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Updated: Oct 7, 2025

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Published on: January 3, 2025
Neutrophils-From Bone Marrow to First-Line Defense of the Innate Immune System
Richard Felix Kraus1, Michael Andreas Gruber1
1Department of Anesthesiology, University Medical Center Regensburg, Regensburg, Germany.
Abstract:
Neutrophils (polymorphonuclear cells; PMNs) form a first line of defense against pathogens and are therefore an important component of the innate immune response. As a result of poorly controlled activation, however, PMNs can also mediate tissue damage in numerous diseases, often by increasing tissue inflammation and injury. According to current knowledge, PMNs are not only part of the pathogenesis of infectious and autoimmune diseases but also of conditions with disturbed tissue homeostasis such as trauma and shock. Scientific advances in the past two decades have changed the role of neutrophils from that of solely immune defense cells to cells that are responsible for the general integrity of the body, even in the absence of pathogens. To better understand PMN function in the human organism, our review outlines the role of PMNs within the innate immune system. This review provides an overview of the migration of PMNs from the vascular compartment to the target tissue as well as their chemotactic processes and illuminates crucial neutrophil immune properties at the site of the lesion. The review is focused on the formation of chemotactic gradients in interaction with the extracellular matrix (ECM) and the influence of the ECM on PMN function. In addition, our review summarizes current knowledge about the phenomenon of bidirectional and reverse PMN migration, neutrophil microtubules, and the microtubule organizing center in PMN migration. As a conclusive feature, we review and discuss new findings about neutrophil behavior in cancer environment and tumor tissue.
Insights
Neutrophils, or polymorphonuclear cells (PMNs), are key innate immune cells. This review details their migration, function, and roles in disease and tissue homeostasis, including new cancer insights.
Area of Science:
- Immunology
- Cell Biology
Background:
- Neutrophils (polymorphonuclear cells; PMNs) are crucial for innate immunity against pathogens.
- Dysregulated PMN activation contributes to tissue damage in various diseases, including infectious, autoimmune, trauma, and shock conditions.
- Recent research redefines neutrophils' role beyond pathogen defense to maintaining general body integrity.
Purpose of the Study:
- To review the multifaceted role of neutrophils (PMNs) within the innate immune system.
- To elucidate PMN migration, chemotaxis, and immune functions at inflammatory sites.
- To explore novel aspects of PMN behavior in cancer and tumor microenvironments.
Main Methods:
- Literature review focusing on neutrophil migration, extracellular matrix interactions, and chemotactic gradient formation.
- Analysis of bidirectional and reverse PMN migration mechanisms.
- Synthesis of current knowledge on neutrophil microtubules and their organizing centers.
- Review of recent findings on neutrophils in cancer contexts.
Main Results:
- PMNs migrate from vasculature to tissues, guided by chemotactic gradients influenced by the extracellular matrix (ECM).
- The ECM significantly impacts PMN function and migration dynamics.
- Bidirectional/reverse migration and the role of neutrophil microtubules are critical for PMN homing.
- Neutrophils exhibit complex behaviors within the tumor microenvironment.
Conclusions:
- Neutrophils are vital immune cells with complex roles extending to tissue homeostasis and disease pathogenesis.
- Understanding PMN migration and ECM interactions is key to modulating their function.
- Emerging research highlights neutrophils' significant involvement in cancer progression and immunity.
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