Targeting of Neutrophil Lewis X Blocks Transepithelial Migration and Increases Phagocytosis and Degranulation

Jennifer C Brazil1, Ronen Sumagin2, Richard D Cummings3

  • 1Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia; Department of Pathology, University of Michigan, Ann Arbor, Michigan.

Insights

Terminal Lewis X (Le(x)) on polymorphonuclear leukocytes (PMNs) is crucial for their migration and function. Blocking terminal Le(x) impacts PMN movement and enhances their ability to fight infection in inflamed tissues.

Area of Science:

  • Immunology
  • Cell Biology
  • Glycobiology

Background:

  • Polymorphonuclear leukocytes (PMNs) are key innate immune cells that migrate to inflammatory sites.
  • Dysregulated PMN migration into mucosal tissues is implicated in chronic inflammatory diseases like inflammatory bowel disease.
  • Carbohydrate interactions, specifically PMN Lewis glycans with endothelial proteins, are vital for initial PMN extravasation.

Purpose of the Study:

  • To investigate the role of Lewis glycans, particularly Lewis X (Le(x)), in the transepithelial migration (TEM) of PMNs.
  • To determine the impact of targeting terminal versus subterminal Le(x) on PMN migration and adhesion.
  • To explore the effect of Le(x) blockade on post-migratory PMN functions.

Main Methods:

  • Antibody blockade of Lewis X (Le(x)) on PMN surfaces.
  • Assessment of PMN chemotaxis and transepithelial migration (TEM).
  • Analysis of PMN adhesion to intestinal epithelia.
  • Evaluation of surface expression of Le(x) and PMN granule markers post-migration.

Main Results:

  • Antibody blockade of terminal Le(x) on PMNs inhibited chemotaxis and TEM but increased adhesion to intestinal epithelia.
  • Targeting subterminal Le(x) residues had no significant effect on PMN migration or adhesion.
  • Post-TEM, increased Le(x) expression was observed, and blocking terminal Le(x) enhanced PMN phagocytosis and granule mobilization.

Conclusions:

  • Terminal Le(x) on PMNs plays a critical role in regulating their migration and function across epithelial barriers.
  • Targeting terminal Le(x) offers a potential strategy for modulating PMN trafficking and inflammatory responses in mucosal tissues.
  • Le(x) may serve as a therapeutic target for inflammatory diseases characterized by excessive PMN infiltration and tissue damage.