Cecal
ligation and
puncture (CLP)-induced
sepsis in mice was associated with perturbations in vascular adhesion molecules. In CLP mice, lung vascular binding of (125)I-monoclonal
antibodies to
intercellular adhesion molecule (ICAM)-1 and
vascular cell adhesion molecule (VCAM)-1 revealed sharp increases in binding of anti-ICAM-1 and significantly reduced binding of anti-VCAM-1. In whole lung homogenates, intense
ICAM-1 up-regulation was found (both in
mRNA and in
protein levels) during
sepsis, whereas very little increase in
VCAM-1 could be measured although some increased
mRNA was found. During CLP soluble
VCAM-1 (sVCAM-1) and soluble
ICAM-1 (sICAM-1) appeared in the serum. When mouse dermal microvascular endothelial cells (MDMECs) were incubated with serum from CLP mice, constitutive endothelial
VCAM-1 fell in association with the appearance of sVCAM-1 in the supernatant fluids. Under the same conditions,
ICAM-1 cell content increased in MDMECs. When MDMECs were evaluated for leukocyte adhesion, exposure to CLP serum caused increased adhesion of neutrophils and decreased adhesion of macrophages and T cells. The progressive build-up in lung
myeloperoxidase after CLP was ICAM-1-dependent and independent of
VLA-4 and
VCAM-1. These data suggest that
sepsis disturbs endothelial homeostasis, greatly favoring neutrophil adhesion in the lung microvasculature, thereby putting the lung at increased risk of injury.