Abstract

Exposure to pro-inflammatory cytokines, chemokines, mitochondrial contents, and bacterial and viral products induces neutrophils to transition from a basal state into a primed one, which is currently defined as an enhanced response to activating stimuli. Although, typically associated with enhanced generation of reactive oxygen species (ROS) by the NADPH oxidase, primed neutrophils show enhanced responsiveness of exocytosis, NET formation, and chemotaxis. Phenotypic changes associated with priming also include activation of a subset of functions, including adhesion, transcription, metabolism, and rate of apoptosis. This review summarizes the breadth of phenotypic changes associated with priming and reviews current knowledge of the molecular mechanisms behind those changes. We conclude that the current definition of priming is too restrictive. Priming represents a combination of enhanced responsiveness and activated functions that regulate both adaptive and innate immune responses.

Highlights

  • Polymorphonuclear leukocytes, or neutrophils, account for 40–60% of peripheral blood leukocytes in humans (Summers et al, 2010)

  • Secretory vesicles are created by endocytosis, while gelatinase, specific, and azurophilic granules are formed from the trans-Golgi network during neutrophil maturation (Borregaard, 2010)

  • Direct activation of neutrophils by fMLF does not lead to the detectable release of leukotrienes, but priming with GMCSF, LPS, or TNFα followed by fMLF stimulation significantly increases leukotriene B4 (LTB4) release

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Summary

Multiple Phenotypic Changes Define Neutrophil Priming

Exposure to pro-inflammatory cytokines, chemokines, mitochondrial contents, and bacterial and viral products induces neutrophils to transition from a basal state into a primed one, which is currently defined as an enhanced response to activating stimuli. Typically associated with enhanced generation of reactive oxygen species (ROS) by the NADPH oxidase, primed neutrophils show enhanced responsiveness of exocytosis, NET formation, and chemotaxis. Phenotypic changes associated with priming include activation of a subset of functions, including adhesion, transcription, metabolism, and rate of apoptosis. This review summarizes the breadth of phenotypic changes associated with priming and reviews current knowledge of the molecular mechanisms behind those changes. We conclude that the current definition of priming is too restrictive. Priming represents a combination of enhanced responsiveness and activated functions that regulate both adaptive and innate immune responses.

INTRODUCTION
Neutrophil Priming
Respiratory Burst Activity
Neutrophil Granule Release
Inflammatory Mediators
Microbial Products
Secretion of Lipid and Cytokine Mediators
Release of Neutrophil Extracellular Vesicles
Rate of Apoptosis
Findings
CONCLUSIONS
Full Text
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