Neutrophils play an important role in host defense against bacterial infections and in the pathogenesis of various inflammatory diseases (1, 2). Neutrophils express GPCRs 1 for the chemoattractants fMLP, complement C5a, interleukin-8, leukotriene B 4 , and platelet-activating factor (3-6). Chemoattractant receptors couple to G i proteins to activate phospholipase C2 and phosphoinositide 3-kinase-␥, with subsequent stimulation of chemotaxis, oxygen radical formation, and granule release (3, 7-9). Disruption of the FPR gene in mice increases susceptibility to infection by Listeria monocytogenes (10). However, although at cellular and molecular levels, the human FPR is one of the most extensively studied GPCRs (3-6, 8, 11), the in vivo role of the FPR in man has remained elusive.LJP is a defined periodontal disease that begins at ϳ11-15 years of age, affects the permanent incisors and/or first molars, and is associated with the presence of Actinobacillus actinomycetemcomitans in subgingival pockets. LJP is not associated with other diseases, and there is evidence that LJP is caused by a genetic defect (12, 13). It has been known for a long time that neutrophils from LJP patients show reduced binding of the agonist fMLP and reduced fMLP-induced chemotaxis (14 -16). Genetic analysis of 30 LJP patients revealed that 29 of those patients possess a F110S and/or C126W mutation in the FPR gene (17). In contrast, none of 31 patients with adult periodontitis and none of 20 control subjects possess a F110S or C126W mutation (17). The F110S mutation resides in the third transmembrane domain, whereas the C126W mutation resides in the second intracellular loop (Fig. 1). The second intracellular loop of the FPR is important for G i protein coupling (18), and a C126S mutation uncouples the FPR from G i proteins (19). Based on all these findings, we developed the hypothesis that the underlying cause of LJP is defective G i protein coupling of the FPR. To test this hypothesis, we engineered FLAG epitopetagged FPR-F110S and FPR-C126W and analyzed coupling of these FPR mutants and FPR-WT to the G protein G␣ i2  1 ␥ 2 using Sf9 insect cells as the expression system. In previous studies, we already showed that Sf9 insect cells are a very sensitive system for studying G i protein coupling of chemoattractant receptors (20 -22). Here we report that FPR-F110S and FPR-C126W show an almost complete defect and a complete defect in G i protein coupling, respectively. The discrete clinical symptoms associated with the defective FPR indicate that the loss of FPR function in host defense is, for the most part, readily compensated.
EXPERIMENTAL PROCEDURESMaterials-The baculovirus encoding G␣ i2 was kindly provided by Dr. A. G. Gilman (Department of Pharmacology, University of Southwestern Medical Center, Dallas, TX). Recombinant baculovirus encoding the unmodified versions of the G protein  1 ␥ 2 subunits was a kind gift of Dr.