title: In vivo interactions of platelets and leucocytes with the endothelium in murine antigen-induced arthritis: the role of P-selectin.
abstract: OBJECTIVE
  Platelets are thought to participate in the pathogenesis of chronic inflammatory diseases such as rheumatoid arthritis (RA). We showed recently an in vivo increase in platelet-endothelial cell interactions in mice with antigen-induced arthritis (AiA). The underlying mechanisms are not yet clear. The aim of this study was to investigate the impact of P-selectin in AiA by means of intravital fluorescence microscopy (IVM).
  
  
  METHODS
  C57/Bl6 mice and P-selectin-deficient mice were divided into four groups (n = 7; control/AiA per strain). The extent of AiA was assessed by measuring knee joint swelling and by histological scoring. Rolling and adherent fluorescence-labelled platelets and leucocytes were investigated by IVM.
  
  
  RESULTS
  In arthritic P-selectin-deficient mice (rolling: 0.05+/-0.01; adherent: 130+/-20 mm(-2)), compared to arthritic C57/Bl6 mice (rolling: 0.20+/-0.04; adherent: 1910+/-200 mm(-2)), platelet interaction was significantly reduced (p<0.05) and reached the level of both control groups without AiA. In addition, interaction of leucocytes in P-selectin-deficient arthritic animals (rolling: 0.12+/-0.06; adherent: 387+/-37 mm(-2)) was significantly decreased in comparison to arthritic C57/Bl6 animals (rolling: 0.21+/-0.06; adherent: 1492+/-284 mm(-2); p<0.05). Swelling of the knee joint and histological scoring were reduced in arthritic P-selectin-deficient mice compared to arthritic C57/Bl6 mice.
  
  
  CONCLUSIONS
  We have demonstrated for the first time in vivo a significant decrease in the interaction of platelets and leucocytes with the endothelium in P-selectin-deficient mice with AiA and a reduction in clinical and histological symptoms of arthritis. These findings suggest that leucocyte-endothelial cell interactions depend at least partially on platelet P-selectin and therefore platelets may be responsible for the leucocyte tissue damage in AiA.
authors.affiliation: Department of Orthopaedics, Klinikum Grosshadern, Ludwig Maximilians University of Munich, Germany. marcus.schmitt-sody@med.uni-muenchen.de
authors.forename: M
authors.initials: M
authors.lastname: Schmitt-Sody
authors.forename: P
authors.initials: P
authors.lastname: Metz
authors.forename: A
authors.initials: A
authors.lastname: Klose
authors.forename: O
authors.initials: O
authors.lastname: Gottschalk
authors.forename: S
authors.initials: S
authors.lastname: Zysk
authors.forename: J
authors.initials: J
authors.lastname: Hausdorf
authors.forename: A
authors.initials: A
authors.lastname: Veihelmann
authors.forename: V
authors.initials: V
authors.lastname: Jansson
mesh_terms: D000818:Animals; D000941:Antigens; D001169:Arthritis, Experimental / Q000097:blood / Q000473:pathology / Q000503:physiopathology*; D001792:Blood Platelets / Q000502:physiology*; D004730:Endothelium, Vascular / Q000473:pathology / Q000503:physiopathology*; D005260:Female; D007962:Leukocytes / Q000502:physiology*; D051379:Mice; D008810:Mice, Inbred C57BL; D008833:Microcirculation / Q000502:physiology; D008856:Microscopy, Fluorescence; D019007:P-Selectin / Q000502:physiology*
chemical_list: D000941:Antigens; D019007:P-Selectin