Neutrophil inhibitory factor (NIF) is a recently cloned 41-kDa
protein from the canine hookworm that binds CD11b/CD18 and inhibits CD11b/CD18-dependent neutrophil adhesion. We evaluated NIF's effects on neutrophil-dependent
lung injury in guinea pigs. Pulmonary vascular endothelial CD54 (ICAM-1) was induced in
buffer-perfused lungs by 90-min exposure to 1000 U/ml
TNF-alpha. Human neutrophils (2 x 10(7)) were added to the perfusate and activated by 5 x 10(-9) PMA; in some lungs, the neutrophils were pretreated with NIF (100 nM) before their addition to the perfusate.
Lung injury was assessed by wet:dry weight ratio, and neutrophil uptake by lung
myeloperoxidase (MPO) activity. HUVEC exposed to
TNF-alpha for 90 min were assayed for neutrophil adhesion, and we compared PMA-stimulated neutrophil adhesion to endothelial cells and
fibrinogen-coated plates. PMA-induced
pulmonary edema (
lung wet:dry ratio increased from 8.8 +/- 0.7 to 18.8 +/- 4.4) was inhibited by NIF (10.0 +/- 1.0). Lung MPO activity concomitantly decreased from 17.1 +/- 6.1 to 8.7 +/- 1.8 U/mg dry lung tissue in the NIF-treated group, similar to controls (6.9 +/- 2.0). Endothelial monolayer experiments confirmed that NIF reduced neutrophil adherence (basal adhesion of 11 +/- 3% increased to 30 +/- 5% with
TNF-alpha pretreatment of endothelial cells, an increase that was reduced to 10 +/- 4% with NIF). Moreover, NIF prevented PMA-induced neutrophil adhesion to
fibrinogen, a CD11b/CD18-dependent event, but produced a smaller decrease in adherence to endothelial cells, which also involves CD11a/CD18
integrins. These studies indicate that NIF prevents neutrophil-dependent lung
vascular injury by inhibiting neutrophil adhesion to the
TNF-alpha-activated endothelium.