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Updated: Feb 23, 2026

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Published on: December 9, 2021
Cathepsin B-mediated CD18 shedding regulates leukocyte recruitment from angiogenic vessels
Shintaro Nakao1,2, Souska Zandi1, Dawei Sun1
1Molecular Biomarkers Nano-Imaging Laboratory, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; and.
Insights
Cathepsin B (CtsB) regulates immune cell movement in blood vessels. CtsB shedding of CD18 impacts leukocyte extravasation and transmigration, influencing angiogenesis.
Area of Science:
- Immunology
- Cell Biology
- Angiogenesis Research
Background:
- Cathepsin B (CtsB) plays a role in atherosclerosis and cancer, but its function in angiogenesis is debated.
- CtsB's ability to cleave CD18 from immune cells suggests a potential role in leukocyte behavior within angiogenic vessels.
Purpose of the Study:
- To investigate the role of Cathepsin B (CtsB) in leukocyte extravasation and transmigration from angiogenic vessels.
- To elucidate the mechanism by which CtsB influences immune cell recruitment during angiogenesis.
Main Methods:
- Development of an in vivo technique to visualize immune cell transmigration from corneal vessels.
- Comparison of wild-type (WT) leukocytes with CtsB-deficient leukocytes in an angiogenic environment.
- Analysis of CD18 expression and its impact on leukocyte extravasation and transmigration velocity.
Main Results:
- CtsB-deficient leukocytes accumulated more in angiogenic vessels but showed reduced extravasation.
- CtsB-deficient leukocytes exhibited higher CD18 expression.
- CD18-deficient leukocytes displayed delayed extravasation but increased transmigration velocity post-extravasation.
Conclusions:
- CtsB influences leukocyte recruitment by regulating CD18 shedding, affecting both extravasation and transmigration.
- CD18 facilitates extravasation but may impede transmigration velocity outside the vessel.
- These findings reveal a novel mechanism for CtsB in regulating leukocyte behavior during angiogenesis.
Abstract:
Cathepsin B (CtsB) contributes to atherosclerosis and cancer progression by processing the extracellular matrix and promoting angiogenesis. Although CtsB was reported to promote and reduce angiogenesis, there is no mechanistic explanation that reconciles this apparent discrepancy. CtsB cleaves CD18 from the surface of immune cells, but its contribution to angiogenesis has not been studied. We developed an in vivo technique for visualization of immune cell transmigration from corneal vessels toward implanted cytokines. Wild-type (WT) leukocytes extravasated from limbal vessels, angiogenic stalks, and growing tip vessels and migrated toward the cytokines, indicating immune competence of angiogenic vessels. Compared to WT leukocytes, CtsB leukocytes accumulated in a higher number in angiogenic vessels, but extravasated less toward the implanted cytokine. The accumulated CtsB leukocytes in angiogenic vessels expressed more CD18. CD18 leukocytes extravasated later than WT leukocytes. However, once extravasated, CD18 leukocytes transmigrated more rapidly than their WT counterparts. These results suggest that, although CD18 facilitates efficient extravasation, outside of the vessel CD18 interaction with the extracellular matrix, it reduced transmigration velocity. Our results reveal an unexpected role for CtsB in leukocyte extravasation and transmigration, which advances our understanding of the complex contribution of CtsB to angiogenesis.-Nakao, S., Zandi, S., Sun, D., Hafezi-Moghadam, A. Cathepsin B-mediated CD18 shedding regulates leukocyte recruitment from angiogenic vessels.
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