title: The cutaneous lymphocyte antigen is a skin lymphocyte homing receptor for the vascular lectin endothelial cell-leukocyte adhesion molecule 1.
abstract: A skin-associated population of memory T lymphocytes, defined by expression of the cutaneous lymphocyte antigen (CLA), binds selectively and avidly to the vascular lectin endothelial cell-leukocyte adhesion molecule 1 (ELAM-1), an interaction that may be involved in targeting of CLA+ T cells to cutaneous sites of chronic inflammation. Here we present evidence that CLA itself is the (or a) lymphocyte homing receptor for ELAM-1. Antigen isolated with anti-CLA monoclonal antibody HECA-452 from human tonsillar lysates avidly binds ELAM-1 transfected mouse cells. Anti-CLA antibody blocks T lymphocyte binding to ELAM-1 transfectants. HECA-452 and ELAM-1 binding to lymphocytes or to isolated tonsillar HECA-452 antigen is abrogated by neuraminidase treatment implying a prominent role for sialic acid in CLA structure and function. The dominant form of CLA on T cells is immunologically distinct from the major neutrophil ELAM-1 ligand, the sialyl Lewis x (sLex) antigen (NeuAc alpha 2-3Gal beta 1-4[Fuc alpha 1-3]GlcNAc), which is absent, weakly expressed, or masked on T cells. However, neuraminidase treatment of CLA+ T cells, but not of CLA- T cells, reveals Lewis x (CD15) structures. In combination with the known requirement for terminal NeuAc alpha 2-3Gal and fucose residues attached to N-acetylglucosamine for ELAM-1 and HECA-452 binding, this finding suggests that CLA may comprise an additionally sialylated or otherwise modified form of sLex. The identification of a lymphocyte homing receptor for skin may permit novel approaches to the diagnosis and therapy of cutaneous and inflammatory disorders.
authors.affiliation: Department of Pathology, Stanford University, California 94305.
authors.forename: E L
authors.initials: EL
authors.lastname: Berg
authors.forename: T
authors.initials: T
authors.lastname: Yoshino
authors.forename: L S
authors.initials: LS
authors.lastname: Rott
authors.forename: M K
authors.initials: MK
authors.lastname: Robinson
authors.forename: R A
authors.initials: RA
authors.lastname: Warnock
authors.forename: T K
authors.initials: TK
authors.lastname: Kishimoto
authors.forename: L J
authors.initials: LJ
authors.lastname: Picker
authors.forename: E C
authors.initials: EC
authors.lastname: Butcher
mesh_terms: D000818:Animals; D000911:Antibodies, Monoclonal / Q000276:immunology; D000941:Antigens / Q000032:analysis* / Q000502:physiology; D015815:Cell Adhesion Molecules / Q000032:analysis* / Q000502:physiology; D019040:E-Selectin; D006801:Humans; D016256:Lewis X Antigen / Q000032:analysis; D009439:Neuraminidase / Q000494:pharmacology; D051381:Rats; D016201:Receptors, Lymphocyte Homing / Q000032:analysis*; D012867:Skin / Q000276:immunology*; D013601:T-Lymphocytes / Q000276:immunology*
chemical_list: D000911:Antibodies, Monoclonal; D000941:Antigens; D015815:Cell Adhesion Molecules; D019040:E-Selectin; D016256:Lewis X Antigen; D016201:Receptors, Lymphocyte Homing; D009439:Neuraminidase