Acta, 601 584-591

Boyden, S, 1962 The chemotactlc effect of mixtures of antibody and antigen on polymorphonu- clear leucocytes J Exp Med, 115 453-466

Braquet, P , Touqul, L, Shen, Y and Vargaftlg, B B, 1987 Perspectives m platelet-actlvatlng factor research Pharmacol Rev, 39 97-139

Chenoweth, D E, Lane, T A, Rowe, J G and Hugh, T E , 1980 Quantltat~ve comparisons of neutrophll chemotaxls m four ammal specms Chn Immunol Immunopathol, 15 525-535

Cochrane, C G, Welgle, W 0 and Dixon, F J , 1959 The role of polymorphonuclear leukocytes m the m~tmtmn and cessation of the Arthus vascuhtls ] Exp Med, 110 481-494

Ford-Hutchinson, A W, Bray, M A, Dolg, M V, Shlpley, M E and Smith, M J H V, 1980 Leu- kotrmne B a potent chemokmetlc and aggregating substance released from polymorphonuclear leukocytes Nature, 286 264-265

Ford-Hutchinson, A W and Evans, J F , 1988 Neutrophll aggregation and chemokmesls assays In G D~ Sabato (Editor), Chemotaxls and lnflammatmn, Methods m enzymology, Vol 162 Academic Press, New York, NY, pp 72-75

Goetzl E J and Pmkett, W C, 1980 The human leukocyte chemotactlc actlwty of complex hy- droxy-emosatetraeomcaclds (HETEs) J Immunol, 125 1789-1795

Jacob, H S, 1981 The role of activated complement and granulocytes m shock states and my- ocardial lnfarctmn J Lab Chn Med, 98 645-653

Klebanoff, S J and Clark, R A, 1978 The neutrophfl functmn and chmcal disorders North Hol- land, Amsterdam, pp 73-161

Kroese, F G M, Wfilemse, A and Slappendel, R J , 1981 Granulocyte ~unctlon tests in canine lnfectmus diseases methods and prehmmary chmcal results Vet Immunol Immunopathol, 2 455-466

Maderazo, E G and Woromck, C L, 1978 A modffmd mlcropore filter assay of human granulocyte leukotaxls In J I Galhn and P G Qme (Editors), Leukocyte chemotaxls Raven Press, New York, NY, pp 43-55

Pedersen, M M, 1987 Comparison of two methods for measurement of chemotaxls of neutrophfi polymorphonuclear leukocytes m vitro Acta Pathol Mlcrobml Immunol Scand ~ C ), 95 189- 193

Redl H, Flynn P J , Lamche, H, Schmsser, A, Schlag, G and Hammerschmldt, D E, 1983

Page 9: Effects of proinflammatory mediators on canine neutrophil chemotaxis and aggregation

EFFECTS OF PROINFLAMMATORY MEDIATORS ON CANINE NEUTROPHILS 217

Aggregation, chemotaxls and chemiluminescence ofcanme granulocytes Inflammation, 7 67- 80

Rmgertz, B , Palmblad, J and Lmdgren, J ~,, 1985 Stimulus-specific neutroph~l aggregation Evaluation of possible mechamsms for the stimulus-response apparatus J Lab Chn Med, 106 132-140

Schlffman, E , Corcoran, B A and Wahl, S M, 1975 N-Formylmethlonyl peptldes as chemoat- tractants for leukocytes Proc Natl Acad Scl U S A, 72 1059-106

Sedgwlck, A D, Lees, P , Dawson, J and May, S A, 1987 Cellular aspects of inflammation Vet Rec, 120 529-535

Showell, H J , Freer, R J , Zlgmond, S H , Schlffmann, E , Aswamkumar, S , Corcoran, B A and Becker, E L , 1976 The structure-activity relation ofsynthetm peptldes as chemotactm factors and reducers oflysosomal enzyme secretion for neutrophlls J Exp Med, 143 1154-1169

Sklar, L A, Jesaltls, A J , Painter, R G and Cochrane, C G, 1983 Quantitative analysis of the relatmnshlp between receptor occupancy and cellular response in human neutrophlls Blophys J , 41 132a

Snyderman, R , Shin, H S , Phillips, J K , Gerwurtz, H and Mergenhagen, S E , 1969 A neutro- phi1 chemotactm factor derived from Cs upon interaction of guinea p~g serum with endotoxln J Immunol, 103 413-422

Thomsen, M K and Ahnfelt-Ronne, I , 1989 Inhibition by the LTD4 antagonist, SR 2640, and effects of LTD4 on canine polymorphonuclear leukocyte function Blochem Pharmacol, 38 2291-2295

Thomsen, M K and Strom, H , 1989 Blologmal varuatmn in random and leukotrmne B4-d~rected mlgratmn of canine neutrophfls Vet Immunol Immunopathol, 21 219-224

Vercellottl, G M , Ym, H Q, Gustafson, K S , Nelson, R D and Jacob, H S , 1988 Platelet-actl- vatmg factor primes neutrophfl responses to agonlsts role m promoting neutrophfl-mediated endothehaldamage Blood, 7 1100-1107

Yuh, I A , Tomonaga, A and Snyderman, R, 1982 Chemoattractant receptor functions m human polymorphonuclear leukocytes are d~vergently altered by membrane fluldlzers Proc Natl Acad Scl U S A, 79 5906-5910

Yuh, I and Snyderman, R , 1984 Rapid changes in light scattering from human polymorphonu- clear leukocytes exposed to chemoattractants J Clln Invest, 73 1408-1418

Z~gmond, S H and Hlrsch, J G , 1973 Leukocyte locomotion and chemotaxls J Exp Med, 137 387-410