J Biol Chem, Vol. 274, Issue 40, 28436-28444, October 1, 1999
Phagosomal Maturation, Acidification, and Inhibition of
Bacterial Growth in Nonphagocytic Cells Transfected with Fc
RIIA
Receptors*
Gregory P.
Downey
§,
Roberto J.
Botelho¶
**,
Jeffrey
R.
Butler¶
,
Yuri
Moltyaner
§,
Paul
Chien
,
Alan D.
Schreiber
, and
Sergio
Grinstein¶
§§
From the
Division of Respirology, Department of
Medicine and the
Department of Biochemistry, University of
Toronto M5S 1A8, § Toronto Hospital, Toronto M5G 2C4,
the ¶ Programme in Cell Biology, Hospital for Sick Children,
Toronto M5G 1X8, Ontario, Canada, and the

Department of Medicine, University of
Pennsylvania School of Medicine, Philadelphia, Pennsylvania
19104-4283
 |
ABSTRACT |
Phagocytosis and killing of microbial
pathogens by professional phagocytes is an essential component of the
innate immune response. Recently, heterologous transfection of
individual receptors into nonmyeloid cells has been used successfully
to elucidate the early steps that signal phagosome formation. It is
unclear, however, whether the vacuoles formed by such transfected cells are bona fide phagosomes, capable of fusion with
endomembranes, of luminal acidification, and of controlling the growth
of microorganisms. The aim of the current study was to determine
whether COS-1 and Chinese hamster ovary cells, rendered phagocytic by
expression of human Fc
RIIA receptors, express the cellular machinery
required to support phagosomal maturation. Immunolocalization studies
demonstrated that early endosomes, as well as late endosomes and/or
lysosomes, fuse sequentially with phagosomes in the transfectants.
Microfluorescence ratio imaging of particles labeled with pH-sensitive
dyes revealed that maturation of the phagosome was accompanied by
luminal acidification. The drop in pH, which attained levels comparable
to those reported in professional phagocytes, was prevented by
inhibitors of vacuolar-type H+-ATPases. Optimal phagosomal
acidification required elevation of cytosolic [Ca2+],
suggesting that it results from fusion of endomembranes bearing proton
pumps. Moreover, the transfected cells effectively internalized live
bacteria. Opsonization was essential for bacterial internalization, implying that it occurred by Fc
RIIA-mediated phagocytosis, as opposed to invasion. Uptake into phagolysosomes was associated with
inhibition of bacterial growth, due at least in part to the low
intraphagosomal pH. These studies indicate that the biochemical events
that follow receptor-mediated particle internalization in cells
transfected with Fc
RIIA receptors closely resemble the process of
phagosomal maturation in neutrophils and macrophages. Fc
RIIA-transfected cells can, therefore, be used as a model for the
study of additional aspects of phagocyte biology.
 |
INTRODUCTION |
Phagocytosis of invading microorganisms by leukocytes represents a
vital component of host defense against infection (1-3). Microbes are
taken up into a phagocytic vacuole, which matures upon fusion with
endomembrane compartments including endosomes and lysosomes (4-6).
Transfer of soluble and membrane-associated components from these
compartments confers microbicidal activity to the phagosome (7).
The initial steps of the phagocytic sequence involve recognition and
binding of microbial pathogens, a process enhanced by soluble
components of serum, including complement fragments and immunoglobulins. These serum factors, known as opsonins, are recognized by receptors on the phagocyte cell membrane, such as the complement receptor 3 and immunoglobulin Fc receptors. Recent studies have begun
to elucidate the signaling pathways involved in this complex series of
events (for reviews, see Refs. 3 and 8-10). Binding of
antibody-opsonized particles to the phagocyte surface initiates activation of nonreceptor tyrosine kinases of the Src family and of
p72syk that are important for the phosphorylation of
tyrosine residues within the Fc receptor complex (11, 12). Spatial
grouping ("clustering") of p72syk appears to be a key
step in the early phase of phagocytosis (13) and is accompanied by
an accumulation of additional phosphorylated proteins in the vicinity
of the phagocytic particle, resulting in activation of Ser/Thr (14, 15)
and phosphoinositide kinases (16, 17), and a rise in free cytoplasmic
Ca2+ (18-20). These events are associated with the
formation of an actin-rich cup encircling the nascent phagosome,
leading to internalization of the particle (3, 21-23).
Definition of the detailed molecular mechanisms triggered by individual
receptors is complicated by the co-expression of multiple receptor
types in phagocytes. Not only are both complement and Fc receptors
present in neutrophils and macrophages, but several different members
of the Fc receptor family co-exist in these cells. To overcome this
difficulty, several laboratories have opted to express individual, well
defined receptors in nonphagocytic cells, which are devoid of
endogenous opsonin receptors (10, 13, 17). Remarkably, heterologous
expression of single subtypes of Fc receptors, such as the Fc
RIIA
receptor, suffices to induce effective internalization of IgG-opsonized
particles (10).
Such heterologous models are attractive not only because they afford
analysis of individual receptors but also because the cells used for
expression are more amenable to transfection than natural phagocytes.
This facilitates the introduction of cDNAs encoding other molecules
of interest, and this model can be used to study multiple aspects of
phagosomal formation, maturation, and bactericidal activity. To date,
however, the use of heterologous expression systems has been limited to
the analysis of the early steps in the signaling cascade (10, 20, 24).
This is due, in part, to the fact that the fate of phagosomes in cells
transfected with opsonin receptors is not known. It is not clear
whether such phagosomes undergo a maturation process that resembles
that reported for professional phagocytes.
The aim of the current study was to determine whether nonmyeloid cells,
rendered phagocytic by expression of Fc
receptors, possess the
cellular machinery required for phagosomal maturation. Immunofluorescence was used to monitor the interaction between endomembrane compartments and the nascent phagosome in COS-1 and Chinese hamster ovary (CHO)1
cells transfected with human Fc
RIIA. In addition, microfluorescence ratio imaging of zymosan particles labeled with pH-sensitive dyes was
used to study the development of phagosomal acidification.
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EXPERIMENTAL PROCEDURES |
Materials and Solutions--
EGTA, Hepes, ATP, zymosan, and RPMI
1640 medium were obtained from Sigma. Albumin was obtained from
Calbiochem (La Jolla, CA). Nigericin, fluorescein isothiocyanate
(FITC), tetramethylrhodamine isothiocyanate-transferrin (Tfn), the
succinimidyl ester of Oregon Green 488, Texas Red-labeled zymosan,
Lucifer Yellow, and the acetoxymethyl esters of
2',7'-bis(2-carboxyethyl)-5(6)-carboxyfluorescein (BCECF), Fura-2, and
1,2-bis(aminophenoxy)ethane-N,N,N',N'-tetraacetic acid (BAPTA) were all from Molecular Probes (Eugene, OR).
Bicarbonate-free RPMI 1640 medium was buffered to pH 7.3 with 25 mM Na-Hepes. The sodium-rich medium used for incubation of intact cells contained 140 mM NaCl, 5 mM KCl,
10 mM glucose, 1 mM MgCl2, 1 mM CaCl2, and 10 mM Hepes (pH 7.4).
PBS consisted of 140 mM NaCl, 10 mM KCl, 8 mM sodium phosphate, 2 mM potassium phosphate,
pH 7.4. The Na+-rich medium used in the Na+
loading experiments contained 140 mM NaCl, 5 mM
glucose, 15 mM Hepes, pH 7.4. The Na+-free
medium was identical except that Na+ was substituted by
N-methyl-D-glucammonium. The K+-rich
medium had the same composition as Na+ medium, but NaCl was
replaced by KCl. In all cases, the osmolarity was set to 290 ± 5 mosM with the major salt. Dulbecco's modified Eagle's
medium was obtained from Life Technologies, Inc. Fetal bovine serum was
obtained from Life Technologies, Inc. and heat-inactivated by
incubation at 56 °C for 30 min prior to use in cell culture.
Monoclonal antibodies to lysosome-associated membrane protein 1 (LAMP-1) and LAMP-2 were obtained from the Developmental Studies Hybridoma Bank, maintained by the University of Iowa and Johns Hopkins
University School of Medicine (Baltimore, MD). Mouse monoclonal antibodies against CD63 were generously provided by Dr. A. J. Verhoeven (Central Laboratory of the Netherlands Red Cross Blood Transfusion Service). FITC-conjugated donkey anti-mouse IgG,
anti-rabbit IgG, and anti-rat IgG were obtained from Bio-Rad.
Cy3-conjugated donkey anti-rabbit IgG was obtained from Jackson
ImmunoResearch Laboratories (West Grove, PA). Sheep RBC and rabbit
antibody to these cells were from Cappel.
Labeling and Opsonization of Zymosan Particles--
Zymosan
particles (Sigma) were preswollen in PBS for 30 min prior to labeling.
The swollen particles were sedimented by centrifugation, washed twice,
incubated in PBS (pH 8.5) containing either 2 mg/ml of FITC or 1 mg/ml
each of the succinimidyl ester of Oregon Green and FITC for 30 min at
37 °C, and then washed several times with PBS (pH 7.2). The labeled
particles were next opsonized by incubation with human IgG (Baxter) for
1 h at 37 °C followed by several washes to remove unbound IgG.
Phagocytosis Assay--
COS-1 and CHO cells were stably
transfected with Fc
RIIA cDNA as described (25). These cells
(called hereafter COS-2A and CHO-2A, respectively) were plated onto
25-mm coverslips and grown to 70-80% confluence in Dulbecco's
modified Eagle's medium containing 10% serum. The phagocytic ability
of these cells was assayed by incubating opsonized zymosan with cells
in the presence of the impermeant, fluid-phase marker Lucifer Yellow.
To synchronize phagocytosis, cells were cooled to 4 °C in the
presence of opsonized zymosan and the particles were allowed to adhere
for 30 min. Lucifer Yellow (2 mg/ml) was then added, and the cells were
warmed to 37 °C for 1 h. After this period, the cells were
again cooled and washed, and phagocytosis was determined by counting
those cells that had internalized yeast along with the fluorescent
fluid phase marker Lucifer Yellow. To ensure that the dye did not leave the phagosome, the cells were kept cold throughout the visualization period by using a cooled microscope stage and precooled slides.
Transfection and Labeling of Tfn Receptors--
The cDNA
encoding the human Tfn receptor cloned in the pCDM8 vector was a kind
gift of Dr. J. Bonifacino (National Institutes of Health,
Bethesda, MD). Transfection of CHO cells with the human Tfn receptor
was accomplished using Fugene 6 (Roche Molecular Biochemicals) as
instructed by the manufacturer. To study endosome-phagosome fusion,
cells transfected with the human Tfn receptor were serum-starved for
1 h in Dulbecco's modified Eagle's medium and then allowed to
internalize opsonized RBC for 15 min. Extracellular RBC were then lysed
by hypotonic shock with water, and the cells were subsequently incubated with 50 µg/ml tetramethylrhodamine isothiocyanate-labeled Tfn for 10 min. The cells were then cooled to preclude further membrane
traffic and observed with epifluorescence and Nomarski optics.
To monitor the kinetics of endosome-phagosome fusion, the cells were
first labeled with tetramethylrhodamine isothiocyanate-Tfn as above,
chased for 7 min to clear surface-bound Tfn, and then allowed to
internalize opsonized RBC for 15 min. The cells were then incubated
further for periods of up to 30 min and analyzed.
Measurement of Cytosolic Calcium
([Ca2+]c)--
To measure cytosolic free
calcium, the cells were loaded with fura-2 by incubation with 2 µM of the precursor ester for 20 min at 37 °C. Fura-2
ratio fluorescence measurements were performed on a Nikon Diaphot TMD
microscope (Nikon Canada, Toronto, Ontario, Canada) equipped with a
100-W xenon lamp, a shutter/rotating mirror/fiber optic assembly
(RatioMaster, Photon Technologies Inc., South Brunswick, NJ), a
Fluor × 40/1.3 oil-immersion objective, and a high sensitivity photometer (D-104, PTI) interfaced to a Dell Pentium computer via a
12-bit A/D board (Labmaster, National Instruments). The cells were
alternately excited at 340 and 380 nm while the emission at 510 nm was
recorded. Photometric data were acquired at 10 Hz using the Felix
software (PTI). The microscope was equipped with a separate light
source for long wavelength transillumination (
>620 nm), a 580-nm
emission dichroic mirror, and a separate video camera (MTI 72, Dage-MTI, Michigan City, IN), to allow continuous Hoffmann-enhanced
visualization of the cells during the fluorescence measurements.
Calibration was performed as described previously (26). Where
indicated, cells were also loaded with 10 µM of the ester
form of BAPTA by incubation for 20 min at 37 °C.
Measurement of Cytosolic pH (pHc)--
To measure
pHc, COS-2A cells were grown to 60-70% confluence on 25-mm
coverslips and loaded with 2 µM of the ester precursor of
BCECF for 20 min at 37 °C. Fluorescence of BCECF was measured
essentially as described previously using the PTI system detailed
above, with the filter combination described earlier (27). Acute acid
loading was accomplished by the ammonium prepulse technique (28).
Calibration of the fluorescence ratio versus pH was
performed for each experiment by equilibrating the cells in isotonic
K+-rich medium buffered to varying pH values (between 7.45 and 6.0) in the presence of the K+/H+ ionophore
nigericin (5 µM). Calibration curves were constructed by
plotting the extracellular pH, assumed to be identical to the cytosolic
pH under these conditions, against the corresponding fluorescence ratio
(29).
Measurement of Phagosomal pH (pHp)--
For these
studies, zymosan particles were labeled with FITC alone or in
combination with Oregon Green, as indicated. COS-2A or CHO-2A cells
plated onto 25-mm coverslips and grown to 70-80% confluence were
overlaid with opsonized, fluorescently labeled zymosan particles
(
1 × 106/coverslip) and allowed to interact for
1 h. The coverslip was placed in a thermostatted Leiden holder on
the stage of a Zeiss IM-35 microscope with a × 63, 1.4 numerical
aperture oil-immersion objective. Measurements of pHp were
obtained through the combined application of video microscopy and
fluorescence ratio imaging, as described previously (29). Calibration
of fluorescence ratio versus pHp was obtained by
fixation of cells with 1.6% paraformaldehyde for 20 s followed by
permeabilization with 0.2% Triton for 1 min. Preliminary experiments
indicated that treatment with paraformaldehyde did not affect the
fluorescence properties or pH sensitivity of the probe. After washing,
the pH of the bathing medium was varied, and the corresponding
fluorescence ratio was recorded.
Immunofluorescence Microscopy--
Immunofluorescence studies
were performed essentially as described (26). For localization of the
lysosomal markers CD63, LAMP-1, and LAMP-2, cells (with or without
opsonized zymosan treatment) were fixed with cold methanol (
20 °C)
for 15 min. The cells were then washed with ice-cold PBS and labeled
with primary antibody for 2 h at room temperature or overnight at
4 °C. The cells were then washed with PBS and labeled with
Cy3-labeled secondary for 1 h at room temperature, washed, and
mounted using Slow Fade (Molecular Probes, Eugene, OR).
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RESULTS |
Assessment of pHp--
To examine the molecular events
involved in the intracellular processing of microbes in nonprofessional
phagocytic cells, we utilized COS-1 and CHO cells stably expressing the
human Fc
RIIA receptor (COS-2A and CHO-2A, respectively) as model
systems. These cells have been shown to be capable of internalizing
IgG-opsonized particles, such as sheep RBC (25, 30).
The plasma membrane of most mammalian cells, including leukocytes, is
virtually devoid of vacuolar (V-type) proton pumps or ATPases. In
phagocytes, acidification of the phagosomal lumen requires the
insertion of V-ATPases through fusion with endosomes and/or lysosomes.
Therefore, as an initial approach to establish whether phagosomal
maturation occurs in COS-2A and CHO-2A cells, we measured pHp.
We utilized microfluorescence ratio imaging of yeast particles
(zymosan) labeled with pH-sensitive fluorescent dyes. Most previous
studies of pHp have utilized particles covalently labeled with
fluorescein. Although this probe has a large quantum yield and
exquisite pH sensitivity, its pKa (
6.5) limits
the measurements to the moderately acidic range. As illustrated in Fig.
1 (triangles), the
responsiveness of this dye below pH 5.5 is marginal. Preliminary
observations using FITC-labeled yeast revealed that the acidification
of the phagosome might exceed the limit of sensitivity of this probe.
To extend the range of sensitivity of our determinations, we used a
second probe, namely Oregon Green 488 (pKa
4.7).
Following covalent attachment to zymosan particles, the emission of
this dye is linearly sensitive to pH in the 4.0-5.5 interval (Fig. 1,
crosses), complementing the range of sensitivity of
fluorescein. Therefore, for all subsequent experiments, we used
particles that were dual-labeled with FITC and with the succinimidyl
ester of Oregon Green. The resulting particles display sizable
fluorescence changes throughout the pH 4.0-7.5 range (Fig. 1,
circles).

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Fig. 1.
pH dependence of the fluorescence of labeled
zymosan particles. Preswollen zymosan particles were covalently
labeled with 2 mg/ml either Oregon Green (crosses) or
fluorescein (triangles) or with 1 mg/ml each
(circles). The labeled particles were exposed to different
pH values over a range of 3.5-8.0, and the ratio of the fluorescence
with excitation at 490/440 nm was determined as described under
"Experimental Procedures."
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Fig. 2 shows representative measurements
of pHp in COS-2A cells that were allowed to internalize
dual-labeled zymosan particles. The pH of the particles associated with
the cells was heterogeneous: some were acidic, whereas others had a pH
that approximated that of the external medium (Fig. 2B). As
not all the particles that associate with cells become internalized, it was essential to identify those particles that were within phagosomes. Differential interference contrast microscopy could not reliably discriminate between extra- and intracellular particles (Fig. 2A). Accordingly, two physiological criteria were developed
to distinguish internal from external particles. First, abrupt changes in extracellular pH should affect the fluorescence ratio of
extracellular particles but should have little acute effect on
intraphagosomal particles (Fig. 2D, squares). Second, the pH
of particles within phagosomes should be elevated upon addition of
NH4Cl, which traverses the plasma and phagosomal membranes
as NH3 and becomes protonated in the phagosomal lumen,
whereas extracellular particles should remain unaltered. As shown in
Fig. 2, particles that were found to be in a near neutral environment
responded rapidly to changes in external pH (Fig. 2D,
circles) but showed no responsiveness to
NH4+ (Fig. 2, C and E,
circles). Conversely, acidic particles responded abruptly to
addition of NH4+ (Fig. 2, C
and E, triangles) but only slowly and moderately to extracellular pH change (Fig. 2D, squares), thereby
fulfilling the criteria established for intraphagosomal particles.
These observations imply that under the conditions of our studies,
virtually all intraphagosomal particles are acidic. When measured
1 h after addition of the particles, the intraphagosomal pH
averaged 4.84 ± 0.11 (n = 20).

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Fig. 2.
Comparison of the pH of internalized
versus extracellular zymosan particles.
A, Nomarski image of COS-2A cells that were allowed to
internalize zymosan particles. The location of internal (open
arrowheads) and external (closed arrowheads) particles,
identified as described in the text, is indicated. B,
pseudocolor image of the fluorescence ratio (proportional to pH; see
calibration bar below) of the zymosan particles, recorded in cells
bathed in medium of pH 7.4. C, fluorescence ratio of the
zymosan particles immediately after addition of 40 mM
NH4Cl. D, time course of the pH changes
experienced by extracellular (circles) and internalized
(squares) particles. Where indicated, the external pH was
reduced from 7.4 to 6.0 or 40 mM NH4Cl was
added to the medium at pH 7.4. E, acidification of a zymosan
particle upon internalization (triangles). For comparison,
the pH of a particle that remains external throughout is illustrated.
The occurrence of internalization was tested by addition of 40 mM NH4Cl.
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Fig. 2E illustrates an experiment in which particles were
added to the cells during the course of the observation, in order to
capture the development of the acidification process. As illustrated by
the triangles, acidification was complete within 5 min,
maintained for at least 20 min, and recovered readily from the addition
of NH4+. Similar results were obtained
using CHO-2A cells (not illustrated).
Role of the V-ATPase in Acidification--
Phagosomal
acidification in professional phagocytes is mediated largely by
V-ATPases (31, 32). To ascertain whether a similar mechanism is
involved in the heterologous transfectants, COS-2A cells were allowed
to internalize labeled zymosan and then treated with concanamycin, a
potent and selective inhibitor of V-ATPases (33). As before, the
phagosomal location of the particle was first verified (Fig.
3A), and the inhibitor was
then added. As shown in Fig. 3A, concanamycin triggered the
gradual dissipation of the phagosomal acidification. The slow course of
alkalinization, which was not accelerated by using higher doses of the
inhibitor, implies that the phagosomal membrane is comparatively tight
to H+ equivalents. This contrasts with the faster
dissipation rates observed in endosomes (34) and is compatible with the
markedly more acidic pH of phagosomes, which approached 4.5 in some
experiments (e.g. Fig. 3B). A similar rate and
extent of dissipation was recorded using bafilomycin (Fig.
3B), a different macrolide antibiotic also reported to
inhibit V-ATPases selectively (35). When added prior to phagocytosis,
the inhibitors precluded phagosomal acidification (not shown). Neither
bafilomycin nor concanamycin affected the fluorescence of extracellular
particles. Jointly, these experiments confirm that the marked
acidification of the phagosomal compartment of COS-2A (and also CHO-2A
cells; not illustrated) is mediated by V-ATPases, as is the case in
professional phagocytes.

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Fig. 3.
Effects of concanamycin and bafilomycin on
the pH of zymosan particles. COS-2A cells were allowed to
internalize dual-labeled opsonized zymosan and one internal and one
external particle were selected for analysis. A, external
(triangles) and internal (squares) particles were
differentiated by their resting pH and sensitivity to sudden changes in
external pH, as illustrated. Where indicated, 200 nM
concanamycin was added to the medium. B, external
(triangles) and internal (squares) particles were
differentiated by their resting pH and responsiveness to the addition
of 40 mM NH4Cl, as illustrated. Where
indicated, 200 nM bafilomycin was added. Data are
representative of six experiments.
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Whereas most mammalian cells do not express V-ATPases in their
plasmalemma, active proton pumping has been reported in the surface
membrane of osteoclasts and in certain epithelia, including the renal
proximal tubule. Because COS-2A cells are derived from the kidney, and
because the acidification of the phagosome developed rapidly, it was
important to consider whether V-ATPases are constitutively present and
active in the plasma membrane of these cells. To this end, the
cytosolic pH of COS-2A cells was measured with the indicator dye BCECF.
Neither bafilomycin (Fig. 4) nor
concanamycin affected the basal pH of COS-2A cells. To magnify the
possible activity of V-ATPases, thereby facilitating detection, the
cells were acid-loaded by an NH4+
prepulse. Na+ and HCO3
were initially omitted to preclude recovery by electroneutral ion
exchange. Under these conditions, the cells recovered slowly from the
acidification, but the rate of recovery was unaffected by the addition
of bafilomycin. By contrast, a rapid alkalosis was triggered by
reintroduction of Na+, due to initiation of
Na+/H+ exchange. These observations imply that
V-ATPase activity is not detectable on the surface membrane of COS-2A
cells and suggest that the vigorous bafilomycin-sensitive proton
pumping observed in the phagosome required recruitment of V-ATPases
from other compartments.

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Fig. 4.
Assessment of proton pump activity in the
plasma membrane of COS-2A cells. The cytosol was stained with the
pH indicator BCECF, and the cells were incubated with 30 mM
NH4Cl for 15 min. The cells were bathed in a
Na+-free medium and an acute acid-load was imposed where
indicated (open arrowhead) by removal of external
NH4Cl. Where indicated by the solid arrowheads,
extracellular Na+ was reintroduced to initiate
Na+/H+ exchange. To assess the contribution of
the V-ATPase, one of the two samples illustrated was incubated with 200 nM bafilomycin throughout. Traces are representative of
three experiments.
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Fusion of Phagosomes with Endosomes and Lysosomes--
Because the
preceding evidence is consistent with import of V-ATPases by the
phagosome, we sought to identify the putative endomembrane
compartment(s) that may be the source of the proton pumps. In
professional phagocytes, phagosomes fuse initially with early
endosomes, identified by the presence of Tfn receptors and Rab5, and
subsequently with late endosomes and lysosomes (5, 6). We therefore
initially analyzed the distribution of Tfn receptors in CHO-2A cells
before and after phagocytosis of zymosan. To increase the number and
affinity of the receptors for human Tfn, CHO-2A cells were transiently
transfected with human Tfn receptor cDNA. These cells were
incubated with fluorescent human Tfn for 1 h at 37 °C, washed,
and incubated for an additional 7 min in culture medium to allow
internalization of surface-bound Tfn and delivery to early endosomes
(36). As reported for other cells, Tfn receptors are present in
endosomal vesicles throughout the cytosol, with accumulation in the
juxtanuclear region (Fig. 5A),
where recycling endosomes are thought to concentrate (36).

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Fig. 5.
Co-localization of Tfn with internalized
opsonized RBC. A, distribution of internalized Tfn in
CHO cells transfected transiently with the human Tfn receptor.
B and C, cells transfected with human Tfn
receptor were first allowed to internalize IgG-opsonized RBC for 15 min. Any adherent extracellular RBC that were not internalized were
then lysed hypotonically. Next, the cells were incubated with labeled
Tfn for 10 min, and the reaction was terminated by washing in ice-cold
medium. The cells were visualized using fluorescence (B) and
Nomarski (C) optics. Arrows point to RBC that
colocalize with Tfn.
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To assess the interaction between phagosomes and early endosomes,
CHO-2A cells were allowed to take up opsonized RBC and, when
phagocytosis was completed, Tfn was added. After 10 min, some of the
phagosomal membranes were lined by Tfn receptors (Fig. 5C),
indicating fusion of early endosomes with the phagosome. Not all the
RBC were surrounded by labeled membranes, which may reflect asynchrony
in the internalization and fusion process. Note that in these
experiments phagocytosis preceded binding of Tfn, ruling out
internalization of surface Tfn along with the nascent phagosome. These
data indicate that at least a fraction of the phagosomes formed are
capable of fusing with early endosomes. Similar results were obtained
in COS-2A cells using zymosan particles or when pulsing with Tfn and a
7-min chase preceded phagocytosis (not shown).
The next stage in the maturation of the phagosome in professional
phagocytes is fusion with late endosomes and ultimately with lysosomes.
This event was analyzed next. Because some of the marker proteins such
as the LAMPs are expressed in both late endosomes and lysosomes, no
effort was made in our studies to distinguish between these
compartments. The distribution of three markers was compared in cells
before and 1 h after exposure to zymosan. As shown in Fig.
6, CD63, LAMP-1, and LAMP-2 all display a
random punctate distribution in untreated COS-2A cells (Fig. 6,
A, D, and G, respectively). Following
internalization of zymosan particles, which were labeled with a
different fluorophore to facilitate co-localization (Fig. 6, C,
F, and I), some of the endo/lysosomal markers were
mobilized and fused with the phagosomal membrane (Fig. 6, B,
E, and H). Note that only a fraction of the adherent
zymosan particles became internalized (solid arrowheads). These findings of spatial co-localization indicate that late endosomes and/or lysosomes also fuse with phagosomes in cells heterologously transfected with the Fc
RIIA receptor.

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Fig. 6.
Co-localization of lysosomal markers with
internalized particles in COS-2A cells. A and
B, localization of CD63 revealed by indirect
immunofluorescence using Cy3-labeled antibodies. In A, the
cells were otherwise untreated, whereas in B, the cells were
allowed to internalize FITC-labeled zymosan particles for 1 h
prior to fixation. The position of a particle that co-localizes with
CD63 is indicated by the solid arrowhead, whereas unstained
particles that were not internalized or had not fused with lysosomes
are shown by open arrowheads. C, the location of
the zymosan particles in B was revealed monitoring the
fluorescence of FITC. Experiments like the one illustrated in
A-C were also performed to reveal the distribution of
LAMP-1 (D and E) and LAMP-2 (G and
H), before (D and G) or after
(E and H) phagocytosis of opsonized zymosan. The
position of the respective zymosan particles is shown in F
and I. Images are representative of at least three
experiments of each kind.
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The sequential nature of the fusion of endosomes and lysosomes was
analyzed in detail. Early endosomes were loaded with Tfn and, after
chasing the surface-bound Tfn, phagocytosis was initiated by exposing
the CHO cells to opsonized RBC for 15 min. After varying periods of
time, the reaction was stopped, and the presence of Tfn and LAMP-1 in
phagosomes was assessed as above. The results of three similar
experiments are summarized in Fig. 7. Tfn
is present in a large fraction of the phagosomes at the earliest time
tested (15 min after initiation of phagocytosis) and rapidly decreases
thereafter, becoming virtually undetectable after a further 30 min. By
contrast, the fraction of phagosomes stained for LAMP-1 is modest after
15 min but increases progressively. Most of the phagosomes were
LAMP-1-positive 30 min after phagocytosis was completed. These results
bear remarkable resemblance to the course of phagosomal maturation in
monocytes/macrophages (see, for example, Ref. 5).

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Fig. 7.
Kinetics of association of endosomal and
lysosomal markers with phagosomes. CHO-2A cells transfected with
human Tfn receptor were preincubated with labeled Tfn for 1 h and
then chased for 7 min, before exposure to IgG-opsonized RBC for 15 min.
After lysis of adherent, noninternalized RBC, the CHO cells were
incubated at 37 °C for the indicated periods of time
(abscissa). The reaction was then stopped, and the fixed and
permeabilized cells were used for immunostaining of LAMP-1. The
fraction of phagosomes containing Tfn (squares) or LAMP-1
(circles) was assessed by combined Nomarski and
epifluorescence microscopy. The data are means ± S.E. of three
separate experiments, each with at least 50 phagosomes.
|
|
Role of Calcium in Phagosomal Acidification--
There is
disagreement concerning the requirement for calcium in the process of
phagosomal maturation. In neutrophils, fusion of phagosomes with
lysosomal like granules that express CD63 is thought to be strictly
dependent on elevated [Ca2+]c (19). By contrast,
phagosome to lysosome fusion was unaffected when
[Ca2+]c transients were prevented in macrophages
(37). This discrepancy may reflect differences between neutrophils and
macrophages in the regulation of phagosome to lysosome fusion and from
the fact that multiple and different receptors are activated during phagocytosis. We therefore used the heterologous transfection system to
reanalyze the [Ca2+]c dependence of phagosomal maturation.
As reported earlier (20), engagement of Fc
RIIA induced a rapid and
transient elevation of [Ca2+]c in the Fc
RIIA
transfectants (Fig. 8A).
Suspension of the cells in Ca2+-free medium, followed by
depletion of the intracellular stores using thapsigargin, abrogated the
[Ca2+]c response to a subsequent addition of
IgG-opsonized particles (Fig. 8B). The response to receptor
cross-linking was similarly eliminated by preloading the cells with the
chelating agent BAPTA (Fig. 8C). Under these conditions,
particle internalization was unaffected, as reported for professional
phagocytes (38). Calcium independence of phagocytosis is also in accord
with the observation by Odin et al. (20) that different
regions of the Fc
RIIA mediate calcium flux and particle
internalization.

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Fig. 8.
Cytosolic Ca2+ changes and
requirement for phagosomal acidification. COS-2A cells loaded with
the Ca2+ indicator Fura-2 were used for
[Ca2+]c measurement by ratio photometry.
A, where indicated by the solid arrowhead,
opsonized zymosan particles were added. B, the cells were
bathed in Ca2+-free medium and, where indicated by the
open arrowhead, 500 nM thapsigargin was added.
Next, zymosan was introduced (solid arrowhead).
C, cells preloaded with the Ca2+ chelator BAPTA
were suspended in Ca2+-free medium, and zymosan was added
where indicated by the solid arrowhead. D,
calcium dependence of phagosomal acidification, measured by ratio
imaging as described in Fig. 2. Otherwise untreated cells (control,
n = 17) were compared with cells pretreated with BAPTA
(n = 12) or thapsigargin as in B and
C (n = 12). Data are means ± S.E.
|
|
BAPTA was applied in parallel experiments to assess phagosomal
acidification, used as an index of maturation. As shown in Fig.
8D, chelation of intracellular Ca2+ diminished
but did not prevent the development of phagosomal acidification.
Phagosomal pH averaged 4.7 ± 0.1 in control (n = 17) and 5.2 ± 0.18 in BAPTA-treated (n = 12)
cells. Because the products of hydrolysis of the acetoxymethyl ester of
BAPTA can have nonspecific deleterious effects, we also evaluated the need for Ca2+ using thapsigargin. Prevention of the
[Ca2+]c transient by depletion of the stores
resulted in an even more pronounced inhibition of the acidification,
which reached only 5.7 ± 0.2 (n = 12) (Fig.
8D). Jointly, these experiments indicate that Fc
RIIA
receptor-mediated phagosomal maturation is partly dependent on
increased [Ca2+]c.
Functional Significance of Phagosomal Acidification--
As
illustrated in Fig. 2E, phagosomal acidification develops
shortly after particle internalization. It has been speculated that the
initial phase of acidification, likely induced by insertion of
V-ATPases from early endosomes, is required for the successful fusion
of phagosomes with lysosomes. This notion is based on findings using
weak bases or ionophores to dissipate endomembrane pH, with resulting
inhibition of phagosome to lysosome fusion (39). However, the agents
used to alter pH concomitantly affect the volume and ionic composition
of acidic compartments. Such secondary effects complicate the
interpretation of the role of pH gradients in fusion. To analyze the
effect of dissipation of pH on the fusion of phagosomes with lysosomes,
without simultaneously inducing swelling and/or ionic replacement, we
inhibited the V-ATPase with concanamycin or bafilomycin prior to the
induction of phagocytosis. As shown in Fig.
9A, the V-ATPase inhibitors
had no significant effect on the ability of the transfected cells to
internalize IgG-opsonized particles. More importantly, neither
concanamycin nor bafilomycin altered the fusion of phagosomes with
LAMP-1 or LAMP-2-containing vesicles (Fig. 9B). Parallel
determinations ascertained that, when added prior to phagocytosis, the
V-ATPase blockers completely prevented the development of phagosomal
acidification (not shown). We conclude that acidification of the
phagosomal vacuole is not required for effective phagosome to lysosome
fusion.

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Fig. 9.
Effect of V-ATPase inhibitors on phagosome
formation and maturation. A, COS-2A cells were
pretreated for 30 min with or without 200 nM concanamycin
and then allowed to internalize zymosan particles. Successful
phagocytosis was quantified by trapping of Lucifer Yellow. Data are
means ± S.E. of three experiments. B, cells were
pretreated with or without 200 nM concanamycin or 200 nM bafilomycin for 30 min and then allowed to bind zymosan
particles for 15 min on ice, followed by a 30-min internalization
period at 37 °C. Where appropriate, the inhibitors were present
throughout. The cells were then fixed and permeabilized, and the
distribution of LAMP-1 and LAMP-2 was studied by indirect
immunofluorescence. Co-localization with the zymosan particles was
assessed as in Fig. 6. Data are means ± S.E. of three separate
experiments.
|
|
Bacteriostatic Effect of Fc
RIIA Receptor-transfected
Cells--
The results above indicate that Fc
RIIA
receptor-transfected cells can effectively recapitulate the processes
of phagocytosis and phagosomal maturation. We therefore considered
whether, like professional phagocytes, the transfected cells could
limit the growth of bacteria. For these studies, CHO-2A cells were
exposed to viable Escherichia coli for the indicated
periods; the cells were then washed extensively, exposed to gentamicin
for 1 h at 37 °C (to kill any remaining extracellular
bacteria), and lysed with Triton X-100 (to release intracellular
bacteria), and the lysates were plated on LB agar plates for bacterial
quantitation. As shown in Fig.
10A, the transfectants were
able to effectively internalize bacteria, but only after opsonization
with an E. coli-specific antibody.

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Fig. 10.
Ability of Fc RIIA
receptor-expressing cells to internalize and kill opsonized E. coli. A, CHO-2A cells were incubated with
either opsonized or unopsonized bacteria (1 × 106 per
well of a six-well plate). After the indicated incubation, the cells
were washed six times with sterile PBS and allowed to internalize any
adherent bacteria for 1 h. After killing adherent extracellular
bacteria using 100 mg/ml gentamicin, the CHO-2A cells were lysed with
0.2% Triton X-100, and serial dilutions of the resulting cell lysates
were spread onto LB plates. The colonies resulting from an overnight
incubation at 37 °C were counted to quantify internalized bacteria.
Results are an average of two experiments and are expressed as a
percentage of the largest number of internalized bacteria. For each
well of a six-well plate, the number of colonies ranged from 2 × 103 to 10 × 103. B, growth of
bacteria within phagosomes of CHO-2A cells. Bacterial uptake was
allowed to occur for 1 h, followed by washing and killing of
extracellular bacteria as in A. The cells were then lysed
with 0.2% Triton X-100, and aliquots of the lysate were used to
inoculate LB medium, which was cultured for the indicated periods
(squares) (n = 3). Alternatively, the CHO-2A
cells were incubated in Dulbecco's modified Eagle's medium + 10%
serum and 5 mg/ml of gentamicin for a further 18 h after
phagocytosis, before lysis with Triton X-100 (triangles)
(n = 7). Serial dilutions of the cell lysate or liquid
culture were spread onto LB plates, and the colonies resulting from an
overnight incubation at 37 °C were counted. Results are expressed
relative to the number of bacteria internalized by the cells after
1 h of phagocytosis (time 0 in B). Data are means ± S.E. Where absent, error bars are smaller than the
symbol. Inset, growth rate of E. coli in media of
varying pH. The bacteria were grown for 6 h in LB broth titrated
to the indicated pH. Results are means ± S.E. of three
experiments. Where absent, error bars are smaller than
symbol.
|
|
To assess the fate of the bacteria following internalization by CHO-2A
cells, we compared their growth within the cells to that of bacteria
that were released from phagosomes by treatment with detergent 1 h
after ingestion, and suspended freely in culture medium. As illustrated
in Fig. 10B, intracellular bacteria failed to replicate, and
in fact their number decreased, although the extent of the reduction
did not attain statistical significance. Over the same period of time,
bacteria released from the cells shortly after ingestion proliferated
actively, their number increasing by over 7 orders of magnitude. This
indicates that the Fc
RIIA receptor-transfected cells exerted an
effective bacteriostatic effect and may have modest bactericidal
capability as well.
The precise mechanism underlying bacteriostasis remains undefined, but
phagosomal acidification is most likely to contribute to this effect,
because the rate of replication of E. coli grown in culture
broth decreases sharply below pH 5 (Fig. 10B, inset). As
reported above, the phagosomal pH in Fc
RIIA receptor-transfected cells can reach 4.84. We attempted to establish more directly whether
phagosomal acidification was essential for the bacteriostatic action of
the CHO-2A cells. However, the concentrations of bafilomycin and
concanamycin required to inhibit phagosomal acidification directly and
effectively killed E. coli. Moreover, prolonged exposure to
these and other agents that dissipate endomembrane acidification proved
toxic for CHO-2A cells.
 |
DISCUSSION |
The goal of this study was to determine whether nonmyeloid cells,
rendered phagocytic by expression of human Fc
receptors, possessed
the cellular machinery that would allow functional maturation of the
phagosome. Our data demonstrate that not only can such cells
internalize opsonized particles rapidly and efficiently in a
ligand-dependent manner but that the phagosome becomes
progressively acidified by recruitment of V-ATPases from endomembrane
compartments. Moreover, we observed that when actively dividing
E. coli are internalized by this receptor-mediated pathway,
they promptly cease to proliferate. Failure of the bacteria to grow
within the transfected cells was not due to opsonization or to the
phagocytic process itself, because E. coli released from
phagosomes shortly after internalization proliferated actively in
suspension. Instead, it is likely that the conditions generated within
the phagosome upon fusion with lysosomes limit the growth of the
bacteria. Lysosomal hydrolases and the low luminal pH probably
contribute to this effect.
Fc receptors were shown earlier to modify the fate of intracellular
vacuoles that encapsulate invading Toxoplasma. This
microorganism generates a parasitophorous vacuole that neither fuses
with lysosomes nor becomes acidic (24). When the vacuole contains
active Fc
RIIB1 or B2 receptors, fusion with lysosomes and
acidification develop (24). Importantly, unlike Fc
RIIA, the B1 and
B2 isoforms are unable to trigger phagocytosis of IgG-coated inert
particles, such as RBC (10, 40, 41). This implies that signals
generated by interaction of Toxoplasma with other cellular
components are required for Fc
RIIB1 or B2-induced phagosomal
formation and maturation. In contrast, cross-linking of Fc
RIIA
suffices to induce phagosome formation (25) and to trigger its fusion
with endosomes and lysosomes. This differential behavior has been
attributed to the presence of an immunoreceptor tyrosine-based
activation motif (ITAM) or ITAM-like sequence in the cytoplasmic tail
of Fc
RIIA receptors. Such an ITAM-like sequence is not present in
human Fc
RIIB1 or B2 (42-45). Concomitant phosphorylation of both
ITAM tyrosine residues of Fc
RIIA is thought to promote the
attachment and subsequent activation of p72syk via its dual
SH2 domains (12, 46, 47). Clustering of p72syk is in turn
sufficient to promote phagocytosis (13), and failure to activate this
kinase may account for the inability of Fc
RIIB1 and B2 to initiate
phagocytosis. It is likely that signals other than the activation of
p72syk must contribute to phagosomal maturation, inasmuch
as Fc
RIIB1 and B2 facilitate lysosomal fusion and acidification, at
least in the case of Toxoplasma-induced vacuoles (24).
As in the case of macrophages, phagosomes formed by IgG-opsonized
particles in Fc
RIIA-transfected cells fused sequentially with early
endosomes and subsequently with late endosomes and lysosomes (Fig. 7).
The resulting phagolysosomes acidified to levels comparable to those
reported in macrophages (48, 49). The acidification was reduced but not
eliminated by chelation of intracellular calcium or by depletion of
intracellular calcium stores. In this regard, the transfected cells
resemble neutrophils, in which prevention of calcium transients
inhibits phago-lysosomal fusion (19), but they differ from macrophages,
in which no effect was noted (37). It remains unclear whether these two
closely related cell types utilize fundamentally different fusion
mechanisms, or whether methodological differences account for the
apparent discrepancies. It is noteworthy, in this regard, that fusion
systems heretofore thought to be calcium-independent are being found to require the divalent cation (50, 51). The calcium change occurs rapidly
in a localized juxtamembrane region and can only be abrogated using
high concentrations of rapid chelating agents (50, 51). It is therefore
conceivable that a requirement for calcium transients may have been
overlooked in some macrophage studies.
In macrophages, fusion of phagosomes with lysosomes has also been
reported to be disrupted by agents and conditions that dissipate intraorganellar acidification (39). Unexpectedly, no such inhibition was detected in the transfected cells. This may point to a fundamental difference in the underlying fusion mechanism, but it may alternatively reflect secondary effects of the procedures used to dissipate the
acidification. In our experiments, the formation of a pH gradient was
prevented by inhibition of the V-ATPase, whereas in previous studies,
weak bases or ionophores were used. In the presence of an active
ATPase, the earlier methods lead to progressive swelling of phagosomes
and other acidic organelles and can even produce ATP depletion. These
effects are not expected to occur in bafilomycin or
concanamycin-treated cells. The method used herein is more conservative, and therefore, the role of pH in phagosome to
lysosome fusion in leukocytes warrants reconsideration.
In summary, transfection of Fc
RIIA into nonmyeloid cells was
observed to reconstitute not only particle internalization but also
phagosomal maturation and acidification. Such reconstituted phagolysosomes are capable of limiting the growth of internalized microorganisms. Additional microbicidal mechanisms of professional phagocytes, such as the respiratory burst oxidase and pore-forming peptides like the defensins are lacking in the Fc
RIIA
receptor-expressing cells, and they could potentially be co-transfected
to evaluate their individual contribution to bacterial killing. The
present findings, therefore, further extend the use of Fc
receptor
transfection systems for the study of the biology of phagocytosis.
 |
FOOTNOTES |
*
This work was supported by the Medical Research Council of
Canada and by National Institutes of Health Grant AI-22193.The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
**
Recipient of a Studentship from the Natural Science and Engineering
Research Council of Canada.
§§
International Scholar of the Howard Hughes Medical Institute and
the current holder of the Pitblado Chair in Cell Biology. To whom
correspondence should be addressed: Division of Cell Biology, Hospital
for Sick Children, 555 University Ave., Toronto M5G 1X8, Ontario, Canada. Tel.: 416-813-5727; Fax: 416-813-5028; E-mail: sga@sickkids.on.ca.
 |
ABBREVIATIONS |
The abbreviations used are:
CHO, Chinese hamster
ovary;
BAPTA, 1,2-bis(aminophenoxy)ethane-N,N,N',N'-tetraacetic
acid;
BCECF, 2',7'-bis(2-carboxyethyl)-5(6)-carboxyfluorescein;
FITC, fluorescein isothiocyanate;
LAMP, lysosome-associated membrane protein;
PBS, phosphate-buffered saline;
pHc, cytosolic pH;
pHp, phagosomal pH;
RBC, red blood cells;
Tfn, transferrin;
V-ATPase, vacuolar-type H+-ATPase;
ITAM, immunoreceptor
tyrosine-based activation motif.
 |
REFERENCES |
| 1.
|
Brown, E. J.
(1995)
BioEssays
17,
109-117[CrossRef][Medline]
[Order article via Infotrieve]
|
| 2.
|
Joiner, K. A.,
Brown, E. J.,
and Frank, M. M.
(1984)
Annu. Rev. Immunol.
2,
461-491[CrossRef][Medline]
[Order article via Infotrieve]
|
| 3.
|
Allen, L. A.,
and Aderem, A.
(1996)
Curr. Opin. Immunol.
8,
36-40[CrossRef][Medline]
[Order article via Infotrieve]
|
| 4.
|
Gabay, J. E.,
Horwitz, M. A.,
and Cohn, Z. A.
(1986)
Biochem. Soc. Trans.
14,
256-257[Medline]
[Order article via Infotrieve]
|
| 5.
|
Desjardins, M.,
Celis, J. E.,
van Meer, G.,
Dieplinger, H.,
Jahraus, A.,
Griffiths, G.,
and Huber, L. A.
(1994)
J. Biol. Chem.
269,
32194-32200[Abstract/Free Full Text]
|
| 6.
|
Beron, W.,
Dominguez, C.,
Mayorga, L.,
and Stahl, P. D.
(1995)
Trends Cell Biol.
5,
100-104[CrossRef][Medline]
[Order article via Infotrieve]
|
| 7.
|
Hampton, M. B.,
Kettle, A. J.,
and Winterbourn, C. C.
(1998)
Blood
92,
3007-3017[Free Full Text]
|
| 8.
|
Swanson, J. A.,
and Baer, S. C.
(1995)
Trends Cell Biol.
5,
89-93[CrossRef][Medline]
[Order article via Infotrieve]
|
| 9.
|
Greenberg, S.
(1995)
Trends Cell Biol.
5,
93-99[CrossRef][Medline]
[Order article via Infotrieve]
|
| 10.
|
Indik, Z. K.,
Park, J.,
Hunter, S.,
and Schreiber, A. D.
(1995)
Blood
86,
4389-4399[Abstract/Free Full Text]
|
| 11.
|
Greenberg, S.,
Chang, P.,
and Silverstein, S. C.
(1993)
J. Exp. Med.
177,
529-534[Abstract/Free Full Text]
|
| 12.
|
Greenberg, S.,
Chang, P.,
and Silverstein, S. C.
(1994)
J. Biol. Chem.
269,
3897-3902[Abstract/Free Full Text]
|
| 13.
|
Greenberg, S.,
Chang, P.,
Wang, D. C.,
Xavier, R.,
and Seed, B.
(1996)
Proc. Natl. Acad. Sci. U. S. A.
93,
1103-1107[Abstract/Free Full Text]
|
| 14.
|
Suchard, S. J.,
Mansfield, P. J.,
Boxer, L. A.,
and Shayman, J. A.
(1997)
J. Immunol.
158,
4961-4967[Abstract]
|
| 15.
|
Allen, L. H.,
and Aderem, A.
(1995)
J. Exp. Med.
182,
829-840[Abstract/Free Full Text]
|
| 16.
|
Araki, N.,
Johnson, M. T.,
and Swanson, J. A.
(1996)
J. Cell Biol.
135,
1249-1260[Abstract/Free Full Text]
|
| 17.
|
Lowry, M. B.,
Duchemin, A. M.,
Coggeshall, K. M.,
Robinson, J. M.,
and Anderson, C. L.
(1998)
J. Biol. Chem.
273,
24513-24520[Abstract/Free Full Text]
|
| 18.
|
Theler, J. M.,
Lew, D. P.,
Jaconi, M. E.,
Krause, K. H.,
Wollheim, C. B.,
and Schlegel, W.
(1995)
Blood
85,
2194-2201[Abstract/Free Full Text]
|
| 19.
|
Jaconi, M. E.,
Lew, D. P.,
Carpentier, J. L.,
Magnusson, K. E.,
Sjogren, M.,
and Stendahl, O.
(1990)
J. Cell Biol.
110,
1555-1564[Abstract/Free Full Text]
|
| 20.
|
Odin, J. A.,
Edberg, J. C.,
Painter, C. J.,
Kimberley, R. P.,
and Unkeless, J. C.
(1991)
Science
254,
1785-1788[Abstract/Free Full Text]
|
| 21.
|
Greenberg, S.,
Burridge, K.,
and Silverstein, S. C.
(1990)
J. Exp. Med.
172,
1853-1856[Abstract/Free Full Text]
|
| 22.
|
Furukawa, R.,
and Fechheimer, M.
(1994)
Cell Motil. Cytoskeleton
29,
46-56[CrossRef][Medline]
[Order article via Infotrieve]
|
| 23.
|
Maniak, M.,
Rauchenberger, R.,
Albrecht, R.,
Murphy, J.,
and Gerisch, G.
(1995)
Cell
83,
915-924[CrossRef][Medline]
[Order article via Infotrieve]
|
| 24.
|
Joiner, K. A.,
Fuhrman, S. A.,
Miettinen, H. M.,
Kasper, L. H.,
and Mellman, I.
(1990)
Science
249,
641-646[Abstract/Free Full Text]
|
| 25.
|
Indik, Z.,
Kelly, C.,
Chien, P.,
Levinson, A. I.,
and Schreiber, A. D.
(1991)
J. Clin. Invest.
88,
1766-1771
|
| 26.
|
Hackam, D.,
Rotstein, O.,
Schreiber, A. D.,
and Grinstein, S.
(1997)
J. Exp. Med.
186,
955-966[Abstract/Free Full Text]
|
| 27.
|
Grinstein, S.,
Romanek, R.,
and Rotstein, O. D.
(1994)
Am. J. Physiol.
267,
C1152-C1159[Abstract/Free Full Text]
|
| 28.
|
Roos, A.,
and Boron, W. F.
(1981)
Physiol. Rev.
61,
296-434[Free Full Text]
|
| 29.
|
Demaurex, N.,
Downey, G. P.,
Waddell, T. K.,
and Grinstein, S.
(1996)
J. Cell Biol.
133,
1391-1402[Abstract/Free Full Text]
|
| 30.
|
Mitchell, M. A.,
Huang, M., P., C.,
Indik, Z.,
Pan, X. Q.,
and Schreiber, A. D.
(1994)
Blood
84,
1753-1759[Abstract/Free Full Text]
|
| 31.
|
Russell, D. G.
(1995)
Trends Cell Biol.
5,
125-129[CrossRef][Medline]
[Order article via Infotrieve]
|
| 32.
|
Forgac, M.
(1989)
Physiol. Rev.
69,
765-796[Free Full Text]
|
| 33.
|
Muroi, M. A.,
Takasu, A.,
and Takatsuki, A.
(1993)
Biochem. Biophys. Res. Commun.
193,
999-1005[CrossRef][Medline]
[Order article via Infotrieve]
|
| 34.
|
Lukacs, G. L.,
Chang, X.,
Kartner, N.,
Rotstein, O. D.,
Riordan, J. R.,
and Grinstein, S.
(1992)
J. Biol. Chem.
267,
14568-14572[Abstract/Free Full Text]
|
| 35.
|
Bowman, E. J.,
Siebers, A.,
and Altendorf, K.
(1988)
Proc. Natl. Acad. Sci. U. S. A.
85,
7972-7976[Abstract/Free Full Text]
|
| 36.
|
Mukherjee, S.,
Ghosh, R. N.,
and Maxfield, F. R.
(1997)
Physiol. Rev.
77,
759-803[Abstract/Free Full Text]
|
| 37.
|
Zimmerli, S.,
Majeed, M.,
Gustavsson, M.,
Stendahl, O.,
Sanan, D. A.,
and Ernst, J. D.
(1996)
J. Cell Biol.
132,
49-61[Abstract/Free Full Text]
|
| 38.
|
Di Virgilio, F.,
Meyer, B. C.,
Greenberg, S.,
and Silverstein, S. C.
(1988)
J. Cell Biol.
106,
657-666[Abstract/Free Full Text]
|
| 39.
|
D'Arcy Hart, P.,
Young, M. R.,
Jordan, M. M.,
and Geisow, M. J.
(1983)
J. Exp. Med.
158,
477-492[Abstract/Free Full Text]
|
| 40.
|
Poo, H.,
Krauss, J. C.,
Todd III, R. F.,
and Petty, H. R.
(1995)
J. Mol. Biol.
247,
597-603[CrossRef][Medline]
[Order article via Infotrieve]
|
| 41.
|
Lowry, M. B.,
Duchemin, A. M.,
Robinson, J. M.,
and Anderson, C. L.
(1998)
J. Exp. Med.
187,
161-176[Abstract/Free Full Text]
|
| 42.
|
Isakov, N.
(1997)
Immunol. Res.
16,
85-100[Medline]
[Order article via Infotrieve]
|
| 43.
|
Clynes, R.,
Maizes, J. S.,
Guinamard, R.,
Ono, M.,
Takai, T.,
and Ravetch, J. V.
(1999)
J. Exp. Med.
189,
179-185[Abstract/Free Full Text]
|
| 44.
|
Cambier, J. C.
(1995)
J. Immunol.
155,
3281-3285[Medline]
[Order article via Infotrieve]
|
| 45.
|
Isakov, N.
(1997)
J. Leukocyte Biol.
61,
6-16[Abstract]
|
| 46.
|
Indik, Z. K.,
Park, J. G.,
Pan, X. Q.,
and Schreiber, A. D.
(1995)
Blood
85,
1175-1180[Abstract/Free Full Text]
|
| 47.
|
Kiefer, F.,
Brumell, J.,
Al-Alawi, N.,
Latour, S.,
Cheng, A.,
Veillette, A.,
Grinstein, S.,
and Pawson, T.
(1998)
Mol. Cell. Biol.
18,
4209-4220[Abstract/Free Full Text]
|
| 48.
|
Hackam, D. J.,
Rotstein, O. D.,
Zhang, W.,
Gruenheid, S.,
Gros, P.,
and Grinstein, S.
(1998)
J. Exp. Med.
188,
351-364[Abstract/Free Full Text]
|
| 49.
|
Sturgill-Koszycki, S.,
Schlesinger, P. H.,
Chakraborty, P.,
Haddix, P. L.,
Collins, H. L.,
Fok, A. K.,
Allen, R. D.,
Gluck, S. L.,
Heuser, J.,
and Russell, D. G.
(1994)
Science
263,
678-681[Abstract/Free Full Text]
|
| 50.
|
Peters, C.,
and Mayer, A.
(1998)
Nature
3 |