A kinetic model of bone marrow neutrophil production that characterizes late phenotypic maturation.
Acute inflammatory stimuli rapidly mobilize neutrophils from the bone marrow by shortening postmitotic maturation time and releasing younger neutrophils; however, the kinetics of this change in maturation time remains unknown. We propose a kinetic model that examines the rate of change in neutrophil average age at exit from the bone marrow during active mobilization to quantify this response and use this model to examine the temporal profile of late neutrophil phenotypic maturation. Total and CD10(-)/CD16(low) circulating neutrophils were quantified in cardiac surgery patients during extracorporeal circulation (ECC). Net growth in the circulating neutrophil pool occurred during the procedural (0.04 +/- 0.02 x 10(9) x l(-1) x min(-1)), warming (0.14 +/- 0.02 x 10(9) x l(-1) x min(-1)), and weaning (0.12 +/- 0.06 x 10(9) x l(-1) x min(-1)) phases of ECC. When applied to our differential equation mathematical model, these results predict that neutrophil average age at exit from the bone marrow decreased continually during ECC, resulting in average neutrophil release 8.44 +/- 2.20 h earlier during the weaning phase than at the beginning of ECC sampling. Modeling of concurrent changes in CD10(-)/CD16(low) neutrophil numbers indicates that CD10 expression is directly related to neutrophil mean age and predicts that the proportion of mobilizable postmitotic neutrophils that are CD10(+) increases from 64 to 81% during these sampled 8.4 h of maturation.
Orr
Yishay
Y
Department of Haematology, Prince of Wales Hospital, and Centre for Vascular Research, School of Medical Sciences, The University of New South Wales, Anzac Parade, Kensington, NSW, Australia.
Wilson
David P
DP
Taylor
Jude M
JM
Bannon
Paul G
PG
Geczy
Carolyn
C
Davenport
Miles P
MP
Kritharides
Leonard
L
D001853:Bone Marrow / Q000276:immunology / Q000378:metabolism; D001854:Bone Marrow Cells / Q000276:immunology* / Q000378:metabolism; D001026:Coronary Artery Bypass; D006801:Humans; D007700:Kinetics; D008954:Models, Biological; D015233:Models, Statistical; D015260:Neprilysin / Q000097:blood; D009504:Neutrophils / Q000276:immunology* / Q000378:metabolism; D017452:Receptors, IgG / Q000097:blood; D013997:Time Factors
D017452:Receptors, IgG; D015260:Neprilysin