Dynamics of neutrophil infiltration during cutaneous wound healing and infection using fluorescence imaging

Min-Ho Kim1, Wei Liu, Dori L Borjesson

  • 1Department of Biomedical Engineering, University of California at Davis, Davis, California 95616, USA.

Insights

Neutrophil influx into wounds is crucial for healing. This study used real-time imaging to track enhanced green fluorescence protein-polymorphonuclear leukocytes (EGFP-PMNs), revealing how infection and growth factors impact their recruitment and wound closure.

Area of Science:

  • Wound healing research
  • Inflammation and immunology
  • Biomedical imaging techniques

Background:

  • Neutrophil influx is a critical early inflammatory response in cutaneous wound healing.
  • Efficient clearance of bacteria and debris by neutrophils is essential for proper wound repair.
  • Understanding neutrophil dynamics is key to optimizing wound healing outcomes.

Purpose of the Study:

  • To develop a non-invasive real-time fluorescence imaging technique for examining neutrophil kinetics in wounds.
  • To investigate the hypothesis that infection or systemic factors regulate neutrophil recruitment and wound closure efficiency.
  • To quantify neutrophil influx and turnover rates during the wound healing process.

Main Methods:

  • Development of a non-invasive real-time fluorescence imaging technique.
  • Utilized enhanced green fluorescence protein-polymorphonuclear leukocytes (EGFP-PMNs) to track neutrophil migration.
  • Induced wound colonization with Staphylococcus aureus or administered GM-CSF to modulate systemic inflammation.
  • Monitored EGFP-PMN influx, turnover, and wound closure rates over time.

Main Results:

  • Neutrophil recruitment peaked at approximately 5 x 10^6 EGFP-PMNs at 18 hours post-wounding.
  • A rapid EGFP-PMN turnover was observed, with an 80% signal decrease within 6 hours.
  • Wound colonization or GM-CSF administration doubled systemic PMNs and increased wound EGFP-PMN recruitment up to 10^7.
  • Despite increased neutrophil influx, wound closure rates remained similar to controls.

Conclusions:

  • Non-invasive fluorescence imaging provides dynamic insights into neutrophil infiltration during wound healing.
  • While infection and systemic factors increase neutrophil recruitment, they do not accelerate wound closure in this model.
  • The developed imaging approach offers a valuable tool for studying inflammatory responses in vivo.

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