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Prepublished online as a Blood First Edition Paper on August 15, 2002; DOI 10.1182/blood-2002-03-0921.

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Submitted March 25, 2002
Accepted August 6, 2002

Early macrophage influx to sites of cutaneous granuloma formation is dependent on MIP-1{alpha}/ß released from neutrophils recruited by mast cell-derived TNF{alpha}

Esther von Stebut, Martin Metz, Genevieve Milon, Juergen Knop, and Marcus Maurer*

Department of Dermatology, Johannes Gutenberg University, Mainz, Germany
Unite d'Immunophysiologie et Parasitisme Intracellulaire, Institut Pasteur, Paris, France

* Corresponding author; email: maurer{at}hautklinik.klinik.uni-mainz.de.

Macrophages (M{Phi}) play a crucial role in the development of cutaneous granulomas (CG) initiated by foreign bodies or invasive microorganisms. However, little is known about how M{Phi} are recruited to sites of CG formation. To test whether mast cells (MC) contribute to early M{Phi} recruitment to developing granulomas, CG were induced in MC-deficient KitW/KitW-v mice by injection of polyacrylamide gel (PAG). KitW/KitW-v mice as well as mice deficient for the MC-product TNF{alpha} exhibited markedly reduced M{Phi} numbers in CG. M{Phi} recruitment was restored in KitW/KitW-v mice reconstituted with MC from Kit+/+ or TNF{alpha}+/+, but not from TNF{alpha}-/- mice. MC-TNF{alpha}-dependent M{Phi} influx required prior recruitment of MIP-1{alpha}/ß-producing neutrophils (PMN), as PMN-depletion before induction of CG completely inhibited M{Phi} influx, which was restored after reconstitution with PMN-supernatants. These findings indicate that M{Phi} recruitment to cutaneous PAG-induced granulomas is the result of a sequence of inflammatory events initiated by MC-derived TNF{alpha} followed by PMN influx and MIP-1{alpha}/ß release.


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