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Physiological Reviews, Vol. 83, No. 2, April 2003, pp. 309-336; 10.1152/physrev.00023.2002.
Copyright ©2003 by the American Physiological Society
Department of Medicine, Section of Cardiovascular Sciences, The DeBakey Heart Center at Baylor College of Medicine and the Methodist Hospital and Department of Pediatrics, Section of Leukocyte Biology, Baylor College of Medicine, Houston, Texas; and Department of Pathology, University of British Columbia, Vancouver, British Columbia, Canada
Burns, Alan R.,
C. Wayne Smith, and
David C. Walker.
Unique Structural Features That Influence Neutrophil
Emigration Into the Lung. Physiol. Rev. 83: 309-336, 2003.
Neutrophil emigration in the lung differs
substantially from that in systemic vascular beds where extravasation
occurs primarily through postcapillary venules. Migration into the
alveolus occurs directly from alveolar capillaries and appears to
progress through a sequence of steps uniquely influenced by the
cellular anatomy and organization of the alveolar wall. The cascade of
adhesive and stimulatory events so critical to the extravasation of
neutrophils from postcapillary venules in many tissues is not evident
in this setting. Compelling evidence exists for unique cascades of
biophysical, adhesive, stimulatory, and guidance factors that arrest
neutrophils in the alveolar capillary bed and direct their movement
through the endothelium, interstitial space, and alveolar epithelium. A
prominent path accessible to the neutrophil appears to be determined by
the structural interactions of endothelial cells, interstitial fibroblasts, as well as type I and type II alveolar epithelial cells.
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