Role of alveolar macrophages in the regulation of local and systemic inflammation after lung contusion
Role of alveolar macrophages in the regulation of local and systemic inflammation after lung contusion
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DOI:
10.1097/ta.0b013e3182aaa499
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发表时间:
2014-02-01
影响因子:
3.4
通讯作者:
Seitz, Daniel H.
中科院分区:
文献类型:
--
作者:
Niesler, Ulrike;Palmer, Annette;Seitz, Daniel H.
BACKGROUND: Blunt chest trauma is an injury that enhances the morbidity and mortality rate, particularly in the context of polytrauma. Our previous studies showed local and systemic inflammatory alterations after blunt chest trauma in mice. This study was designed to determine whether alveolar macrophages (AM Phi) have an alleviative role in this posttraumatic inflammation.METHODS: AM Phi of male C3H/HeN mice were depleted by instillation of clodronate liposomes into the lung before blunt chest trauma induced by a single blast wave. In bronchoalveolar lavage, lung homogenates, plasma, and cell culture supernatants of Kupffer cells, peripheral blood mononuclear cells, splenic macrophages, and splenocytes isolated 2 hours or 24 hours after chest trauma mediator concentrations were determined by multiplex assay or enzyme-linked immunosorbent assay.RESULTS: In bronchoalveolar lavage, AM Phi depletion led to increased monocyte chemoattractant protein 1 and regulated and normal T cell expressed and secreted (RANTES) concentrations as well as an attenuated increase of interleukin 6 concentrations after chest trauma. Bronchoalveolar lavage keratinocyte-derived chemokine concentrations increased in nontraumatized but AM Phi-depleted animals with no further change after chest trauma. Cytokine concentrations in lung homogenates were altered in the same way as in bronchoalveolar lavage early after trauma. In the plasma of AM Phi-depleted animals, interleukin 6 concentrations were slightly decreased after chest trauma. Depletion of AM Phi abrogated the trauma-induced decrease of Kupffer cell chemokine release. Cytokine concentrations of blood monocytes, splenic macrophages, and splenocyte supernatants were not influenced by AM Phi depletion.CONCLUSION: These depletion experiments show that AM Phi ameliorate the inflammatory response after blunt chest trauma. Taken together, this study gives relevant insights into the regulative role of AM Phi during the local and systemic inflammation after lung contusion. Copyright (C) 2014 by Lippincott Williams & Wilkins