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Kaplan Qbank USMLE



Author10 Posts
  #1

what are the roles of each selectins and integrins?

  #2

When an inflammatory process has to start somewhere , leukocytes escape out of blood vessels to reach that site. You know , the leukocytes normally flow in the center of the vessel. To get out of the vessel wall , first of all they move closer to the wall, this is called margination.Leukocytes tumble on the endothelial surface , transiently sticking along the way. This process is called rolling. 2nd step is adhesion of the leukocytes to the endothelium. This is where selectins and integrins play their role.

Selectins are expressed on leukocytes and endothelial cells. P and E selectins on the endothlial molecules and L selectin on the surface of most leukocytes. There are other receptors called Sialyl-Lewis-X on the leukocytes.

Now while the leukocytes are rolling along the endothelium , their Sialyl-Lewis-X receptors attach to the E and P selectins on the endothelium and their L selectins attach to L selectin receptor on the endothelial molecules and leukocytes are loosely attached to endothelium.

Now there are some other glycoproteins on the leukocytes called integrins and their receptors on the endothelial moecules called ICAM1 and VCAM1 . Integrins are normally present in the non activated form. Once the selectins are bound to their receptors , these integrins are activated and bind to VCAM and ICAM on the endothelium . This way leukocytes are firmly bound to endothelium so that diapedesis can take place.

So , one liner answer to your question is , selectins and integrins play role in adhesion. Selectins for loose adhesion and integrins for tight adhesion.


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I can't change the direction of the wind, but I can adjust my sails to always reach my destination.

  #3

Damn Good Explanation .nodnodnod

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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #4

Oh , thanks NnL. I am glad you like it .smiling face

___________________
I can't change the direction of the wind, but I can adjust my sails to always reach my destination.

  #5

I'm clapping my hands. nodnodnod

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Prioritize & simplify

  #6

wonderful explanation unique !!!!grin

  #7

Thanks GG and simi smiling face

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I can't change the direction of the wind, but I can adjust my sails to always reach my destination.

  #8

Wow , this is hidden good one . Thanks u , I will read more, now just try to read last line grin

  #9

finally unique 1 u made it so easier for me.....thank u loadz

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i m not perfect but i wanna get close to it......

  #10

That is the best explanation I have heard till now. You truely are one unique individual unique1 grin. Thank you very much for teaching me something.








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