Skip to main content
Infection and Immunity logoLink to Infection and Immunity
. 1981 Apr;32(1):38–41. doi: 10.1128/iai.32.1.38-41.1981

Effects of surgery on neutrophil granulocyte function.

H El-Maallem, J Fletcher
PMCID: PMC350583  PMID: 6260683

Abstract

The high incidence of postoperative infections raises the possibility of a reduced defense to infection during this period. For this reason, neutrophil function and enzyme activity were investigated after surgical trauma. The microbicidal ability of neutrophils was markedly impaired within 2 h of elective abdominal hysterectomy, but phagocytosis was unaffected. Loss of microbicidal activity was associated with loss of the lysosomal enzyme myeloperoxidase. It is suggested that these changes are due to activation and partial degranulation of circulating neutrophils. Defective microbial killing by individual cells should be compensated by an accompanying rise in the number of circulating neutrophils.

Full text

PDF
38

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alexander J. W. Serum and leukocyte lysosomal enzymes. Derangements following severe thermal injury. Arch Surg. 1967 Sep;95(3):482–491. doi: 10.1001/archsurg.1967.01330150158020. [DOI] [PubMed] [Google Scholar]
  2. Alexander J. W., Stinnett J. D., Ogle C. K., Ogle J. D., Morris M. J. A comparison of immunologic profiles and their influence on bacteremia in surgical patients with a high risk of infection. Surgery. 1979 Jul;86(1):94–104. [PubMed] [Google Scholar]
  3. Alexander J. W., Wixson D. Neutrophil dysfunction and sepsis in burn injury. Surg Gynecol Obstet. 1970 Mar;130(3):431–438. [PubMed] [Google Scholar]
  4. Bainton D. F. Neutrophil granules. Br J Haematol. 1975 Jan;29(1):17–22. doi: 10.1111/j.1365-2141.1975.tb01795.x. [DOI] [PubMed] [Google Scholar]
  5. El-Maalem H., Fletcher J. Defective neutrophil function in chronic granulocytic leukaemia. Br J Haematol. 1976 Sep;34(1):95–103. doi: 10.1111/j.1365-2141.1976.tb00178.x. [DOI] [PubMed] [Google Scholar]
  6. El-Maallem H., Fletcher J. Impaired neutrophil function and myeloperoxidase deficiency in pregnancy. Br J Haematol. 1980 Mar;44(3):375–381. doi: 10.1111/j.1365-2141.1980.tb05906.x. [DOI] [PubMed] [Google Scholar]
  7. Goldstein I., Hoffstein S., Gallin J., Weissmann G. Mechanisms of lysosomal enzyme release from human leukocytes: microtubule assembly and membrane fusion induced by a component of complement. Proc Natl Acad Sci U S A. 1973 Oct;70(10):2916–2920. doi: 10.1073/pnas.70.10.2916. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hansen N. E., Karle H., Andersen V., Malmquist J., Hoff G. E. Neutrophilic granulocytes in acute bacterial infection. Sequential studies on lysozyme, myeloperoxidase and lactoferrin. Clin Exp Immunol. 1976 Dec;26(3):463–468. [PMC free article] [PubMed] [Google Scholar]
  9. Henson P. M., Oades Z. G. Stimulation of human neutrophils by soluble and insoluble immunoglobulin aggregates. Secretion of granule constituents and increased oxidation of glucose. J Clin Invest. 1975 Oct;56(4):1053–1061. doi: 10.1172/JCI108152. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Hill J. H., Ward P. A. The phlogistic role of C3 leukotactic fragments in myocardial infarcts of rats. J Exp Med. 1971 Apr 1;133(4):885–900. doi: 10.1084/jem.133.4.885. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. KLEBANOFF S. J. INACTIVATION OF ESTROGEN BY RAT UTERINE PREPARATIONS. Endocrinology. 1965 Feb;76:301–311. doi: 10.1210/endo-76-2-301. [DOI] [PubMed] [Google Scholar]
  12. Klebanoff S. J. Intraleukocytic microbicidal defects. Annu Rev Med. 1971;22:39–62. doi: 10.1146/annurev.me.22.020171.000351. [DOI] [PubMed] [Google Scholar]
  13. Klebanoff S. J. Myeloperoxidase-halide-hydrogen peroxide antibacterial system. J Bacteriol. 1968 Jun;95(6):2131–2138. doi: 10.1128/jb.95.6.2131-2138.1968. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Lehrer R. I., Cline M. J. Leukocyte myeloperoxidase deficiency and disseminated candidiasis: the role of myeloperoxidase in resistance to Candida infection. J Clin Invest. 1969 Aug;48(8):1478–1488. doi: 10.1172/JCI106114. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Lehrer R. I. Functional aspects of a second mechanism of candidacidal activity by human neutrophils. J Clin Invest. 1972 Oct;51(10):2566–2572. doi: 10.1172/JCI107073. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Olofsson T., Olsson I., Venge P. Myeloperoxidase and lactoferrin of blood neutrophils and plasma in chronic granulocytic leukaemia. Scand J Haematol. 1977 Feb;18(2):113–120. doi: 10.1111/j.1600-0609.1977.tb02080.x. [DOI] [PubMed] [Google Scholar]
  17. Philip M. A., Standen G., Fletcher J. The effects of surgical trauma on human granulopoiesis. Br J Haematol. 1980 Feb;44(2):263–268. doi: 10.1111/j.1365-2141.1980.tb01208.x. [DOI] [PubMed] [Google Scholar]
  18. Quie P. G., White J. G., Holmes B., Good R. A. In vitro bactericidal capacity of human polymorphonuclear leukocytes: diminished activity in chronic granulomatous disease of childhood. J Clin Invest. 1967 Apr;46(4):668–679. doi: 10.1172/JCI105568. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Repine J. E., Clawson C. C., Burchell H. B., White J. G. Reversible neutrophil defect in patients with bacterial endocarditis. J Lab Clin Med. 1976 Nov;88(5):780–787. [PubMed] [Google Scholar]
  20. Solberg C. O., Hellum K. B. Neutrophil granulocyte function in bacterial infections. Lancet. 1972 Oct 7;2(7780):727–730. doi: 10.1016/s0140-6736(72)92022-3. [DOI] [PubMed] [Google Scholar]
  21. Williams D. M. Leucocyte alkaline phosphatase as a marker of cell maturity: a quantitative cytochemical and autoradiographic study. Br J Haematol. 1975 Nov;31(3):371–379. doi: 10.1111/j.1365-2141.1975.tb00868.x. [DOI] [PubMed] [Google Scholar]

Articles from Infection and Immunity are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES