Mechanisms of the anti-inflammatory effects of hydroxyethyl starch demonstrated in a flow-based model of neutrophil recruitment by endothelial cells.

Objective: To determine whether plasma volume expander hydroxyethyl starch (HES) may protect against reperfusion injury through an ability to reduce neutrophil recruitment.

Design: An in vitro study using paired comparisons of adhesion of flowing neutrophils.

Setting: A collaboration between clinical and basic science departments in a university hospital.

Effects of disturbed flow on endothelial cell function: Pathogenic implications of modified leukocyte recruitment.

Numerous studies have shown that intracellular signalling, transcription factor activation and gene expression in endothelial cells are modulated by the magnitude and patterns of shear stress to which they are exposed. Although these responses suggest that the haemodynamic environment will consequently modulate the ability of the endothelial cells to support leukocyte recruitment as part of an inflammatory response, direct evidence is quite sparse. It seems that disturbances of flow (such as local spatial or temporal variation or sudden cessation) are likely to be pathogenic co-factors, combined with mediators such as cytokines, oxidised lipids or hypoxia, in conditions such as atherosclerosis, post-surgical intimal hyperplasia and ischaemia/reperfusion injury.

Identification of a phenotypically and functionally distinct population of long-lived neutrophils in a model of reverse endothelial migration.

Recent studies have demonstrated that neutrophils are not a homogenous population of cells. Here, we have identified a subset of human neutrophils with a distinct profile of cell-surface receptors [CD54(high), CXC chemokine receptor 1(low) (CXCR1(low))], which represent cells that have migrated through an endothelial monolayer and then re-emerged by reverse transmigration (RT). RT neutrophils, when in contact with endothelium, were rescued from apoptosis, demonstrate functional priming, and were rheologically distinct from neutrophils that had not undergone transendothelial migration.

Differing mechanisms of leukocyte recruitment and sensitivity to conditioning by shear stress for endothelial cells treated with tumour necrosis factor-alpha or interleukin-1beta.

The cytokines tumour necrosis factor-alpha (TNFalpha) and interleukin-1beta (IL-1B) induce endothelial cells to recruit leukocytes. However, the exact adhesion and activation mechanisms induced by each cytokine, and their relative sensitivities to modulation by endothelial exposure to shear stress remain unclear. We cultured human umbilical vein endothelial cells (HUVEC) in glass capillaries at various shear stresses, with TNFalpha or IL-1B added for the last 4 h.