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Cell-Cell and Cell-Matrix Adhesion Cells adhere to each other and to the extracellular matrix through cell surface proteins called cell adhesion molecules (CAMs). Some CAMs are Ca2+ dependent whereas others are Ca2+ independent. Adhesion molecules can be divided into four families: (1) immunoglobulin-like adhesion molecules, (2) selectins, (3) cadherins and (4) integrins. Cadherins are the major CAMs responsible for Ca2+ dependent cell-cell adhesion in vertebrate tissues. There are many types of cadherins which make up the cadherin family and cells in culture can sort themselves out according to the type and level of cadherins they express. Most cadherins are single pass transmembrane glycoproteins that have a large extracellular part of their polypeptide chain folded into 5 or 6 cadherin repeats. Ca2+ ions are positioned between each pair of cadherin repeats. The more Ca2+ ions bound, the more rigid the structure. Selectins arenother major CAM responsible for Ca2+ independent cell-cell adhesion are the selectins which are cell surface carbohydrate binding proteins (lectins) which mediate cell-cell adhesion in the bloodstream. For example, L-selectins are found on lymphocytes which recognize oligosaccharides expressed on endothelial cells in lymphoid organs causing the lymphocytes to become trapped. Conversely, at sites of inflammation, endothelial cells switch on expression of selectins which recognize the oligosaccharides on lymphocytes and platelets. Selectins often work together with a third type of cell adhesion molecule called integrins. Selectins and integrins act in sequence to let lymphocytes leave the bloodstream and enter tissues. The selectins mediate a weak adhesion which allows the white blood cell to roll along the surface of the blood vessel propelled by the flow of blood. This rolling continues until the blood cell activates its integrins (cadherins are not involved in leukocyte recruitment) which causes the cell to bind strongly to the endothelial cell surface and to crawl out of the blood vessel between adjacent endothelial cells. Whereas cadherins, slectins and integrins all depend on extracellular Ca2+ to function in cell adhesion, a major CAM which is Ca2+ independent are the N-CAMs or "neural cell adhesion molecules" which are expressed in a variety of cells including most nerve cells. Most cadherins function as transmembrane adhesion proteins that indirectly link the cytoskeleton of the cells they join. This occurs in Cell Junctions like the adherens junctions where the cytoplasmic tails of cadherins interacts indirectly with actin filaments by means of a group of intracellular anchor proteins called "catenins" and with desmosomes where the cytoskeleton is intermediate filaments.
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