title: Injury is a major inducer of epidermal innate immune responses during wound healing.
abstract: We examined the importance of injury for the epidermal innate immune response in human skin wounds. We found that injury, independent of infiltrating inflammatory cells, generated prominent chemotactic activity toward neutrophils in injured skin because of IL-8 production. Furthermore, injury was a major inducer of the expression of antimicrobial (poly)peptides (AMPs) in skin wounds. In human skin, these injury-induced innate immune responses were mediated by activation of the epidermal growth factor receptor (EGFR). Consequently, inhibition of the EGFR blocked both the chemotactic activity generated in injured skin and the expression of the majority of the AMPs. The importance of injury was confirmed in mouse experiments in vivo, in which injury independent of infection was a potent inducer of AMPs in skin wounds. To our knowledge, these data thereby provide a previously unreported molecular link between injury and neutrophil accumulation and identify the molecular background for the vast expression of IL-8 and AMPs in wounded epidermis. Conceptually, these data show that the growth factor response elicited by injury is important for the recruitment of neutrophils in skin wounds.
authors.affiliation: Division of Infection Medicine, Lund University, Lund, Sweden.
authors.forename: K Markus
authors.initials: KM
authors.lastname: Roupé
authors.forename: Mads
authors.initials: M
authors.lastname: Nybo
authors.forename: Ulf
authors.initials: U
authors.lastname: Sjöbring
authors.forename: Per
authors.initials: P
authors.lastname: Alberius
authors.forename: Artur
authors.initials: A
authors.lastname: Schmidtchen
authors.forename: Ole E
authors.initials: OE
authors.lastname: Sørensen
mesh_terms: D000249:Adenosine Monophosphate / Q000378:metabolism; D000818:Animals; D001706:Biopsy; D002478:Cells, Cultured; D002633:Chemotaxis / Q000276:immunology; D004817:Epidermis / Q000276:immunology* / Q000293:injuries* / Q000382:microbiology; D066246:ErbB Receptors / Q000378:metabolism; D006801:Humans; D016209:Interleukin-8 / Q000378:metabolism; D007378:Interleukins / Q000378:metabolism; D015603:Keratinocytes / Q000166:cytology / Q000276:immunology*; D051379:Mice; D008810:Mice, Inbred C57BL; D009504:Neutrophils / Q000276:immunology* / Q000378:metabolism; D009924:Organ Culture Techniques; D013045:Species Specificity; D013290:Streptococcal Infections / Q000276:immunology / Q000378:metabolism; D013297:Streptococcus pyogenes; D014945:Wound Healing / Q000276:immunology*; D000099180:Interleukin-24
chemical_list: D000249:Adenosine Monophosphate; D066246:ErbB Receptors; D016209:Interleukin-8; D007378:Interleukins; D000099180:Interleukin-24; C422042:interleukin 20