Inflammation is a protective response to microbial infection or tissue injury that requires tight regulation of leukocyte entry into and exit from the inflamed tissue to allow resolution1,2. Cross-talk between endothelial cells (EC) that line blood vessels, circulating leukocytes and tissue-resident stromal cells is essential for coordinating this process3. However, uncontrolled recruitment of leukocytes and their ineffective clearance underpin the development of chronic inflammatory diseases4. Our current understanding of leukocyte recruitment in health and disease is incomplete and more robust models are needed to analyze this process.
The mechanisms supporting the recruitment of leukocytes from blood through vascular EC in post-capillary venules have been well described1,2,5. Circulating leukocytes are captured by specialized receptors (e.g., VCAM-1, E-selectin, P-selectin) which are up-regulated on inflamed endothelium. These transient interactions allow leukocytes to interact with surface bound chemokines and lipid-derived mediators (either endothelial or stromal in origin) that activate integrins expressed by leukocytes6-11. This in turn stabilizes adhesion and drives migration across the endothelium and into the tissue12-15. Within tissue, recruited leukocytes are subjected to stromal-derived agents that influence their motility, function and survival16,17. Growing evidence strongly suggests that signals received at each stage of the recruitment process conditions leukocytes for the next. However, our understanding of leukocyte recruitment remains incomplete and very little is known about the components shaping leukocyte movement within tissue.
In Birmingham we have developed several in vitro “vascular” models to study the recruitment of leukocytes from flow9,18,19. We now understand that vascular EC act as immediate regulators of leukocyte recruitment responding to changes in their local microenvironment. Specifically, tissue-resident stromal cells can actively regulate the inflammatory response, in part by conversing with neighboring vascular EC to influence their role in recruitment3. We have previously shown that various stromal cells modulate the ability of EC to support adhesion and migration of leukocytes in a tissue-specific manner, and that these effects become altered in chronic diseases13,16,20,21. Thus, stromal cells establish tissue ‘address-codes’ that define the context of each inflammatory response22. More recently, we have demonstrated that bone-marrow derived MSC (BMMSC) potently down-regulate the response of EC to cytokines, leading to a reduction in the recruitment of both neutrophils and lymphocytes23.
The mechanisms governing recruitment elucidated in vitro have largely used assays incorporating a single cell type (e.g., EC) or protein in isolation. However, these studies do not take into consideration the effects of the local tissue environment (i.e., the presence of stromal cells) on recruitment of leukocytes and their subsequent migration into the tissue. Here we describe two flow-based methods in which stromal cells, specifically mesenchymal stem cells (MSC), are co-cultured with EC23. Such models allow us to examine the effect of stromal cell on endothelial responses, in particular their ability to support leukocyte recruitment from flow.