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Published ahead of print on March 14, 2007
J Am Soc Nephrol 18: 1112-1120, 2007
© 2007 American Society of Nephrology
doi: 10.1681/ASN.2006090973

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Cell Biology

Antineutrophil Cytoplasm Antibody–Stimulated Neutrophil Adhesion Depends on Diacylglycerol Kinase–Catalyzed Phosphatidic Acid Formation

Julie M. Williams*, Trevor R. Pettitt{dagger}, Wendy Powell*, Joseph Grove*, Caroline O.S. Savage* and Michael J.O. Wakelam{dagger}

* Renal Immunobiology and Medical Research Council Centre for Immune Regulation and {dagger} CR-UK Institute for Cancer Studies, Birmingham University, Birmingham, United Kingdom

Address correspondence to: Dr. Michael J.O. Wakelam, CR-UK Institute for Cancer Studies, Birmingham University, Birmingham B15 2TT, UK. Phone: +44-121-4143293; Fax: +44-121-4144486; E-mail: m.j.o.wakelam{at}bham.ac.uk

Received for publication September 7, 2006. Accepted for publication January 31, 2007.

Patients with certain forms of systematic vasculitis, such as Wegener's granulomatosis, have circulating antineutrophil cytoplasmic antibodies (ANCA). These inappropriately stimulate circulating neutrophils adhere to and thereby obstruct small vessels. This, together with ANCA-induced degranulation and an oxidative burst, leads to local tissue damage. The signaling pathways that are activated by ANCA IgG are distinct from those that are involved in normal neutrophil activation. This study shows that diacylglycerol kinase is selectively activated by ANCA and that the generated phosphatidic acid is responsible for promoting neutrophil adhesion, in part through integrin activation. The data presented point to diacylglycerol kinase {alpha} as a novel but selective target for the development of drugs to treat this potentially fatal disorder.







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