The influence of anti-endothelial cell antibodies on leukocyte-endothelial cell interactions Antibodies capable of reacting with the EC surface membranes are commonly detected in serum of patients with vascular inflammatory diseases (eg allograft rejection, SLE, scleroderma, vasculitis), and may have a role in atherogenesis 1-3. Whether or not anti-endothelial cell antibodies have pathophysiological effects is still unclear. Recent papers have suggested that interaction between leukocyte FcRIII (CD16) and immobilised IgG can substitute for selectins in causing primary leukocyte capture under flow 4, 5. We have found that anti-endothelial cell antibodies derived from patients with inflammatory rheumatic diseases can amplify leukocyte adhesion to endothelium in a parallel plate flow chamber via interactions with Fcg receptors and are currently dissecting the molecular mechanisms in more detail. Reference List (1) Xu Q, Schett G, Seitz CS, Hu Y, Gupta RS, Wick G. Surface staining and cytotoxic activity of heat-shock protein 60 antibody in stressed aortic endothelial cells. Circ Res 1994 December;75(6):1078-85. (2) Nityanand S, Bergmark C, de FU, Swedenborg J, Holm G, Lefvert AK. Antibodies against endothelial cells and cardiolipin in young patients with peripheral atherosclerotic disease. J Intern Med 1995 November;238(5):437-43. (3) Wick G, Perschinka H, Millonig G. Atherosclerosis as an autoimmune disease: an update. Trends Immunol 2001 December;22(12):665-9. (4) Coxon A, Cullere X, Knight S, Sethi S, Wakelin MW, Stavrakis G, Luscinskas FW, Mayadas TN. Fc gamma RIII mediates neutrophil recruitment to immune complexes. a mechanism for neutrophil accumulation in immune-mediated inflammation. Immunity 2001 June;14(6):693-704. (5) Stokol T, O'Donnell P, Xiao L, Knight S, Stavrakis G, Botto M, Von Andrian UH, Mayadas TN. C1q governs deposition of circulating immune complexes and leukocyte Fcgamma receptors mediate subsequent neutrophil recruitment. J Exp Med 2004 October 4;200(7):835-46.