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chemoattractant 164 chemotactic factor<br />

(5-amino-2,3-dihydro-1,4-phthalazinedione). This is a<br />

mechanism to measure the respiratory burst in phagocytes.<br />

The oxidation of luminol increases intracellular luminescence.<br />

Chronic granulomatous disease may be diagnosed by<br />

this technique.<br />

chemoattractant<br />

A substance that attracts leukocytes and may induce significant<br />

physiologic alterations in cells that express receptors<br />

for them.<br />

chemokine autoantibodies<br />

Autoantibodies against members of the chemokine family<br />

that include macrophage inflammatory proteins (MIPs)<br />

MIP-1-α (stem-cell inhibitor), MIP-1-β, MIP-2-α (GRO-β),<br />

GRO-α, MIP-2-α (GRO-γ); platelet factor-4 (PF-4);<br />

interleukin-8 (IL8); macrophage chemotactic and activating<br />

factor, IP-10; monocyte chemoattractant protein-1<br />

(MCP-1); and RANTES. MCP-1, MIP-1, and RANTES are<br />

the mononuclear cell chemoattractant equivalent of IL8. All<br />

these molecules are able to stimulate leukocyte movement<br />

(chemokinesis) and directed movement (chemotaxis). IL8,<br />

the best known member of this subfamily, is a proinflammatory<br />

cytokine synthesized by various cells that act as<br />

neutrophil activators and chemotactic factors. It is believed<br />

to be responsible for the induction and maintenance of<br />

localized inflammation. Monoclonal antibodies against<br />

IL8 and MCP-1 receptors can distinguish between MCP-1-<br />

and IL8-responsive T lymphocyte subsets. The enzyme<br />

immunoassay (EIA) technique is the preferred method for<br />

assaying chemokines and chemokine autoantibodies.<br />

chemokine receptor-like 1<br />

A member of the G protein-coupled receptor family, the<br />

chemokine receptor branch of the rhodopsin family. It is<br />

expressed on neutrophils and monocytes but not on eosinophils.<br />

It may be found in brain, placenta, lung, liver and<br />

pancreas.<br />

chemokine receptor<br />

Cell surface molecules that transduce signals stimulating<br />

leukocyte migration following the binding of the homologous<br />

chemokine. These receptors belong to the seventransmembrane<br />

and α-helical, G protein-linked family.<br />

Examples include Th1 cells that manifest CCR1, CCR5,<br />

and CXCR3, which usher cells to sites of tissue inflammation;<br />

Th2 cells bearing CCR4, CCR3, and CCR8, which<br />

direct cells to mucosae; and naïve lymphocytes that bear<br />

CR7, which guides cells to lymph nodes.<br />

chemokines<br />

Molecules that recruit and activate leukocytes and other cells<br />

at sites of inflammation. They exhibit both chemoattractant<br />

and cytokine properties. There are two groups. Those that<br />

mainly activate neutrophils are the α chemokines (CXC<br />

chemokines). By contrast, those that activate monocytes,<br />

lymphocytes, basophils, and eosinophils are designated β<br />

chemokines (CC chemokines). Blocking chemokine function<br />

can exert a major effect on inflammatory responses.<br />

chemokinesis<br />

Determination of the rate of movement or random motion<br />

of cells by chemical substances in the environment. The<br />

direction of cellular migration is determined by chemotaxis,<br />

not chemokinesis.<br />

chemotactic assays<br />

The chemotactic properties of various substances can be<br />

determined by various methods. The most popular is the<br />

Boyden technique, which consists of a chamber separated<br />

into two compartments by a Millipore filter of appropriate<br />

porosity through which cells can migrate actively but<br />

not drop passively. The cell preparation is placed in the<br />

upper compartment of the chamber, and the assay solution<br />

is placed in the lower compartment. The chamber is<br />

incubated in air at 37°C for 3 hours, after which the filter is<br />

removed and the number of cells migrating to the opposite<br />

surface of the filter are counted.<br />

chemotactic deactivation<br />

The reduced chemotactic responsiveness to a chemotactic<br />

agent caused by prior incubation of leukocytes with the<br />

same agent, but in the absence of a concentration gradient.<br />

It can be tested by adding first the chemotactic factor to<br />

the upper chamber, washing, and then testing the response<br />

to the chemotactic factor placed in the lower chamber (no<br />

gradient being present). The mechanism of deactivation has<br />

been postulated as obstruction of the membrane channels<br />

involved in cation fluxes. Deactivation phenomena are used<br />

to discriminate between chemokinetic factors that enhance<br />

random migration and true chemotactic factors that cause<br />

directed migration. Only true chemotactic factors are able<br />

to induce deactivation.<br />

chemotactic disorder<br />

Condition attributable to abnormalities of the complex<br />

molecular and cellular interactions involved in mobilizing<br />

an appropriate phagocytic cell response to injuries or<br />

inflammation. It can involve defects in either the humoral<br />

or cellular components of chemotaxis that usually lead to<br />

recurrent infections. The process begins with the generation<br />

of chemoattractants. Among these chemoattractants<br />

that act in vivo are the anaphylatoxins (C3a, C4a, and C5a),<br />

leukotriene B 4 (LTB 4), interleukin-8 (IL8), granulocyte–<br />

macrophage colony-stimulating factor (GM-CSF), and<br />

platelet-activating factors (PAFs). Once exposed to the<br />

chemoattractant, circulating neutrophils embark upon a<br />

four-stage mechanism of emigration through the endothelial<br />

layer to a site of tissue injury where phagocytosis<br />

takes place. The four stages include: (1) rolling or initial<br />

margination by the selectins (L-, P-, E-); (2) stopping<br />

on the endothelium by CD18 integrins and ICAM-1; (3)<br />

neutrophil–neutrophil adhesion by CD11b/CD18; and (4)<br />

transendothelial migration by CD11b/CD18, CD11a/CD18,<br />

and ICAM-1. Chemotactic defects can be either acquired or<br />

inherited. Specific disorders are listed separately.<br />

chemotactic factor<br />

Directed migration of cells, known as chemotaxis, is mediated<br />

principally by the complement components C5a and<br />

C5a–des Arg. Neutrophil chemoattractants also include<br />

bacterial products such as N-formyl methionyl peptides,<br />

fibrinolysis products, oxidized lipids such as leukotriene B 4,<br />

and stimulated leukocyte products. Interleukin-8 (IL8) is<br />

chemotactic for polymorphonuclear neutrophils (PMNs).<br />

Chemokines that are chemotactic for PMNs include epithelial-cell-derived<br />

neutrophil-activating peptide (ENA-78),<br />

neutrophil-activating peptide 2 (NAP-2), growth-related<br />

oncogene (GRO-α, β, and γ), and macrophage inflammatory<br />

proteins 2α and β (MIP-2α and MIP-2β). Polypeptides<br />

with chemotactic activity mainly for mononuclear cells (β<br />

chemokines) include monocyte chemoattractant proteins 1, 2,<br />

and 3 (MCP-1, MCP-2, and MCP-3), macrophage inflammatory<br />

proteins 1α and β (MIP-1α and MIP-1β), and RANTES.

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