Anti-β2 Glycoprotein I Antibodies Cause Inflammation and Recruit Dendritic Cells in Platelet Clearance

Attilio Bondanza; Angelo A. Manfredi; Valérie S. Zimmermann; Matteo Iannacone; Angela Tincani; Genesio Balestrieri; Maria Grazia Sabbadini; Patrizia Rovere Querini

doi:10.1055/s-0037-1616059

Thrombosis and Haemostasis, Table of Contents

Thromb Haemost 2001; 86(05): 1257-1263
DOI: 10.1055/s-0037-1616059

Review Article

Schattauer GmbH

Anti-β2 Glycoprotein I Antibodies Cause Inflammation and Recruit Dendritic Cells in Platelet Clearance

Authors

Attilio Bondanza

¹Immunopathology Unit-Cancer Immunotherapy and Gene Therapy Programme, Istituto Scientifico H S. Raffaele, Milano, Italy
Angelo A. Manfredi

¹Immunopathology Unit-Cancer Immunotherapy and Gene Therapy Programme, Istituto Scientifico H S. Raffaele, Milano, Italy
Valérie S. Zimmermann

¹Immunopathology Unit-Cancer Immunotherapy and Gene Therapy Programme, Istituto Scientifico H S. Raffaele, Milano, Italy
Matteo Iannacone

¹Immunopathology Unit-Cancer Immunotherapy and Gene Therapy Programme, Istituto Scientifico H S. Raffaele, Milano, Italy
Angela Tincani

²Clinical Immunology Unit, Spedali Civili, Brescia, Italy
Genesio Balestrieri

²Clinical Immunology Unit, Spedali Civili, Brescia, Italy
Maria Grazia Sabbadini

¹Immunopathology Unit-Cancer Immunotherapy and Gene Therapy Programme, Istituto Scientifico H S. Raffaele, Milano, Italy
Patrizia Rovere Querini

¹Immunopathology Unit-Cancer Immunotherapy and Gene Therapy Programme, Istituto Scientifico H S. Raffaele, Milano, Italy

Abstract

Summary

Scavenger phagocytes are mostly responsible for the in vivo clearance of activated or senescent platelets. In contrast to other particulate substrates, the phagocytosis of platelets does not incite pro-inflammatory responses in vivo. This study assessed the contribution of macrophages and dendritic cells (DCs) to the clearance of activated platelets. Furthermore, we verified whether antibodies against the β2 Glycoprotein I (β2GPI), which bind to activated platelets, influence the phenomenon. DCs did not per se internalise activated platelets. In contrast, macrophages efficiently phagocytosed platelets. In agreement with the uneventful nature of the clearance of platelets in vivo, phagocytosing macrophages did not release IL-1β, TNF-α or IL-10. β2GPI bound to activated platelets and was required for their recognition by anti-ββ2GPI antibodies. DCs internalised platelets opsonised by anti-ββ2GPI antibodies. The phagocytosis of opsonised platelets determined the release of TNF-α and IL-1β by DCs and macrophages. Phagocytosing macrophages, but not DCs, secreted the antiinflammatory cytokine IL-1β0. We conclude that anti-ββ2GPI antibodies cause inflammation during platelet clearance and shuttle platelet antigens to antigen presenting DCs.

Keywords

Antiphospholipid antibodies - platelets - macrophages - dendritic cells - tumor necrosis factor-α

Full Text

References

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