To: Icebrg who wrote (3440 ) 10/27/2002 5:01:36 PM From: scaram(o)uche Read Replies (2) | Respond to of 10345 I've been trying to find a striking study that would focus attention on the "clinical potential difference" between antegren and LDP-02. I can't. But I did find an abstract that will provide some focus (below). I presume that you know this...... major ligand for alpha4beta1 (VLA-4) is thought to be VCAM-1. major ligand for alpha4beta7 is thought to be mucosal addressin cell adhesion molecule (MAdCAM). while I believe that it's naive to assume that lymphocytes can't use alternative receptors to home to the gut, it should be apparent that an anti-beta7 (LDP-02) doesn't cover one of two of the biggies, while anti-alpha4 hits them both. studies to date indicate that the alpha4 epitope recognized by antegren is "relevant"..... the antibody not only reacts with both integrins, but also appears to block interaction of a4b1 with VCAM-1 and of a4b7 with MAdCAM. I can't personally testify to this. Am J Physiol Gastrointest Liver Physiol 2002 May 29; [epub ahead of print] Spatial heterogeniety of TNF-{alpha}-induced T-lymphocyte migration to the colonic mucosa is mediated by MAdCAM-1 and VCAM-1. Watanabe C, Miura S, Hokari R, Teramoto K, Ogino T, Komoto S, Hara Y, Koseki S, Tsuzuki Y, Nagata H, Granger DN, Ishii H. Department of Internal Medicine, Keio University, School of Medicine, Tokyo, Japan. Relatively little is known about how recirculation of lymphocytes through the inflamed intestinal mucosa is regulated. The aim of this study was to investigate the dynamic process of T-lymphocyte-endothelial cell adhesion in tumor necrosis factor (TNF)-alpha challenged murine colonic mucosa by intravital microscopy. T lymphocytes from spleen (SPL) and intestinal lamina propria (LPL) were fluorescence labeled and their adhesion to microvessels in the colonic mucosa was observed. In TNF-alpha (25 micro g/kg)-stimulated colonic venules, an enhanced adhesion of SPL and LPL was demonstrated, with dominant recruitment of LPLs. The magnitude of the increased LPL adhesion was more significant in the colon than in the small intestine. These T-lymphocyte interactions in the colonic mucosa were significantly reduced by blocking mAbs against either MAdCAM-1, VCAM-1, alpha4-integrin, or ss7-integrin, but not by anti-ICAM-1. Immunohistochemistry revealed significant MAdCAM-1 expression in the lamina propria and VCAM-1 expression in the submucosa of TNF-alpha-treated colon. Spatial heterogeneity of MAdCAM-1 and VCAM-1 activation following TNF-alpha-challenge may promote specific T-lymphocyte recruitment in the inflamed colonic mucosa.