Neutrophils are a first line of host defense against
infection
and utilize a series of oxygen-dependent processes to eliminate pathogens.
Research suggests that oxygen availability can improve anti-infective
mechanisms by promoting the formation of reactive oxygen species.
Also, oxygen can synergistically upregulate the antibacterial properties
of certain antibiotics against bacteria by altering their metabolism
and causing an increase in the antibiotic uptake of bacteria. Therefore,
understanding the effects of oxygen availability, as provided via
a biomaterial treatment alone or along with potent antibacterial agents,
on neutrophil functions can lead us to the development of new anti-inflammatory
and anti-infective approaches. However, the study of neutrophil functions in vitro is often limited by their short life span and nonreproducibility,
which suggests the need for cell line-based models as a substitute
for primary neutrophils. Here, we took advantage of the differentiated
human leukemia-60 cell line (HL-60), as an in vitro neutrophil model, to test the effects of local oxygen and antibacterial
delivery by fluorinated methacrylamide chitosan (MACF) hydrogels incorporated
with polyhexamethylene biguanide (PHMB) antibacterial agent. Considering
the natural modes of neutrophil actions to combat bacteria, we studied
the impact of our dual functioning oxygenating-antibacterial platforms
on neutrophil phagocytosis and antibacterial properties as well as
the formation of neutrophil extracellular traps (NETs) and reactive
oxygen species (ROS). Our results demonstrated that supplemental oxygen
and antibacterial delivery from MACF–PHMB hydrogel platforms
upregulated neutrophil antibacterial properties and ROS production.
NET formation by neutrophils upon treatment with MACF and PHMB varied
when chemical and biological stimuli were used. Overall, this study
presents a model to study immune responses in vitro and lays the foundation for future studies to investigate if similar
responses also occur in vivo.