Neutrophil recruitment is vital for host defense, but also relevant in pathological inflammatory reactions such as sepsis. Model systems have been established to examine different steps of the leukocyte recruitment cascade in vivo and in vitro under inflammatory conditions. Recently, tissue-specific recruitment patterns have come into focus, requiring modification of formerly generalized assumptions. The aim of this review is to summarize existing models of neutrophil recruitment and to point out recent discoveries in organ-specific recruitment patterns. New techniques show that previously-stated assumptions of integrin activation and tissue invasion may need revision. Similarly, neutrophil recruitment to specific organs can rely on different organ properties, adhesion molecules and chemokines. To advance our understanding of neutrophil recruitment, organ-specific intravital microscopy methods are needed.
The Classical Neutrophil Recruitment Cascade: A Time for RevisionInflammatory reactions involve the recruitment of a wide variety of cells to sites of action. This generates a local inflammatory response necessary to tackle pathogen invasion, or an overshooting inflammatory reaction resulting in unwanted organ damage, such as in septic patients [1]. In each case, neutrophils play a key role. The tightly regulated recruitment of these polymorphonuclear cells has been a matter of research for many years, ultimately resulting in a mammalian model of step-wise leukocyte recruitment, i.e. the leukocyte recruitment cascade [2] (Box 1). In this generalized model, neutrophils exit free flow within the circulation, interact with vessel walls, roll along the activated endothelium, and firmly adhere to the endothelium. This is followed by a slower motion of the cells, termed