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Microbes & Immunity                                      RANTES/CCL5 and ezrin peptide RepG3 for long COVID



            various HIV antigen-specific CD8  T-cell clones and HIV-  morphology; the cells push out a probe at the front of the
                                       +
            specific CTL activity. 66                          cell and develop a projection at the rear of the cell termed
                                                               the “uropod,” where inter-cellular adhesion molecules
            4.7. High concentration RANTES/CCL5 is a non-      concentrate. During the journey of lymphocytes,
            specific activator of T-cells                      monocytes, and macrophages toward a focus of
            In contrast to the regulated immune amplification by   inflammation, they also exit blood vessels in a process
            physiological nanomolar doses of RANTES/CCL5, ultra-  called “extravasation.”
            high micromolar doses of RANTES/CCL5 non-specifically   RANTES/CCL5 stimulation also changes the spatial
            activate T-cells. This ultra-high-dose activation effect of   organization of protein complexes at the cell membrane,
            RANTES/CCL5 on T-cells resembles mitogenic activation   acting  on ezrin-actin  multi-protein complexes to  drive
            by phytohemagglutinin (PHA) or anti-CD3 antibodies. 67  directional migration. In migrating leukocytes, RANTES/
              Self-aggregation of RANTES/CCL5 occurs at ultra-high   CCL5 induces clusters of chemokine receptors, such as
            culture concentrations, for example, 5 µM RANTES/CCL5   CCR5  and  CCR1,  at  the  leading  edge  of  migrating  cells
            in vitro, which is equivalent to about 39,000 ng/mL (at least   while concentrating adhesion molecules, such as ICAM-1,
            4000 times greater than physiological concentration). The   ICAM-3, CD43, and CD44, on the trailing uropod. 68
            ultra-high dose also results in RANTES/CCL5 binding to
            cell surface glycosaminoglycans, creating RANTES/CCL5   4.9. RANTES/CCL5 activation of astrocytes in the
            deposits on the surface of T-cells, which can be visualized   brain
            by surface staining and flow cytometry.            In cell cultures of astrocytes of the brain, 100  ng/ml

              The effects of these ultra-high doses of RANTES/  RANTES/CCL5 induces phosphorylation of MEK, ERK1,
            CCL5 on T-cells  in vitro include intracellular calcium   and ERK2 within 5 min, which peaks after 40 min and then
            mobilization in a few seconds, rapid ezrin-actin cytoskeletal   declines over the following 2 h. Activated MEK results in
            re-organization, including ICAM-1 expression within   the phosphorylation of ERK1/2 and p90 ribosomal S6
            10 min, changes in cell-shape, and cell-clustering. There is   kinases (RSK) and the expression of anti-inflammatory
            also cell-surface expression of the early activation marker   IL-10.
            CD69 and the induction of tyrosine kinase activity of the   Between 5 and 20 min after RANTES/CCL5 treatment,
            zeta-associated protein 70 (ZAP-70), which is normally   high levels of phosphorylated RSK concentrate within
            regulated by an antigen-activated T-cell receptor. In   the nucleus, resulting in the phosphorylation of the
            addition, CD25 (IL-2 Receptor), HLA-DR (MHC Class 2   transcription factor CREB at Ser-133. The activation of
            antigen-presenting protein), CD11b, and CD11c (integrin   gene expression is initiated by phospho-CREB binding
            adhesion molecules) appear on the cell membrane, and   to the CRE element in the upstream gene promoters.
            MIP-1β  and  IFN-γ  are  secreted  into  the  intercellular   The activation of CREB is essential for RANTES/CCL5-
            medium. This non-specific activation by ultra-high   mediated induction of chemokine transcription and
            concentrations  of RANTES/CCL5  is not  confined to   increased RANTES/CCL5 secretion.
            T-cells; it also occurs in monocytes and neutrophils.  In the nucleus, activated CREB competitively

            4.8. RANTES/CCL5 induces migration of              inhibits  transcription  factor  NF-κB  transcription  of
            lymphocytes, NK-cells, and monocytes               proinflammatory cytokines by acquiring most of the
                                                               available transcription co-factors “CREB-binding protein”
            Leukocyte migration is involved in the induction of   (CBP) and p300, which are also required for NF-κB
            immune responses, interactions between APCs and    transcription. RANTES/CCL5 does not activate the p38
            T-cells, T-cell help to B-cells, CTL targeting and killing,   MAPK > NF-κB mediated proinflammatory cytokine
            and NK cell targeting and killing. Cell culture experiments   expression pathways. 69
            have demonstrated that RANTES/CCL5 induces cells
            to become mobile and is a potent chemoattractant for   4.10. RANTES/CCL5 upregulates IL-10 expression
            memory T-cells, monocytes and macrophages, NK cells,   The injection of RANTES/CCL5 into rats increases the
            eosinophils, dendritic cells, and basophils. Nanomolar   anti-inflammatory cytokine IL-10 and decreases blood
            concentrations of RANTES/CCL5  in  vitro engage CCR5   pressure. The effect is dependent on the dose of RANTES/
            receptors to induce a G-protein, PKC, ezrin, and p38   CCL5; doses of RANTES/CCL5 from 10  ng/mL to
            MAPK-dependent signal that triggers cell migration.  100 ng/mL gradually increase IL-10 mRNA expression
              When  stimulated to  move and  migrate,  lymphocytes   up to a plateau that occurs from 100 ng/mL to 400 ng/mL.
            adopt a polarized phenotype resembling ameboid     In spontaneously hypertensive rats, IL-10 downregulates


            Volume 1 Issue 1 (2024)                         11                               doi: 10.36922/mi.2474
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