2016
DOI: 10.1093/eurheartj/ehw002
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Neutrophils orchestrate post-myocardial infarction healing by polarizing macrophages towards a reparative phenotype

Abstract: Neutrophils are crucially involved in cardiac repair after MI by polarizing macrophages towards a reparative phenotype. Therapeutic strategies to reduce acute neutrophil-driven inflammation after MI should be carefully balanced as they might interfere with the healing response and cardiac remodelling.

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Cited by 426 publications
(513 citation statements)
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“…Following AMI, the absence of neutrophils led to decreased MerTK expression in the reparatory macrophages, accumulation of apoptotic cells at the site of the infarction, worsened cardiac function, excessive fibrosis and heart failure 18 . These effects could be reversed by intraperitoneal administration of the protein neutrophil gelatinase-associated lipocalin (NGAL), present in the neutrophil secretome, indicating a crucial role of this protein in the neutrophil-macrophage crosstalk in-vivo (18).…”
Section: Nr4a1mentioning
confidence: 99%
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“…Following AMI, the absence of neutrophils led to decreased MerTK expression in the reparatory macrophages, accumulation of apoptotic cells at the site of the infarction, worsened cardiac function, excessive fibrosis and heart failure 18 . These effects could be reversed by intraperitoneal administration of the protein neutrophil gelatinase-associated lipocalin (NGAL), present in the neutrophil secretome, indicating a crucial role of this protein in the neutrophil-macrophage crosstalk in-vivo (18).…”
Section: Nr4a1mentioning
confidence: 99%
“…Neutrophil depletion led to defective efferocytosis due to decreased expression of the efferocytosis receptor myeloid-epithelial-reproductive receptor tyrosine kinase (MerTK) in anti-inflammatory macrophages infiltrating the infarcted myocardium. The inefficient efferocytosis was associated with excessive deposition of collagen fibers both in the infarcted area and in the remote myocardium (18). Thus, neutrophils are instrumental both in the inflammatory and in the reparatory phase by recruiting monocytes and shifting monocyte-to-macrophage polarization in the myocardium towards a reparatory MerTK hi phenotype.…”
mentioning
confidence: 98%
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“…The precise roles of the various cardiac macrophage subsets either in the steady state or after AMI remain largely unknown. Additionally, the macrophages also communicate with other cell types (such as B cells, neutrophils, and mast cells) to exert further local and remote actions in both tissue injury and repair 50,51 . Leukocyte numbers then return to baseline within 2 weeks in both the heart and blood.…”
Section: Acute Myocardial Infarctionmentioning
confidence: 99%
“…They can locate in the injured area and contribute to the formation of a fibrin-based provisional matrix [23]. During the adhesion process, the activated platelets release more potent inflammatory and mitogenic substances into the local microenvironment, thereby altering chemotactic, adhesive and proteolytic properties of endothelial cells (ECs) [24] [22]. Moreover, the platelets can trigger the complement activation and play a role in localizing the inflammatory response in the injured area [25].…”
Section: The Effectors Of the Inflammatory Response Plateletsmentioning
confidence: 99%