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Brief Reviews |
From the Department of Pathology and Immunology (P.F.B., M.A.-L., B.A.I.), University Medical Centre, Geneva, Switzerland; and the Cardiovascular Medicine Unit (S.N.), National Heart and Lung Institute, Faculty of Medicine, Imperial College London, United Kingdom.
Correspondence to Beat A Imhof, University Medical Centre, 1 Rue Michel-Servet, CH-1211, Geneva 4, Switzerland. E-mail beat.imhof{at}medecine.unige.ch
Series Editor: Dietmar Vestweber
Vascular Adhesion Molecules
ATVB In Focus
Previous Brief Reviews in this Series:
Vestweber D. Vascular adhesion molecules. 2007;27:1869.
van Buul K, Kanters E, and Hordijk P. Endothelial signaling by Ig-like cell adhesion molecules. 2007;27:1870–1876.
Coggins M and Bloch K. Nitric oxide in the pulmonary vasculature. 2007;27:1887–1885.
Shirk R and Vlasuk G. Inhibitors of factor VIIa/Tissue factor. 2007;27:1895–1900.
Desch K and Motto D. Thrombotic thrombocytopenic purpura in humans and mice. 2007;27:1901–1908.
| Abstract |
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Key Words: endothelium leukocyte transmigration inflammation
| Introduction |
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Leukocytes can exit the vasculature by movement through the body of endothelial cells, although extravasation primarily occurs by migration via junctions between adjoining endothelial cells.7–10 This involves multiple interactions, as the endothelium possesses a network of proteins that serve as barriers preventing solutes leaking from the vasculature, and preserve cell polarity by maintaining a molecular boundary between the luminal and abluminal membrane domains.11 Although interactions between leukocytes and endothelial cells during the initial phases of adhesion under luminal shear stress continues to be an area of interest, the complex interplay of molecular interactions at the interendothelial junction during the latter phases of adhesion, particularly transmigration, has become a major focus of research.12 Particular attention has been paid to molecules such as CD99, VE-Cadherin, PECAM-1, and the junctional adhesion molecules (JAMs) that are all distributed at endothelial junctions, where cis and trans-interactions enable endothelial cells to interact with and regulate leukocyte migration into underlying tissues.13
| Origins of JAMs: A Relic or Regulator of the Immune Response? |
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In conclusion, multiplicity in CTX functions has suggested that they have evolved from a single ancestral gene with a comparatively primitive immune function, into a distinct group of molecules that participate in the complex interplay of the innate and adaptive immune response. Thus, CTX molecules may have played a critical role in shaping the human immune system.
| The Junctional Adhesion Molecule Family |
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| Classical JAM Proteins |
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JAM-A was originally characterized as the human platelet F11 receptor25,26 before being cloned and identified as JAM.27–29 Crystallography studies of JAM-A structure have revealed that U-shaped JAM-A dimers formed in cis can interact in trans with JAM-A dimers expressed on opposing endothelial cell junctions.30 However, it has been suggested that during leukocyte transendothelial migration, such homophilic interaction of JAM-A may be replaced with heterophilic trans-interactions involving leukocyte integrin counter-receptors.22,24 In line with this, the integrin LFA-1 (
Lβ2, CD11c/CD18) has been identified as a ligand for JAM-A, an interaction that reportedly mediates leukocyte transmigration through cultured endothelial cells and also contributes to their adhesion under conditions where JAM-A is mobilized to the luminal surface of the endothelium.31 Although more recent studies have confirmed that during leukocyte transmigration JAM-A and intercellular adhesion molecule-1 (ICAM-1) can redistribute on the endothelial cell surface and colocalize with LFA-1 within ring-like clusters on adherent neutrophils,32 obtaining additional evidence for a direct JAM-A/LFA-1 interaction has proved elusive. JAM-A is also capable of forming cis-interactions with integrin ligands. It interacts with the integrin
vβ3 on endothelial cells, a cis-interaction that has been implicated in regulating cell migration through the MAPK pathway.33 However, the role of JAM-A in regulating
vβ3 dependent migration on leukocytes remains unknown. Other studies have proposed that JAM-A may primarily function as a regulator of polarity, playing a critical role in assembly and remodeling of retinal pigment epithelial tight junctions.34 Interestingly, this function has been extended to polymorphonuclear leukocytes (PMNs) during inflammation.35,36 In this study JAM-A–deficient neutrophils were found to be defective in terms of their polarized movement.35 JAM-A–deficient mice have also provided conclusive evidence for the involvement of JAM-A (leukocyte or endothelial) in leukocyte migration into sites of inflammation as studied in models of peritonitis, myocardial ischemia reperfusion, hepatic ischemia reperfusion, and a model of vascular injury in athlerosclerosis-prone mice.35–37 In the latter study, the interaction of monocytic cells with carotid arteries subjected to wire injury was also analyzed ex vivo and JAM-A deficiency was found to be associated with reduced leukocyte arrest on denuded vessel segments.36 Details of the mechanisms that mediate these events is at present unclear, but JAM-A appears to be upregulated on endothelium of carotid arteries in atherosclerotic prone mice.38 In addition, the enhanced luminal expression of the chemokine RANTES in injured arteries in vivo and its endothelial cell deposition by activated platelets in vitro appears to be JAM-A–dependent.36 Together the findings of these studies indicate that depending on the nature or temporal phase of the inflammatory reaction, expression of JAM-A on leukocytes, platelets, and endothelial cells can have a significant role in mediating leukocyte attachment or transmigration in vivo. For JAM-B and JAM-C the situation is even more complex.
JAM-B and JAM-C interact with each other and can form multimer interactions with integrin counter-receptors. JAM-B can bind the integrin VLA-4 (
4β1, CD29a/CD49d), but requires the presence of JAM-C on the
4β1 integrin expressing cells,39 whereas JAM-C can act as a counter-receptor for the integrin Mac-1 (
Mβ2, CD11c/CD18) (Figure 2).40 Furthermore, an extended role for JAM-C as the leukocyte counter receptor for JAM-B expressed on endothelial cells has been described on human circulating platelets, NK cells, dendritic cells, and subsets of T and B cells.23,39,41–44 As discussed, JAM-B and -C have been implicated in many diverse biological processes such as angiogenesis,45 leukocyte migration,43,46–48 and spermatogenesis.49 Particular attention has focused on the role of JAM-B and -C in leukocyte accumulation during inflammation.48,50,51 Initial studies showed that functional blocking antibodies to JAM-C can reduce transmigration of peripheral blood lymphocytes across cultured HUVECs.43 Later studies identified Mac-1 as a ligand partner capable of forming trans-interactions with JAM-C that mediate adhesion and transmigration for neutrophils and monocytes,40,46,51,52 but uncertainty still exists about a specific lymphocyte ligand that interacts with endothelial JAM-C. A recent study proposed an extended role for JAM-C/Mac-1 interactions in regulating leukocyte function. Briefly, JAM-C expressed on adherent platelets was shown to directly regulate dendritic cell activation via interaction with Mac-1, as well as mediating the initial adhesion events involved in recruitment from the vasculature.42
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Deciphering the complexity of JAM-B/-C interactions with their respective ligands has proven particularly challenging and has been addressed in numerous studies. JAM-C as a functional ligand of JAM-B was described in vivo using a mouse model of allergic contact dermatitis, where a synergistic effect in blocking leukocyte accumulation at sites of inflammation is observed with combined blocking antibodies to JAM-B and JAM-C.53 JAM-C has been identified in desmosome structures on human epithelium, and it regulates neutrophil transepithelial migration by interacting with Mac-1 on neutrophils.52 This process can be further modulated by interactions with neutrophil JAML and epithelial CAR; another ligand for JAM-C.54 Similarly, blocking the JAM-B/-C interactions reduced neutrophil transendothelial migration under static conditions and reduced accumulation of PMNs within inflammatory lesions in vivo.51 However, in vitro studies conducted under physiological flow have given contradictory results. Neutrophil adhesion and transmigration on stimulated HUVECs under shear stress has been shown to be JAM-C–independent, with ICAM-1 identified as the preferred ligand for β2 integrins.55 This apparent contradiction may indicate a redundancy in JAM-C–mediated transmigration under certain conditions, as blocking JAM-C function had a small effect but only after blockade of other molecular pathways involved in leukocyte transmigration, ie, blockade of CD31- and CD99-mediated transmigration.55 This suggests that the consequence of JAM-C interactions with ligand partners differed under flow or static conditions, a phenomenon that could be attributable to differential JAM-C–triggered signaling events.
A link between JAMs and integrin function has also been identified by the small GTPase Rap1.56,57 Activation of Rap-1 forms a complex with the Rap1-ligand (RapL) and associates with integrins in focal adhesions.58,59 Blocking JAM-C function reduced permeability and neovascularization in vascular endothelial cells in mouse angiogenesis models of hypoxia.57 This mechanism is mediated by JAM-C regulating actomyosin-dependent contractility, and stabilization of VE-cadherin interendothelial cell contacts in a Rap1-dependent manner.57 This has proven particularly insightful as Rap1 has previously been shown to be involved in regulating endothelial barrier function.60 Later studies demonstrated that Rap1 activity played a pivotal role in modulating VE-cadherin trafficking and stabilization at endothelial cell junctions.61 The observation that reduced JAM-C expression increased Rap-1 activity and stabilization of the endothelial junction is intriguing as JAM-A is known to have an opposite effect in epithelial cells.56 This has led to the proposal that JAM-A functions as a junctional gatekeeper, whereas the presence of JAM-C promotes permeability.57 The fact that JAM-A and JAM-C have a high homology yet exert opposite regulatory effects is of particular interest considering that the evolution of these molecules occurred in parallel. The divergent roles of these molecules may be accounted for by variation in a single phosphorylation site (Figure 1). In addition to the above, the contribution of other heterophilic interactions at the tight junction must also be considered, particularly the role of JAM-B and CAR.
| JAM-B and JAM-C "Ying-Yang" Interactions at the Endothelial Junction |
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| An Emerging Novel Function of JAM-C |
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The above observations have raised the possibility that JAM-C transgenic and knockout mice have altered populations of reverse-transmigrated leukocytes in their circulation. For JAM-C knockout mice, the expanded neutrophil population may be the product of increased reverse-transmigration of inflammatory neutrophils, exhibiting reduced transmigratory properties. Conversely, this may also explain how mice that overexpress endothelial JAM-C have leukocytes with an enhanced transmigratory potential,48 because of a reduced population of reverse-transmigrated leukocytes in the blood. In conclusion, monocytes and neutrophils have distinct adhesive and transmigratory properties, and future studies involving JAM-B and -C will require careful identification of leukocyte subsets, particularly during adhesion and transmigration studies.
Collectively, JAM-B/-C function on endothelial cells appears distinct from other currently known adhesion molecules implicated in the multistep adhesion cascade of leukocyte recruitment, and this may explain why blocking JAM-C function gives only a partial effect. Current models of JAM-C function would predict a complete ablation in immune function in the absence of JAM-C expression, because of absent leukocyte recruitment and trafficking. However, observations made with JAM-C knockout mice exhibit a phenotype consistent with a compromised immune response.64 A reduced immune response could partly be a result of a compromised immune surveillance, a process that confines leukocytes to different routes of cell movement. Many adhesion molecules and chemokines are known to define the strictly segregated compartments in lymphatic tissues and therefore have a critical role in regulating the movement of cells in and out of these areas.68 Under normal homeostasis, one function of JAM-B and -C at the endothelial barrier may therefore be to orchestrate direction of leukocyte trafficking, ensuring a unidirectional migration from the vasculature. This would suggest that the principle mechanism of JAM-B/-C function would be in regulating polarity, as opposed to contributing to adhesion events that create physical barriers.
| JAM-C Expression on Leukocytes: A Junctional Affair? |
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One emerging hypothesis is that JAM-C expression on human lymphocyte populations may facilitate the transmigration events involved in the constitutive trafficking of lymphocytes through the vasculature and the lymphatics. This is based on observations that blockade of JAM-C function using soluble JAM-C increased monocyte reverse- and repeat-transmigration on cultured endothelium.65 In reference to the above described "ying-yang" model, increased JAM-C/-C interactions at the endothelial junction leads to increased permeability of the endothelial monolayer. This has distinct implications for the presentation of membrane bound JAM-C by trafficking lymphocytes at endothelial junctions. The expression of JAM-C on particular T and B cells may allow a single cell to open the endothelial junction by displacing JAM-B/-C interactions with JAM-C/-C interactions, facilitating bidirectional passage through multiple endothelial barriers.
| The JAM-Related Proteins |
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Attention has also focused on the molecule coxsackievirus and adenovirus receptor (CAR). This molecule has proven to be an attractive target for adenovirus based gene therapy, but the true function of CAR is only starting to emerge.76,77 CAR has been shown to play a crucial role in embryogenesis mediating survival signals between cardiomyocytes during heart development.78 Recent reports have highlighted the potential complexity of CAR function in homophilic interactions at intercellular junctions as well as heterophilic interactions with JAML and JAM-C (Figure 2).54,79 Interactions of CAR expressed at epithelial tight junctions with JAML on neutrophils have been shown to regulate transepithelial migration.54 More complex cis- interactions have been described between CAR and JAM-C in the acrosomal region of spermatozoa, although the precise role of this interaction in spermatogenesis is unclear.79 An earlier study had shown that JAM-C plays a critical role in regulating polarization of spermatids during the maturation process, with JAM-B postulated as a ligand present on resident sertoli cells.49 However, as JAM-B deficient animals are fertile,80 CAR and JAM-C may be used as trans-interactors of JAM-C in Sertoli-germ cell junctions.79 These studies emphasize some of the potential complexities and problems associated with characterizing JAM functions, where multiple cis- and trans-interactions can occur that are not mutually exclusive (Figure 2).
JAM4 was originally characterized as an adhesion molecule that regulates permeability of epithelial cell monolayers in association with a membrane-associated guanylate kinase protein MAGI-1.81 Localization has been described at tight junctions in intestinal and kidney epithelial cells.81 Recent studies have also identified JAM4 expression on male germ progenitor cells and hemopoietic cell lineages,82 but the physiological role of JAM4 remains unclear as JAM4 knockout mice display no obvious functional phenotype.82 A role for JAM4 has however been suggested under pathological conditions in the kidney.83 Here, the authors were able to identify altered JAM4 expression and localization on injured podocytes in a disease model of nephropathy.83 Of importance, there exists no information to date describing a role for JAM4 in leukocyte transepithelial or transendothelial migration.
| Signaling Through JAM Receptors |
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These findings have expanded a potential role for JAMs. Transmigrating leukocytes can deliver intracellular signals to endothelial cells (outside-in signaling) that could alter the interaction of JAMs with associated adaptor proteins and disrupt polarity at the endothelial junction.92 This may prove particularly relevant with studies on ESAM or JAM-C that were unable to identify an extracellular ligand in regulating neutrophil and monocyte transmigration respectively.65,72 One interpretation of JAM function may be that direct extracellular interaction with known or unknown ligand partners is not required, as regulation occurs through intracellular cascades and the engagement/disengagement of these molecules at the endothelial junction.
Mechanisms that define classical JAM function in generating and maintaining tight junctions have been shown in studies investigating association with cytoplasmic partners ZO-1, AF-6, Mupp-1, and PAR-3.22 The molecule PAR-3 has proved to be of particular interest as it exclusively binds to JAM-A, -B, and -C, playing a critical role in the establishment and maintenance of tight junctions in epithelial and endothelial cells.22,93–95 Recent studies have shown classical JAM interactions may have an extended range in regulating cell function by mediating multiple cis-interactions. Conformational changes in the integrin
vβ3 induced by engagement of ligand peptide sequences (RGD) has been shown to enhance cytoplasmic binding to JAM-A, which can activate the MAPK pathway leading to enhanced
vβ3-mediated migration.84 Phosphorylation sites on the cytoplasmic tail of JAM-C have been shown to modulate cell migration by regulating β3 integrin activation, although cis interactions that may modulate JAM-C function have not been shown.63 These studies have highlighted some of the potential difficulties in interpreting JAM function, as direct cis-interactions with integrin ligands can further augment integrin function at distal sites.
| Concluding Remarks |
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| Acknowledgments |
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This work was supported by Krebsforschung Schweiz (OCS-01653-02-2005) and Swiss National Science Foundation (3100AO-100697/2).
Disclosures
None.
| Footnotes |
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