From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Blood First Edition Paper, prepublished online July 29, 2011; DOI 10.1182/blood-2010-11-321489 CD63 is an essential co-factor to leukocyte recruitment by endothelial P-selectin Emily L. Doyle1,2,3*, Victoria Ridger4*, Francesco Ferraro1,2,3, Mark Turmaine3, Paul Saftig5, Daniel F. Cutler1,2,3 1 3 4 MRC Laboratory for Molecular Cell Biology and 2MRC Cell biology unit and Department of Cell and Developmental Biology, UCL, London, WC1E 6BT, UK. Department of Cardiovascular Science, Faculty of Medicine, Dentistry and Health, University of Sheffield, S10 2JF, UK 5 Biochemisches Institut, Christian-Albrechts-Universität Kiel, D-24098 Kiel Germany Correspondance: Daniel F. Cutler, [email protected] T:00442076797808; F:00442076797805 * Denotes equal contribution. Short title: Function of Endothelial CD63 in Inflammation 1 Copyright © 2011 American Society of Hematology From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Abstract The activation of endothelial cells is critical to initiating an inflammatory response. Activation induces the fusion of Weibel-Palade Bodies with the plasma membrane, thus transferring recruitment of P-selectin leukocytes and and VWF to platelets the cell surface, respectively. where CD63 has they act long in the been an established component of WPB, but the functional significance of its presence within an organelle that acts in inflammation and haemostasis was unknown. We find that ablating CD63 expression leads to a loss of P-selectin-dependent function: CD63– deficient HUVECs fail to recruit leukocytes, CD63-deficient mice exhibit a significant reduction in leukocyte extravasation phenotype to both loss leukocyte of in a rolling and peritonitis P-selectin itself, recruitment model. thus selectin. 2 CD63 and Loss is an of we show CD63 essential a has failure a of similar co-factor to P- From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Introduction Endothelial cells contain specialised regulated secretory organelles, Weibel-Palade 1 bodies (WPB) , which play an important role in inflammation and haemostasis. The best-known components of WPB are the major cargo protein von Willebrand Factor 2 3 4 (VWF) , P-selectin , and CD63 . Upon WPB fusion the VWF tubules unfurl into long 5 platelet-catching strings at a site of injury , playing a major role in haemostasis. VWF also has an important function in inflammation, since activated platelets make a major contribution leukocyte receptor to the PSGL-1 inflammatory and integrin 6 response . αMβ 27 Further, implicating a VWF binds the more direct role in leukocyte recruitment to the endothelium. The integral membrane protein leukocyte receptor P-selectin is stored within the membrane surface of WPB within of endothelial minutes following cells 3,8 from where it secretagogue-triggered is delivered to 9 exocytosis . the cell P-selectin plays a key early role in the inflammatory trafficking of leukocytes, being the first receptor involved in recruiting leukocytes from flowing plasma to the endothelial surface CD63 12 10,11. 4 is the third long-established component of WPB , but this protein has no identified endothelial-specific function in either haemostasis or inflammation. This universally expressed membrane protein of the tetraspanin family is best known as a marker phenotype of of the intra-lumenal CD63 knockout vesicles mice within suggests multi-vesicular a redundant endosomes. role for The CD63 in development and distribution of immune system cells, very mild effects on platelet adhesion, and a role in kidney physiology 13. It has been reported that CD63 might modulate the trafficking of other membrane proteins, including altering internalisation from the plasma membrane, and most recently, in targeting plasma membrane synaptotagmin VII to the lysosome, thus facilitating lysosome- fusion 12. Whether CD63 3 is involved in the haemostatic or From www.bloodjournal.org by guest on June 15, 2017. For personal use only. inflammatory roles of WPB is unknown, but if so, it might operate by modulating trafficking events that underpin WPB formation and function. CD63 is found only on mature WPB 14. It is therefore unlikely to be directly involved in initial WPB formation at the TGN, but could influence events late in WPB biogenesis including maturation, late recruitment of a critical modulator of WPB function, exocytosis, or post-exocytic events at the plasma membrane. We report that siRNA depletion of CD63 from human umbilical vein endothelial cells (HUVEC) results in loss of P-selectin dependent recruitment of THP-1 monocytic cells under flow in vitro. CD63 knockout mice showed both a loss of P-selectin dependent leukocyte rolling and a failure of leukocyte extravasation in a peritonitis model. These are very similar to observations made in the P-selectin-deficient mouse itself, thus demonstrating a critical inflammatory role for CD63. Scanning electron microscopy revealed that CD63 co-clusters with P-selectin on the plasma membrane of activated endothelial cells, and this close co-localisation was confirmed by an in situ proximity ligation assay (PLA). Ablation of CD63 expression by siRNA in HUVECs leads to reduced P-selectin on the cell surface, plus a reduction in the number and size of remaining clusters seen by EM. We have therefore identified an endothelial role for this ubiquitous and poorly understood tetraspanin: it acts to cluster and maintain P-selectin at the plasma membrane of endothelial cells and is thus an essential co-factor to P-selectin in the initiation of inflammation. 4 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Material and Methods Cell Culture and Transfection HUVECs (TCS-Cellworks) HEK293 and THP-1 cells were cultured and Nucleofected (Nucleofector II, Amaxa Biosystems, Gaithersburg, MD) as previously described 15 30, and see supplementary methods. HUVECs between passage 3-4 were used for all experiments. elsewhere Wild-type and tail-deficient P-selectin constructs are described 14. Immunofluorescence Immunoflurescence staining was carried out as described previously imaged through 40X or 63X oil-immersion lenses on a Leica TCS 15. Slides were SPE confocal system (Leica, Wetzlar, Germany). Adobe Photoshop CS2 and Illustrator CS2 were used to generate figures from the digital images (Adobe, San Jose, CA). Contrast adjustments were carried out to improve clarity of images but did not alter overall appearance. This was done equally in all channels for all images in the same figure. siRNA Knockdown of CD63 in HUVECs All siRNA duplexes used were sequences (Applied Biosciences, Ambion Foster Silencer City, ® CA, Select pre-designed USA). See siRNA supplementary experimental procedures for sequences. Cells were nucleofected with 100 pmol of CD63-targeting or non-targeting control siRNA (see supplementary Materials and Methods for sequences) and then a second time 48-72h later. confluent 15cm petri dish was used for 4 reactions. Typically a 70-80% Cells were used for experimentation 48-72 hours after the second round of nucleofection. THP-1 Adhesive Interaction Assays Briefly (for details see supplementary methods) control or CD63-deficient HUVECs treated with or without IL-4 were seeded into before analysis on a microscope perfused in media (HBSS + Ca 2+ stage + Mg 2+ μ-slides maintained at and grown to confluence, o 37 C HUVECs were + 0.2% BSA) with or without PMA 5 then for 5 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. 6 minutes under flow, then THP-1 cells (10 /ml) were added to the media +/- PMA (100ng/ml) to stimulate or mock stimulate HUVECs. For the antibody blocking experiments sheep polyclonal anti-human P-selectin (R&D Systems, Minneapolis, MN, USA) or IgG from sheep serum (Sigma-Aldrich, St Louis, MO) were incubated at o 37 C with the HUVECs for 30 minutes prior to experimentation at a concentration of 25 μg/ml. Antibody was added to the perfusion media for the remainder of the experiment at the same concentration. Movies were recorded to observe THP-1 adhesive interactions with the monolayer. Scanning Electron Microscopy and Immuno-labelling HUVECs were treated with IL-4 (0.02 experimentation stimulated μg/ml, to increase total cell with PMA Sigma-Aldrich) for 48 hours prior to levels of (100ng/ml) for 10 P-selectin expression. minutes and fixed Cells with were 2% paraformaldehyde/2% gluteraldehyde in 0.1M cacodylate for 30 minutes, Samples were then immuno-gold labelled and processed for analysis by scanning electron microscopy (supplementary Materials and Methods). Duolink ® II In situ PLA ® (Proximity Ligation Assay) HUVECs grown on glass coverslips were stimulated with or without 100ng/ml PMA o (Sigma-Aldrich) for 10 minutes at 37 C. HEK293 cells were transfected 24 hours before experimentation with wild-type or the tail-deficient mutant of P-selectin or left untransfected. Coverslips were fixed with 3% (w/v) paraformaldehyde in PBS for 15 minutes at room temperature. Cells were then either permeabilised or left 4 intact and incubated with 50mM NH Cl in PBS to quench the fixative. Following the manufacturers Sweden) through Wetzlar, was a instructions, used 40X to a detect oil-immersion Germany) and Duolink ® II Probemaker kit P-selectin-CD63 interactions. lens TCS Z-stacks on a Leica acquired. procedures for more detailed methods. 6 See SPE (Olink Slides confocal supplementary ® Bioscience, were system imaged (Leica, experimental From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Intravital Microscopy Male CD63-/- Germany. All description and mouse of Observations leukocytes mice the of within littermate studies controls were generation of approved these leukocyte-endothelial the mouse were obtained by mice the is venules UK Kiel Home University, Office. given in Schroder and of the interactions cremaster from were as A et full al. behaviour previously 13. of described 16 Venules were observed 10-30 min after surgical stimulation of cremaster, when leukocyte rolling is exclusively P-selectin-dependent 17. Venules were observed using a Nikon E600 FN microscope (Nikon U.K.) equipped with a water immersion objective (20x/0.5W). Leukocyte rolling was observed using brightfield illumination and centreline velocities of the observed venules were measured in real time using a dual photodiode velocimeter and on-line digital cross-correlation program (Microvessel Velocity OD-RT System, Circusoft Instrumentation LLC, Hockessin, DE). Leukocyte rolling fluxes before and after anti-P-selectin antibody (RB40.34, 30mg/mouse i.v.) were normalized and expressed as % control rolling. Thioglycollate-Induced Peritonitis Peritoneal neutrophil influx after thioglycollate previously described 18 administration was measured as . Subcellular Fractionation of WPB Two days post-nucleofection, medium was aspirated from HUVECs that were then washed with PBS then homogenisation protease inhibitors (Sigma). by centrifugation, and cell buffer (HB) at o 4 C supplemented with Cells were scraped into a small volume of HB, collected pellets resuspended passes through a ball-bearing homogenizer (10 in μm HB then homogenized by 12 clearance). Homogenates were o centrifuged at 1000 g for 5 min (4 C) and supernatants retained. The pellets were then resuspended, homogenized and centrifuged as described. The supernatants from the second and first centrifugations were ten pooled, diluted to 3 ml with HB, loaded on discontinuous sucrose gradients (1.0 M, 2 ml; 1.1 M, 2 ml; 1.3 M, 2 ml; 1.6 7 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. M, 1.5 ml; and 1.8 M, 1.5 ml) and centrifuged at 36000 rpm (SW40ti) for 90 min o (4 C). Fractions were collected from the top and probed for their VWF content by ELISA, and SDS-PAGE and western blotting carried out to analyse P-selectin levels in the WPB peak, quantified by densitometric analysis using a Molecular Imager GS- 800 calibrated densitometer and ImageJ and normalised to levels of VWF. See supplementary experimental procedures for a full description. Surface Biotinylation Assay Mock treated or CD63 siRNA treated HUVECs were incubated with serum-free media alone or containing PMA (100ng/ml) for 5, 15, 30, 45 and 60 minutes. Cells were transferred to ice and washed with PBS, incubated with EZ-Link ® Sulfo-NHS- LC-Biotin (Thermo Scientific, MA, USA) (0.2mg/ml in ice-cold PBS) for 30 minutes, rinsed twice with ice-cold PBS and residual biotin quenched with ice-cold 50mM Tris-HCL pH 7.5 in PBS for 5 minutes. Cells were then lysed with a RIPA buffer- protease inhibitor cocktail (Sigma)). Lysates were incubated with NeutrAvidin o agarose beads (Thermo Scientific, MA, USA) for 1 hour rotating at 4 C. Protein was eluted from the beads by addition of 20 μl Laemmli sample buffer followed by o incubation at 95 C for 5 minutes. Samples were analysed by SDS-PAGE and Western blotting to determine P-selectin expression. procedures for a more detailed description. 8 See supplementary experimental From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Results Loss of CD63 does not affect WPB formation, exocytosis or maturation Efficient knockdown of CD63 was achieved with two rounds of nucleofection using a pool of two siRNA oligonucleotides. CD63 is clearly absent from HUVECs as shown by immunofluorescence staining (Figure 1A) where it has disappeared from WPB (labelled by antibodies to their major content protein, von Willebrand factor), and late endosomes (the large peri-nuclear punctae present in control cells, clearly seen as red punctae in the merged image). Cell numbers, morphology, and the formation and cellular distribution of WPBs remained indistinguishable from control cells (Figure 1A). siRNA depletion of CD63 typically reduced protein levels by at least 95% as compared to cells transfected with two rounds of control siRNA as shown by western blotting (Figure 1B). One possible function of CD63 might be in WPB exocytosis: WPB are lysosome- related organelles 19 and CD63 can influence lysosome/plasma membrane fusion 20, We therefore measured amounts of VWF secreted from control and CD63 depleted HUVECs. No significant difference in basal or PMA stimulated VWF release was seen (Figure 1C). We also assessed the maturity of the WPBs that are released from CD63-depleted versus control cells through analyses of the multimerisation state and functionality of secreted VWF. Since multimerisation of VWF continues after the initial formation of WPB 21, the state of VWF at exocytosis is an effective measure of granule maturity. We observed that CD63-depleted cells produce normal multimers and release VWF strings 5 (that function in platelet-catching) of normal length and quantity (Figure S1), suggesting that WPB are fully mature when released. Loss of CD63 therefore maturation of has no WPBs. demonstrable We hypothesised impact that it on the might formation, instead be exocytosis involved in or a subsequent inflammatory function of endothelial cells, i.e. after WPB exocytosis. Loss of CD63 leads to a failure of P-selectin-dependent rolling by monocyte-like THP-1 cells on HUVECs 9 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. To determine a post-exocytic role for CD63 in the inflammatory function of endothelial cells, we analysed recruitment under flow of the PSGL-1-positive human monocytic cell line THP-1 to HUVECs in vitro. We performed experiments on undifferentiated cells (THP-1 and HUVEC) and HUVEC were stimulated only briefly before THP-1 addition, ensuring a small repertoire present. HUVECs were grown to confluence in μ-slide to a pump to generate a shear stress of 0.7 dyn/cm 2 of adhesion molecules are chambers (Ibidi), connected and THP-1 cells then perfused over control and CD63-ablated HUVECs briefly activated with PMA. The data show a set of adhesive interactions (Materials and Methods) between the THP-1 cells and HUVECs that are PMA and P-selectin dependent (as blocked by a specific antibody), and that disappear when the endothelial cells lack CD63 (Figure 2A, and Video 1, 2 and 3, supplementary data). These interactions were not inhibited by a non-specific antibody (data not shown). Numbers of firmly adherent cells were also determined (Figure. 2B) and showed the same pattern of PMA-, P-selectin- and CD63-dependent adherence of THP-1 cells. We then treated HUVECs with IL-4 for 24h before PMA stimulation, to integrin levels 22 determine whether upregulated P-selectin and pro-inflamatory affect the pattern of adherence. IL-4 treatment does indeed increase the number of firmly adherent cells, and again this recruitment is dependent on P- selectin and CD63 (Figure 2C). These data strongly suggest a post-exocytic change in the ability of endothelial P-selectin to function in the absence of CD63. CD63-deficient mice show defects in leukocyte rolling and extravasa tion. The physiological importance in vivo of CD63 to P-selectin function was determined by examining leukocyte recruitment to the endothelium in CD63 -/- mice, firstly confirming 15, that loss of CD63 has no effect on leukocyte numbers (Figure S2). Intravital microscopy of CD63 deficient mice 13 showed that rolling flux of leukocytes was significantly reduced compared to WT mice (Figure 3A and Supplementary Movies 4 and 5). To confirm the role of P-selectin in these experiments, P-selectin blocking antibody was injected (RB40.34, 30 μg intravenous (i.v.)) into WT and CD63 -/- mice (Figure 3A) within 30 minutes of surgery. Anti-P-selectin significantly 10 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. (p<0.001) inhibited leukocyte rolling in WT mice whereas the minor residual rolling observed in CD63 -/- mice was not significantly altered implying that the rolling seen in CD63 -/- mice is not P-selectin dependent. Analysis of the rolling velocities in WT versus CD63 -/- mice was also carried out, indicating that cells rolled at a lower (but not significantly so) median velocity in CD63 -/- mice (Supplementary Figure 2B). Thus altogether, the CD63-/- mice have fewer rolling cells, and those that do roll are not doing so with the same characteristics as do those in wild-type mice. The loss of P-selectin-dependent leukocyte recruitment to the endothelium when CD63 is absent in vivo strongly suggests that P-selectin is unable to function normally. If this is the case, a patho-physiological inflammatory phenotype should be seen in CD63 -/- mice comparable to that of P-selectin -/- mice; i.e. a significant delay in recruitment of neutrophils in a peritonitis model the peritoneal ml/mouse, i.p.) neutrophil in CD63 influx -/- and after WT 23. thioglycollate mice observing We therefore measured administration compromised (3%, 2 leukocyte extravasation in CD63-/- as compared to WT mice (Figure 3B), closely mirroring the data obtained from the P-selectin deficient mouse 23. Taken together, the in vivo data gives a strong indication that the presence of CD63 is essential for P-selectin to effectively recruit leukocytes to the endothelium. CD63 and P-selectin co-cluster at the endothelial surface. We hypothesised that as a tetraspanin - a class of proteins that co-cluster with associated proteins within the membrane bilayer 12,24 CD63 might affect P-selectin function via an ability to cluster the leukocyte receptor. Loss of CD63 could reduce clustering of P-selectin, reducing its avidity, thus explaining the loss of leukocyte recruitment to the endothelium. To determine if this is the case we examined the distribution of CD63 resolution using and P-selectin scanning on electron the activated microscopy endothelial (SEM). surface HUVECs at were high PMA- stimulated, fixed, immuno-gold labelled for P-selectin and CD63 and samples then 11 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. processed for SEM (Materials and Methods). Although the labelling density is quite variable, presumably reflecting variation of stimulation-response and P-selectin expression at the level of individual cells, P-selectin and CD63 do co-cluster, with some clusters shown in containing iv-viii). As up to negative 25 gold particles controls primary (Figure and 4Ai-iii, bridging magnifications antibodies were omitted, resulting in very few gold particles. Quantification of CD63 and P-selectin co-clustering (Figure 4B) shows that 65.3% of clusters contain both proteins compared to just 11.5% and 23.2% containing only P-selectin or CD63 respectively. The clusters are a variety of shapes as exemplified in the enlarged images in Figure 4A. The commonest form has gold particles on top of a membrane structure (Figure 4A compare iv-viii upper and lower panels), but some clusters have the gold particles arranged around an outer perimeter, as shown in Figure 4A viii. To obtain an independent confirmation of this associative behaviour between P- selectin proteins and CD63, within we used a proximity 20-30nm of each other. ligation Their assay for heterotypic proximity allows pairs of hybridisation of complementary oligonucleotides attached to their cognate antibodies, which then supports a PCR-driven fluorescent readout. To ensure that our PLA reflects the relative localisation of CD63 and P-selectin, we assayed their behaviour in an easily manipulated non-endothelial model system. HEK-293 cells, which express CD63 but not P-selectin, were transfected so as to express either wild-type P-selectin, which travels to the cell surface and then internalises and is targeted to the lysosome, or a variant form lacking a cytoplasmic tail that accumulates on the plasma membrane 19. The variant P-selectin accumulating at the plasma membrane should give rise to a higher number of PLA signals at the surface than the wild-type receptor for a similar level of protein expression. This was indeed the case, thus even at the high levels of expression found in HEK293 cells, and when normalised to the level of P-selectin in each individual cell, a significantly higher number of signals were found at the surface of HEK-293 cells transfected to express the tail-deficient receptor (tail-) than those expressing the wild-type P-selectin (Figure 5A, quantified in B). Conversely, there are fewer internal signals from the mutant receptor (Figure 5A, 12 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. quantified in B). Thus the location of P-selectin relative to CD63 controls the PLA signal. In addition, no PLA signals are observed when one probe demonstrating the signals are interaction-dependent (data not shown). is omitted In activated HUVECs an average of 7.9 signals per cell is seen at the surface but this decreases to only 1.7 signals per cell on average when CD63 is depleted, with a maximum of 20.7 versus 3.2 signals per cell observed in mock transfected versus CD63 depleted samples respectively (Figure 5C, quantified in D). This data fits well with the direct EM observation of these two proteins clustering together at the endothelial surface. CD63 depletion leads to de-clustering and loss of surface P-selectin. We determined whether CD63 is required for P-selectin clustering. The distribution of P-selectin analysed by SEM in control and CD63 siRNA treated cells showed that in CD63 depleted cells reduced P-selectin was found in clusters (Figure 6A quantified in B and C) compared to mock transfected cells, and the mean cluster size was reduced in CD63 depleted cells with a higher frequency of smaller clusters compared to mock transfected HUVECs. We found a 50% fall in clusters containing 4 or more P-selectin-associated gold particles in CD63-deficient cells. Finally, the total level of P-selectin-associated gold particles is reduced by an average of 25% (114 particles vs 84 particles over the same 95 square microns of plasma membrane). These data suggest that CD63 is indeed required for efficient clustering of P-selectin at the surface of activated HUVECs and that in the absence of CD63 reduced levels of P-selectin are located in smaller clusters on the plasma membrane. These changes targeting, in 12,20(and P-selectin distribution could also reflect changes in its references within). We therefore determined total, cell surface, and WPB levels of P-selectin in both control and CD63-deficient HUVECs. We found that total P-selectin expression is unchanged in CD63 depleted cells compared to control cells (Figure 7A), implying that loss of CD63 does not divert P-selectin to lysosomes for degradation. However, P-selectin expression at the surface of resting and PMA-stimulated CD63-deficient HUVECs is lower (in agreement with our EM and PLA data) compared to controls over a 60 minutes time-course, in Figure 7B. An 13 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. approximate four-fold increase in surface P-selectin expression is seen 15 minutes after activation in PMA-stimulated mock-transfected HUVECs compared to resting cells. This response to PMA is reduced by around 30% in CD63 depleted HUVECs, and this significant differential is maintained over 60 minutes of post-exocytosis analysis. In the relatively slow and continuous exocytic response shown by PMA- stimulated relatively HUVECs 25, we synchronous do not see disappearance a clear as appearance compensatory phase followed endocytosis by a commences (Figure 7B). The difference in surface levels during this assay could thus reflect an increase in internalisation of P-selectin or a lower delivery to the plasma membrane, or both. We therefore analysed the levels of P-selectin within WPB to determine whether loss of CD63 reduces P-selectin available for delivery to the surface. Sub- cellular fractionation on a discontinuous sucrose gradient resolves VWF into one major and three minor peaks, and the distribution of over-expressed Rab27a-GFP, a marker for mature WPB, confirms that peak 3 contains the bulk of secretory organelles, with a smaller fraction being within peak 4 (Figure 7C). In addition, following 60 minutes of PMA stimulation VWF levels in peak 3 are reduced by approximately 40% due to fusion of WPB at the plasma membrane, confirming that this peak contains the majority of functionally active WPB (data not shown). Loss of CD63 has no effect on the numbers of WPB (measured by total VWF content) within HUVECs, quantitatively confirming the impression from immunofluorescence (Figure 1A) and consistent with the unchanged release of VWF (Figure 1C). Western blotting followed by densitometric quantification shows that levels of P-selectin within the WPB, when normalised to levels of VWF, are unchanged by loss of CD63 (Figure 7D). The likeliest explanation of the observed fall in levels and clustering of P-selectin at the cell surface is therefore of an increase in re-internalisation of P- selectin. 14 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Discussion. We report here that P-selectin cannot effectively recruit leukocytes to endothelial cells lacking CD63. CD63 acts as an essential co-factor; its loss is as deleterious for leukocyte recruitment in vitro, or reported for loss of P-selectin itself in an inflammatory response in vivo, as that 23. Our investigation shows that levels of P-selectin at the plasma membrane are clearly reduced, by 25% as measured by numbers of P-selectin-associated Gold particles, or by 30% as measured biochemically by surface biotinylation and western blotting. Delivery of P-selectin to the cell surface, however, appears unaffected. The best explanation for a change in plasma membrane P-selectin levels is therefore that internalisation of P-selectin increases. Since CD63 is known to regulate the surface levels of membrane proteins, function of this tetraspanin Oligomerisation of 12,20 this finding is in line with current views on the leukocytes 26-28. (and references within). P-selectin enhances its ability to bind Dimerisation of P-selectin occurs during biosynthesis of the receptor, is maintained at the plasma-membrane increased shear stress suggested as a 26. strategy 28, and is Clustering to important of achieve in maintaining P-selectin into increased even avidity 29. tethering larger groups Certainly receptor, PSGL-1, is found clustered within membrane extensions 30. the under is also counter- It is likely that multimerisation of leukocyte receptors will increase their avidity, and this may be particularly important for P-selectin as it forms bonds to decelerate leukocytes under flow. Despite the importance of the oligomeric state of P-selectin at the plasma membrane, the micro-distribution of P-selectin has not previously been established by high resolution EM on the surface of endothelial cells. We used scanning EM to find that that clusters of up to 200 seen, analogous to those nm that contain both P-selectin and CD63 can be involving other adhesion/tetraspanin complexes 31. Interestingly, the P-selectin clusters are similar in size to the clusters of its counter- 15 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. receptor PSGL-1 found on the membrane protrusions of leukocytes 30. The exact numbers of molecules within P-selectin clusters is unclear, since the relationship between numbers of gold particles and the numbers of either CD63 or P-selectin molecules that each particle represents is unknown. Each gold particle is likely to be coated with about 10 IgG molecules (manufacturers data), which implies perhaps a maximum of 5 receptors per particle could be engaged (only up to half of a spherical particle could be facing the cell). Our EM data suggests that a fall of only 20% in P-selectin within clusters is sufficient to cause a near-total loss of receptor function, perhaps because the contribution of the larger clusters is disproportionately important; Clusters containing 4 or more gold particles which make up around only 25% of all clusters (using a baseline of those observed in mock treated HUVECs) were reduced by 53% in CD63 depleted cells, as against a reduction of only 20% of all clusters. These numbers suggest that these larger clusters are more important to the capture of THP-1 cells to roll. Further, the EM analyses are likely to underestimate the size of the larger clusters since steric hindrance will have the biggest effect on gold-binding to the largest clusters. The actual cluster size for P-selectin molecules may therefore be significantly larger than suggested by simply multiplying numbers of gold particles by how many receptors each could potentially engage. CD63 TEM cells 12 33) has been found in the tetraspanin microdomains (known as TERM 32; or that generally act to cluster a variety of proteins within a bilayer in different to promote different functions. These properties, and the very close association with P-selectin that we see by SEM and by in situ PLA (Duo-link II) analysis, strongly argue that P-selectin and CD63 do indeed interact. One question is where they might come together. We have not directly addressed this, but we note that when the trafficking adaptor AP-3 is ablated 14, CD63 traffics to the cell surface directly, not via WPB, yet leukocyte rolling is unaffected. Thus P-selectin and CD63 may associate into functional structures at the plasma membrane, although this does not rule out the possibility that they normally assemble within the WPB. 16 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Our data suggest a model in which CD63 acts to cluster P-selectin, retaining it at the plasma membrane. How might this occur? One simple explanation would be that association of these two molecules in itself inhibits the internalisation of P-selectin from the plasma membrane. In principle, clustering P-selectin into larger structures might slow internalisation. However, both partners have cytoplasmic motifs that can bind AP-2 34-36 and thus support clathrin and accessory protein recruitment to drive endocytosis; clustering into a pre-sorted patch of AP-2 –binding membrane proteins is therefore arguably more likely to drive surface down-regulation of P- selectin, especially since many clusters are potentially small enough to fit into a clathrin-coated vesicle Alternatively, clustering of P-selectin/CD63 into the tetraspanin adhesion domains reported by Barreiro et al. 31 might sequester P-selectin away from internalisation. We regard this as possible since CD63 co-clusters with CD9 and CD81 in HeLa cells and CD9 and CD81 cluster with ICAM and VCAM in endothelial cells 37. 33 Importantly, incorporation into such tetraspanin domains affects surface residence for otherwise itinerant receptors includes adhesion 38. In addition, if P-selectin was thereby present in a domain that molecules acting later within the adhesion cascade then the handover of decelerated leukocytes to proteins such as ICAM or VCAM would be facilitated. If P-selectin is either incorporated into large stable clusters via its association with CD63, or is internalised after its rapid appearance presumably when not functionally engaged 39 at the plasma membrane – - its residence at the surface (i.e. its recruitment to/disengagement from the tetraspanin domain via its binding to CD63) could be regulated. This might be by Phosphorylation of P-selectin has been reported influencing association with tetraspanin post-translational 40-42 modification. 43 as has S-acylation microdomains for other (reportedly proteins 24). Alternatively, since internalisation of CD63 can be controlled by an association with 17 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. syntenin 44, or L6 45, this in turn may control the trafficking of P-selectin together with CD63. It has been reported that the rate of internalisation of P-selectin and its co- localisation with the endocytic clathrin adaptor AP-2 correlate with its ability to support leukocyte rolling might concentrate 46. (14). These findings suggested that the clathrin lattice P-selectin molecules into clusters, thus increasing its avidity. Similar findings have been reported for the transcriptionally-upregulated leukocyte receptor E-selectin 47. This concentration of the selectins into patches presumably increases the number of bonds formed within a tether, lengthen the lifetime of the interaction and enhance rolling stability. How the counter-intuitive demonstration of a reduction in clathrin-mediated internalisation efficiency, (i.e. an increase in surface residency) of P-selectin correlates with reduced leukocyte recruitment relates to our own data is unclear. EM analyses showing tetraspanin microdomains adjacent to clathrin-coated domains or pits 33 potentially explains the apparent co- localisation of P-selectin with the endocytic clathrin adaptor AP-2 seen by the lower resolution of diffraction limited light microscopy 46. However, our data showing that reduced levels of P-selectin at the cell surface correlate with reduced leukocyte recruitment does provide a simpler explanation of the relationship between surface behaviour and functioning of P-selectin. Several previous leukocyte major investigations adhesion cell-type and involved, have migration platelets, suggested within have the not a role vascular yet been for leukocyte system 48,49,50. CD63 The investigated e.g. are in other their alpha-granules also affected by loss of CD63? However, leaving aside speculations for a yet wider role, already the current existing data plus our own experiments together suggest that CD63 is actually a major player in the inflammatory adhesion cascade, acting at multiple points not only within leukocytes but now also- and essentially- the endothelium, to ensure efficient leukocyte migration from plasma to tissue. 18 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Acknowledgements This work was supported by the UK Medical Research Council (grant U12260000200001) to DFC and by the Deutsche Forschungsgemeinschaft and the Center of Excellence “Inflammation at Interfaces” to P.S. The authors thank Marie O’Connor for helpful comments and statistical expertise, Ian White, Jemima Burden and Andrew Vaughan for their assistance with scanning electron and light microscopy, all members of the Cutler lab for their valuable comments, Keith Norman for early suggestive experiments, Dr Mark Ariaans for technical assistance, Bernd Schröder for assistance with the mice, and Mark Marsh for anti-CD63 and THP-1 cells. Author Contributions E.D. performed research on HUVECs, data analysis, and co-wrote the manuscript. V.R. performed research on mice, data analysis and co-wrote the manuscript. F.F. and M.T. performed research on HUVECs. P.S. analysed data and co-wrote the manuscript. DC conceived of, managed the project, analysed data and co-wrote the manuscript. Conflict of interest disclosure: The authors disclose no conflicts. 19 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. References 1. Weibel ER, Palade GE. New Cytoplasmic Components in Arterial Endothelia. Cell Biol. 2. J 1964;23:101-112. Wagner DD, Olmsted JB, Marder VJ. Immunolocalization of von Willebrand protein in Weibel-Palade bodies of human endothelial J cells. Cell Biol. 1982;95(1):355-360. 3. Bonfanti component R, of Furie BC, Furie Weibel-Palade B, Wagner bodies of DD. PADGEM human (GMP140) endothelial cells. is a Blood. 1989;73(5):1109-1112. 4. Vischer UM, Wagner DD. CD63 is a component of Weibel-Palade bodies of Blood. human endothelial cells. 5. Dong secreted JF, Moake ultralarge JL, von Willebrand under flowing conditions. 6. Semple JW, 1993;82(4):1184-1191. Nolasco Blood. Freedman L, et al. factor ADAMTS-13 multimers on rapidly the cleaves endothelial newly surface 2002;100(12):4033-4039. J. Platelets and innate immunity. Cell Mol Life Sci. 2010;67(4):499-511. 7. and Pendu R, Terraube V, Christophe OD, et al. 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Interleukin 4 or oncostatin M induces a prolonged increase in P-selectin mRNA and protein in human endothelial cells. J Exp Med. 23. 1996;184(1):81-92. Mayadas TN, Johnson RC, Rayburn H, Hynes RO, Wagner DD. Leukocyte rolling and extravasation are severely compromised in P selectin-deficient mice. Cell. 1993;74(3):541-554. 24. Yanez-Mo M, Barreiro O, Gordon-Alonso M, Sala-Valdes M, Sanchez-Madrid F. Tetraspanin-enriched microdomains: a functional unit in cell plasma membranes. Trends Cell Biol. 25. 2009;19(9):434-446. Michaux G, Hewlett LJ, Messenger SL, et al. Analysis of intracellular storage and regulated secretion Blood. Willebrand factor. 26. of 3 von Willebrand disease-causing variants of von 2003;102(7):2452-2458. Ramachandran V, Yago T, Epperson TK, et al. Dimerization of a selectin and its ligand stabilizes cell rolling and enhances tether strength in shear flow. Acad Sci U S A. 27. Proc Natl 2001;98(18):10166-10171. Ushiyama S, Laue TM, Moore KL, Erickson HP, McEver RP. Structural and functional characterization of monomeric soluble P-selectin and comparison with membrane P-selectin. J Biol Chem. 28. Barkalow Barkalow FJ, platelets and endothelial cells. 29. at 1993;268(20):15229-15237. KL, Blood. Mayadas TN. Dimerization of P-selectin in 2000;96(9):3070-3077. Zhu C, Long M, Chesla SE, Bongrand P. Measuring receptor/ligand interaction the single-bond level: Biomedical Engineering . 30. Moore KL, Experimental and interpretative issues. Annals of 2002;30(3):305-314. Patel KD, Bruehl RE, et al. P-selectin mediates rolling of human neutrophils on P-selectin. glycoprotein J Cell Biol. ligand-1 1995;128(4):661- 671. Prepublished on 1995/02/01 as DOI. 31. Barreiro O, Zamai M, Yanez-Mo M, et al. Endothelial adhesion receptors are recruited to nanoplatforms. 32. adherent leukocytes J Cell Biol. by inclusion in preformed tetraspanin 2008;183(3):527-542. Kurita-Taniguchi M, Hazeki K, Murabayashi N, et al. Molecular assembly of CD46 with CD9, alpha3-beta1 integrin and protein tyrosine phosphatase SHP-1 in human macrophages through differentiation 2002;38(9):689-700. 21 by GM-CSF. Mol Immunol. From www.bloodjournal.org by guest on June 15, 2017. For personal use only. 33. Nydegger S, Khurana S, Krementsov DN, Foti M, Thali M. Mapping J Cell tetraspanin-enriched microdomains that can function as gateways for HIV-1. Biol. of 2006;173(5):795-807. 34. Owen DJ, Setiadi H, Evans PR, McEver RP, Green SA. A third specificity- determining site in mu 2 adaptin for sequences upstream of Yxx phi sorting motifs. Traffic. 2001;2(2):105-110. 35. op den Camp RG, Przybyla D, Ochsenbein C, et al. Rapid induction of distinct stress responses after the release of singlet oxygen in Plant Cell. Arabidopsis. 2003;15(10):2320-2332. 36. Janvier K, Bonifacino JS. Role of the endocytic machinery in the sorting of Mol Biol Cell. lysosome-associated membrane proteins. 37. Barreiro O, microdomains Yanez-Mo regulate M, Sala-Valdes leukocyte firm M, 2005;16(9):4231-4242. et adhesion al. Endothelial during tetraspanin Blood. extravasation. 2005;105(7):2852-2861. Prepublished on 2004/12/14 as DOI 2004-09-3606 [pii] 10.1182/blood-2004-09-3606. 38. Shoham T, Rajapaksa R, Boucheix C, et al. The tetraspanin CD81 regulates the expression of compartment. 39. CD19 McEver metastasis. 40. during J Immunol. RP. Crovello cell development Selectin-carbohydrate Glycoconj J. CS, dephosphorylation B in a postendoplasmic reticulum 2003;171(8):4062-4072. interactions during inflammation and 1997;14(5):585-591. Furie of BC, Furie P-selectin B. Rapid accompanies phosphorylation platelet activation. and J selective Biol Chem. 1993;268(20):14590-14593. 41. Fujimoto T, McEver RP. The cytoplasmic Blood. phosphorylated on serine and threonine residues. 42. domain of P-selectin is 1993;82(6):1758-1766. Crovello CS, Furie BC, Furie B. Histidine phosphorylation of P-selectin upon stimulation of human platelets: a novel pathway for activation-dependent signal transduction. 43. Cell. 1995;82(2):279-286. Blagoveshchenskaya AD, Hewitt EW, Cutler DF. A balance of opposing signals within Chem. 44. the cytoplasmic tail controls the lysosomal targeting of P-selectin. J Biol 1998;273(43):27896-27903. Latysheva N, Muratov G, Rajesh S, et al. Syntenin-1 is a new component of tetraspanin-enriched microdomains: interaction of syntenin-1 with CD63. 45. Lekishvili associated T, antigen Fromm L6 E, mechanisms Mol Cell Biol. Mujoomdar (L6-Ag) is and consequences of the 2006;26(20):7707-7718. M, Berditchevski recruited microdomains: implication for tumour cell motility. to the J Cell Sci. F. The tumour- tetraspanin-enriched 2008;121(Pt 5):685- 694. 46. in Setiadi H, McEver RP. Signal-dependent distribution of cell surface P-selectin clathrin-coated pits affects leukocyte rolling under flow. J Cell Biol. 2003;163(6):1385-1395. 47. Setiadi H, McEver RP. Clustering endothelial E-selectin in clathrin-coated pits and lipid rafts enhances leukocyte adhesion under flow. 1998. 22 Blood. 2008;111(4):1989- From www.bloodjournal.org by guest on June 15, 2017. For personal use only. 48. Skubitz KM, Campbell KD, Iida J, Skubitz AP. CD63 associates with tyrosine kinase activity and CD11/CD18, and transmits an activation signal in neutrophils. Immunol. 49. J 1996;157(8):3617-3626. Radford KJ, Thorne RF, Hersey P. Regulation migration by CD63 in a human melanoma cell line. of tumor J Immunol. cell motility and 1997;158(7):3353- 3358. 50. Mantegazza AR, Barrio MM, Moutel S, et al. CD63 tetraspanin slows down cell migration and translocates to the endosomal-lysosomal-MIICs extracellular stimuli in human immature dendritic cells. 1190. 23 Blood. route after 2004;104(4):1183- From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Figure Legends Figure 1. Loss maturation. of CD63 HUVECs oligonucleotides, does were not treated individually or affect for pooled, WPB two formation, rounds directed with against 2 exocytosis different CD63 or a or siRNA control oligonucleotide. (A) Representative maximum intensity projection confocal images of immunofluorescence staining of CD63 and VWF and P-selectin in control and CD63 pooled siRNA treated cells showing depletion of CD63. Merged panel shows CD63 in red, VWF in blue and P-selectin in green. Cell morphology, WPB formation and P-selectin recruitment to WPBs remain unaffected by transfection of siRNA. Scale bars represent 25μm. (B) Western blot analysis of cell lysates for control and two separate or pooled CD63 targeted siRNA treated cells showing down-regulation of CD63 using mouse-anti-CD63, with β-tubulin as a loading control. (C) Representative secretion assay data for mock-transfected and CD63 depleted cells, where cells were incubated with serum free release media (basal) or release media containing PMA (100 ng/ml) (stimulated) for 45 minutes. Results represent % total VWF secreted in basal and stimulated conditions. Data are shown as mean ± SEM (n=3). Figure 2. Loss of CD63 results in a failure of P-selectin dependent rolling and adhesion of THP-1 cells on HUVECs. HUVECs were treated with two rounds of 2 different siRNA oligonucleotides directed against CD63 or control siRNA. HUVECs treated with IL-4 or culture media alone were transferred to μ-slides 24 hrs before 2 flow experiment. Slides were placed under flow at 0.7 dyne/cm , and incubated with sheep polyclonal anti-human P-selectin (25ug/ml) or media alone followed by perfusion for 5 mins to ensure the monolayer was intact. HUVECs were treated with PMA (100ng/ml) 6 (10 /ml) were or then perfusion added to media the alone for perfusion 5 mins media under with or flow. THP-1 without PMA cells and antibody and allowed to flow across the monolayer for 5 mins. The entire movie was recorded for each condition. (A) Quantification of THP-1 adhesive interactions on HUVECs showing a significant loss of interactions 24 in CD63 depleted cells. (B) From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Quantification of THP-1 firm adhesion to HUVEC monolayers. The number of THP-1 cells firmly adhered to the monolayer after the 5 mins of perfusion was recorded for at least 5 fields of view for each condition. (C) Quantification of THP-1 firm adhesion to HUVEC monolayers treated with IL-4. ***P<0.001, **P<0.01 by 2 way ANOVA comparing between PMA stimulated control-siRNA treated cells and CD63 siRNA- treated cells and 1 way ANOVA comparing between control-siRNA groups with Bonferroni post tests (n=3). Error bars represent standard deviation of the mean. Figure 3. The effect of CD63 deficiency on P-selectin-dependent leukocyte rolling and neutrophil migration in vivo. Surgically-induced leukocyte rolling flux was measured in WT littermate control (open bars) and CD63 -/- (closed bars) mice before and after administration of P-selectin antibody (RB40.34, 30 µg/mouse) (A). Results are presented as mean ± SEM for n=9-12 venules from at least 4 mice per group. *** = P<0.001 compared to wild type rolling prior to anti-P-selectin antibody administration; NS = not significantly different. Peritoneal neutrophil influx in CD63 /- ( ) or WT mice ( - ) after thioglycollate (3 %, 2 ml/mouse, i.p.) was also measured (B). Peritoneal lavage was performed at the times indicated and the number of neutrophils present in the lavage fluid was determined from total and differential cell counts. Two mice of each genotype were used for 0h time point and six mice of each used for all other time points. Data are shown as mean ± SEM. *** P<0.001 compared to wild type control at the same time point. Figure 4. Cell surface clustering of P-selectin and CD63 in stimulated HUVECs. (A) IL4 treated HUVECs were grown to a confluent monolayer and stimulated with PMA followed by fixation. Coverslips were labelled with primary antibodies followed by secondaries conjugated to colloidal gold particles. Samples were then processed for scanning EM and distribution of gold particles analysed. Labelling for P-selectin (10nm gold) and CD63 (15nm gold) shows a tendency of the two proteins to co-cluster. Panels i-iii show 3 example backscatter images of the gold labelling of P-selectin and CD63. Magnifications of example clusters are shown in iv-viii with gold particles shown in backscatter images 25 (compo) and corresponding surface From www.bloodjournal.org by guest on June 15, 2017. For personal use only. structures 200nm. shown (B) in secondary Quantification of electron scanning images EM (SEI). clusters, All scale showing bars the represent percentage of clusters observed containing P-selectin, CD63 or both molecules together. Data was obtained from 5-10 separate low power images of equal magnification from 4 independent experiments. A total of 538 and 994 gold particles were counted for P- selectin and CD63 labelling respectively. Data are shown as mean ± SD. Figure 5: Proximity ligation assay (PLA) demonstrates P-selectin and CD63 interactions. (A) Following fixation and blocking, HEK 293 cells transfected with wild-type P-selectin, tail-deficient mutant P-selectin or non-transfected (NT) cells were assayed Duolink and ® for CD63-P-selectin interactions (surface and total) using the II Probemaker kit following the manufacturers instructions. PLA signals P-selectin expression levels were then detected using confocal microscopy. Images show representative confocal maximal projections of surface PLA signals and P-selectin. Scale bars represent 25 μm (B) The mean number of surface and total PLA signals per cell were quantified using Volocity Software and this value was normalised according to the level of P-selectin expression in each cell. A total of 8- 10 cells were analysed for each condition. (C) CD63 siRNA or mock treated HUVECs were PMA-stimulated followed by fixation and blocking. Endothelial surface CD63 - P-selectin interactions were assayed the same way. Images show representative confocal maximal projections with PLA signals in red and nuclei in blue. represent 25 Scale bars μm. (D) Quantification of (C). Images were quantified by counting total number of PLA signals in each image and dividing by the number of nuclei in field of view. A total of 286 and 471 individual cells were counted for mock and CD63 KD samples respectively taken from 3 independent experiments. ***P<0.001 by Student t-test. Data are shown as mean ± SD. Figure 6. Cell surface P-Selectin clustering is reduced in CD63-depleted HUVECs. HUVECS, mock-treated or treated with two rounds of siRNA against CD63, were grown to a confluent monolayer. Cells were PMA-stimulated and fixed then coverslips labelled with primary antibodies 26 against P-selectin followed by From www.bloodjournal.org by guest on June 15, 2017. For personal use only. secondary antibodies conjugated to colloidal gold particles. Samples were then processed for scanning EM and distribution of gold particles then quantified. Scale bars represent 200nm. (A) General views of cell surfaces indicating distribution of P-selectin. reveals a Large inserts reduction in are the magnifications percentage of of the smaller P-selectin boxes. found in Quantification clusters (B) and a reduction in the mean cluster size (C) following loss of CD63. Data was obtained from 5-10 separate low power images for each condition across 4 independent experiments. (B,C) ***P<0.001 by Student t test. Data are shown as mean ± SD. Figure 7. P-Selectin cell surface delivery and expression levels in CD63- depleted HUVECs. Western blot analysis of whole cell lysates for mock transfected and CD63 depleted cells. Blots were probed with sheep polyclonal-anti- human P- selectin and mouse anti- β-tubulin as a loading control. The blot is one representative result from 3 independent experiments. (B) Biotinylation assay to determine surface levels of P-selectin in mock transfected and CD63 depleted cells. IL-4 treated mock-transfected or CD63 siRNA transfected HUVECs were PMA- stimulated for 0-60 minutes followed by incubation with non-cell permeable biotin on ice for 30 minutes to label surface proteins. Cells were subsequently lysed and biotinylated proteins pulled down using Neutravidin agarose beads. Protein was eluted by boiling with sample buffer and P-selectin levels analysed by SDS-PAGE followed by immuno-blotting for P-selectin using sheep polyclonal anti-human P- selectin. Quantification by densitometry analysis (ImageJ) of the immuno-blots are shown. Relative band intensity is shown, normalised to P-selectin surface expression in non-stimulated mock HUVECs. ***P<0.001 by two-way ANOVA. Data are shown as mean ± SD (n=3-10 for each time point). (C) Sub-cellular fractionation of HUVECs treated with control or CD63-targeted siRNA was performed using a sucrose step-gradient percentage total for two VWF across independent the gradient experients. The for both conditions. graph shows the The major peaks referred to in the text are labelled 1-4. In addition, a western blot below shows the distribution of over-expressed Rab27a-GFP, a marker for WPB. (D) Western blotting 27 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. of the WPB peak fractions for mock-transfected and CD63 siRNA treated cells was performed to analyse levels of P-selectin. Densitometric analysis of the immuno- blots was carried out to quantify protein expression levels, normalising to VWF expression. The graph shows the change in P-selectin expression in CD63 depleted cells compared to mock treated, which are set at 1. Two separate biological repeats were performed for each condition. 28 From www.bloodjournal.org by guest on June 15, 2017. For personal use only. Prepublished online July 29, 2011; doi:10.1182/blood-2010-11-321489 CD63 is an essential co-factor to leukocyte recruitment by endothelial P-selectin Emily L. Doyle, Victoria Ridger, Francesco Ferraro, Mark Turmaine, Paul Saftig and Daniel F. 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