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(American Journal of Pathology. 2004;165:2187-2196.)
© 2004 American Society for Investigative Pathology

Novel Chemokine Responsiveness and Mobilization of Neutrophils during Sepsis

Cecilia L. Speyer*, Hongwei Gao*, Nicholas J. Rancilio*, Thomas A. Neff*, Gary B. Huffnagle{dagger}, J. Vidya Sarma* and Peter A. Ward*

From the Department of Pathology* and the Department of Internal Medicine,{dagger} University of Michigan Medical School, Ann Arbor, Michigan

Blood neutrophils (PMN) are usually unresponsive to CC chemokines such as monacyte chemotactic protein-1 and macrophage inflammatory protein-1{alpha}. In rodents, the lung buildup of PMN as determined by myeloperoxidase (MPO) activity after airway instillation of bacterial lipopolysaccharide (LPS) was independent of MCP-1 and MIP-1{alpha}. In striking contrast, during sepsis following cecal ligation and puncture (CLP), blood PMN demonstrated mRNA for CC chemokine receptors. Furthermore, PMN from CLP, but not from sham rodents, bound MCP-1 and MIP-1{alpha} and responded chemotactically in vitro to both MCP-1 and MIP-1{alpha}. In CCR2–/– mice or WT mice treated in vivo with antibodies to either MCP-1 or MIP-1{alpha}, MPO activity was greatly attenuated in CLP animals. In CLP mice, increased serum IL-6 levels were found to be dependent on CCR2, MCP-1, and MIP-1{alpha}. When PMN from CLP rodents were incubated in vitro with either MCP-1 or MIP-1{alpha}, release of IL-6 was also shown. These findings suggest that sepsis fundamentally alters the trafficking of PMN into the lung in a manner that now engages functional responses to CC chemokines.





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