An overview of the role of neutrophils in innate immunity, inflammation and host-biomaterial integration
Open accessAbstract
Despite considerable recent progress in defining neutrophil functions and behaviors in tissue repair, much remains to be determined with regards to its overall role in the tissue integration of biomaterials. This article provides an overview of the neutrophil's numerous, important roles in both inflammation and resolution, and subsequently, their role in biomaterial integration. Neutrophils function in three primary capacities: generation of oxidative bursts, release of granules and formation of neutrophil extracellular traps (NETs); these combined functions enable neutrophil involvement in inflammation, macrophage recruitment, M2 macrophage differentiation, resolution of inflammation, angiogenesis, tumor formation and immune system activation. Neutrophils exhibit great flexibility to adjust to the prevalent microenvironmental conditions in the tissue; thus, the biomaterial composition and fabrication will potentially influence neutrophil behavior following confrontation. This review serves to highlight the neutrophil's plasticity, reiterating that neutrophils are not just simple suicidal killers, but the true maestros of resolution and regeneration.
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Inflammatory responses are strongly linked to MMP-mediated degradation of scaffolds.
“Upon transplantation, inflammatory responses are strongly linked to the MMP-mediated degradation of the scaffolds.”
From Bioengineered liver crosslinked with nano-graphene oxide enables efficient liver regeneration via MMP suppression and immunomodulation (2023) · cites this paper as [14]
In “Neutrophils in inflammation” (page unavailable), the paper says inflammatory mediators upregulate MMP production and implicates MMP-9, alongside other agents, in accelerated biomaterial degradation. It limits that degradation to excessive amounts of these agents, especially in the presence of neutrophils; it does not establish the claimed strong, general link between post-transplant inflammation and MMP-mediated scaffold degradation. (LLM, conf=0.84)
Experimental — accuracy not yet measuredXenograft-derived dECM scaffolds are recognized as foreign bodies by host immune system, immune cells infiltrate and release proteases to degrade scaffolds.
“As xenograft-derived dECM scaffolds are recognized as foreign bodies by the host immune system, immune cells infiltrate into the transplants and release proteases to degrade the scaffolds14,16.”
From Bioengineered liver crosslinked with nano-graphene oxide enables efficient liver regeneration via MMP suppression and immunomodulation (2023) · cites this paper as [14]
The “Neutrophils and macrophages: the crucial pairing” section (page not provided) reports macrophage infiltration into decellularized tissue constructs and MMP-9 release by M2 macrophages. It does not establish that xenograft-derived dECM scaffolds are recognized as foreign bodies or that infiltrating cells release proteases to degrade those scaffolds. (LLM, conf=0.86)
Experimental — accuracy not yet measuredNeutrophils are first responders taking part in phagocytosis and degranulation after infiltration into implanted biomaterials.
“neutrophils are the first responders taking part in phagocytosis and degranulation after infiltration into implanted biomaterials13,14.”
From Bioengineered liver crosslinked with nano-graphene oxide enables efficient liver regeneration via MMP suppression and immunomodulation (2023) · cites this paper as [14]
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Cites
Neutrophil Extracellular Traps Kill Bacteria
Brinkmann, V., Reichard, U., Goosmann, C., Fauler, B., Uhlemann, Y., Weiss, D. S., Weinrauch, Y., & Zychlinsky, A. (2004) · Science · doi:10.1126/science.1092385 · Cited by 10,268 · see citing works
Foreign body reaction to biomaterials
Anderson, J. M., Rodriguez, A., & Chang, D. T. (2008) · Seminars in Immunology · doi:10.1016/j.smim.2007.11.004 · Cited by 5,138 · cited 10× · see citing works
“Induces chemotaxis of CD4þ and CD8þ cells (30) Links innate and adaptive immunity through the neutrophil (30) MPO (peroxidase) Production of antimicrobial oxidants [31] Facilitates NET release [32] Enables translocation of NE to the nucleus [32] Reacts with H2O2 which increases toxic potential by inducing the formatio…”
BackgroundInfluentialInfection-induced NETosis is a dynamic process involving neutrophil multitasking in vivo
Yipp, B. G., Petri, B., Salina, D., Jenne, C. N., Scott, B. N. V., Zbytnuik, L. D., Pittman, K., Asaduzzaman, M., Wu, K., Meijndert, H. C., et al. (2012) · Nature Medicine · doi:10.1038/nm.2847 · Cited by 1,169 · see citing works
Viable neutrophils release mitochondrial DNA to form neutrophil extracellular traps
Yousefi, S., Mihalache, C., Kozlowski, E., Schmid, I., & Simon, H. U. (2009) · Cell Death & Differentiation · doi:10.1038/cdd.2009.96 · Cited by 1,036 · see citing works
Brown, B. N., Ratner, B. D., Goodman, S. B., Amar, S., & Badylak, S. F. (2012) · Biomaterials · doi:10.1016/j.biomaterials.2012.02.034 · Cited by 926 · cited 6× · see citing works
“As previously discussed, the interaction of neutrophils with lipoxins can leverage recruited macrophages to behave in an M2 repair-like manner producing resolving mediators and cleaning up the area by engulfing and ridding the area of apoptotic neutrophils, which is crucial and necessary for regeneration to take place…”
BackgroundInfluentialMetzler, K. D., Goosmann, C., Lubojemska, A., Zychlinsky, A., & Papayannopoulos, V. (2014) · Cell Reports · doi:10.1016/j.celrep.2014.06.044 · Cited by 741 · cited 2× · see citing works
“We know that the neutrophil will respond in different capacities depending on the cues given to it [6, 20, 23, 25, 27, 28, 30, 32, 34, 61, 62].”
BackgroundNETs: a new strategy for using old weapons
Papayannopoulos, V., & Zychlinsky, A. (2009) · Trends in Immunology · doi:10.1016/j.it.2009.07.011 · Cited by 634 · cited 8× · see citing works
“Although protease dispersal via NETs is implicated in further tissue destruction, the role of proteases is not limited to cleaving bacterial factors, as they are potent antimicrobial agents that can actually end up neutralizing their own effects [25, 58].”
BackgroundInfluentialROS production in phagocytes: Why, when, and where?
Dupré-Crochet, S., Erard, M., & Nüβe, O. (2013) · Journal of Leukocyte Biology · doi:10.1189/jlb.1012544 · Cited by 467 · see citing works
Cole, A. M., Shi, J., Ceccarelli, A., Kim, Y.-H., Park, A., & Ganz, T. (2001) · Blood · doi:10.1182/blood.v97.1.297 · Cited by 146 · see citing works
Flagged first, then by citations
Research works printed but not linked: 61
- [1]Anderson J. Exploiting the inflammatory response on biomaterials research and development. J Mater Sci Mater Med, ESB Biocompatibility studies 2014; 26: 5423- 45. 25690617
- [2]Radic MZ Bowlin GL. Innate immunity response to tissue engineering templates: the determinant. J Tissue Sci Eng 2014; 5: 1.
- [3]Anderson JM. Biological responses to materials. Annu Rev Mater Res 2001; 31: 81– 110.
- [5]Dancey JT Deubelbeiss KA Harker LA, Neutrophil kinetics in man. J Clin Invest 1976; 58: 705– 15. 956397 PMC333229
- [6]Mantovani A Cassatella MA Costantini C, Neutrophils in the activation and regulation of innate and adaptive immunity. Nat Rev Immunol 2011; 11: 519– 31. 21785456
- [7]El Kebir D Filep JG. Targeting neutrophil apoptosis for enhancing the resolution of inflammation. Cells 2013; 2: 330– 48. 24709704 PMC3972676
- [8]Fox S Leitch AE Duffin R, Neutrophil apoptosis: relevance to the innate immune response and inflammatory disease. J Innate Immun 2010; 2: 216– 27. 20375550 PMC2956014
- [9]Moore LB Kyriakides TR. Molecular characterization of macrophage-biomaterial interactions. Adv Exp Med Biol 2015; 865: 109- 22. 26306446 PMC4643849
- [10]Amulic B Cazalet C Hayes GL, Neutrophil function: from mechanisms to disease. Annu Rev Immunol 2012; 30: 459– 89. 22224774
- [11]Lee A Whyte MK Haslett C. Inhibition of apoptosis and prolongation of neutrophil functional longevity by inflammatory mediators. J Leukoc Biol 1993; 54: 283– 8. 8409750
- [12]Carmona-Rivera C Kaplan MJ. Low-density granulocytes: a distinct class of neutrophils in systemic autoimmunity. Semin Immunopathol 2013; 35: 455– 63. 23553215 PMC4007274
- [13]Fine N Hassanpour S Borenstein A, Distinct oral neutrophil subsets define health and periodontal disease states. J Dental Res 2016; 95: 931– 8. 27270666
- [14]Mayadas TN Cullere X Lowell CA. The multifaceted functions of neutrophils. Annu Rev Pathol 2014; 9: 181– 218. 24050624 PMC4277181
- [15]Chistiakov DA Bobryshev YV Orekhov AN. Neutrophil’s weapons in atherosclerosis. Exp Mol Pathol 2015; 99: 663– 71. 26551083
- [16]Carvalho LO Aquino EN Neves AC, The neutrophil nucleus and its role in neutrophilic function. J Cell Biochem 2015; 116: 1831– 6. 25727365
- [17]Hoffmann K Sperling K Olins AL, The granulocyte nucleus and lamin B receptor: avoiding the ovoid. Chromosoma 2007; 116: 227– 35. 17245605
- [18]Kumar V Sharma A. Neutrophils: Cinderella of innate immune system. Int Immunopharmacol 2010; 10: 1325– 34. 20828640
- [19]Perobelli SM Galvani RG Gonçalves-Silva T, Plasticity of neutrophils reveals modulatory capacity. Braz J Med Biol Res 2015; 48: 665– 75. 26108096 PMC4541684
- [20]Smith JA. Neutrophils, host defense, and inflammation: a double-edged sword. J Leukoc Biol 1994; 56: 672– 86. 7996043
- [21]Bjornsdottir H Welin A Michaëlsson E, Neutrophil NET formation is regulated from the inside by myeloperoxidase-processed reactive oxygen species. Free Radic Biol Med 2015; 89: 1024– 35. 26459032
- [22]Brinkmann V Zychlinsky A. Neutrophil extracellular traps: is immunity the second function of chromatin?. J Cell Biol 2012; 198: 773– 83. 22945932 PMC3432757
- [24]Lopez-Boado YS Espinola M Bahr S, Neutrophil serine proteinases cleave bacterial flagellin, abrogating its host response-inducing activity. J Immunol 2004; 172: 509– 15. 14688361
- [27]Tsujimoto H Ono S Majima T, Neutrophil elastase, MIP-2, and TLR-4 expression during human and experimental sepsis. Shock 2005; 23: 39– 44. 15614130
- [28]Weinrauch Y Drujan D Shapiro SD, Neutrophil elastase targets virulence factors of enterobacteria. Nature 2002; 417: 91– 4. 12018205
- [29]Yang D Chen Q Chertov O, Human neutrophil defensins selectively chemoattract naive T and immature dendritic cells. J Leukoc Biol 2000; 68: 9– 14. 10914484
- [30]Faurschou M Borregaard N. Neutrophil granules and secretory vesicles in inflammation. Microbes Infect 2003; 5: 1317– 27. 14613775
- [31]Eiserich JP Hristova M Cross CE, Formation of nitric oxide-derived inflammatory oxidants by myeloperoxidase in neutrophils. Nature 1998; 391: 393– 7. 9450756
- [33]Bae HB Vitronectin inhibits neutrophil apoptosis through activation of integrin-associated signaling pathways. Am J Respir Cell Mol Biol 2012; 46: 790– 6. 22281987 PMC3380283
- [34]Piccard H Muschel RJ Opdenakker G. On the dual roles and polarized phenotypes of neutrophils in tumor development and progression. Crit Rev Oncol Hematol 2012; 82: 296– 309. 21798756
- [35]Borregaard N. Neutrophils, from marrow to microbes. Immunity 2010; 33: 657– 70. 21094463
- [36]Wen J Nikitakis NG Chaisuparat R, Secretory leukocyte protease inhibitor (SLPI) expression and tumor invasion in oral squamous cell carcinoma. Am J Pathol 2011; 178: 2866– 78. 21641406 PMC3124294
- [37]Kunes P Krejsek J Brtko M, Neutrophil apoptosis by Fas/FasL: harmful or advantageous in cardiac surgery?. Thorac Cardiovasc Surg 2009; 57: 1– 6. 19169988
- [38]Reichel CA Rehberg M Bihari P, Gelatinases mediate neutrophil recruitment in vivo: evidence for stimulus specificity and a critical role in collagen IV remodeling. J Leukoc Biol 2008; 83: 864– 74. 18174361
- [39]Rotondo R Bertolotto M Barisione G, Exocytosis of azurophil and arginase 1-containing granules by activated polymorphonuclear neutrophils is required to inhibit T lymphocyte proliferation. J Leukoc Biol 2011; 89: 721– 7. 21330347
- [40]Pesce JT Liu Z Hamed H, Neutrophils clear bacteria associated with parasitic nematodes augmenting the development of an effective Th2-type response. J Immunol 2008; 180: 464– 74. 18097048 PMC2288648
- [41]Walzog B Jeblonski F Zakrzewicz A, Beta2 integrins (CD11/CD18) promote apoptosis of human neutrophils. Faseb J 1997; 11: 1177– 86. 9367353
- [42]Vulcano M Alves Rosa MF Minnucci F, N-formyl-methionyl-leucyl-phenylalanine (fMLP) inhibits tumour necrosis factor-alpha (TNF-alpha) production on lipopolysaccharide (LPS)-stimulated human neutrophils. Clin Exp Immunol 1998; 113: 39– 47. 9697981 PMC1905013
- [43]Ardi VC Kupriyanova TA Deryugina EI, Human neutrophils uniquely release TIMP-free MMP-9 to provide a potent catalytic stimulator of angiogenesis. Proc Natl Acad Sci USA 2007; 104: 20262– 7. 18077379 PMC2154419
- [44]Kumagai Y Yagishita H Yajima A, Molecular mechanism for connective tissue destruction by dipeptidyl aminopeptidase IV produced by the periodontal pathogen Porphyromonas gingivalis. Infect Immun 2005; 73: 2655– 64. 15845467 PMC1087322
- [45]Yang YN Bauer D Wasmuth S, Matrix metalloproteinases (MMP-2 and 9) and tissue inhibitors of matrix metalloproteinases (TIMP-1 and 2) during the course of experimental necrotizing herpetic keratitis. Exp Eye Res 2003; 77: 227– 37. 12873454
- [46]Hussen J Koy M Petzl W, Neutrophil degranulation differentially modulates phenotype and function of bovine monocyte subsets. Innate Immun 2016; 22: 124– 37. 26644394
- [47]Jhunjhunwala S Aresta-DaSilva S Tang K, Neutrophil responses to sterile implant materials. PloS One 2015; 10: e0137550. 26355958 PMC4565661
- [48]de Oliveira S Rosowski EE Huttenlocher A. Neutrophil migration in infection and wound repair: going forward in reverse. Nat Rev Immunol 2016; 16: 378– 91. 27231052 PMC5367630
- [49]Mohanty T Sjögren J Khan F, A novel mechanism for NETosis provides antimicrobial defense at the oral mucosa. Blood 2015; 126: 2128– 37. 26243777
- [50]Young RE Voisin MB Wang S, Role of neutrophil elastase in LTB4-induced neutrophil transmigration in vivo assessed with a specific inhibitor and neutrophil elastase deficient mice. Br J Pharmacol 2007; 151: 628– 37. 17471175 PMC2013993
- [52]Neeli I Khan SN Radic M. Histone deimination as a response to inflammatory stimuli in neutrophils. J Immunol 2008; 180: 1895– 902. 18209087
- [53]Wartha F Beiter K Normark S, Neutrophil extracellular traps: casting the NET over pathogenesis. Curr Opin Microbiol 2007; 10: 52– 6. 17208512
- [54]Branzk N Lubojemska A Hardison SE, Neutrophils sense microbe size and selectively release neutrophil extracellular traps in response to large pathogens. Nat Immunol 2014; 15: 1017– 25. 25217981 PMC4236687
- [55]Fuchs TA Abed U Goosmann C, Novel cell death program leads to neutrophil extracellular traps. J Cell Biol 2007; 176: 231– 41. 17210947 PMC2063942
- [56]Semeraro F Ammollo CT Morrissey JH, Extracellular histones promote thrombin generation through platelet-dependent mechanisms: involvement of platelet TLR2 and TLR4. Blood 2011; 118: 1952– 61. 21673343 PMC3158722
- [57]McNally AK Anderson JM. Macrophage fusion and multinucleated giant cells of inflammation. Adv Exp Med Biol 2012; 713: 97– 111. 21432016
- [59]Stakos DA Kambas K Konstantinidis T, Expression of functional tissue factor by neutrophil extracellular traps in culprit artery of acute myocardial infarction. Eur Heart J 2015; 36: 1405– 14. 25660055 PMC4458286
- [61]Prince LR Whyte MK Sabroe I, The role of TLRs in neutrophil activation. Curr Opin Pharmacol 2011; 11: 397– 403. 21741310
- [62]Fridlender ZG Sun J Kim S, Polarization of tumor-associated neutrophil phenotype by TGF-beta: “N1” versus “N2” TAN. Cancer Cell 2009; 16: 183– 94. 19732719 PMC2754404
- [63]Mauck RL Burdick JA. From repair to regeneration: biomaterials to reprogram the meniscus wound microenvironment. Ann Biomed Eng 2015; 43: 529– 42. 25650096 PMC4380775
- [64]Maderna P Godson C. Lipoxins: resolutionary road. Br J Pharmacol 2009; 158: 947– 59. 19785661 PMC2785518
- [65]Nakazawa D Shida H Kusunoki Y, The responses of macrophages in interaction with neutrophils that undergo NETosis. J Autoimmun 2016; 67: 19– 28. 26347075
- [66]Guilherme RF Xisto DG Kunkel SL, Pulmonary antifibrotic mechanisms aspirin-triggered lipoxin A(4) synthetic analog. Am J Respir Cell Mol Biol 2013; 49: 1029– 37. 23848293 PMC5459549
- [68]Chiu JB Liu C Hsiao BS, Functionalization of poly(L-lactide) nanofibrous scaffolds with bioactive collagen molecules. J Biomed Mater Res A 2007; 83: 1117– 27. 17593546
- [69]Rockey DC Bell PD Hill JA. Fibrosis–a common pathway to organ injury and failure. N Engl J Med 2015; 372: 1138– 49. 25785971
- [71]Brodbeck WG Voskerician G Ziats NP, In vivo leukocyte cytokine mRNA responses to biomaterials are dependent on surface chemistry. J Biomed Mater Res A 2002; 64: 320– 9. 12522819
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- Authors
- Selders, G. S., Fetz, A. E., Radic, M. Z., & Bowlin, G. L.
- Affiliations
- University of Memphis (US)
- University of Tennessee Health Science Center (US)
- Corresponding author
- Bowlin, Gary L.
- Venue
- Regenerative Biomaterials
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-01-29
- Volume
- 4
- Issue
- 1
- Pages
- 55-68
- ISSN
- 2056-3418 (ISSN-L)
- 2056-3426
- PMC
- PMC5274707
- OpenAlex
- W2580188336
- Cited by
- 538
- References
- 9
- Citations by year
- 2026: 31 · 2025: 63 · 2024: 66 · 2023: 57 · 2022: 59 · 2021: 79 · 2020: 71 · 2019: 62 · 2018: 40 · 2017: 10
- FWCI
- 5.14
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- other-oa
- Locations
- Regenerative Biomaterials (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Neutrophil, Myeloperoxidase and Oxidative Mechanisms
- Health Sciences › Medicine › Rehabilitation › Wound Healing and Treatments
- Life Sciences › Immunology and Microbiology › Immunology › Inflammation biomarkers and pathways
- Keywords
- neutrophils, innate immunity, inflammation, inflammation resolution, neutrophil extracellular traps, respiratory burst, granule release, M2 macrophage differentiation, macrophage recruitment, angiogenesis, tissue regeneration
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