Selectin
(Redirected from Selectins)
Selectins are a family of cell adhesion molecules or CAMs that play an important role in the immune system, mediating the binding of leukocytes to endothelial cells. This binding is crucial for leukocyte extravasation, a process where leukocytes exit the bloodstream and enter tissue at sites of injury or infection. Selectins are characterized by their lectin domain, which binds to specific carbohydrate structures found on the surfaces of cells.
Types of Selectins
There are three main types of selectins, each with a distinct role in the immune response and expressed on different cell types:
- E-Selectin (Endothelial Selectin): Expressed on activated endothelial cells, E-Selectin mediates the adhesion of leukocytes to the endothelium during the early stages of inflammation.
 - L-Selectin (Leukocyte Selectin): Found on the surface of most leukocytes, L-Selectin facilitates the initial capture of leukocytes from the bloodstream by binding to its ligands on the high endothelial venules in peripheral lymph nodes.
 - P-Selectin (Platelet Selectin): Stored in the Weibel-Palade bodies of endothelial cells and α-granules of platelets, P-Selectin is rapidly translocated to the cell surface upon activation. It plays a role in the recruitment of leukocytes and platelets to sites of tissue injury and inflammation.
 
Function
Selectins mediate the initial step of leukocyte adhesion to the vascular endothelium, a process critical for immune surveillance and the inflammatory response. This step, known as the rolling phase, allows leukocytes to roll along the vessel wall, slowing them down in preparation for firm adhesion and transmigration into the tissue. The interaction between selectins and their ligands is characterized by a high on-off rate, allowing leukocytes to detach and reattach, facilitating their rolling movement.
Selectin Ligands
Selectin ligands are typically complex carbohydrates that are part of glycoproteins or glycolipids on the surfaces of cells. For example, P-selectin glycoprotein ligand-1 (PSGL-1) is a well-characterized ligand for P-Selectin and E-Selectin, found on the surface of most leukocytes. The specific binding between selectins and their ligands is mediated by the lectin domain of the selectin molecule, which recognizes specific carbohydrate motifs.
Clinical Significance
Selectins and their ligands are targets for therapeutic intervention in various diseases characterized by excessive or inappropriate inflammation, such as rheumatoid arthritis, atherosclerosis, and certain types of cancer. Inhibiting selectin-mediated adhesion can reduce the recruitment of leukocytes to sites of inflammation, potentially ameliorating disease symptoms and progression.
Research and Development
Research into selectin function and the development of selectin inhibitors is an active area of biomedical research. Understanding the precise mechanisms of selectin-mediated cell adhesion and the role of selectins in disease can lead to the development of novel therapeutic strategies for inflammatory diseases and cancer.
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Contributors: Prab R. Tumpati, MD