IntroductionCells that are going into apoptosis expose phosphatidylserine (PS) on their surface that serves as an "eat me" signal for both professional phagocytes (such as macrophages, B lymphocytes, and immature dendritic cells) and nonprofessional phagocytes (such as fibroblasts and epithelial cells). 1 Phagocytes recognize apoptotic cells directly via the PS receptor or indirectly via ␣ v -integrins that are present on the phagocyte surface. 2 In the latter process, ␣ v  3 and ␣ v  5 integrins recognize PS through an opsonin called lactadherin, also known as milk fat globule epidermal growth factor-8 (MFG-E8). 3,4 This opsonin contains a PS-binding C-domain and an RGD-motif present in the epidermal growth factor domain, which binds to ␣ v  3 and ␣ v  5 integrins. 2,[5][6][7] Rapid clearance of apoptotic cells prevents the release of potentially harmful or immunogenic intracellular materials from these cells. 8 Lactadherin-deficient mice have shown impaired phagocytosis of apoptotic cells, induction of autoimmune diseases, and autoantibody production. 9,10 ␣ v -Integrins are densely present on macrophages and dendritic cells and play an important role in phagocytosis. 11 Notably, these integrins are also overexpressed on angiogenic endothelium 12 where they play an important role in cell adhesion and migration. 13,14 Recently, Silvestre et al discovered that lactadherin is expressed in and around (angiogenic) blood vessels in an ischemic hind limb model and that the protein seems to play a crucial role in vascular endothelial growth factor (VEGF)-dependent neovascularization. 15 As angiogenesis is also a hallmark of tumor growth and tumor angiogenic endothelium expresses ␣ v -integrins, in this study we have explored the possible role of lactadherin-induced phagocytosis by angiogenic tumor endothelial cells.
Methods
Cell linesB16.F10 murine melanoma cells (ATCC, Manassas, VA) were cultured on regular FCS-enriched DMEM. Human umbilical vein endothelial cells (HUVECs) were cultured on EGM-2 endothelial cell growth medium-2 (Cambrex, East Rutherford, NJ) consisting of EBM-2 medium supplemented with an EGM-2 bullet kit (containing growth factors, 2% FBS, and antibiotics). HUVECs were used as an ␣ v  3 -expressing model for proliferating endothelium to a maximal passage number of 8.
Lactadherin purificationBovine lactadherin was purified as previously described. 16 Purity was checked by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and N-terminal amino acid sequencing and shown to be Submitted June 8, 2007; accepted February 13, 2008. Prepublished online as Blood First Edition paper, February 21, 2008 DOI 10.1182 DOI 10. /blood-2007 The online version of this article contains a data supplement.The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked ''advertisement'' in accordance with 18 USC section 1734. For personal use only. on May 12, 2018. by guest www.bloodjournal.org From 97% to...