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Publication : Catecholamine stress alters neutrophil trafficking and impairs wound healing by β2-adrenergic receptor-mediated upregulation of IL-6.

First Author  Kim MH Year  2014
Journal  J Invest Dermatol Volume  134
Issue  3 Pages  809-817
PubMed ID  24121404 Mgi Jnum  J:206071
Mgi Id  MGI:5547859 Doi  10.1038/jid.2013.415
Citation  Kim MH, et al. (2014) Catecholamine Stress Alters Neutrophil Trafficking and Impairs Wound Healing by beta2-Adrenergic Receptor-Mediated Upregulation of IL-6. J Invest Dermatol 134(3):809-17
abstractText  Stress-induced hormones can alter the inflammatory response to tissue injury; however, the precise mechanism by which epinephrine influences inflammatory response and wound healing is not well defined. Here we demonstrate that epinephrine alters the neutrophil (polymorphonuclear leukocyte (PMN))-dependent inflammatory response to a cutaneous wound. Using noninvasive real-time imaging of genetically tagged PMNs in a murine skin wound, chronic, epinephrine-mediated stress was modeled by sustained delivery of epinephrine. Prolonged systemic exposure of epinephrine resulted in persistent PMN trafficking to the wound site via an IL-6-mediated mechanism, and this in turn impaired wound repair. Further, we demonstrate that beta2-adrenergic receptor-dependent activation of proinflammatory macrophages is critical for epinephrine-mediated IL-6 production. This study expands our current understanding of stress hormone-mediated impairment of wound healing and provides an important mechanistic link to explain how epinephrine stress exacerbates inflammation via increased number and lifetime of PMNs.
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