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Updated: Jul 27, 2026

Direct Observation of Phagocytosis and NET-formation by Neutrophils in Infected Lungs using 2-photon Microscopy
Published on: June 2, 2011
Neutrophil phagocytosis during endotoxin-induced lung injury
1Department of Surgery, University of Washington, Seattle.
Unlabelled:
Depressed neutrophil (PMN) phagocytosis in patients with ARDS may contribute to the known increased incidence of pulmonary sepsis. To evaluate changes in phagocytosis, circulating PMNs from normal rats were compared to circulating and alveolar PMNs (obtained by bronchoalveolar lavage, BAL) from rats after 72 hr of endotoxin infusion (LPS-Rx)-induced acute lung injury. Since phagocytosis correlates with adherence, PMN adherence to coverslips and to a standard nylon wool column was also measured. PMN adherence to nylon wool was 65% for control, 77% for circulating LPS-Rx, and 20% for BAL PMNs. As a measure of phagocytosis the PMNs were incubated for 30 min with opsonized fluorescent (FITC) tagged yeast. Total PMN with yeast were 95.4 +/- 2.1% for control; 96.4 +/- 1.8% for circulating LPS-Rx; and 78.7 +/- 7.8% (P less than 0.05 compared to control) for BAL PMNs. Total numbers of yeast particles per 100 PMN are 270 +/- 64 for control, 300 +/- 42 for circulating LPS-Rx, and 170 +/- 45 (P less than 0.05 compared to control) for BAL PMN.
Conclusions:
(1) Intraalveolar (BAL) PMNs have decreased adherence; (2) nonadherent PMNs have decreased uptake of yeast; (3) BAL PMNs, overall, have a significantly decreased uptake of yeast; (4) this depression in BAL PMN phagocytosis may partially explain the known decreased rate of bacterial clearance in injured lungs and the increased risk of pulmonary sepsis with adult respiratory distress syndrome.
Insights
Neutrophil phagocytosis is impaired in acute lung injury (ALI), potentially increasing sepsis risk. Alveolar neutrophils in endotoxin-induced ALI show reduced adherence and yeast uptake, contributing to impaired bacterial clearance.
Area of Science:
- Immunology
- Pulmonary Medicine
- Cell Biology
Background:
- Neutrophil (PMN) dysfunction, particularly reduced phagocytosis, is implicated in the heightened susceptibility to pulmonary sepsis observed in patients with acute respiratory distress syndrome (ARDS).
- Understanding the specific mechanisms of PMN impairment in ARDS is crucial for developing targeted therapies to improve outcomes.
Purpose of the Study:
- To investigate alterations in neutrophil phagocytosis and adherence in a rat model of acute lung injury induced by endotoxin infusion.
- To compare the functional capacity of circulating neutrophils versus neutrophils isolated from the alveolar space in rats with endotoxin-induced lung injury.
Main Methods:
- Neutrophils were isolated from the circulation and bronchoalveolar lavage (BAL) fluid of rats subjected to 72 hours of endotoxin (LPS-Rx) infusion.
- Neutrophil adherence was assessed using a nylon wool column, and phagocytosis was measured by incubating neutrophils with opsonized, fluorescently tagged yeast particles.
- Flow cytometry was used to quantify the percentage of neutrophils ingesting yeast and the number of yeast particles per neutrophil.
Main Results:
- Neutrophil adherence to nylon wool was significantly reduced in BAL neutrophils (20%) compared to circulating neutrophils (77%) from LPS-Rx rats and control rats (65%).
- Phagocytosis of yeast was significantly decreased in BAL neutrophils, with fewer neutrophils ingesting yeast (78.7%) and a lower number of yeast particles per 100 neutrophils (170) compared to control (95.4% and 270, respectively).
- Circulating neutrophils from LPS-Rx rats showed phagocytic capacity comparable to control neutrophils.
Conclusions:
- Intra-alveolar neutrophils (BAL PMNs) exhibit diminished adherence and significantly reduced phagocytic capacity for yeast in a rat model of acute lung injury.
- These functional deficits in alveolar neutrophils may contribute to the impaired bacterial clearance and increased risk of pulmonary sepsis associated with ARDS.
- The findings highlight a potential mechanism underlying the increased incidence of secondary infections in critically ill patients with lung injury.
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