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Icam-1




During the acute stages of Inflammation , Homeostasis is altered, resulting in the Cytokine stimulated release of ICAMs which promote Leukocyte adherence to the Endothelium . The CAMs are involved with leukocyte adhesion at relatively low shear forces and they cause a stronger attachment than selectin molecules.

There are several different forms of ICAM. ICAM-1 is continuously present in low concentrations in the membranes of leukocytes and endothelial cells. Upon cytokine stimulation, the concentrations greatly increase. ICAM-1 can be induced by interleukin-1 (IL-1) and tumor necrosis factor alpha (TNFα) and is expressed by the vascular endothelium, Macrophages and Lymphocytes .

ICAM-1 has been implicated in Subarachnoid Hemorrhage (SAH). Levels of ICAM-1 are shown to be significantly elevated in patients with SAH over control subjects in many studies. While ICAM-1 has not been shown to be directly correlated with cerebral Vasospasm , a secondary insult which affects 70% of SAH patients, treatment with anti-ICAM-1 reduced the severity of vasospasm.

Exposed on the cell surface, ICAM-1 serve as binding receptor for Rhinovirus , the most common cause of viral respiratory tract infections.


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REFERENCES

  • Dumont AS, Dumont RJ, Chow MM, Lin C, Calisaneller T, Ley KF, Kassel NF, Lee KS: Cerebral Vasospasm After Subarachnoid Hemorrhage: Putative Role of Inflammation. Neurosurgery 53:123-135,2003.

  • Frijns CJM, Kappelle LJ: Inflammatory Cell Adhesion Molecules in Ischemic Cerebrovascular Disease. Stroke 33:2115-2122,2002.

  • Polin RS, Bavbek M, Shaffrey ME, Billups K, Bogaev CA, Kassell NF, Lee KS: Detection of soluble E-selectin, ICAM-1, VCAM-1 and L-selectin in the cerebrospinal fluid of patients after subarachnoid hemorrhage. Journal of Neurosurgery 89:559-567,1998.