Abstract

BackgroundFrustrated phagocytosis has been stated as an important factor in the initiation of an inflammatory response after fibre exposure. The length of fibrous structures has been linked to the potential of fibres to induce adverse health effects for at least 40 years. However, we only recently reported for the first time the threshold length for fibre-induced inflammation in the pleural space and we implicated frustrated phagocytosis in the pro-inflammatory effects of long fibres. This study extends the examination of the threshold value for frustrated phagocytosis using well-defined length classes of silver nanowires (AgNW) ranging from 3–28 μm and describes in detail the morphology of frustrated phagocytosis using a novel technique and also describes compartmentalisation of fibres in the pleural space.MethodsA novel technique, backscatter scanning electron microscopy (BSE) was used to study frustrated phagocytosis since it provides high-contrast detection of nanowires, allowing clear discrimination between the nanofibres and other cellular features. A human monocyte-derived macrophage cell line THP-1 was used to investigate cell-nanowire interaction in vitro and the parietal pleura, the site of fibre retention after inhalation exposure was chosen to visualise the cell- fibre interaction in vivo after direct pleural installation of AgNWs.ResultsThe length cut-off value for frustrated phagocytosis differs in vitro and in vivo. While in vitro frustrated phagocytosis could be observed with fibres ≥14 μm, in vivo studies showed incomplete uptake at a fibre length of ≥10 μm. Recently we showed that inflammation in the pleural space after intrapleural injection of the same nanofibre panel occurs at a length of ≥5 μm. This onset of inflammation does not correlate with the onset of frustrated phagocytosis as shown in this study, leading to the conclusion that intermediate length fibres fully enclosed within macrophages as well as frustrated phagocytosis are associated with a pro-inflammatory state in the pleural space. We further showed that fibres compartmentalise in the mesothelial cells at the parietal pleura as well as in inflammatory cells in the pleural space.ConclusionBSE is a useful way to clearly distinguish between fibres that are, or are not, membrane-bounded. Using this method we were able to show differences in the threshold length at which frustrated phagocytosis occurred between in vitro and in vivo models. Visualising nanowires in the pleura demonstrated at least 2 compartments – in leukocyte aggregations and in the mesothelium - which may have consequences for long term pathology in the pleural space including mesothelioma.

Highlights

  • Frustrated phagocytosis has been stated as an important factor in the initiation of an inflammatory response after fibre exposure

  • The membrane integrity via the release of lactate dehydrogenase (LDH) into the supernatant and cell proliferation of the THP-1 cells after 24 hour treatment; AgNW28 caused a significant decrease in membrane integrity and loss of proliferation and metabolic activity (Figure 3A,B)

  • Frustrated phagocytosis was observed after treatment with AgNW14 and AgNW28

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Summary

Introduction

Frustrated phagocytosis has been stated as an important factor in the initiation of an inflammatory response after fibre exposure. We only recently reported for the first time the threshold length for fibre-induced inflammation in the pleural space and we implicated frustrated phagocytosis in the pro-inflammatory effects of long fibres. That is the likelihood that a fibre penetrates the respiratory tract beyond the ciliated airways [3] where most damage is likely to occur, whilst biopersistence determines whether the fibre will retain its structure integrity i.e. fibrous shape, during residence in the lung. Short fibres are not pathogenic in the fibre sense, they may have harmful effects as particles, whilst long fibres do cause fibre-type pathogenicity; this length-dependent pathogenicity has been demonstrated in numerous studies in vivo [6,7,8] and in vitro [9,10,11]

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