title: Platelets regulate P-selectin expression and leukocyte rolling in inflamed venules of the pancreas.
abstract: Recent data suggest that platelets regulate inflammatory changes and tissue damage in acute pancreatitis although the role of platelets in leukocyte-endothelium interactions in the pancreatic microcirculation is not known. The aim of this study was to define the impact of platelets on leukocyte rolling and adhesion in acute pancreatitis. Acute pancreatitis was induced in C57BL/6 mice by caerulein challenge. Mice were treated with an anti-GP1bα (CD42b) antibody, which depletes platelets, or a control antibody before caerulein. Leukocyte rolling and adhesion were determined by the use of intravital fluorescence microscopy 18 h after the last dose of caerulein. In separate experiments, leukocyte-endothelium interactions were determined before and after administration of an anti-P-selectin, anti-PSGL-1 and a control antibody in mice with caerulein pancreatitis. Circulating platelet-neutrophil aggregates and pancreatic P-selectin mRNA were quantified 1 and 6h respectively after caerulein challenge. Caerulein administration increased leukocyte and platelet interactions in the pancreatic microvasculature, increased tissue damage and expression of P-selectin mRNA in the pancreas as well as platelet-neutrophil complexes in the circulation. Notably, platelet depletion markedly reduced caerulein-provoked leukocyte rolling and adhesion in postcapillary venules. Interestingly, depletion of platelets significantly decreased caerulein-induced gene expression of P-selectin in the pancreas. Moreover, immunoneutralization of P-selectin and PSGL-1 abolished leukocyte rolling in the pancreatic venules triggered by caerulein. Our novel findings demonstrate that platelets regulate leukocyte rolling in acute pancreatitis via induction of P-selectin, which was critical in supporting leukocyte rolling in inflamed venules of the pancreas.
authors.affiliation: Department of Clinical Sciences, Malmö, Section for Surgery, Lund University, 205 02 Malmö, Sweden.
authors.forename: Aree
authors.initials: A
authors.lastname: Abdulla
authors.forename: Darbaz
authors.initials: D
authors.lastname: Awla
authors.forename: Hannes
authors.initials: H
authors.lastname: Hartman
authors.forename: Håkan
authors.initials: H
authors.lastname: Weiber
authors.forename: Bengt
authors.initials: B
authors.lastname: Jeppsson
authors.forename: Sara
authors.initials: S
authors.lastname: Regnér
authors.forename: Henrik
authors.initials: H
authors.lastname: Thorlacius
mesh_terms: D000818:Animals; D001792:Blood Platelets / Q000378:metabolism*; D004730:Endothelium, Vascular / Q000378:metabolism; D005786:Gene Expression Regulation; D007249:Inflammation / Q000378:metabolism / Q000473:pathology; D036904:Leukocyte Rolling; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D019007:P-Selectin / Q000235:genetics*; D010179:Pancreas / Q000098:blood supply*; D010195:Pancreatitis / Q000235:genetics / Q000378:metabolism / Q000473:pathology; D014699:Venules / Q000378:metabolism / Q000473:pathology
chemical_list: D019007:P-Selectin