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Neutrophils have long been viewed as short-lived effector cells of the innate immune system, with a primary role in resistance against extracellular pathogens and in acute inflammation. Neutrophils express a vast repertoire of pattern recognition receptors and in response to signals undergo functional reprogramming. In addition to classical antimicrobial molecules (such as reactive oxygen intermediates), the effector repertoire of neutrophils includes an array of cytokines and chemokines, components of the humoral arm of innate immunity (such as pentraxin 3) and the formation of neutrophil extracellular traps. Thus, the participation of these 'unsung heroes' to mechanisms of innate resistance goes well beyond the production of microorganism- and tissue-damaging molecules, to include a diverse, highly regulated, customized production of cytokines and antibody-like soluble pattern recognition molecules, as well as the release of neutrophil extracellular traps. Once recruited into tissues, neutrophils engage in complex bidirectional interactions with macrophages, mesenchymal stem cells, dendritic cells, natural killer cells, and B and T cells. In particular, neutrophils contribute to the activation, orientation and expression of adaptive immune responses. Given their role as a component of innate and adaptive responses, it is not surprising that neutrophils have emerged as important players in the pathogenesis of numerous disorders, including infection caused by intracellular pathogens, autoimmunity, chronic inflammation and cancer. These new perspectives raise the issue of targeting neutrophils as a therapeutic strategy in immunopathology.
Nature Reviews Immunology – Springer Journals
Published: Jul 25, 2011
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