PMID- 31519647 OWN - NLM STAT- MEDLINE DCOM- 20200814 LR - 20201224 IS - 2473-9537 (Electronic) IS - 2473-9529 (Print) IS - 2473-9529 (Linking) VI - 3 IP - 18 DP - 2019 Sep 24 TI - Neutrophil and monocyte kinetics play critical roles in mouse peritoneal adhesion formation. PG - 2713-2721 LID - 10.1182/bloodadvances.2018024026 [doi] AB - Peritoneal adhesions are pathological fibroses that ensnare organs after abdominal surgery. This dense connective tissue can cause small bowel obstruction, female infertility, and chronic abdominal pain. The pathogenesis of adhesions is a fibrotic response to tissue damage coordinated between mesothelial cells, fibroblasts, and immune cells. We have previously demonstrated that peritoneal adhesions are a consequence of mechanical injury to the mesothelial layer sustained during surgery. Neutrophils are among the first leukocytes involved in the early response to tissue damage. Here, we show that when subjected to mechanical stress, activated mesothelial cells directly recruit neutrophils and monocytes through upregulation of chemokines such as CXCL1 and monocyte chemoattractant protein 1 (MCP-1). We find that neutrophils within the adhesion sites undergo cell death and form neutrophil extracellular traps (NETosis) that contribute to pathogenesis. Conversely, tissue-resident macrophages were profoundly depleted throughout the disease time course. We show that this is distinct from traditional inflammatory kinetics such as after sham surgery or chemically induced peritonitis, and suggest that adhesions result from a primary difference in inflammatory kinetics. We find that transient depletion of circulating neutrophils significantly decreases adhesion burden, and further recruitment of monocytes with thioglycolate or MCP-1 also improves outcomes. Our findings suggest that the combination of neutrophil depletion and monocyte recruitment is sufficient to prevent adhesion formation, thus providing insight for potential clinical interventions. CI - (c) 2019 by The American Society of Hematology. FAU - Tsai, Jonathan M AU - Tsai JM AUID- ORCID: 0000-0001-5868-2305 AD - Institute for Stem Cell Biology and Regenerative Medicine and. AD - Department of Developmental Biology, School of Medicine, Stanford University, Stanford, CA. AD - Department of Pathology, Brigham and Women's Hospital, Boston, MA. FAU - Shoham, Maia AU - Shoham M AUID- ORCID: 0000-0003-4599-1015 AD - Institute for Stem Cell Biology and Regenerative Medicine and. FAU - Fernhoff, Nathaniel B AU - Fernhoff NB AD - Institute for Stem Cell Biology and Regenerative Medicine and. FAU - George, Benson M AU - George BM AUID- ORCID: 0000-0003-4031-0954 AD - Institute for Stem Cell Biology and Regenerative Medicine and. FAU - Marjon, Kristopher D AU - Marjon KD AD - Institute for Stem Cell Biology and Regenerative Medicine and. FAU - McCracken, Melissa N AU - McCracken MN AD - Institute for Stem Cell Biology and Regenerative Medicine and. FAU - Kao, Kevin S AU - Kao KS AD - Institute for Stem Cell Biology and Regenerative Medicine and. FAU - Sinha, Rahul AU - Sinha R AUID- ORCID: 0000-0001-7511-0798 AD - Institute for Stem Cell Biology and Regenerative Medicine and. FAU - Volkmer, Anne Kathrin AU - Volkmer AK AD - Department of Gynecology and Obstetrics, University Hospital Dusseldorf, Dusseldorf, Germany. FAU - Miyanishi, Masanori AU - Miyanishi M AD - Center for Developmental Biology, RIKEN, Kobe, Japan. FAU - Seita, Jun AU - Seita J AUID- ORCID: 0000-0002-3008-3615 AD - AI based Healthcare and Medical Data Analysis Standardization Unit, Medical Sciences Innovation Hub Program, RIKEN, Tokyo, Japan; and. FAU - Rinkevich, Yuval AU - Rinkevich Y AD - Comprehensive Pneumology Center, Institute of Lung Biology and Disease, Helmholtz Zentrum Munchen, Member of the German Center for Lung Research, Munich, Germany. FAU - Weissman, Irving L AU - Weissman IL AD - Institute for Stem Cell Biology and Regenerative Medicine and. AD - Department of Developmental Biology, School of Medicine, Stanford University, Stanford, CA. LA - eng GR - T32 GM007365/GM/NIGMS NIH HHS/United States GR - F32 HL115963/HL/NHLBI NIH HHS/United States GR - U01 HL099999/HL/NHLBI NIH HHS/United States GR - F30 DK108561/DK/NIDDK NIH HHS/United States GR - T32 DK098132/DK/NIDDK NIH HHS/United States GR - R01 HL058770/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Blood Adv JT - Blood advances JID - 101698425 SB - IM MH - Animals MH - Female MH - Humans MH - Mice MH - Monocytes/*metabolism MH - Neutrophils/*metabolism MH - Tissue Adhesions/*metabolism PMC - PMC6759736 COIS- Conflict-of-interest disclosure: J.M.T., N.B.F., Y.R., R.S., M.N.M., and I.L.W. have applied for patents on these topics. The remaining authors declare no competing financial interests. EDAT- 2019/09/15 06:00 MHDA- 2020/08/15 06:00 PMCR- 2019/09/13 CRDT- 2019/09/15 06:00 PHST- 2018/07/25 00:00 [received] PHST- 2019/07/28 00:00 [accepted] PHST- 2019/09/15 06:00 [entrez] PHST- 2019/09/15 06:00 [pubmed] PHST- 2020/08/15 06:00 [medline] PHST- 2019/09/13 00:00 [pmc-release] AID - bloodadvances.2018024026 [pii] AID - 2018/024026 [pii] AID - 10.1182/bloodadvances.2018024026 [doi] PST - ppublish SO - Blood Adv. 2019 Sep 24;3(18):2713-2721. doi: 10.1182/bloodadvances.2018024026.