PMID- 33124967 OWN - NLM STAT- MEDLINE DCOM- 20210826 LR - 20240330 IS - 2162-1918 (Print) IS - 2162-1934 (Electronic) IS - 2162-1918 (Linking) VI - 9 IP - 12 DP - 2020 Dec TI - Systemic Delivery of Anti-Integrin alphaL Antibodies Reduces Early Macrophage Recruitment, Inflammation, and Scar Formation in Murine Burn Wounds. PG - 637-648 LID - 10.1089/wound.2019.1035 [doi] AB - Objective: Increased macrophage recruitment in the early stages of wound healing leads to an excessive inflammatory response associated with elevated fibrosis and scarring. This recruitment relies upon integrins on the surface of monocytes that regulate their migration and extravasation from the circulation into the wound site, where they differentiate into macrophages. The aim of this study was to determine if inhibiting monocyte extravasation from the circulation into burns would reduce macrophages numbers in burns and lead to reduced inflammation and scar formation. Approach: Scald burns were created on mice and treated with integrin alpha L (alphaL) function blocking antibody via intravenous delivery day 1 after injury. The effect of inhibiting macrophage recruitment into the burn was assessed using macro- and microscopic wound parameters as well as immunohistochemistry for inflammatory cell markers, cytokines, and collagen deposition. Results: Burn wound-associated macrophages were reduced by 54.7% at day 3 following treatment with integrin alphaL antibody, with levels returning to normal by day 7. This reduction in macrophages led to a concomitant reduction in inflammatory mediators, including tumor necrosis factor-alpha (TNFalpha) and Il-10 as well as a reduction in proscarring transforming growth factor beta 1 (TGFbeta1). This reduced inflammatory response was also associated with less alpha smooth muscle actin (alphaSMA) expression and an overall trend toward reduced scar formation with a lower collagen I/III ratio. Innovation: Treatment of burns with integrin alphaL function blocking antibodies reduces inflammation in burn wounds. Conclusion: These results suggest that reducing macrophage infiltration into burn wounds may lead to a reduced early inflammatory response and less scar formation following burn injury. FAU - Strudwick, Xanthe L AU - Strudwick XL AD - Future Industries Institute, University of South Australia, Adelaide, South Australia, Australia. FAU - Adams, Damian H AU - Adams DH AD - Future Industries Institute, University of South Australia, Adelaide, South Australia, Australia. FAU - Pyne, Natasha T AU - Pyne NT AD - Centre for Cancer Biology, University of South Australia, Adelaide, South Australia, Australia. FAU - Samuel, Michael S AU - Samuel MS AD - Centre for Cancer Biology, University of South Australia, Adelaide, South Australia, Australia. AD - Faculty of Health and Medical Sciences, School of Medicine, University of Adelaide, Adelaide, South Australia, Australia. FAU - Murray, Rachael Z AU - Murray RZ AD - Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia. FAU - Cowin, Allison J AU - Cowin AJ AD - Future Industries Institute, University of South Australia, Adelaide, South Australia, Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200128 PL - United States TA - Adv Wound Care (New Rochelle) JT - Advances in wound care JID - 101590593 RN - 0 (Antibodies, Monoclonal) RN - 0 (CD11a Antigen) RN - 0 (Inflammation Mediators) RN - 0 (Transforming Growth Factor beta1) RN - 0 (Tumor Necrosis Factor-alpha) RN - 9007-34-5 (Collagen) SB - IM MH - Animals MH - Antibodies, Monoclonal/*pharmacology MH - Burns/*drug therapy/pathology MH - CD11a Antigen/*immunology MH - Cicatrix/prevention & control MH - Collagen/drug effects/metabolism MH - Fibrosis/drug therapy MH - Humans MH - Inflammation/prevention & control MH - Inflammation Mediators MH - Macrophages/*drug effects/metabolism MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Transforming Growth Factor beta1/drug effects/metabolism MH - Tumor Necrosis Factor-alpha/drug effects/metabolism MH - Wound Healing/*drug effects PMC - PMC7698651 OTO - NOTNLM OT - TGFbeta1 OT - TNFalpha OT - burns OT - integrin OT - macrophage COIS- No competing financial interests exist. The content of this article was expressly written by the author(s) listed. No ghostwriters were used to write this article. EDAT- 2020/10/31 06:00 MHDA- 2021/08/27 06:00 PMCR- 2021/12/01 CRDT- 2020/10/30 12:09 PHST- 2020/10/30 12:09 [entrez] PHST- 2020/10/31 06:00 [pubmed] PHST- 2021/08/27 06:00 [medline] PHST- 2021/12/01 00:00 [pmc-release] AID - 10.1089/wound.2019.1035 [pii] AID - 10.1089/wound.2019.1035 [doi] PST - ppublish SO - Adv Wound Care (New Rochelle). 2020 Dec;9(12):637-648. doi: 10.1089/wound.2019.1035. Epub 2020 Jan 28.